The World Bank and the Asian Development Bank (ADB) have announced a significant collaborative initiative aimed at combating Non-Communicable Diseases (NCDs) in the Pacific region, with a monetary commitment of approximately $239.5 million (Fiji $541.3 million). This endeavor, known as the Pacific Healthy Islands Transformation (PHIT) project, is set to revolutionize Fiji’s healthcare landscape, positioning the country as a focal point in the fight against some of the most pressing health challenges in the Pacific.
Launched by World Bank President Ajay Banga and ADB President Masato Kanda in Manila last week, the PHIT project is described as the largest single operation by the World Bank Group in the Pacific to date, with the World Bank taking the lead role in the execution of the initiative. The project aims to modernize primary healthcare systems in Fiji and support the establishment of a state-of-the-art regional hospital, thereby significantly enhancing the availability of treatment for diseases such as cancer, cardiovascular ailments, and diabetes.
Fiji’s Minister for Finance, Esrom Immanuel, emphasized that the PHIT project is crucial for strengthening the region’s health systems and improving access to quality healthcare services. The initiative will not only address the rising burden of NCDs but will also have a broader economic impact, with estimates indicating that it will touch the lives of approximately two million individuals across several Pacific nations, including Tonga, Kiribati, Tuvalu, Nauru, Samoa, Solomon Islands, and Vanuatu. The project is expected to create around 11,000 jobs regionally.
The PHIT project will also fund the construction of a new Colonial War Memorial Hospital, integrating climate-resilient and gender-responsive features. This comprehensive approach seeks to improve both primary and tertiary care standards, focusing on preventive services.
Furthermore, the project is a pioneer under the newly established Full Mutual Reliance Framework (FMRF) that was initiated by the two multilateral entities earlier this year. By establishing a streamlined partnership where one institution leads the project, the FMRF aims to reduce inefficiencies and enhance the speed of project implementation while maintaining high policy standards for participating nations.
The launch of the PHIT initiative not only signifies a robust response to the health crises faced in the Pacific but also reflects a hopeful commitment toward building resilient healthcare infrastructures for improved public health outcomes in the region.

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