As part of the Australian Government’s ongoing commitment to reduce maternal and child mortality in…
Client: Australian Department of Foreign Affairs and Trade
The goal of the Fiji Health Sector Support Program (FHSSP) is to continue the efforts of the Australian Government’s aid program of continuing engagement in the Fiji health sector and its strategic priority of improving primary health care services at decentralised levels. The Program’s engagement is focused on supporting the Fiji Ministry of Health and Medical Services (MoHMS) to improve health outcomes in the areas of maternal and child health as well as improving the prevention and management of non-communicable diseases.
Saving lives of mothers and babies
Vaccine Story: Vaccine babies
Coverage of Fijian children with the standard vaccination program 95%
Combined coverage of the newly introduced childhood vaccines 90%
Coverage of young girls with HPV to prevent cervical cancer 81%
Institutionalise a safe motherhood program by supporting the MoHMS in strengthening clinical standards of care, equipping health facilities, training nurses and doctors in emergency obstetric care to improve safe delivery, and promoting community-based awareness of the importance of birth preparedness and early booking of ante natal visits.
Institutionalise a healthy child program in Fiji by strengthening the expanded program of immunisation including the development of a policy and guidelines, training of health care workers, and the introduction of new childhood vaccines. With the support of a nation-wide communications campaign and a dedicated workforce the introduction of the new rotavirus and pneumococcal vaccines has been highly successful, achieving high rates of coverage. Support to improving quality of care provided by health workers is being achieved through training in the management of childhood illnesses, advanced paediatric life support and WHO Pocket Book training, and the development of clinical practice guidelines.
Targeted support to non-communicable diseases such as diabetes and hypertension and cervical cancer. A ‘screen and intervene’ program has been established to identify and educate people at risk of developing NCDs. Health care workers are being trained in motivational interviewing techniques to more effectively communicate and counsel their clients in necessary behaviour change to bring about well-being. Frontline health care workers are being trained to ‘inspect and protect’ the feet of their diabetic clients in an effort to reduce amputation rates.
The Program has supported the development of a national cervical cancer screening policy which outlines a comprehensive prevention, screening and treatment program, a first for any Pacific Island country. The VIA (visual inspection with acetic acid) cervical screening method has been introduced which is a low cost screening technique enabling services to be provided in remote locations. In addition the introduction of the HPV vaccine into the immunisation schedule is anticipated to have a huge impact on the rates of cervical cancer in the future.
Strengthen primary health care through the revitalization of the community health worker program. Building capacity of active community health volunteers through a program of competency based training on core competencies, safe motherhood, healthy child, health and wellness. Building effective working relationships between community health volunteers and their respective zone nurses to enable collaboration and community mobilisation for better health outcomes.
Strengthening health service delivery through system improvements in health information, monitoring and evaluation, strategic planning and workforce development. FHSSP provides targeted technical assistance to support the MoHMS in strengthening an evidenced-based approach planning and program implementation to ultimately lead towards improved delivery of quality services at all levels of the health system.