The Pacific Eye Institute (PEI) in Fiji faces significant financial challenges in providing free surgical treatment for vitreoretinal disorders, a complication associated with advanced diabetes. The cost of each surgery amounts to nearly $6,000, which primarily covers consumables such as tubing, blades, and gases, without accounting for additional overheads like human resources and facility costs. These surgeries were previously only available through overseas travel, costing around $10,000 excluding travel and accommodation expenses. However, through a partnership with CWM Hospital and funding from organizations such as DFAT and The Church of Jesus Christ of Latter-day Saints, PEI has been able to offer these treatments locally. Despite obtaining necessary equipment worth approximately $250,000 through these collaborations, the expense of consumables remains a considerable burden.
Kirti Prasad, the country manager for PEI in Fiji, underscored the sustainability issue, noting the discrepancy between public expectations of free healthcare services and the institute’s inability to charge due to public hospital policies. She pointed out that private clinics charge between $1,500 and $2,000 per eye surgery, highlighting the financial strain PEI endures to provide its services for free. Despite these challenges, Prasad credits the Fijian government for its support and acknowledges the need for potential changes to maintain the sustainability of these vital services.
The emphasis on eye health has been gathering momentum across Fiji, as reflected by broader healthcare initiatives aimed at increasing access to eye care services. Examples include free community eye screenings in collaboration with various organizations, which have helped bridge healthcare gaps, especially in underserved areas. Such efforts underscore the invaluable impact of preventative care and highlight the importance of regular eye examinations.
The increased accessibility and efforts of local and international partnerships have been pivotal in improving eye health in Fiji. This commitment to providing comprehensive eye care is not only enhancing quality of life for individuals but is also reinforcing the healthcare infrastructure necessary to support ongoing needs. Maintaining and expanding these initiatives will be essential for sustaining and improving public health outcomes in Fiji.
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