The North Fly Health Services Development Program (NFHSDP) and Community Mine Continuation Agreement (CMCA) Middle and South Fly Health Program (CMSFHP) have continued to support health services in Western Province, Papua New Guinea, through improvements to health infrastructure, equipment, transport, and workforce development. Both Programs are implemented by Abt Associates in partnership with the existing health service providers.  At the end of 2015, a progress report for both programs was completed, which included the midline evaluation of the CMSFHP and an update on the NFHSDP.  The full report and a summary of the report is available below.


NFHSDP commenced in 2009; it is an initiative of and funded by Ok Tedi Mining Limited (OTML) and managed through the Ok Tedi Development Foundation (OTDF). It covers the entire North Fly District as well as the northern Middle Fly communities in the Nomad Local Level Government area of Western Province. NFHSDP has supported the development of the Tabubil Urban Clinic and provides management and clinical support to Kiunga Hospital. The progress report shows that in several instances improvements in health indicators have been achieved when national trends were stagnant or declining.


CMSFHP is an initiative of and managed by OTDF and funded through the CMCA portion of the Western Province People’s Dividend Trust Fund. It covers five CMCA Trust Regions: Middle Fly, Suki Fly Gogo, Manawete, Dudi and Kiwaba. The program commenced in mid-2013 and is scheduled to run for 5 years.  The midline evaluation showed that the program has generally been positively received by communities and health workers thus far. The attribution of improvements is both from the outreach services provided by the Program team as well as increased service delivery at health facilities.

Future Direction

Having improved the state of health services across the Province, OTML and OTDF are likely to considerably reduce their respective contributions once the Programs conclude in 2018. A key focus for the remainder of the Programs will be to move away from direct service delivery towards working with partners to identify impediments to achieving sustainable health services;  and to develop a transition plan that outlines the outcomes required to maintain achievements beyond 2018.

The full progress report is available for download, along with a summary document.  If you would like more information or if your organisation would like to support the Programs please visit our websites or or contact us on +675 649 1081.

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Strengthening Health Services in Western Province, Papua New Guinea. Full Report. PDF (10MB)






Strengthening Health Services in Western Province, Papua New Guinea. Summary. PDF (1MB)