Improving Pacific Health Systems: The Nauru Experience

The Nauru Ministry of Health and Medical Services embarked on a vital mission to enhance its health service delivery. The focus was on developing a comprehensive set of standard operating procedures, alongside designing a performance management system to align with annual objectives. This initiative was crucial for building capacity and fostering sustainable growth within the Pacific health sector. 

Eleanor Genelevu Public Health discusses the purpose of critical documents with Finance Director Anushka Cook and Health Promotion adviser Dozono Gobore.

Our Approach 

In May and June 2022, experts Mandy Whyte and Julie Affleck were engaged by the Australian Department of Foreign Affairs and Trade’s Nauru Health Services Support Programme (NHSSP). Their goal was to assist the Nauru Ministry of Health and Medical Services in revising and creating operating guidelines that aligned with the new organisational structure and the 2022 Annual Plan. Due to the challenges posed by COVID-19, which necessitated quarantine protocols in Brisbane and Nauru, the team conducted their work remotely from New Zealand as well as in Nauru. 

Our Engagement 

Nursing trainer Cherish Duburiya and Lab scientist Carren Tai Waqa at the Document Workshop

Mandy, a seasoned management specialist, visited Nauru to collaborate directly with the ministry directors. Her 20 years of experience across the Pacific Islands and Southeast Asia enabled her to quickly adapt, establish key relationships, and begin delivering results. The work plan included drafting guidelines for procurement, human resources, and hospital operations, in addition to editing documents related to COVID-19, infection prevention, patient referrals, and patient care. 

Meanwhile, Julie, an expert in international development, provided remote support, offering technical guidance on human resource management and quality assurance. Mandy also developed and delivered a comprehensive workshop on document development principles to 35 hospital staff, enhancing their skills and engagement. 

The synergy between Mandy and Julie's expertise provided NHSSP with enhanced flexibility and a rich skillset, ensuring the project's objectives were met within the stringent timeline. 

Benefits for Stakeholders 

Organisations often underestimate the resources needed to produce clear and effective documents. As Moralene Capelle, Director of Nursing Policy and Standards, noted, the workshops and subsequent 'document clinics' significantly empowered staff, fostering a sense of ownership and confidence in creating and editing their work. 

Further extending their commitment, the Future Partners team continued to support the Nauru Ministry of Health and Medical Services, providing post-assignment assistance to bolster the skills of health staff and the wider community on this small isolated Pacific Island. 

This case study exemplifies how targeted international development efforts can significantly impact Pacific health, setting a precedent for future initiatives in the region.