The recent findings reveal a troubling trend in Fiji, where poor health outcomes are hindering the nation’s productive potential. This concern was raised by Stephen Ndegwa, the World Bank country director for Papua New Guinea and the Pacific Islands, during the launch of the Fiji Health Sector Review.
The report highlights an alarming rise in non-communicable diseases (NCDs) such as diabetes, cardiovascular diseases, and cancer, leading to what has been termed a “true epidemic” across the country. Ndegwa pointed out that the rate of NCDs in Fiji is nearly double that of countries with lower economic status. Shockingly, 80 percent of deaths in Fiji are attributed to NCDs, and they occur at a younger age compared to global standards, placing immense pressure on the health system, families, and the economy.
The report indicates that life expectancy in Fiji has stagnated over the last three decades, with only a marginal increase from 66 to 68 years between 1990 and 2020. In contrast, countries with similar economic levels have seen life expectancy rise by 15 percent during the same period, creating a gap of almost nine years. Deputy Prime Minister and Finance Minister Biman Prasad emphasizes the urgency of addressing this health crisis, warning that failing to mitigate the NCD burden will lead to unprecedented economic strains.
To tackle these pressing health issues, the report advocates for substantial investments in Fiji’s healthcare system—suggesting an annual investment of $50 million for the next 70 years specifically targeting the rise of NCDs. Currently, Fiji spends about 4 percent of its GDP on health, which falls short of the World Health Organization’s recommendations. Without proactive measures, untreated NCDs could result in significantly higher future costs, further burdening the economy.
Prasad has expressed alarm about the rapid increase of NCDs, advocating for early investment and intervention to avert a worsening situation. The findings urge a pivotal shift in policy, emphasizing the need for accessible healthy food options, which are currently overshadowed by cheaper, unhealthy alternatives. Enhancing the health of the population is deeply intertwined with economic productivity, making it clear that urgent investment in health is essential for both.
To combat this epidemic, Fiji is challenged to prioritize health investments, raise public awareness, and promote healthier lifestyles. The call for political will to drive these changes has never been more pronounced.
In summary, Fiji faces a critical health crisis tied to economic productivity, necessitating immediate and coordinated action to improve the healthcare system, address NCDs, and promote healthier choices among its populace. With the right investments and policies in place, there is hope for a brighter, healthier future for Fijians.

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