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Fiji’s Medical Supply Chain: Overcoming Challenges and Ensuring Access

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Fiji’s Ministry of Health and Medical Services (MOHMS) relies significantly on the Fiji Pharmaceutical and Biomedical Services (FPBS) for the management of the nation’s medical supply distribution network. The FPBS serves as the primary warehouse for the ministry, ensuring that over 200 healthcare facilities throughout the islands receive essential medicines, vaccines, medical equipment, and other health-related products.

A recent media tour showcased the operations of the FPBS warehouse, underlining its critical function in maintaining the country’s pharmaceutical supply chain amidst growing concerns over medical supply shortages caused by global disruptions. Given Fiji’s inability to locally produce the majority of its medical supplies, the nation is notably reliant on international suppliers. Once medical supplies arrive in Fiji, they are processed and distributed by the FPBS. However, challenges such as delays from manufacturers, transportation hurdles, and intermittent shortages complicate this process.

FPBS Operations Director Jeremaia Mataika explained that the agency oversees the distribution of medical supplies to a wide array of health facilities, including hospitals and nursing stations. The current budget for FPBS has increased significantly, reflecting the growing demands placed on the service. The facility is structured to deliver supplies monthly to most locations, while remote areas are served quarterly.

The procurement of medical supplies is regulated under the Financial Management Act and government procurement rules, with purchases over $50,000 requiring a formal tendering process, which can be time-consuming. However, FPBS maintains close collaboration with the Medicines Regulatory Authority to ensure that all procured medicines meet safety and efficacy standards.

A noteworthy advancement in FPBS operations has been the introduction of the M-Supply system, a digital platform for inventory and procurement management, which allows health facilities, including those in remote regions, to electronically place orders. This system, supported by the Government of Australia, enhances the efficiency and accuracy of the supply chain management.

Addressing logistical challenges remains a priority, with plans to expand warehousing capacity to accommodate the needs of various regions. The COVID-19 pandemic highlighted vulnerabilities in supply chains, prompting the ministry to prioritize building additional warehouses and pre-stocking essential items.

Mataika emphasized that the goal of FPBS is not only to stock facilities but to ensure these facilities are supplied with high-quality medicines. The Medicines Regulatory Authority plays a crucial role in monitoring the safety and effectiveness of the medicines provided.

Despite ongoing challenges, including global shortages and logistical delays, the ministry remains committed to the procurement and distribution of essential medications, particularly those in high demand. Looking ahead, FPBS plans to enhance supply chain operations through improved inventory management and further digitization.

With the continued support of international partners, FPBS is dedicated to ensuring that all Fijians, regardless of their location, have adequate access to necessary medical supplies.

In summary, Fiji’s healthcare system faces challenges from global supply chain disruptions, but through strategic initiatives, increased budgets, digital advancements, and a commitment to quality, the Ministry of Health is actively working to ensure that essential medical supplies reach those in need, fostering hope for improved health outcomes across the nation.


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