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Health

A country's health care system consists of both the public and private sectors, with the private one increasingly complementing public services. Across the developing world, people are increasingly relying on private health care organizations to address their health needs. This trend will continue due to the fundamentals that drive demand – population growth, increasing life expectancy, growing disease burdens, and patients' demand for better treatment. As a result the private health sector in emerging markets can offer attractive returns to investors – from both commercial and social perspectives.
 
The public health sector in Fiji provides quality services through strengthened divisional structures to reduce poverty by empowering families especially children and women at risk, advancing gender equality and strengthening communities in Fiji. The Office of the Deputy Secretary Hospital Services oversees the operational functions of the three divisional hospitals and the two specialist hospitals. The three divisional hospitals are; Colonial War Memorial Hospital (CWMH), Lautoka Hospital and Labasa Hospital. The two specialist hospitals are; St. Giles Hospital and Tamavua/Twomey Hospital.

The two specialist's hospitals are St Giles and Tamavua/Twomey hospital. Tamavua/Twomey Hospital blends three specialised hospital services i.e. TB unit, Leprosy and Dermatology and Rehabilitation Medicine with St Giles hospital looking after mental health. As underneath the umbrella of one
management comes the vision to be the best in specialized hospital care with patient services at the heart of all focuses.

Leprosy, which was a public health problem, has been eliminated in Fiji, i.e. its prevalence rate is less than 1 per 10,000 populations and the Leprosy Control Program continues to implement strategies to sustain Leprosy services following elimination. The National Rehabilitation Medicine Hospital at Tamavua continues to play an important part in the overall health service care delivery in Fiji. The Unit provides rehabilitation services to disabled persons namely spinal paralysis, stroke victims and amputees for prosthetic fitting.

Hospital Health Services is the focal point for the Ministry of Health as it liaises with other NGO groups such as the Fiji Cancer Society, Kidney Foundation of Fiji and Empower Pacific to enhance and complement services. Hospital Health Services initiates policies to improve the delivery of clinical health services, in an effort to better the health status of the people of Fiji.

INVESTMENT OPPORTUNITIES
The most common types of health service providers are individuals and small or medium-sized enterprises, which can be further described in the following ways;
  • Medical professionals: such as physicians, dentists, nurses, midwives, pharmacists, and other clinical professionals, often collectively referred to as “clinicians.” These may be individuals who are employed or those working as sole practitioners;
  • Clinics: for example standalone primary care or outpatient facilities employing a small number of staff. Typically medical professionals, either a sole practitioner or a small group or partnership, own these businesses, although they may be owned or managed by non-clinicians;
  • Hospitals: these are more sophisticated health care facilities that are capable of performing more advanced tests and procedures and admitting patients overnight. Most private hospitals in developing countries have fewer than 50 beds. Hospitals generally provide inpatient and outpatient care and surgery and may have diagnostic capabilities and a pharmacy on the premises; and
  • Diagnostic facilities: while these services often are integrated within a hospital structure, it also is common for the private health sector to include standalone laboratories or other diagnostic facility business models.
THE COMPOSITION OF THE PRIVATE HEALTH SECTOR
While the size and responsibilities of the private sector vary, it is usually diverse, representing a broad range of for-profit businesses and not-for-profit organizations. The private health sector includes, among other types of businesses:
  • Health service providers: primary care, hospitals, clinics, hospices, elderly and residential care, psychiatric care, occupational health, alternative medicine, traditional medicine, ambulances, diagnostic services, and telemedicine models;
  • Retailers and distributors: pharmacies, drug shops, and pharmaceutical distributors;
  • Medical education and training institutes: medical schools, nursing and paramedical schools, and eLearning platforms;
  • Financing entities: health management organizations (HMOs), medical plans, insurance companies, and other risk-pooling entities; and
  • Manufacturing: manufacturers of pharmaceuticals, medical supplies, medical equipment, and biosciences.
MID TERM AND LONG TERM NEW HEALTH INVESTMENT PROJECTS JUSTIFICATIONS
The high demand of having a private hospital in the Sigatoka to Ba or even Tavua corridor is overwhelming due to the following factors:
  • High cost of medical/evacuation cost of hospital services not available in Fiji where over 85% treatment have been done abroad;
  • High risk factors to the many member of tourists visiting Fiji and especially the western division and without a state of art private hospital, it has created a negative image for Fiji; and
  • Numerous amounts of disturbances to individual and families when their relatives have to be evacuated to either Suva or overseas for medical treatment.
In addition to the above proposal there is a definite need for the Ministry of Health to assist in the drive to have another manufacturing plant for pharmacy products to be established in Fiji. The option of jointly doing together with hospital equipment suppliers is another mode. The high cost of Pharmacy products and lack of high tech hospital equipment are key justification where attractive investment incentives aiming at such services, it will open the door for new investors to venture into Fiji.

FOREIGN INVESTMENT REGULATION FOR THE HEALTH SECTOR IN FIJI
Under the 2009 Foreign Investment Regulations (FIR) and Foreign Investment (Amendment) Regulation 2013 undertaking any activities in Health sector does not have any minimum investment requirement.