The Package of Essential Noncommunicable (PEN) disease interventions in response to the high prevalence of cardiovascular diseases and diabetes was implemented in Fiji commencing in 2012. This study aimed to understand implementation outcomes, and its contextual influences. Semi-structured interviews with health workers and patients across Fiji was conducted. Thematic analysis was mapped to the health system building blocks to understand PEN service delivery. The PEN program was well received by health workers for…

In Fiji, community health workers (CHWs) play a critical role in providing primary health care, especially in remote and hard-to-reach areas. This study aims to comprehensively explore the implementation of the CHW program and identify policy-implementation gaps that will strengthen the country’s primary health care. We conducted a qualitative exploratory study in Fiji’s six sub-divisions across the four administrative divisions—Central, Eastern, Western, and Northern. The study included six focus group discussion…

Cancer is a global public health concern with increasing incidence and mortality rates, particularly in low- and middle-income countries (LMICs) like the Pacific Island Countries and Territories (PICTs). Among the PICTs, Fiji faces a growing burden of cancer. This study aimed to analyze cancer incidence and mortality data in Fiji from 2010 to 2018 to identify trends and provide an update on the current cancer-related statistics in the Fiji Islands. The top three cancer incidence rates among women were breast, cerv…

Introduction In Fiji, multiple burdens of malnutrition including undernutrition, overweight/obesity, and micronutrient deficiencies coexist at the individual, household, and population levels. The diets of children, adolescents, and adults are generally unhealthy. The objective of this review was to understand how the dietary behaviors of children, adolescents, and women in Fiji are influenced by individual, social, and food environment factors. Methods This rapid review was conducted to synthesize existing eviden…

Abstract Background Excess salt and sugar consumption contribute to diet-related diseases, such as obesity, diabetes, and hypertension. Given the increasing burden of these conditions in Fiji, this study aimed to estimate salt and sugar intakes and their main sources, in a population of adults in the Central Division of Fiji. Methods One adult (≥ 18 years) per household was randomly selected to participate in the survey in 2022, with sampling stratified by age, sex, and ethnicity (n = 700). The survey included que…