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    COVID-19 and tourism in Pacific SIDS: lessons from Fiji, Vanuatu and Samoa?

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    Tourism was of critical economic importance in Pacific SIDS until COVID-19 border closures cut off international ties. The virus did not reach Vanuatu and Samoa, and few cases occurred in Fiji. The collapse of tourism, on land and from cruise ships, resulted in increased unemployment and the closure of hotels and tourism-oriented businesses with multiplier effects throughout the island economies. Many people returned to home islands, putting pressure on local land resources. Diverse local markets, exchange and bartering increased. Women were most affected in terms of lost jobs, more domestic burdens and a rise in domestic violence. This article argues that tourism is unlikely to restart in the immediate future, but may be initiated through small elite ventures. In response, regional metropolitan states – Australia and New Zealand – have increased aid to what is increasingly a strategically important region

    Understanding the health needs of I-Kiribati immigrants. Kai Tiaki Nursing New Zealand* vol 25 no 6* July 2019

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    Innovations to maximise impact of a data for decision-making training programme in the Federated States of Micronesia

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    Accurate and timely health information is an essential foundation for strengthening health systems. Data for decision making (DDM) is a training curriculum designed to enhance capacity of health department staff to capture and use high-quality data to address priority health issues. In 2013, the Pacific Public Health Surveillance Network adapted and piloted the DDM curriculum as an 'at work, from work, for work' field epidemiology training programme component for low-income and middle-income Pacific Island jurisdictions. Based on lessons learned from the pilot, we made several innovations, including delivery on-site at each district (rather than bringing trainees to a central location), conducting pre-DDM consultations and ongoing contact with health leaders across the programme, taking more care in selecting trainees and enrolling a larger cohort of students from within each health department. The decentralised programme was delivered in-country at four sites (both at national and state levels) in the Federated States of Micronesia. Following delivery, we performed an external evaluation of the programme to assess student outcomes, benefits to the health department and general programme effectiveness. Of the 48 trainees who completed all four classroom modules, 40 trainees participated in the evaluation. Thirty-two of these trainees completed the programme's capstone field project. Eighteen of these projects directly contributed to changes in legislation, revised programme budgets, changes in programme strategy to augment outreach and to target disease and risk factor 'hot spots'

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