Fiji Health Sector Review

Fiji is an upper middle-income country with the health outcomes of a lower middle-income country. Although it faces a demographic opportunity from a rising working-age population, it will only be able to translate that into accelerated growth if its people remain healthy and in productive employment. The Fiji Heath Sector Review examines how rising instances of non-communicable diseases caused by lifestyle factors are threatening that opportunity, and how the current health system is not set up to meet the challenge of preventing, detecting, and managing chronic conditions in the most cost-effective way. It considers the drivers of Fiji's underperformance, from staffing and skills to public financial management, and looks beyond the health sector to the whole-of-government approach needed to bring about population-level change. Taking as its vision Mo Bulabula ka Bula Balavu the Fijian greeting, "wishing you a healthy life, and a long life," it sets out clear recommendations for a phased approach to enable Fiji to improve its health outcomes in line with its peers, and considers the likely returns, both health and economic, if implemented at scale.

The Fiji Health Sector Review has benefited from contributions by the Government of Australia and Government of New Zealand through the World Bank's Pacific Health Program of Advisory Services and Analytics.