The rising lack of awareness around Fiji’s free medicine program is causing significant challenges for pharmacies, according to Zahira Cassim, director of HyperChem Pharmacy. She has noted an influx of individuals seeking free medications, unaware of the registration requirements and conditions necessary to access the program. This situation has put additional pressure on pharmacy staff, who are already grappling with shortages.
As of August 1, 2025, critical changes to the medication dispensing process for outpatient department (OPD) patients will be implemented at Lautoka and Ba hospitals managed by Health Care Fiji Ltd. For patients seen at the Special Outpatient Clinic, Emergency Department, or General Outpatient Department at Ba Hospital, medications will now be available from a mobile dispensary. In contrast, those treated at Lautoka Hospital must collect their medicines from the Lautoka Health Clinic located at Vidilo House.
HyperChem Pharmacy, as one of the participating pharmacies, is already preparing for an anticipated surge in patients, which Cassim indicated would strain their resources, particularly given the current shortage of pharmacists. To assist the public, the pharmacy has proposed establishing an information booth in collaboration with the Free Medicine Program coordinator in Suva.
Dr. Alipate Vakamocea, president of the Fiji Medical Association, emphasized the urgent need for the government to engage with Aspen Medical, the contractor running the hospitals, to address the concerns regarding the dispensary changes, particularly how it will affect low-income families. The phasing out of outpatient pharmacy services raises concerns about access to critical medications, especially for the most vulnerable populations including those requiring pain relief medications which may not be readily available through private pharmacies.
This development presents an opportunity for the Fijian government and health authorities to implement reforms that enhance communication and streamline processes related to medication access. Ongoing discussions about improving healthcare services in Fiji can potentially lead to a well-planned rollout of these changes, ensuring that all citizens receive the necessary medications they need efficiently and effectively.
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