Frontline health workers in Fiji are being encouraged to recognize signs of gender-based violence that extend beyond just physical injuries, as emphasized by Dr. Lice Vaniqi during the Fiji Medical Association Central Mini Conference held in Suva. This initiative is particularly important given the alarming prevalence of physical or sexual violence against women, which stands at 64%, the second highest in the Pacific.
Dr. Vaniqi highlighted that symptoms such as missed medical appointments, recurring sexually transmitted infections, emotional distress, and controlling behavior from partners could indicate underlying abuse. Unfortunately, many healthcare providers still lack the necessary training to respond effectively to these signs. She asserted the need for health professionals to challenge societal beliefs about women, which often influence their approach to managing survivors of gender-based violence.
In response to the ongoing crisis, the Health Ministry has initiated the Velomani Training Curriculum, a comprehensive 15-session program designed to better equip health workers with the skills to handle disclosures, protect patient confidentiality, and respond compassionately and impartially. Thus far, eight sessions have been completed.
Dr. Vaniqi also addressed concerns regarding mandatory reporting protocols, clarifying that adult survivors of abuse are not required to be reported without their consent unless there is a significant risk of harm or legal obligation involved. Furthermore, she noted a growing gap in care and data for older women and presented new research linking gender-based violence to menopause.
Similar sentiments were echoed in past discussions by health officials, who declared the rising incidence of domestic violence in Fiji as a public health emergency. Informed strategies for collective action and community-oriented solutions are being sought to tackle this pressing issue, as figures indicate that two-thirds of women experience violence from intimate partners.
Despite the serious nature of these challenges, there remains hope for change. With community initiatives like the National Action Plan to Prevent Violence Against All Women and Girls, and the increasing recognition of the importance of gender equality, there is a growing momentum toward creating a culture that supports victims and works actively to prevent violence. This proactive approach may very well lead Fiji towards a safer future for women and children.

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