Publication: The Primary Health Care System in Fiji: A Primary Health Care Performance Initiative Assessment
Loading...
Date
2024-01-22
ISSN
Published
2024-01-22
Author(s)
Editor(s)
Abstract
This report presents the findings of the Vital Signs Profile (VSP) assessment conducted by the World Bank and the Primary Health Care Performance Initiative (PHCPI) in collaboration with Fiji’s Ministry of Health and Medical Services (MHMS). The VSP provides an opportunity to assess the state of the primary health care (PHC) system in Fiji, highlighting areas of strength and challenges through the lens of the PHCPI framework. The framework organizes various domains and subdomains of primary health care using a logic model approach that encompasses the traditional inputs and outputs of PHC systems and emphasizes the capacity and processes of PHC service delivery and performance. Notably, while PHCPI recognizes the role of social determinants of health and intersectoral health promotion and prevention efforts as important factors influencing population health, the VSP is primarily focused on aspects of health service delivery. Fiji is one of four Pacific countries - alongside Kiribati, the Republic of the Marshall Islands, and Solomon Islands that have, with support of the World Bank, used PHCPI tools to take stock of current performance, safeguard what works well, and lay out a vision for areas requiring improvement.
Link to Data Set
Citation
“World Bank Group. 2024. The Primary Health Care System in Fiji: A Primary Health Care Performance Initiative Assessment. © World Bank. http://hdl.handle.net/10986/40943 License: CC BY-NC 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Vietnam National and Provincial Primary Health Care Scorecards(World Bank, Washington, DC, 2019-07)This report aims to provide insights into how health services are delivered at the grassroots level to support the expansion of access to quality health services in Vietnam with a focus on primary health care (PHC). It intends to identify any challenges in this area and emphasize the importance of tracking performance and accountability for the resources spent. The focus of this report is aligned with the efforts of the ministry of health (MOH) to strengthen the grassroots health system and, hence, with the World Bank’s larger engagement in Vietnam on primary care strengthening. This study used the framework developed by the PHC performance initiative (PHCPI) to organize the scorecard based on specific performance domains and pre-identified core indicators, complemented or adjusted to the Vietnamese context. The indicators were grouped into a national scorecard and a provincial scorecard, which was piloted in two provinces, Bac Giang and Yen Bai. Vietnam has achieved impressive health gains with the reduction of under-five mortality (U5M) rate and maternal mortality ratio (MMR) and an increase in life expectancy; however, it needs to accelerate progress if it is to meet the health-related sustainable development goals (SDGs). Vietnam has made significant achievements in increasing the coverage of many maternal and child health (MCH) services; however, nutrition indicators are lagging behind and data are scarce on coverage of noncommunicable disease (NCD) services.Publication The Primary Health Care System of the Republic of Kiribati(Washington, DC: World Bank, 2024-01-05)The assessment of Kiribati’s primary health care (PHC) system, carried out by the World Bank in collaboration with the Government of Kiribati under the Primary Health Care Performance Initiative (PHCPI), marks a unique opportunity to identify the system’s strengths and gaps and to catalyze further improvements. The PHCPI tools, including the Vital Signs Profile (VSP) methodology, provide important insights into the country’s PHC system and generate actionable policy recommendations for improvement.Publication Paying Primary Health Care Centers for Performance in Rwanda(World Bank, Washington, DC, 2010-01)Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda. Treatment facilities were enrolled in the P4P scheme in 2006 and comparison facilities were enrolled two years later. The incentive effect is isolated from the resource effect by increasing comparison facilities' input-based budgets by the average P4P payments to the treatment facilities. The data were collected from 166 facilities and a random sample of 2158 households. P4P had a large and significant positive impact on institutional deliveries and preventive care visits by young children, and improved quality of prenatal care. The authors find no effect on the number of prenatal care visits or on immunization rates. P4P had the greatest effect on those services that had the highest payment rates and needed the lowest provider effort. P4P financial performance incentives can improve both the use of and the quality of health services. Because the analysis isolates the incentive effect from the resource effect in P4P, the results indicate that an equal amount of financial resources without the incentives would not have achieved the same gain in outcomes.Publication The Role of Belize’s Primary Health Care System in Pandemic Preparedness and Response(Washington, DC: World Bank, 2023-10-17)While the incidence of COVID-19 in Belize has subsided, the lasting health and economic impacts caused by the pandemic have demonstrated the need to build a resilient health system. The most recent figures from the Statistical institute of Belize confirm that there have been over 60,000 cases and 678 deaths due to COVID-19. Additionally, a rapid phone survey of over 2,000 households, conducted between December 2021 and January 2023, found that 20.6 percent and 26.8 percent of respondents reported losing their job permanently or temporarily, respectively, and an additional 64 percent of respondents reported a reduction in their income during pandemic. Ensuring the health system remains resilient to shocks is critical, especially given the pandemic’s impacts on heath and the economy.Publication Building an Improved Primary Health Care System in Turkey through Care Integration(World Bank, Washington, DC, 2019-07-17)Turkey has realized a very successful health reform between 2003 and 2013. The Ministry of Health (MoH) has developed strategic objectives and major transformation processes under the reform primarily focused on people and gave priority to improve and reshape the primary care structure through the introduction of the Family Medicine (FM) model. Universal health coverage has been established, and the MoH initiated various programs to improve the service provision at all stages. While the overall transformation process includes many aspects of a broader integration of care, an explicit ‘integrated care’ model has never been discussed in Turkey. This report therefore aims to provide a picture of the Turkish health system from an integrated care perspective while prioritizing noncommunicable diseases (NCDs) and to inform policy makers andpractitioners on the needs and opportunities to design a broader care integration model as well as to present specific recommendations on how to improve integration among the primary health care (PHC) actors. The scope of this report covers analysis and means for integration within the primary care levels as this seems a good entry point for integrated care within the Turkish context. Discussions on the vertical integration between preventive, primary, and secondary care as well as the financial models for integration are left to future activities/efforts.
Users also downloaded
Showing related downloaded files
Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Taking Stock, March 2025: Electrifying Journeys(Washington, DC: World Bank, 2025-03-12)Viet Nam’s real GDP growth reached 7.1 percent in 2024, driven by a strong rebound in exports, outpacing most regional peers. External demand strongly rebounded in 2024 after a contraction in 2023. Final consumption and investment growth also accelerated in 2024 reaching 6.6 and 7.2 percent, respectively, supporting the growth momentum. However, private consumption remained a moderate driver of aggregate demand relative to the region (54 percent of GDP compared to a median of 61.7 percent, respectively) as household savings increased amid heightened uncertainty in recent years. Viet Nam’s GDP growth is forecast to moderate to 6.8 percent in 2025 before settling at 6.5 percent in 2026. The rebound in exports in 2024 is expected to ease in 2025 and further into 2026 due to projected economic slowdown in China and the United States in the near-team - Viet Nam’s largest trade partners – and uncertain global trade prospects from shifts in trade policy. Domestic activities and services are expected to continue to firm up in 2025 and into 2026 as the real estate market recovery gathers steam. The outlook for Viet Nam remains positive but with heightened uncertainties. Given Viet Nam’s openness to the global economy, the main uncertainty stems from slower-than-expected global growth and trade disruptions, particularly among major trading partners such as the United States, European Union, and China. Such developments, including heightened uncertainties from trade policy shifts and deepening trade fragmentation, could impact Viet Nam’s manufacturing exports, industrial production, and growth. On the other hand, increased public investment could further support demand and contribute to growth. An accelerated recovery in the real estate market thanks to faster project clearance could further boost domestic demand. The special focus of this edition focuses on preparing e-mobility transition in the transport sector. This analysis examines the critical steps required to decarbonize road transportation in Vietnam by using electric vehicles and rolling out a network of public charging stations. It explores the implications of this transition on electricity demand, greenhouse gas emissions, and job creation. The report presents a set of recommendations to achieve the Government’s ambitious target of having 50 percent of urban vehicles and 100 percent of urban buses and taxis powered by electricity or green energy by 2030, and subsequently reaching 100 percent for all road vehicles by 2050.Publication Greater Heights(Washington, DC: World Bank, 2025-03-12)Twenty-seven countries have reached high-income status since 1990. Ten of these are in the Europe and Central Asia region and have joined the European Union. Another 20 in the region have become more prosperous since the 1990s. However, their transition to high-income status has been delayed. These middle-income countries have found that the prospects for growth to high-income status have become even more difficult since the 2007–09 global financial crisis. This reflects partly a slowdown in structural reforms at home and partly the challenges associated with a deterioration in the global environment. The concern has emerged that many countries in the region may be caught in the middle-income trap, a phase in development characterized by a recurring deceleration in growth and by per capita incomes that are systematically below the high-income threshold. To ensure that these countries overcome the obstacles to growth and achieve progress toward high-income status, policy makers need to make the transition from a strategy driven largely by investment to a strategy that is supported by the importation and diffusion of global capital, knowledge, and technology and then to a strategy that complements these with innovation. The report Greater Heights: Growing to High Income in Europe and Central Asia relies on the 3i strategy described in World Development Report 2024—investment, infusion, and innovation—to propose policy options to assist middle-income countries in Europe and Central Asia in the effort to reach high-income status. Drawing on comprehensive empirical analysis, the report offers actionable recommendations that will enable policy makers to advance stronger economic growth across the region. Such a transition will require continued and sustained foundational reform to maximize the drivers of economic growth while pivoting to new transformative reforms to promote the development of more complex economic structures and institutions. These involve the need to discipline incumbents, boost the role of the private sector, strengthen the competitive environment, and reward merit. The emphasis on a strategy driven by innovation is also critically important for those countries that have already attained high-income status.Publication Commodity Markets Outlook, October 2024(Washington, DC: World Bank, 2024-10-29)Commodity prices are expected to decrease by 5 percent in 2025 and 2 percent in 2026. The projected declines are led by oil prices but tempered by price increases for natural gas and a stable outlook for metals and agricultural raw materials. The possibility of escalating conflict in the Middle East represents a substantial near-term upside risk to energy prices, with potential knock-on consequences for other commodities. However, over the forecast horizon, longer-term dynamics—including decelerating global oil demand, diversifying oil production, and ample oil supply capacity—suggest sizable downside risks to oil prices, especially if OPEC+ unwinds its latest production cuts. There are also dual risks to industrial commodity demand stemming from economic activity. On the one hand, concerted stimulus in China and above-trend growth in the United States could push commodity prices higher. On the other, weaker-than-anticipated global industrial activity could dampen them. Following several overlapping global shocks in the early 2020s, which drove parallel swings in commodity prices, commodity markets appear to be departing from a period of tight synchronization. A Special Focus analyzes commodity price synchronization over time and considers the relative importance across commodity cycles of a wide range of demand and supply shocks, including global demand shocks and shocks specific to different commodity markets. It concludes that, while supply shocks were the dominant commodity price driver in the early 2000s and around the global financial crisis, post-pandemic price movements have been more substantially shaped by commodity-specific shocks, such as those related to conflicts.Publication Lifelines(Washington, DC: World Bank, 2019-06-19)From serving our most basic needs to enabling our most ambitious ventures in trade and technology, infrastructure services are essential for raising and maintaining people’s quality of life. Yet millions of people, especially in low- and middle-income countries, are facing the consequences of unreliable electricity grids, inadequate water and sanitation systems, and overstrained transport networks. Natural hazards magnify the challenges faced by these fragile systems. Building on a wide range of case studies, global empirical analyses, and modeling exercises, Lifelines lays out a framework for understanding infrastructure resilience—the ability of infrastructure systems to function and meet users’ needs during and after a natural shock—and it makes an economic case for building more resilient infrastructure. Lifelines concludes by identifying five obstacles to resilient infrastructure and offering concrete recommendations and specific actions that can be taken by governments, stakeholders, and the international community to improve the quality and resilience of these essential services, and thereby contribute to more resilient and prosperous societies.