HEALTH SERVICES

Public Health Services

The Permanent Secretary and Deputy Secretary Public Health is responsible for formulation of strategic public, primary health policies and oversees the implementation of public health programmes as legislated under the Public Health Act 2002. Effective primary health care services are delivered through Sub Divisional Hospitals and national programs explored below.

Wellness Centre

The Wellness Unit was established in February 2012 by the merging of Non Communicable Diseases (NCD) control unit and the National Centre for Health Promotion (NCHP).

Wellness unit is now rebranded “Wellness Fiji – harvest the wellness within you“.

All Fijians from conception to senior citizens have the potential to harvest wellness, as they sail throughout lifespan in settings.

The strategic objective for Wellness and NCD is to reduce premature deaths (deaths aged less than 60 years) due to non-communicable diseases.

Recent Achievements for Wellness

  • Completion of the review of Public Health Act.
  • Establishment of the Wellness Framework and initiation of National Wellness Policy.
  • Review of National NCD Strategic Plan 2010-2014.
  • Development of National Strategic Plan 2015-2019 and Community Health Worker Policy.
  • Declaration of Fiji National University as No Tobacco University.
  • Launch of first Wellness bus for Fiji Public Health Community Outreach.
  • Development of the Wellness Competency Manual for Community Health Worker Training and the Wellness Manual for all Public Health Community workers by FHSSP.
  • Establishment of WHO PEN model for multidisciplinary approach to blood sugar, blood pressure and cholesterol to SOPD/HUBs in Fiji.
  • Diabetes Foot Care project commenced in collaboration with WDF.

Family Health

The family health programs key aims are to manage, implement, monitor and evaluate programs
pertaining to Child Health, Maternal Health, HIV/STI’s, Reproductive Health and Gender.

Child Health

Child Health began in 2013 with the launch of its Child Health Policy and Strategic Plan 2012-2015 during the Immunisation week. The launch incorporated the Launch of the Immunisation week to strengthen Immunisation around Fiji with defaulter tracing.

Some key achievements for Family health have been;

  • Rolling out the Neonatal Resuscitation Programme (NRP) trainings in the divisions with Central finishing in 2013 with the other two divisions underway in 2014.
  • Conducting an Immunisation Coverage Survey. The coverage has shown success in regards to the Immunisation program in Fiji at a coverage rate of 91.4% with card though with card and parent confirmation at 94.8%.
  • Development of the following guidelines and manual developed under Child Health Program;
    1. The Child Protection Guideline
    2. Vaccine Storage Guidelines: Keeping it Cold 2013-2016
    3. Fiji National Immunisation Policy and Procedure Manual 2013-2016

 

Maternal Health

Maternal Health has had its challenges and is in need of improvement. It remains a key strategic focus for the Ministry of Health moving forward. Some recent achievements include;

  • Development of the first ever maternal health strategic plan for Fiji. This was facilitated by a consultant supported by FHSSP along with a review of the program. This strategic plan has contributed towards a more strategic direction for maternal and child health care for Fiji in line with International Goals (Millennium Development Goals) and Local Targets of maternal and child health.
  • All Health Centres and Nursing Stations were provided with delivery packs to ensure that if a delivery was to happen in these sites there was basic necessary equipment’s available for these centres. Sub-Divisional Hospitals were also equipped with more equipment made available in partneship with UNDFP and FHSSP as part of Safe Motherhood in Fiji.
  • Clinical Practice Guidelines for maternal health has been finalised.
  • The first combined meeting with Obstetrics and Maternity to ensure a collaborative effort to reduce the maternal and child mortality rates in Fiji. This meeting ensured that paediatrics registrar’s were a part of the morning rounds for maternity and there were more collaborative efforts to tackle perinatal mortality.
  • Fiji has been in the process of developing a training manual for reproductive health under family planning, with an action plan to ensure the skill set, necessary equipment, improved data collation and communications were available for all to facilitate the increase in uptake of contraception where necessary.
  • Training of 824 health care workers around Fiji in a Birth Preparedness and Complication Readiness Plan and Emergency Obstetric and Neonatal Care.

Expanded Food Voucher Program: (Ministry of Women Social Welfare and Poverty Alleviation & MOH)

The Expanded Food Voucher Programme is a collaborative work with Ministry of Health and Ministry of Women and Social Welfare and Poverty Alleviation where all pregnant women in a rural setting are assisted with Cash Food Vouchers for the first three confinements. The only exception to this programme is where they are either a civil servant or already under a scheme of the Social Welfare department.

The expanded food voucher program is expected to ensure that women receive money for their nutritional support and ensure that all women book early at a health facility.

Gender

After consultation with a gender consultant and in line with the resulting Gender Report, the Gender working group was formed and developed the action plan for the Ministry of Health, an important component of the Gender Action Plan was the development of the Gender Training manual for the Ministry to carry out trainings for the Senior Managers, Divisional Teams for both the Public Health Sector inclusive of the Hospital Departments.

Sexual Health

Recent achievements for Sexual Health Program were:

Policy and Guidelines Development:

  • Prevention of Parents to Child Transmission of HIV Policy 2013-2016
  • TB/HIV Collaborative Policy
  • HIV Testing Strategy in Fiji
  • HIV Care and Antiretroviral Therapy Guidelines
  • HIV Testing and Counselling Policy

Trainings:

  • Prevention of Parent to Child Transmission of HIV which occurred in three divisions: Central, Western and Northern. The training encompassed all components of PPTCT from Basic background to treatment to Monitoring and evaluation.
  • HIV Prescribers training. This has been the third year of running the training which has become an important training for the dissemination of Basic HIV information to medical personals to identify HIV in the country.
  • Voluntary Counselling and Confidential Testing (VCCT). HIV Counsellors were trained to ensure that all HIV testing was happening in line with the HIV Decree.
  • Sub-Divisional Training on STI Syndromic. This training factored in more health care workers trained in the area of STI and syndromic reporting.

Apart from the policies and trainings done at National Level, there were a significant number of outreach programs which took place in the three divisions. These outreach programs encompass educational HIV/STI sessions and Voluntary Counselling and Testing, from these counselling and testing a number of positive cases has been identified from the various divisions, though majority of the cases have been from the Central and Western Division.

Adolescent Health

The overall objective of the program is to improve adolescent health and reduce adolescent morbidity and mortality through the promotion and advocacy of planning services through a Peer Education program.

The Peer Educator coordinates, implements, strengthens, monitors and sustains youth friendly services for adolescent’s development through delivery of integrated Sexual and Reproductive Health programs and initiatives at their various subdivisions.

Various awareness activities targeting gatekeepers especially community leaders have helped to create a supportive enabling environment. In the early years of the AHD Project a number of outreach initiatives through both in-school and community-based approaches allowed young people to gain basic knowledge on adolescent issues through awareness, information and education.

Additionally the program has expanded its capacity with regards to the skills of its project officers (Peer Educators).

These activities include:

  • Conducting health awareness during disease outbreaks (dengue, typhoid).
  • Providing basic information and support for mental health related issues and activities.
  • Providing basic information on the HIV Decree.
  • Conducting VCCT during outreach or basic HIV information at ANC clinics.

Communicable Diseases (CD)

The core functions of Communicable Disease program are:

  • To set up an effective surveillance system for the controlling of communicable diseases in Fiji and where directed in the region.
  • Provide quality public health
  • To promote and protect the health of the people of Fiji in regards to defined communicable diseases.
  • aboratory services for diagnosis, confirmation and surveillance for Fiji.
  • Develop, support and sustain communication networks between other government departments and stakeholders on advice and training on communicable diseases.
  • Support communicable disease quality assurance programs for Fiji and the region.
  • Provide advisory services to national authorities on CD.
  • Conduct relevant research.
  • Collaborate in relevant CD programs and projects that are mutually beneficial and consistent with our terms of references.
  • Provide specialist advice on the clinical management of LF patients.
  • Provide quality public health services for the designated infectious diseases under PPHSN.

Laboratory

The National Public Health Laboratory in its efforts to support CD prevention in addition to routine services it delivered identified the following activities as priority during 2013.

Recent progress includes:

Activities Status
Rapid HIV confirmatory testing New HIV Testing Algorithm Developed and endorsed by SPC
National Quality Standards for Health Laboratory Two assessments carried out by WHO and CDC to establish whether the lab met requirements of NQSHL, staff working on gaps identified by the assessors.
Dengue and Leptospirosis testing Dengue and Leptospirosis PCR testing conducted in collaboration with Institute of Pasture
Mass Drug Administration Coverage Completion of 2012 MDA programme and calculation of coverage for MDA.
Spot checks to eliminate Lymphatic Filariasis Spot checks in Taveuni Subdivision, Northern Division Transmission Assessment Survey (TAS), Central and Eastern Division C Survey

Environmental Health (EH)

The Environmental department is responsible for the promotion and protection of public health from environmental health risk factors such as pollution, unsanitary conditions, poor water supply qualities, illegal developments, improper waste management practises, breeding of disease vectors, poor food quality and so on.

The following legislation governs the EH department’s responsibilities:

Public Health Act (Cap 111)
Food Safety Act 2003
Food Safety Regulation 2009
Quarantine Act(Cap 116)
Town and Country Planning Act (Cap 139)
Sub-Division of Land Act(Cap 125)
Burial and Cremation Act (Cap 117)
Tobacco Control Decree 2010
Tobacco Control Regulation 2012
Litter Decree 2009

Recent achievements include;

  • The review of National Building Code.
  • The highest number of export of fish and fishery products to EU with a total of 588,211.05kg and 36 certificates issued.
  • A positive response was received from community leaders to have certain facilities declared tobacco –free thus the following community halls were declared tobacco free; Vunavutu village, Nasama village, Volivoli village, Ligalevu village, Mali Island in Macuata, Welagi Village and Qaranivai village in Udu.
  • Consultation towards smoke-free environments for Nightclubs and Eating houses.
  • WASH cluster Strategic Plan and WAS Minimum Standards in Emergencies has been formulated and awaiting finalisation by Strategic Advisory Group and endorsement by Cluster.
  • Consultation conducted for Memorandum of Understanding (MOU) between Rotary Pacific Water, Live and Learn and Ministry of Health.
  • Various clean up campaigns were organised for all three divisions.

Dietetics and Nutrition

The need for good and proper nutrition consultation and advice in our health facilities and community has never been higher. With the burden of NCDs and the high rate of premature deaths; our Dieticians are focusing more than ever before on more local fresh foods, plenty of fruits and vegetables, physical activity and a reduction in salt, sugar and fat. With our limited number (62 Dieticians to our population of approximately 900, 000) and resources we look to the support of the other health workers and stakeholders (local and overseas) to help us achieve our health vision of a nutritionally well Fiji.

Dieticians are positioned to serve in the sub-divisional and Divisional hospitals around the country in the three broad areas below:

Clinical Dietetics:

Clinical Dieticians stationed in Divisional Hospitals play a very important role in the health care team in providing nutritional care to patients in various states and conditions. Clinical Dieticians monitor, assess and optimise nutritional status based on the patient’s medical condition and /or nutrition adequacy. A patient’s medical/surgical and nutritional need is conferred with the physician, along with a recommendation for special dietary feeds. Patients are also taught by Clinical Dieticians on nutritionally sound food choices to prevent further complication of diseases, speed up recovery, restore good health and maintain a healthy lifestyle.

Public Health Dietetics

Public Health Dieticians are kept busy with the various nutritional programs that they carry out in the communities as listed below:

  • The School Health program with focus on the nutritional status of primary school students across the country, school lunches, school canteens and school gardens.
  • Maternal and Child Health focusing on the nutritional wellbeing of infants, children and mothers.
  • Non Thrives Clinic addressing underweight and malnourished children with corrective nutritional activities to help monitor and improve their nutritional status and avoid micro nutrient deficiencies.
  • Milk Supplementation program to help disadvantaged and malnourished children.
  • Vitameals to complement children’s feeds.
  • National Iron and Multi nutrient Supplementation programs.
  • Baby Friendly Hospital Initiatives to maintain support and promote breastfeeding.
  • Infant and Young Child Feeding program to help improve complementary feeding for children.
  • SOPD Clinics in Health Centres and general Wellness Outreaches in the communities.

Food Service

All the divisional and sub-divisional hospitals have varying amount of Food Services provided. With the ever-increasing burden of NCDs presenting to hospitals around the country, Dieticians responsible for food service have embarked on a “from supermarket to Market & Go local and Low Fat, Low Sugar and Low Salt” strategy in their efforts to educate and correct the populations eating pattern while in admission.

Oral Health

The Oral Health Department is responsible for the delivery of sustainable oral health programs for all citizens of Fiji. Through comprehensive legislative, promotional, preventative and curative activities that encourage the retention of natural teeth, resulting in better quality of life.

In an effort to improve oral health through primary and preventive health initiatives, the oral health unit implemented and continue carry out outreach visits targeting vulnerable and underprivileged people in remote, rural and maritime areas. These outreaches are part of the ministry’s values in providing services that are equitable and accessible to all citizens.
Recent achievements include;

  • A successful National Tooth Brushing Day led by his Excellency, President Ratu Epeli Nailatikau on 24th July. Over 162,000 people were registered to participate.
  • Specialist services taken down to subdivisional level; the implementation of prosthetic services to four outlying areas reflects the ministry’s commitment to providing rehabilitative tertiary level services to people in rural and remote areas; including the elderly and economically deprived communities.
  • A national audit of all 32 dental facilities around the country was conducted during 2013 resulting in a baseline inventory of equipment, instruments, dental materials, consumables and infrastructure. This exercise is the first step in ensuring the continuity and sustainability of effective and high quality services.
  • Delivery of oral health education and awareness in Primary School and Early Childhood Education teachers in an effort to have better supervision of tooth brushing drills at home and at school.
  • Oral Health promotion for teachers, parents and caregivers of persons with special needs was also conducted in an effort to improve the oral and general health of these persons.
  • Developed postgraduate training in partnership with Fiji National University in the areas of dental public health and oral surgery to begin in 2014.
  • The Oral Health Clinical Service Network (CSN) strengthened service delivery through the Clinical Service Plan (CSP) and Clinical Practice Guidelines (CPG’s) development.
  • Facilitated services from the visiting oro-maxillo facial surgery team from Australia. These highly specialised surgeries attended to patients who were suffering from oral cancers and other oral pathologies, facial trauma and birth defects.
  • Lowered dental fees have resulted in more services being utilised in 2012 and 2013, attendances of patients, treatment in conservative, prosthetics, extractions, oral surgery and preventive procedures have all showed significant and beneficial increases.

The Oral Health Team overcame numerous challenges and setbacks to achieve a very successful and rewarding 2013. Overall, the 2013 Oral Health Business Plan had an 85% achievement rate with 10% to be carried over to 2014 and only 5% partially achieved. The unit is committed to improve good health for all Fijians through good oral health.

National Health Disaster and Emergency Management Unit

The National Health Emergency and Disaster Management Unit (NHED MU) have formally completed its first year of existence in June 2013, since being established in 2012.

The National health and Emergency Disaster Management Unit is headed by a full time officer in the post of National Health Emergency Coordinator and the MOH Headquarters houses an independent and fully functional Emergency Operation Centre (EOC) for use in times of emergency and disaster in Fiji.

The Unit is responsible to ensure that there is excellence for health emergency and disaster preparedness and crisis management that Health facilities are resilient to disasters and the staff capable to respond effectively in times of emergencies and disasters.

Vision

To be a centre of excellence for health emergency and disaster preparedness and crisis management.

Mission Statement

To provide health leadership in disaster management by using concepts of:

  • All hazards approach
  • Comprehensive approach (prevention, preparedness, response, recovery)
  • All agencies (integrated) approach
  • Community risk management

Values

  • Responsive
  • Decisive
  • Professional
  • Teamwork
  • Outcome Oriented
  • Integrity

Roles

To continuously improve health emergency and disaster preparedness and crisis management through:

  • Policy development and planning
  • Risk management
  • Logistic support
  • Education and training
  • Command, control and coordination

Principles

  • Humanity
  • Neutrality
  • Impartiality

Goals and Objectives

  • To strengthen and establish the MoH Emergency responses and build capacities and effective disaster response at all levels of health service delivery
  • Establish and reinforce emergency health coordination including rapid health assessments
  • Provision of technical and normative support to National Authority, UN agencies, NGOs for public interventions
  • Define emergency health policy and program priorities in a structured manner
  • Assist in the establishment and maintenance of health and nutritional surveillance, producing health intelligence and managing information for health advocacy.

Key Result Areas (KRA)

  • Strengthen the MoH Emergency & Disaster Response
  • Establish and reinforce emergency health coordination
  • Conduct rapid health assessments in times of Emergencies & Disasters
  • Define emergency health policy program
  • Establish and maintain health & nutritional surveillance, producing health intelligence and managing information for health advocacy
  • Providing technical and normative support to national authorities, UN agencies, NGOs for public health interventions

Recent Achievements

a. The development of “Get Ready, Disasters Happen Campaign” training and rollout.
b. Upgrade of the Emergency Operation Centre with installation of Radio Telephone communication system and commissioning of generator set at Dinem House.
c. Rehabilitation and reconstruction efforts in relation to TC Evan (December 2012) where 45 Health Facilities were damaged, of which 12 received major damages.
d. The launch of “Get Ready, Disasters Happen” on 10th April 2013.
e. Safe Hospital Assessment was completed for Health Facilities from Northern Division.
f. The Fiji Dengue Outbreak led to the activation of The National Health Emergency & Disaster Management Taskforce.

Contact

Ministry of Health,
Level 3, Dinem House,
Denim House, Amy Street,
Suva

Postal Address

P. O. Box 2223,
Government Buildings,
Suva
Phone: (679) 321 5797
Fax: (679) 330 0140
Email: fijimoheoc@gmail.com

Human Resources Unit

The Human Resources Unit is responsible for Ministry of Health staff recruitments, appointments, terminations, industrial relations and Occupational Health and Safety, training, workforce and policy developments, asset management and accounting.

HRU ensures professional development is ongoing along with effective human resources management, industrial relations, procurement, asset management and accounting.

Contact Human Resources Unit Ph: 3306177

Direct your call to;

Principal Administrative Officer (Personnel)
Principal Administrative Officer (Post Processing Unit)
Principal Administrative Officer (Workforce Development Unit)
Director Human Resources

Asset Management Unit

The Asset Management Unit looks after the management of non-technical physical assets for the Ministry of Health from Procurement right through to the writing-off and disposal of assets.

Key stakeholders we work closely with include Ministry of Finance (Fiji Procurement Office), Ministry of Works, Transport & Public Utilities, Ministry of Lands and Ministry of Industry & Trade

Key Objectives include;

• Plan, Organise, Implement and Monitor Capital Projects & other maintenance works.
• Management of Quarters Issues
• Management of Fleet
• Board of Survey

Key Responsibilities include;

• The AMU documents, registers, archives and monitoring of the physical assets of the Ministry nationwide
• Ensure that the acquisition of each physical asset is recorded with all relevant details in the fixed asset register
• Carry out Board of Survey procedures and inspections of assets on a regular basis
• Supervise fixed asset disposal action upon on receipt of approval
• Investigate any misuse and abuse of the physical assets
• Attend to issues regarding quarters occupation
• Fleets Status reporting and maintenance
• Infrastructure Maintenance Plan and Procurement Planning
You can contact the Asset Management Unit on 330 6163.

Health Information, Research and Analysis

The Health Information, Research and Analysis Unit is responsible for the overall development and management of health information and promoting appropriate research for the National Health Service; monitoring and evaluation of the Ministry’s Corporate & Strategic Plans including Key Performance Indicators for SFCCO and management of ICT services for the Ministry. The Division assists the Corporate Services Division in management of Information Systems relating to Assets, Finance and Human Resource Management; the Public Health Division in disease surveillance and disaster management, Health System Standards and other operational divisions in maintaining standards, monitoring and evaluation of health services. The division plays a vital role in the compilation and analysis of health statistics and epidemiological data and management of the information system (software) and also purchase and maintenance of computer hardware.

The division also manages the entire computer network infrastructure of the Ministry together with all the servers and maintenance of the Ministry website.

The three functional Units of the Division that carry out all these responsibilities are as follows:

1. Health Information
2. Health Research
3. Information and Communication Technology

The role of the Director is to provide policy advice to the Permanent Secretary for Health on health policy matters conclusively derived from Health Information and Health Research. The incumbent plays a lead and vital role in initiating and coordinating the development of:

• National Health Information Policy and Planning;
• National Health Information and Epidemiological Surveillance and Analysis
• National Health Information Systems Management, Development and Strengthening
• National Health Research activities
• National Health ICT Developments and Initiatives

The incumbent monitors and evaluates the performance of the Ministry’s Corporate and Strategic Plans including Key Performance Indicators for SFCCO. The Director ensures that effective communication is maintained with Divisional and Sub-Divisional Heads and other stakeholders involved in the health information and services delivery. As head of a Division the incumbent is responsible for planning, leading, coordinating, directing, and motivating the team, coaching and developing staff in change management and effectively managing resources allocated to the Division.

Health Information and Epidemiology

The Health Information and epidemiology unit supports the MoH in its functions of planning, monitoring, evaluation and research to improve the quality, efficiency and effectiveness of health services delivery.
Collection of data from across the health system provides hospital medical records departments with policy guidance on medical records and information system management.

The Epidemiologist is responsible to the Director Health Information, Research and Analysis, for the provision of policy advice on public health issues through the analysis and interpretation of health information data. The incumbent is also responsible for the effective management of the Ministry’s Health information system and the provision of regular feedback to users. The incumbent plays a lead role in coordinating the development of Health information management strategies and plans, including monitoring and evaluation;

  • Regular Health Status Reports;
  • Health Information Committees at national and divisional levels
  • Effective medical records management strategies and support capacity building in Medical Records staff
  • Training plans for the existing application such as PATIS, PHIS, Cancer Register and other databases
  • Research and information support for policy development and evidence-based decision making.

Statistician and the National Health Information Project Officer provides analysis of demographic and health related statistical data, and data provided from the Health Information System to the Epidemiologist, and as required for the policy work of the various Divisions in Headquarters, including but not confined to Health Information, Planning and Infrastructure; Hospital Services and Public Health Division. Formulates strategies and provides advice on improvements to data collection systems and information management policies and practices.

Information and Communication Technology

The Health Information and Technology Unit supports the MoH by providing a committed, efficient, qualified and responsive IT Team that implements and maintains a reliable and accessible eHealth system throughout Fiji

IT Manager provides daily management and implementation of ICT projects and activities that includes;

  • Produce a Business Plan for the unit and administration and management of ICT resources (hardware, software, human and finance).
  • Assist in the compilation and presentation of various reports to stakeholders. Evaluate, review and approve requests for information systems hardware, software or services.
  • Scheduling work assignments, settings priorities, and directing the work of subordinates. Staff development and training needs of IT Staffs are reviewed and implemented. Develop cost estimates, work plans, time schedules, and make work assignments to meet objectives.
  • Overall Management of all MoH Applications including PatisPlus, LIMS, HRIS, Epicor, Diabetes Surveillance System, Intranet, Internet, File Systems, Disaster Recovery and Backup, Networking, etc.
  • Conduct RFQ and RFT as required for IT Purchase and Services.
  • Conduct research and analysis of new technological products and tools to assist in the strengthening of health information systems.

Health Research’s major objective is to develop and encourage the application of appropriate and ethical health research methods that will promote and maintain the protection of human and animal research subjects and at the same time provide credible evidence based data that will strengthen and support evidence based planning, reporting and decision making that will improve health and health care in Fiji.

Research Officer coordinates all health related research activities for the Ministry of health [this includes providing the approved format to would be researchers, receiving research submissions, assigning a primary reviewer in consultation with the Chairperson of the National Health Research Committee (NHRC) and the Ethics Committee, and convening meetings of the NHRC and Ethics Committee. The RO also provides secretariat support for the NHRC and the Ethics Committee, monitors the progress of all research activities endorsed by the NHRC, communicates with stakeholders both nationally and internationally on research proposals and activities and conducts capacity building for Ministry of Health staff on research methodologies.

Activities include publishing of The Fiji Journal of Public Health (FJPH) and management of the newly developed online Health Research Portal known as the Fiji Health Research Portal (HRP). The portal can be accessed online and will replace the current manual health research proposal review and clearance process. This initiative was funded and technically assisted by WHO, through the WPRO office.

Planning and Policy Development Division

Led by the Director Planning and Policy Development is responsible for coordinating the development, formulation and documentation of MOH Policies, the National Health Accounts, Donor Coordination, Department plans, and medium to term strategies in alignment with the MOHMS’s long term mission and vision.

The PPDD is responsible for an inclusive planning process of national plans and strategies and ensure coherent implementation of the national strategy and a proactive approach towards the coordination of all health partners and external donors of the health sector in Fiji, according to the principles of the Paris Declaration.

The main areas of work of the Division can be characterised as follows,

a)         Policy analysis, review and development
b)         Health Care Financing
c)         Planning and development

The PPDD stakeholders include all other units of the Ministry of Health as well as other Ministries in Fiji, NGO’s and Fiji’s Universities, FNU and USP.

The establishment of the Planning and Policy Development Unit is a key deliverable of the Ministry of Health in its 2011 Annual Corporate Plan. The key objective of the PPDU establishing the Unit stems from the need to strengthen policy development, policy analysis and evidence based planning in the organisation.

The Terms of Reference of the Unit are:

  • Evidence based health planning including that for human resources planning, infrastructure development, health services and program planning
  • Policy development, analysis, coordination and prioritisation
  • Monitoring and evaluation of performance of health systems
  • Coordinate cost benefit and economic analysis of services and programs
  • Secretariat to Donor coordination and international relations
  • Support to the analytical, political and regulatory function of the Ministry of Health

Planning Unit

i.         Evidence based planning across health system (health services planning)
ii.         Development of Annual Corporate Plan 2015
iii.         Business Plans / Strategic Plans
iv.         Review of Health Strategic Plan 2011-2015
v.         Compilation of Annual Report 2013
vi.         Secretariat of Donor Coordination

Policy Unit

i.         Policy development, analysis, coordination and prioritization
ii.         Secretariat to Health Policy Technical Support Group (HPTSG) Meetings
iii.         Updating of MoHMS Governance Bank

Health Care Financing Unit

i.         Coordinate monitoring of resource flow through production of National Health Accounts
ii.         Development of Policy Briefs from NHA
iii.         Secretariat to National Budget Steering Committee (NBSC)
iv.         Secretariat to Capital Projects Sub-Committee (CPSC)
v.         Commission Costing Studies of Health Facilities
vi.         Secretariat to Donor Coordination Committee
vii.         Carry out Cost Benefit Analysis
viii.         Collaborating partners with agencies or academic institutions on Health care Financing activities

Nursing

The Division of Nursing is responsible for the planning, development, coordination, monitoring and evaluation of nursing standards, policies, and guidelines and protocols.

It is also responsible for the development of nursing workforce plans that encompass quality succession planning, training and professional development that will enhance the quality of nursing services.

The Division provides management and administrative support to the Fiji Nursing Council for the professional registration of Nurses in compliance with legislative provisions in the Nursing Decree 2011 on professional registration.

Nursing makes up 62% of the total health workforce and is virtually the face of the Ministry of Health to the general public. Nurses are the frontline health practitioners present in every health facility in the country.

There are 3 main categories of nursing staff employed in the nursing service:
• Registered Nurses are graduates of any of the 3-year courses/programs and they provide professional nursing services in any field of nursing in Fiji.
• Students are those undertaking the 3-year programme at the Fiji School of Nursing and they spend around 60% of their training (curriculum) providing nursing services under the supervision of registered nurses.
• Unqualified staffs are persons without a nursing qualification who are employed to assist qualified nurses in the performance of their duties, namely orderlies (established) and hospital ward assistants (government wage earners).

Fiji Pharmaceutical & Biomedical Services Centre (FPBS)

FPBS provides Pharmaceutical services and leadership for the Ministry and the Government. This service has aligned itself to the strategic direction of the government to achieve the ultimatum goals, which is to improve the health outcomes in Fiji.

FPBS_Image

FPBS has a number of internal stakeholders including patients, workers, health care providers, health facilities and staff. FPBS also work closely with external stakeholders such as the Ministry of Finance, Fiji Commerce Commission, Tertiary Academic Institutions, Consumer Council, Police Department, wholesalers, Retail Pharmacies, Commercial Banks, Secretariat of the Pacific Commission and the Solicitor General’s Office along with international suppliers and organisations including WHO, UNICEF, UNFPA and the Global Fund.

Our Key Objectives are reflected in the National Medicinal Products Policy:

  1. To ensure the ready and reliable availability of good quality, acceptably safe and proven effective medicines at a price the individual and the community can afford.
  2. To rationalise the use of medicinal products through the provision of improved medicine utilisation information and training of health professionals and through education of the public in appropriate use.
  3. To support government policy directions through the delivery of pharmaceutical services.

The key areas of service are;

  1. Procurement and Supply Management – working with key stakeholders and manage supply chain activities for medical supplies needs for the Ministry
  2. Inspectorate and Regulatory Authority – administration and implementation of the Pharmacy Profession Decree and Medicinal Products Decree.
  3. Essential Medicines Authority – promote quality use of medical products
  4. Institutional Pharmacy Services – oversee the deliverables of the Pharmacy services at facilities
  5. Bulk Purchase Scheme – commercial entity that market and sells to private sector for selected medical products

FPBS has achieved the following awards for their work
2012 – Fiji Business Excellence Award Recipient – Commitment Award
2013 – Fiji Business Excellence Award Recipient – Achievement Award

Documents

Medicine Donation Policy  New

Prequalification for supply of Medicines  New

Fiji Essential Medicines List 

Drug Use Evaluation Report 

Application for Amendments to existing Treatment Guidelines

Tender Documents

CTN117-2015 Purchase of Medical Imaging Consumable for MOHMS

Tender Documents for Consumables

EOI Prequalification

 

Contact

FPBS is located at Lot 1 Jerusalem Road,
Nabua, Suva
Ph: [679] 3388000
Fax: [679] 3388000

For email enquiries;

Chief Pharmacist Office FPBSChiefPharmacist@govnet.gov.fj
Warehouse Operations FPBSLogisticUnit@govnet.gov.fj
Purchasing Unit fpbsprocurement@govnet.gov.fj
Bulk Purchase Scheme FPBSBulkPurchase@govnet.gov.fj
Fiji Pharmacy Profession Board Secretariat fppbsecretariat@gmail.com
Medicinal Products Board Registrar fmpb@govnet.gov.fj

Specialised Clinical Services

A core element of a functional health system is the ability to provide curative health services. While community level primary care is the mainstay of these services, there is a parallel need for secondary and tertiary services to address more complex established or non-preventable conditions, support health care workers in the community, and meet community expectations of effective health care.

Fiji has several factors that have some bearing on the provision of specialised clinical services, with the second largest population size in the Pacific, behind Papua New Guinea. It has a more developed economy and relatively good infrastructure to support development, and the advantage of being the transit point for many of the PICs.

There is a range of specialist clinical services available locally in areas such as eye health, paediatrics, obstetrics, medical, surgical and gynaecology, this is supported each year by a range of visiting specialist teams. Fiji is also able to refer patients overseas for treatment more easily than most of its Pacific Island neighbours due to its favourable location in relation to overseas referral countries such as New Zealand and Australia.

For more than two decades, gaps in these services have been filled by visiting individual specialists and teams (funded through government, donors and charitable organisations), and by offshore referral for treatment in countries able to provide a higher level of care.

SCS Attachments & Forms
Fiji Specialised Clinical Services & Visiting Team Manual 2013
Specialised Clinical Services Database 2013

Medical Temporary Registration From
Dental Temporary Registration Form
Medical Registration – Temporary renewal form
Dental Registration – Temp renewal form

Recent SCS Reports

Loloma Foundation Optometric & Catract Mission_Taveuni_2014
Loloma Foundation Surgery & Dental Mission_Taveuni_2014
Loloma Foundation Report_2013
Open heart surgery SDA report_2013