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    Disclosable Version of the ISR-Samoa Health System Strengthening Program-P164382-Sequence No: 04

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    Assessment of infectious diseases trends using syndromic surveillance system at the Pohnpei State Hospital, Federated States of Micronesia

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    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

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    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

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