We are community health empowerment facilitators implementing goals laid out in the Community Health Empowerment Project strategic framework.
We are not clinicians, but we are here to do capacity building and behavior change among the clinicians, the local health volunteers, and the villagers. (A communications plan to complement the strategic plan would go far in aiding this mission, and I’ve already expressed the value of having one. We’ll see if this develops during the next two years.)
So now that I got those buzzwords in (strategic framework, capacity building, behavior change), let me break it down for you. Fiji’s Ministry of Health is doing what it can to reverse what is essentially a non-communicable disease (NCD) “crisis” in this country of nearly 900,000. With one of the highest rates of diabetes in the world:
- One in three Fijians has diabetes
- An amputation occurs every 12.6 hours in Fiji
- Only 16 percent of Fijians live past 55 years old
Of course treating the NCDs is critical, but the ministry recognizes that educating the public about their behaviors will go along way in improving these deadly statistics.
That’s where we come in. We are working with the ministry to educate Fijians about what they can do to avoid NCDs: physical activity, healthy food choices, go to the doctor early instead of ignoring symptoms. We are working to build their capacity so that they have the knowledge to live healthy lives, and to teach their children about living healthy, long after we leave Fiji.
Will and I are in a unique situation with an open field of development opportunities because we’re in a remote region that hasn’t had Peace Corps volunteers since the 70s, and those were education volunteers. We’re at the subdivisional level, which operates a hospital, a health center, a health inspector’s office, a dentist’s office, a maternal child health clinic, and multiple nursing stations throughout six islands. We have the opportunity to educate Fijians about:
- NCD prevention
- Sexually transmitted infections (STIs)
- Sanitation and hygiene
- Women’s empowerment
- Maternal-child health
So far we’ve given health talks to villagers and trained health workers about practices for women’s self-care and diabetes and hypertension prevention. Our subdivision is in the process of developing its business plan for the upcoming year, so things are a bit slow now. This gives us an opportunity to get to know our community and establish a relationship with the villagers, so they feel comfortable with us and trust us as we move forward together during these next two years.