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Illustration of Health sector struggles despite economic growth – Tudravu

Fiji’s Health Dilemma: Why Economic Growth Isn’t Improving Life Expectancy

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Fiji, despite its classification as an upper-middle-income country, is grappling with health indicators that resemble those of lower-income nations, according to Dr. Jemesa Tudravu, the permanent secretary for Health and Medical Services. The recent Fiji Health Sector Review Report from the World Bank reveals a concerning life expectancy of only 68 years, highlighting a disconnect between economic advancement and health improvements for the population.

Dr. Tudravu emphasized the urgent need for the nation to address these health challenges collaboratively, both in the public and private health sectors. He noted that non-communicable diseases remain the leading causes of illness and mortality in Fiji, alongside climate-sensitive diseases such as leptospirosis and dengue fever, along with a rising concern about HIV and AIDS linked to injectable drug use.

Compounding these issues is a worldwide shortage of health resources that has become more pronounced following the pandemic, alongside the need for preparation for future health crises. Dr. Tudravu advocated for a transformation of primary health care, the acceleration of digital health initiatives, and increased investment in integrated, technology-driven hospital networks. He believes that promoting healthy lifestyles through tax incentives for nutritious diets will be pivotal in improving public health metrics and ultimately enhancing life expectancy and fostering economic growth.

Moreover, Dr. Tudravu noted the rapid expansion of the private health sector over the last decade. He posited that while the public sector is reforming its health approach, the private sector should focus on complementing public health capabilities rather than merely competing. Investments in local manufacturing and distribution of medical supplies and cultivating the workforce in health services could significantly advance Fiji’s health outcomes.

In conclusion, while Fiji faces notable challenges in its health sector, there is hope. By fostering collaboration between public and private sectors and focusing on innovative health solutions, the nation can pave the way towards improved health indicators and a healthier population. This collaborative effort could not only enhance the quality of life for Fijians but also contribute positively to the country’s economic trajectory.


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