FNU-CMNHS FIPHR Institutional Research Repository
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Betel nut use and attitudes among guards at US Embassy Kolonia (Pohnpei, Federated States of Micronesia)
Adaptation, sustainable food systems and healthy diets: an analysis of climate policy integration in Fiji and Vanuatu
Assessment of Incidental Interactions with Marine Mammals in the American Samoa Permitted Longline Fishery from 2016 through 2020
Disclosable Version of the ISR-Samoa Health System Strengthening Program-P164382-Sequence No: 04
Health interventions as vehicles for increased sport participation for women and girls: Socio-managerial insights from a Netball-for-Development Program in Tonga
Harmonising Incompatible Datasets to Enable GIS Use to Study Non-communicable Diseases in Tonga
Assessment of infectious diseases trends using syndromic surveillance system at the Pohnpei State Hospital, Federated States of Micronesia
Introduction
Syndromic surveillance is a method of monitoring the trends of infectious diseases. Public
health authorities use syndromic surveillance to detect and respond to increased infectious
diseases to investigate and control potential outbreaks. Although the International Health
Regulation mandates all countries to have surveillance systems to monitor infectious diseases
that can cross international borders, many small island countries in the Pacific have been unable
to fulfil their international obligations. The inability of Pacific Island governments to have
well-functioning infectious disease surveillance systems was because most of the surveillance
systems recommended are expensive to implement and maintain. In 2010, the World Health
Organisation (WHO) proposed a simplified surveillance system called the Pacific Syndromic
Surveillance System (PSSS) and implemented it in 23 Pacific Island countries. Presently, all state
health departments in the Federated States of Micronesia (FSM) use PSSS for th
Strengthening implementation of diet-related non-communicable disease prevention strategies in Fiji: a qualitative policy landscape analysis
Noncommunicable diseases (NCDs) are the leading cause of death globally, and the World Health Organization (WHO) has recommended a comprehensive policy package for their prevention and control. However, implementing robust, best-practice policies remains a global challenge. In Fiji, despite political commitment to reducing the health and economic costs of NCDs, prevalence of diabetes and cardiovascular disease remain the highest in the region. The objective of this study was to describe the political and policy context for preventing diet-related NCDs in Fiji and policy alignment with WHO recommendations and global targets. We used a case study methodology and conducted (1) semi-structured key informant interviews with stakeholders relevant to diet-related NCD policy in Fiji (n = 18), (2) documentary policy analysis using policy theoretical frameworks (n = 11), (3) documentary stakeholder analysis (n = 7), and (4) corporate political activity analysis of Fiji’s food and beverage industry (n = 12). Data were sourced through publicly available documents on government websites, internet searches and via in-country colleagues and analysed thematically