Fiji’s Healthcare Brain Drain: Can Enough Be Done to Keep Doctors and Nurses?

Retaining medical professionals is a primary concern for the Ministry of Health as it addresses the ongoing loss of doctors and nurses who are leaving for more attractive opportunities abroad.

Health Minister Dr. Atonio Lalabalavu acknowledged that while the ministry faces challenges competing with enticing offers from overseas employers, efforts are being made to enhance working conditions, which includes increasing salaries for medical staff.

“The Government has ensured a pay rise for nurses and all civil servants,” Dr. Lalabalavu stated. He noted that doctors already receive the highest salaries among civil servants immediately after completing their training. Furthermore, efforts are underway to improve pay for allied health workers as well.

In addition to salary adjustments, the Government is prioritizing career growth and professional development opportunities. “We are supporting medical specialist training across various specializations, which will enhance our tertiary care services,” said Dr. Lalabalavu. He mentioned that soon, Fiji will have a range of specialists including neurosurgeons, cardiologists, and nephrologists. The support for the specialization of nurses is also aimed at providing them with clear career development pathways.

Workforce planning is another key area the Government is focusing on, collaborating with development partners to implement improvements. “In partnership with the WHO, we are conducting a comprehensive workforce assessment within the ministry,” he explained. This initiative aims to ensure the right number of doctors, nurses, and allied health staff, which should help alleviate the burnout currently experienced in many health sectors.

Dr. Lalabalavu recently participated in discussions with members of the Fiji Medical Association in Nadi, addressing the challenges the health sector is currently facing.

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