PART 4: FIJI MEDICAL CARE -WHAT A TERTIARY HOSPITAL WOULD DELIVER TO FIJI

 

PART 4: FIJI MEDICAL CARE – WHAT A TERTIARY HOSPITAL WOULD DELIVER TO FIJI

Thakur Ranjit Singh

Synopsis of Parts 1-3

Part 1

After 4 coups and approval by four Prime Ministers, the tertiary health project seems to be stuck now with Fiji First government which seems to frustrate this development by going into a PPP - a public, private partnership with an Australian company ASPEN, which is not suited to what is proposed by the two doctors. Agreements with them (Aspen) were signed over 3 years ago to run Ba and Lautoka hospitals, but little progress to date, except broken promises.

The whole series of articles suggest and plead to people of Fiji to change the government if they wish to see changes to the trend of dying people in our sick and run-down hospitals, and where a 40-year project is now hindered by the Fiji First Government.

Part 2

We defined levels of hospital services: primary, secondary and tertiary. We have primary and secondary services which are acutely run down, and despite claims from ASPEN, Lautoka Hospital cannot be redesigned to work as a tertiary facility where they can hardly afford toilet papers and basic needs, with buildings and facilities falling apart.

An advantage of the new tertiary institution is the synergy of support from a highly educated Fiji Indian Diaspora in medical services around the world, and their contacts with medical fraternity who could help in this project. In addition, retired Fijian Diaspora, Fiji people who left because of deficient health services may wish to come back. Hence this project brings great deal of economic, social, tourism, patriotic, agricultural and other associated benefits.

Both Bainimarama and Khaiyum would have been treated here in Fiji with top-class international medical care and facilities if this project was allowed to proceed when they took charge to clean Fiji up over 15 years ago.

SITIVENI RABUKA - The leader of Peoples Alliance Party (PAP), commanding the lead in polls in Fiji election is likely to be a mover and shaker in the next government. He is a supporter of the Tertiary institution, and like Mahendra Chaudhry, remains the other former PM of Fiji who has given their blessings to this development in Fiji and still support South Pacific Hospitals in Fiji. Therefore this project will proceed if he becomes the next Prime Minister of Fiji, or a key decision-maker in the next government.

FIJIANS NEED TO VOTE FOR A CHANGE IF THEY DESIRE TO HAVE THESE TERTIARY FACILITIES IN FIJI.

Part 3

Financial viability is through insurance coverage by FNPF, Civil servants, FSC for cane farmers, Land Owners via ILTB, Fiji care and all other institutions with medical coverage for their employees or members.

This facility would further enhance regional cooperation with treatment and training facilities for Pacific countries lacking tertiary hospitals.

Lautoka hospital which is now politically projected by Fiji First for tertiary facility is ill-equipped to do that with basic facilities and support missing. It could be a good recuperating and healing facility after a thorough renovation and cleansing. A secondary hospital, with Asbestos which cannot provide toilet papers and Panadol cannot be expected to be turned into a 24/7 heart by-pass facility overnight.

Now let’s see why and what a brand-new tertiary facility looks like, especially for those who think a rusty 737 (Lautoka Hospital) can be repainted and converted to a Jumbo 747. (Tertiary Hospital). No, we need a new one which delivers reliable facility. Please read why and what….

LAUTOKA HOSPITAL - A secondary hospital, with asbestos, and grossly run-down, lacking basis amenities like toilet paper, Panadol and pillows, is now used as an election gimmick by the Government to provide 24/7 heart bypass tertiary hospital. First it needs to be renovated to provide the services for which it was originally built than to be falsely, mischievously  and politically elevated to a higher level it cannot medically do. No surgeon worth his salt would wish to operate in this junk which lack of vision and underfunding has degenerated it into.

 

Current State of Fiji Healthcare

The South Pacific Islands region is one of the very few frontiers in the world where there is limited tertiary care facilities available to the citizens. This affects growth in many industries including tourism. The current hospital structure is struggling to provide services in accordance with the demand.

With underfunding and lack of successive visionary medical leaders in Fiji governments, hospital facilities are grossly rundown.

Fiji has a high rate of diabetes and hypertension with kidney damage. Basic services such as haemodialysis are not readily available. Current treatments for Cardiovascular, Neurological and Kidney diseases are not readily available in Fiji. Many people migrate because of lack of good health care. Currently patients travel abroad to India, New Zealand or Australia if they can overcome stringent Visa requirements.

The World Health Organisation (WHO) reports show that up to 82% of the population will succumb to NCD (Non-communicable diseases) in the region and hence tertiary health care services are critical to address this plague.

Non-communicable diseases are chronic health conditions that are not contagious to others. The main types of NCD are cardiovascular diseases (such as heart attacks and stroke), cancers, chronic respiratory diseases (such as chronic obstructive pulmonary disease and asthma) and diabetes

 

A study by Asian Development Bank (ADB) identified that tertiary health care facility is very important for economic development of the region as well.

What will the proposed hospital provide:

·      A healing environment that incorporates advanced technology and full spectrum of advanced tertiary health care. The high site of the facility with exotic unhindered sea view is classed as a great healing balm.

 

·      A world-class specialty health care facility at affordable cost. No relocating cost overseas, no visa-issue, and cost-effective healing accommodation at a renovated Lautoka hospital, with specialist care facility next door.

 

The facility will also provide the development of postgraduate training programs for doctors, nurses and allied health professionals for Fiji and the entire South Pacific Region. This would enhance regional cooperation raptured by a myopic USP Vice Chancellor saga of the Fiji First Government.

 

Facilities in the proposed hospital

 

·      120 – 200 beds, with a provision to go up, depending on the demand.

 

·      Specialised Operating Theatres

 

·      Dialysis chairs/machines

 

·      Extensive Diagnostics capabilities

 

·      Very Comprehensive Medical Laboratories.

 

·      Pharmacy

 

·      Specialist doctors in various different areas of medicine.

 

Clinical Profile:

▪ Accident & Emergency ▪ Critical Care Medicine ▪ Day Surgery Unit ▪ Outpatient ▪ Diagnostics Centre ▪ Education Centre ▪ Neurology Unit ▪ Cardiology Unit ▪ Gynaecology Unit ▪ Orthopaedics Unit ▪ Nephrology Unit ▪ Oncology Unit ▪ Rehabilitation Unit

 

SOUTH PACIFIC HOSPITA, as proposed by Prime Health South Pacific would provide state of art facilities, as detailed in this article. This has been a dream in making for the last four decades, and can only become a reality in Fiji if there is a change of Government. The Fiji First Government is not giving approval for these facilities which Fiji acutely deserves.

State-of-the-Art Technology

▪ The latest MRI and CT scanners. MRI is magnetic resonance imaging. It determines the extent of injury, and whether the person needs surgery. CT scan is a computerized tomography (CT) scan which combines a series of X-ray images taken from different angles around your body. CT scan images provide more-detailed information than plain X-rays do.

▪ Dual head gamma camera ▪ Third generation operating rooms ▪ Referral laboratory ▪ Fully equipped ambulance

 

Key benefits

·      South Pacific Hospital (SPH) is to provide low cost, high-powered tertiary healthcare, to the people of Fiji and the South Pacific region.

 

·      Stimulate improvement in healthcare generally in other government and private hospitals around Fiji and the Pacific.

 

·      Boosts tourism potential and promote medical tourism to the region. As already stated, there is huge potential of this with huge tourism facilities in Fiji.

 

·      Stop the tremendous loss of foreign exchange from Fiji when patients seek expensive tertiary healthcare overseas. Furthermore, it can potentially earn significant foreign exchange once we develop world class health tourism.

 

·      Traditionally, Fiji has depended on Australia, New Zealand and India for its tertiary healthcare. This has added to the vulnerability of the nation as restrictions have been put on Fijian lives. This dependency will cease

 

Target markets

 

A.          Local Fijians ▪ Emergence of the Empowered Consumer ▪ Increasing Accessibility to Health Insurance. Insurance for FNPF members, Cane Farmers, Civil Servants, Teachers, Land Owners through ILTB and those already covered by specialist medical cover. No need to travel overseas, costs and visa issues.

 

B.          General Tourists - Tourism has seen a boom in entire South Pacific region. This will prevent exodus of such tourists needing medical attention to overseas. Medical tourism is a multi-billion income worldwide and Fiji can tap into this market as a low-cost centre in exotic tourist location with tourism infrastructure like Thailand.

 

C.           South Pacific Islanders -Aims to develop a HUB and Spoke Model, with hub being the advanced Tertiary care hospital in Fiji supported by Secondary care facilities in neighbouring countries, like Solomon Islands, Samoa, Tonga and others.

 

D.          Medical Tourists ▪ Better quality care ▪ Improved patient experience ▪ Excluded treatments ▪ Speciality treatments ▪ Shorter waiting periods.

 

E.           South Pacific Diaspora -There exists a large proportion of South Pacific Diaspora in Australia, New Zealand and West Coast of US and Canada that will travel to Fiji in order to access the affordable and quality healthcare facilities.

 

BA HOSPITAL - This white elephant has been sitting idle for some four years while Ba people have been dying in large numbers in a very deficient and run-down Ba Mission Hospital. Fiji First, to frustrate South Pacific Hospital project has gone into a partnership with Aspen three years ago but little has eventuated. The only way for people of Fiji to improve health services is to see a change of government with visionary leaders.

Strategic Partner -VAMED

·      VAMED is a global provider for hospitals and other facilities in the healthcare sector. 

·      The VAMED portfolio ranges from project development, planning and turnkey construction via maintenance, technical, commercial and infrastructure services to the total facility management of healthcare facilities.

·      With its range of services, VAMED covers all areas of healthcare, from prevention and wellness to acute care, rehabilitation and nursing.

·      VAMED is also the leading private provider of rehabilitation services and, in health tourism, with VAMED Vitality World, the largest operator of thermal spas and health resorts in Austria.

·      Unlike ASPEN, the choice of Fiji First which is an outsourcing operation, VAMED provided full support from the scratch to the end.

 

CWM HOSPITAL -this has been a pride of Fiji in its prime, but sadly, like Lautoka Hospital, it has been run down and so severely deteriorated that it stinks of human faeces (s***) as one goes to visit their loved ones. With a Tertiary health services proposed by South Pacific Hospital, it will help uplift the capabilities, capacities and speciality services provided by this secondary facility, which also lacks very basic amenities and facilities. Only a change of government and vision can change this sad state of affairs.

Discussion

 

Election Gimmick

 

Fiji First has gone in the election mode and started misleading people with information on medical services that defies logic and reality.

 

They claim to have 24/7 heart bypass facility at Lautoka Hospital, which is infested with asbestos materials, and can hardly provide toilet paper, Panadol and pillows for its patients. When and how it can be converted to a tertiary facility defies logic. It is an election gimmick.

 

Fiji government signed PPP (Public Private Partnership) with Aspen over three years ago and no movements are seen at either Lautoka or Ba hospitals to date.

 

Fiji First Government preventing this development

 

As already mentioned earlier, this project had been approved by four previous Prime Ministers stretching over 40 years but prevented due to various reasons, especially political instability. Two former PMs, Sitiveni Rabuka and Mahendra Chaudhry are still there, standing in the upcoming election, and they wholeheartedly support this project.

 

However, Fiji First Government is denying approval for this project, which VAMED would only commence, with approval from Fiji Government. One wonders who is so medically qualified and medically astute amongst Fiji First advisors to deny this facility to Fiji people, and under what rationale?

Aspen cannot provide the requirements as provided by VAMED partnership, and it has been utter failure in the last three years. In the meantime, common Vili and Ramu are dying in run down hospitals, while Fiji leaders are airlifted to Singapore and Australia for their medical treatment.

 

SITIVENI RABUKA - The leader of Peoples Alliance Party (PAP), commanding the lead in polls in Fiji election is likely to be a mover and shaker in the next government. He is a supporter of the Tertiary institution, and like Mahendra Chaudhry, remains the other former PM of Fiji who has given their blessings to this development in Fiji and still support South Pacific Hospitals in Fiji. Therefore this project will proceed if he becomes the next Prime Minister of Fiji, or a key decision-maker in the next government.

Choice for Fiji People

 

The only way Fiji will have the facility outlined above is to have visionary, thinking, accommodating, compassionate and visionary leaders, which it lacks now.

 

THE ONLY WAY THIS WILL BECOME A REALITY IS TO HAVE A CHANGE OF GOVERNMENT.

 

FIJI PUNDIT now rests his case. The ball now is in the court of the voters of Fiji.

[About the Author: Thakur Ranjit Singh is former Publisher of Fiji’s Daily Post newspaper. Thakur was fired and removed from positions by two diametrically opposed Prime Ministers: Chaudhry and Qarase for speaking the truth frankly, without fear or favour. This series of articles reflect this trait. He is a media commentator, a journalist and runs his blog, FIJI PUNDIT. Thakur is a Post Graduate in Journalism (with honours) from Auckland University of Technology, (AUT), NZ.

E-mail: thakurjifj@gmail.com]