Participatory operational research of the dynamics of the primary health care programme in Fiji.
To review the history of primary health care (PFIC) in Fiji, to find out the present PHC policy situation at all the management levels as well as the dynamics of community mobilization and PHC service extension. Findings are to be used to propose the strengthening of the implementation of PHC in the country as the case may be. This is a mail questionnaire study of managers at all three levels of the health services for the historical study and those at the district health system for the PHC implementation. Fiji has had a very active primary health care programme. Community mobilization and health service extension was initially very active and health status indices improved greatly. However, this momentum has dropped due to reduction in following the initial directives for this purpose as at the early part of the programme. It is recommended that the programme of community health service extension be restored as a matter of a national written policy. The medical officers in charge of PHC should be trained in community medicine as before, in order to regain the lost momentum.
Asuzu
M C
MC
Department of Preventive and Social Medicine, University College Hospital, Ibadan Nigeria. chiomoa.asuzu@skannet.com.ng
Ram
B P
BP
Salusalu
M
M
Lal
M
M
Tuqa
S
S
D018672:Community Health Planning; D003154:Community Medicine / Q000458:organization & administration*; D003256:Community Participation; D005367:Fiji; D006291:Health Policy; D006297:Health Services Accessibility; D006305:Health Status Indicators; D040361:Healthy People Programs; D006801:Humans; D009874:Operations Research; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D011635:Public Health Administration; D011795:Surveys and Questionnaires