Fiji is poised for significant advancements in its healthcare system following the signing of an important financing agreement for the country’s largest health sector reform to date. Minister for Finance Esrom Emmanuel announced that the Pacific Healthy Islands Transformation Project will inject USD 181.9 million (FJ$418 million) into upgrading hospitals, enhancing medical equipment, and improving healthcare delivery throughout the nation.
This investment comes at a crucial juncture, as a recent review by the World Bank highlighted stagnation in Fiji’s health outcomes over the past three decades, revealing that they remain substantially lower than those of countries with similar economic standings. The review pointed out the under-resourced nature of many health services in Fiji, which are struggling to effectively prevent, detect, and manage the increasing prevalence of non-communicable diseases.
Minister Emmanuel emphasized that the project will primarily focus on modernizing health facilities to ensure all Fijians can access dependable and quality health services. He mentioned that the Government’s National Development Plan prioritizes the expansion of primary and secondary healthcare, enhancing early detection of diseases, decentralizing services, and integrating digital innovations into the health sector. These objectives align seamlessly with the new health transformation project.
The initiative includes substantial investments aimed at improving health infrastructure, fortifying regional health systems, and broadening access to essential medical supplies and clinical services. Key components of the project involve upgrading the Pacific healthcare workforce, establishing integrated digital health systems, and improving access to tertiary care through enhanced training facilities.
A significant portion of the funding will also focus on developing resilient, patient-centered networks of care in Fiji, which will enhance health promotion and the early detection and management of diseases. Community outreach programs, gender-sensitive health services, risk profiling, and wellness initiatives will be expanded, thereby ensuring that upgraded facilities are complemented by improved service delivery and robust public health systems.
The project will be funded through concessional and grant financing sourced from prominent development partners, including USD 30 million from the OPEC Fund for International Development, USD 50 million from the Asian Development Bank, and USD 101.9 million from the World Bank’s International Development Association. Notably, this represents the OPEC Fund’s inaugural support to Fiji, reflecting growing international confidence in the country’s reform ambitions.
Minister Emmanuel assured the public that these borrowings remain within the Government’s fiscal and investment frameworks. He articulated that this initiative is a pivotal step toward offering modern, resilient, and accessible healthcare to all Fijians. “Through this investment, we are not merely upgrading buildings and equipment; we are reshaping the future of health services in Fiji,” he stated. “This project will help ensure our people live healthier, longer, and more productive lives.”

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