Fiji urged to lift postpartum depression data collection to better identify and support affected mothers
Health professionals and advocates warn that Fiji must urgently improve how it collects data on postpartum depression to more effectively identify, support, and treat mothers facing the condition. At a recent health dialogue, specialists pointed to gaps in screening, referrals, and record-keeping that allow many cases to fall through the cracks of the health system.
Acting Principal Medical Officer Afin Zahin emphasized that screening cannot end at childbirth, and he warned that “Number one is the collection and storage of data, which is very poor at this point in time. That is exactly why we cannot comment on how bad the situation is.” He added that meaningful changes depend on having data that can be properly analyzed.
Head of Wellness Dr. Devina Nand noted that collecting postpartum data is a global issue, not unique to Fiji, and highlighted the Pacific-wide challenge of ensuring raw data can be electronically input into information systems. He underscored the need for better coordination, stronger data systems, and consistent screening so that nationwide policy changes can be driven and mothers receive the care they need.
Context from recent global and local discussions adds urgency to these calls. Experts estimate that postpartum depression affects about 10 to 20 percent of new mothers in Fiji, translating to roughly 2,000 women affected each year. With around 20,000 deliveries annually, about 1,000 cases may be severe, highlighting a significant public health issue that is often underreported due to gaps in data collection and screening. The concern about underreporting has been echoed by health leaders who stress the importance of early diagnosis and consistent care.
National leaders have also signaled the importance of robust data collection. Minister for Women, Children and Social Protection Lynda Tabuya has previously stressed Fiji’s lack of comprehensive postpartum depression data and urged that data be collected using World Health Organization standards. She has linked women’s health to broader societal productivity and empowerment, underscoring the need for strong mental health support and adequate counseling resources. The government’s ongoing emphasis on maternal health and gender equality aligns with calls for better data to inform policy and resource allocation.
Experts argue that better data will drive policy changes and ensure mothers receive timely care, particularly through improved screening protocols and coordinated care pathways. They also point to the need for expanded mental health resources, including more psychologists—especially female specialists in maternal health—and stronger partnerships with NGOs and community organizations to collect data and deliver services.
What needs to happen next
– Adopt WHO-recommended indicators for maternal mental health and postpartum depression.
– Implement routine screening for postpartum depression at both prenatal and postnatal visits.
– Build and integrate robust electronic health information systems to capture standardized data nationwide.
– Expand counseling and mental health workforce, with a focus on maternal health, including more female psychologists.
– Establish national data dashboards and annual reporting to monitor trends and inform policy.
– Strengthen partnerships with community organizations to improve data collection and service delivery at the local level.
Outlook
There is cautious optimism that with political will, international support, and cross-sector collaboration, Fiji can close the current data gaps. A more systematic approach to monitoring postpartum depression could lead to earlier detection, timely interventions, and better outcomes for mothers and their babies, contributing to healthier families and a stronger, more productive society.
Summary
Gaps in Fiji’s postpartum depression data—along with underreporting and uneven screening—are prompting officials and health experts to push for standardized data collection, broader screening, and stronger mental health resources to protect the health of mothers and children.
Commentary
Strengthening data systems in Fiji could serve as a model for other Pacific nations facing similar challenges. Emphasizing electronic data capture, WHO-aligned indicators, and community-based data gathering will not only improve clinical care but also support evidence-based policy and funding decisions that can sustain long-term improvements in maternal mental health.
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