Summary of publication
The paper briefly assesses Australian support to Fiji's health sector over two decades. It notes that hospitals constructed with earlier assistance were not well managed or maintained. It highlights how leadership instability constrained health sector reform efforts.
The paper analyses Fiji's progress and challenges in health, including Ministry of Health capacity, staff and training issues, and health information systems. It considers the broader economic and political context and proposes measures to manage risks likely to affect future Australian support.
It recommends a transition phase during 2010, which would continue support for key health personnel. Interim support to mid-2012 would include collaborative research and analysis for evidence-based design of future longer-term support (2011–2016) in consultation with stakeholders.