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Kadavu Opens Maternity Waiting Home to Bring Safer Birth Care Closer to Fiji’s Remote Islands

Traditional Fiji cottage surrounded by lush tropical garden and palm trees.

A newly opened maternity waiting home in Kadavu was hailed as a lifeline for pregnant women across the island after its official opening yesterday, offering a safer, closer option for women facing long and difficult journeys to reach hospital care. United Nations Population Fund executive director and UN Under‑Secretary‑General Diene Keita described the facility as a “symbol of hope” during a visit that also included meetings with Prime Minister Sitiveni Rabuka, Health Minister Ratu Dr Atonio Lalabalavu and Assistant Minister for Foreign Affairs Lenora Qereqeretabua.

The Kadavu facility is intended to serve women from about 70 villages scattered around the island, many of whom previously faced late or emergency travel when labour began. Designed to accommodate expectant mothers in the final stages of pregnancy, the home provides two large, sanitary rooms and space for women to remain close to medical support rather than undertaking risky trips to the nearest hospital, UNFPA officials said.

Keita said the visit to Kadavu — which she described as the highlight of her brief trip to Fiji — revealed a strong sense of community reassurance. “I saw women and men very happy. I saw the elders and the leaders reassured, so that at least young women can benefit from every care that is needed,” she said, adding that the home changes how communities can “bring themselves to believe in the future.”

Geography remains a major barrier to equitable health access across Fiji’s many islands, Keita noted during her remarks. While Fiji’s nursing workforce is well trained and widespread, challenging terrain and dispersed populations mean services are not always within reach. The new waiting home, she said, is part of a push to bring services closer to the population and strengthen the broader health system in remote areas.

Strategic placement and climate resilience were highlighted as important considerations for similar infrastructure in island settings. Keita urged that facilities be located to balance accessibility and safety — not too close to coastlines yet reachable for transport during emergencies — underlining the need to account for rising climate risks in future health planning on Fiji’s “blue continent” of 330 islands and more than one million square kilometres of surrounding sea.

The opening also brought on‑the‑ground engagement with midwives who serve Kadavu’s rural communities. Keita and Health Minister Lalabalavu met midwives who report walking up to 25 minutes to reach their workplace; the executive director said staff were pleased the facility offers a practical solution for mothers and health workers alike.

Keita used the visit to stress UNFPA’s broader support in the Pacific, including renewed focus on HIV prevention. She warned that HIV is an emerging concern in Fiji, particularly among young people, and said UNFPA’s approach addresses both mother‑to‑child transmission and youth education. “Prevention, she stressed, must be approached at multiple levels, from community leadership to formal education systems,” Keita said, noting the importance of making services and commodities accessible so young people can make informed decisions.

The Kadavu maternity waiting home marks a concrete step in efforts to extend reproductive and maternal health services to hard‑to‑reach communities, with partners pointing to the facility as an example of how targeted investments and local collaboration can reduce risk for mothers and newborns in remote island settings.


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