The healthcare system in Fiji is currently facing significant challenges, a condition that Deputy Prime Minister and Finance Minister Professor Biman Prasad attributes to prolonged neglect over the years. In a recent interview coinciding with the launch of the Fiji Health Sector Review, Prof Prasad highlighted the findings of a World Bank report that clearly indicate a deterioration in healthcare outcomes over the last two decades.
The deputy prime minister pointed out that the alarming rise in non-communicable diseases (NCDs) is a direct consequence of this continued neglect, with the report noting that health outcomes were noticeably better in the 1970s, 80s, and 90s before beginning their decline. This deterioration poses not only a public health crisis but also serves as a heavy economic burden, as the cost of treating chronic diseases strains the healthcare system.
Prof Prasad emphasized the importance of investing in public health initiatives that focus on the prevention of NCDs. By doing so, he believes the country can achieve better health outcomes while simultaneously alleviating the overall financial pressures on healthcare. He reflected on the effective healthcare practices of the past, such as nurses conducting home visits, which contributed to lower hospitalization rates. However, these proactive strategies have largely fallen by the wayside, giving rise to a system that now tends to be more reactive.
In response to these pressing issues, the government is prioritizing a comprehensive overhaul of Fiji’s healthcare infrastructure. Prof Prasad announced plans for an Indian Government-built super-specialty hospital and noted the Australian Government’s involvement in upgrading the CWM Hospital. Additionally, there are discussions regarding the establishment of a new national hospital intended to serve not just Fiji but other nations in the Pacific as well. He praised the Coalition Government’s commitment, highlighting that these initiatives are crucial for improving health outcomes across the country.
In summary, while Fiji’s healthcare system is currently in decline due to past neglect, there are significant steps being taken by the government to rectify the situation. With collaborative efforts and an emphasis on preventive care, there is hope for a healthier future for the people of Fiji, potentially setting a precedent for enhanced healthcare across the Pacific region.

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