BPHC 101 TEACHING AND LEARNING HEALTH PROMOTION TOPIC: COMPONENTS OF FIJI MEDICAL SERVICES
WHAT IS HEALTH CARE SYSTEM?
A health system consists of all the organizations, institutions, resources and people whose primary purpose is to improve health. Health care systems include many agencies, facilities and people involved in the delivery of health care.
COMPONENTS OF MEDICAL SERVICES PUBLIC HEALTH SERVICES COMMUNICABLE DISEASES (CD) DIETETICS AND NUTRITION ORAL HEALTH NATIONAL HEALTH DISASTER AND EMERGENCY MANAGEMENT UNIT HEALTH INFORMATION AND RESEARCH ANALYSIS FIJI PHARMACEUTICAL& BIOMEDIAL SERVICE CENTRE (FPBS)
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 programs 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“.
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 Immunization week. The launch incorporated the Launch of the Immunization week to strengthen Immunization around Fiji with defaulter tracing. Maternal Health - Maternal Health has had its challenges and needs improvement. It remains a key strategic focus for the Ministry of Health moving forward.
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.
COMMUNICABLE DISEASES The core functions of Communicable Disease program are: To set up an effective surveillance system for the controlling of communicable diseases in Fiji and were directed in the region. Provide quality public health To promote and protect the health of the people of Fiji in regard to defined communicable diseases. ENVIRONMENTAL HEALTH The Environmental Health Unit is focused on providing a well-informed population with integrated health information to improve their standards of living, manage their health and well-being, and provide a clear link with people and communities for efficient delivery of environmental health services. The Environmental Health Unit is also 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 practices, breeding of disease vectors, poor food quality.
DIETATICS AND NURTRITION 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. 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 optimize nutritional status based on the patient’s medical condition and /or nutrition adequacy.
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. 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. 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.
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.
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 plays a vital role in the compilation and analysis of health statistics and epidemiological data and management of the information system. The division also manages the entire computer network infrastructure of the Ministry together with all the servers and maintenance of the Ministry website.
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 has several 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 organizations including WHO, UNICEF, UNFPA and the Global Fund.
CONCLUSION The Ministry of Health and Medical services focuses on creating healthy population in Fiji through the functions and objectives of the components of medical services. It also empowers Fijians to achieve optimal health and well being through the delivery of cost- effective, quality and inclusive health services.
REFERENCE Communicable Diseases (CD) – MINISTRY OF HEALTH & MEDICAL SERVICES. Health.gov.fj. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/communicable-diseases-cd/. Components of Health Care - ppt download. (2021). Retrieved 30 August 2021, from https://slideplayer.com/slide/15738446/ Dietetics and Nutrition – MINISTRY OF HEALTH & MEDICAL SERVICES. Health.gov.fj. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/dietetics-and-nutrition/. Fiji Pharmaceutical & Biomedical Services Centre (FPBS) – MINISTRY OF HEALTH & MEDICAL SERVICES. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/fiji-pharmaceutical-biomedical-services-centre-fpbs/ Health Information, Research and Analysis – MINISTRY OF HEALTH & MEDICAL SERVICES. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/health-information-research-and-analysis/ National Health Disaster and Emergency Management Unit – MINISTRY OF HEALTH & MEDICAL SERVICES. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/national-health-disaster-and-emergency-management-unit/ Oral Health – MINISTRY OF HEALTH & MEDICAL SERVICES. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/oral-health-2/ Public Health Services – MINISTRY OF HEALTH & MEDICAL SERVICES. Health.gov.fj. (2021). Retrieved 30 August 2021, from https://www.health.gov.fj/public-health-services/.