COLLEGE OF MEDICINE, NURSING &

HEALTH SCIENCES (CMNHS)

Updates & innovative ways forward

Heads of Health Meeting April 3-5, 2019
Denarau, Fiji
Presentation outline

■ College of Medicine Nursing & Health Sciences (CMNHS) of FNU – how it contributes to
the health sector in the region?
■ Participation of regional versus locally based students at the CMNHS disaggregated by
Program, Gender and Country
■ Current programs on offer – UG + PG – are they relevant?
■ Programs undergoing development/finalisation to be delivered by Sem2 this year or
2020
■ Office of the Associate Dean Regional (ADR) – staffing and functions… STHWP Project
■ Achievements, challenges, ways forward

College of Medicine, Nursing & Health Sciences, FNU

CMNHS, FNU – actively contributing to health in the region
■ Training and upskilling of health
workers in Fiji and the region– to be
competent and adaptable to work
with resources at hand
■ Technical assistance to PICs in terms
of clinical and public health support –
eg KITP
■ Contribution to health policy through
research and consultancies
(individuals and through the 5
Schools of CMNHS)
■ Partnership with key health
institutions – UN agencies (incl
WHO), sister academic org,
development partners

College of Medicine, Nursing & Health Sciences, FNU

CMNHS, FNU – regional health partner

■ Structure of CMNHS School of Medical

Office of Associate Dean -
Sciences
Learning & Teaching
Senior Executive Officer School of Public Health &
■ Resources and funding Office the Dean
Office of Associate Dean-
Primary Care
Research
School of Health Sciences
Office of Associate Dean
Regional School of Oral Health
■ Key partners
School of Nursing

Admin
Academic
and M&E

College of Medicine, Nursing & Health Sciences, FNU

Updates on Programmes we offer at the
CMNHS – enrolments & graduation

College of Medicine, Nursing & Health Sciences, FNU

 Enrolment by PG Program/Gender - 2014
PG Enrolment 2014
46

37

27

22
19
18
17 17 17
16
15
13 13 13
12
10 10 10
9
8
7 7
6
5 5 5 5 5
3 2 1 4 4 3

College of Medicine, Nursing & Health Sciences, FNU

 Enrolment by PG Program/Gender - 2018
PG Program 2018
80

71
70

60

50

40

32 32
30 28
26
23

18 19
20
16
14 13 14
11 10 11 10 11
9 8
10 7 7
5 5 5 5 6 6
4 4 3 4
2 2 1 2 2 2
0

College of Medicine, Nursing & Health Sciences, FNU

PG Enrolment 2014 – Fiji vs regional
Australia
Vanuatu American Samoa Cook Islands Federated States of
1% 1%
7% 6% Micronesia
Tuvalu 2%
India
5%
3%

Tonga
8% Kiribati
11%

Timor-Leste (East Timor) xx

3%
Marshall Islands
2%
Nauru
3%
Nepal
New
1% Zealand
Niue 1%
2%
xx Palau
3%

Papua New Guinea Regional

3%
Philippines students
Solomon Islands 1%
30%
Samoa
9%

College of Medicine, Nursing & Health Sciences, FNU

PG Enrolment 2018 – Fiji vs Regional

xxx

Finland
Vanuatu 2% Kiribati
14% 13%
xxx
Tuvalu
8%
Marshall Islands
12%

Nauru
Pakistan
2018 enrolment – Fiji vs Regional xxx Tonga
1%
1%
Palau
16% 4% New Guinea
Papua
Philippines
1%
Regional 1%
Tokelau Samoa
students
1% 7%
28%
Solomon Islands
Regional Timor-Leste (East Timor) 15%
Fiji students
72%
students 5%

xx

Regional students Fiji students

College of Medicine, Nursing & Health Sciences, FNU

UG Enrolments– 2014
No. enrolled for UG studies in 2014
600

Male
500

400
Female

300

200

100

College of Medicine, Nursing & Health Sciences, FNU

UG Enrolments 2018
All levels of studies – year 1,2,3,4,5,6
Male
25%
500

Female
450 75%

400
Male
Female
350
All Programs
300

250

200

150

100

50

College of Medicine, Nursing & Health Sciences, FNU

 No. of Graduates – UG Program 2017 & 2018 (Nursing Excluded)
70
MBBS & B-Nursing
remain key
60
programmes of CMNHS
Years 2017
2018
50

40

30

20

10

College of Medicine, Nursing & Health Sciences, FNU

 PG – Graduates by Specialty
8

7
7

6 6 6 6
6

5
5

4 4 4 4 4 4 4
4

3 3 3 3 3 3 3 3 3
3

2 2 2 2 2 2 2 2 2 2
2

1 1 1 1 1
1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Anaes Community Eye Care Int Medicine O&G Opthal Paeds PH PH-Res Surg

2010 2011 2012 2013 2014 2015

College of Medicine, Nursing & Health Sciences, FNU

 GRADUATES - NURSING

450 2 separate graduation

sessions in 2018: 410
400 afternoon for nursing
only
350

300

250

200 193

150 138

100

50 34 27
8
0
2016 2017 2018

BNursing Midwifery

College of Medicine, Nursing & Health Sciences, FNU

 Breakdown of 2018 Nursing Graduates
450

400

350

300

250
Suitable for Nurse Aids who
have at >2-3 years work
200
experience in Nursing work.
With this qualification and
150 another 2years of experience,
they may be eligible to apply
100 for B-Nursing

50

0
Bachelor of Nursing Cert IV Enrolled Nursing PGDipNP
Female Male

College of Medicine, Nursing & Health Sciences, FNU

Associate Dean Regional – a milestone
undertaken by CMNHS to revitalise and
strengthen engagement with PICs and
partners

College of Medicine, Nursing & Health Sciences, FNU

Office of the Associate Dean Regional - CMNHS updates
- After a prolonged period of
announcement, recruited the
Associate Dean Regional in Dec 2018
- Programme office Regional resumed
office in February 2019

■ Office of the Associate Dean Regional

College of Medicine, Nursing & Health Sciences, FNU

 Supporting Healthcare Workers in the
Pacific – STHWP Project supported by DFAT
PURPOSE Pacific Regional Clinical Services &
1. Strengthens re-engagement of
CMNHS with the region SPC Health Workforce
Improvement Program (PRCSHWIP)
2. Informs development of
academic programs that address
PICs demands/needs

3. Promotes partnership and

collaboration with sister academic
org, corporate sector, and DPs PICs

ACTIVITIES UNDERWAY
1. Scoping in PICs – Solomon Is, Vanuatu,
Kiribati, Tuvalu, Tonga completed RACS FNU
2. Next will be Marshalls, FSM, Palau, Samoa,
Cook Is + f-up visits that emerge from 1
above
3. Activities for Regional students within
CMNHS
4. Welcome function for regional students set
for 11/4/19

College of Medicine, Nursing & Health Sciences, FNU

Key achievements 2018 / early 2019
■ Externally Reviewed key academic ■ Scoping mission to Tonga, Solomon Is,
programmes in 2018 – MBBS, Public Health, Vanuatu, Kiribati and Tuvalu done – follow up
Health Services Management activities have emerged out of these
missions
■ Developed new academic programmes – PG
level: Family medicine, MPH-NCDs, ■ Expected outcomes:
Dermatology
- Better understanding of PIC
■ Underway to be finalised-delivered: PG contextual and health issues
Sexual Reproductive Health (SRH) PGDip / - MOUs/MOAs signed
Master level – looks good to start in 2020 - CMNHS delivers programmes that
align with PIC needs
■ MOUs with Ministries of Health (Solomon Is, - Improved delivery of health services
Tonga, Vanuatu in the pipeline…) in PICs, and
■ MOU with other organisations (academic, - Improved health outcomes in the
CSOs, technical organisations..) region

■ Support to KITP (Kiribati)

College of Medicine, Nursing & Health Sciences, FNU

 Challenges
■ Staff shortage – difficulty to recruit
staff.. ? qualifications ? Limited people
with right skillsets … ↑Government
salary levels

■ Responding to demand – need to

accommodate increasing number of
students enrolled to study….
Preference to go blended/online mode
(utilising POHLN stations in PICs) Financially stretched

■ Changing patterns of diseases –

this will influence the type and content
of programs/courses we deliver In most Pacific island countries – dual
epidemic of NCDs + CDs

College of Medicine, Nursing & Health Sciences, FNU

Ways forward
■ Continue review of academic Technical
partners –
programmes – in the pipeline RACS, SPC, Academic
Pathology, MPH-NCDs, MMed-EM Research partners
institutions,
■ Complete scoping of PICs – FSM, UN agencies
Marshall Is, Palau, Polynesian
territories + follow up on
outcomes of visits done Development
■ Engage with PICs and partners to
align programmes developed and
partners –
DFAT currently
CMNHS
PICs
taught – to meet needs/to address
key health issues
■ Encourage partnership and Social
determinants of Organizations
collaboration with sister academic health sectors –
WASH, active in
institutions regionally – to deliver Traffic/Transport, health sector
programmes and to pursue Housing

research

College of Medicine, Nursing & Health Sciences, FNU

 Thank You

College of Medicine, Nursing & Health Sciences, FNU