A new paper by women scholars warns colonial power structures are still shaping health systems across the Pacific region.

They are calling for a radical shift in global health leadership and decision-making.

The call comes from a new paper published this month in The Lancet Regional Health – Western Pacific, led by researchers from Waipapa Taumata Rau, the University of Auckland, alongside Pacific collaborators.

The paper argues that while global health is framed around fairness and inclusion, Pacific knowledge and leadership are often marginalised in practice.

Dr Sainimere Boladuadua, lead author from the University of Auckland’s Department of Paediatrics: Child and Youth Health, said these power imbalances directly impacted on communities.

“Global Health must stop undervaluing Pacific expertise,” Dr Boladuadua said in a statement.

“When overseas consultants are paid more than local experts, and research extracts knowledge without building local capacity, colonial patterns are reinforced.”

Colonisation inequities
The researchers have traced current inequities to the history of colonisation in the Pacific, driven by commercial, religious, and military interests.

While many Pacific nations have since achieved political independence, the paper argues that colonial structures persist through unequal trade relationships, labour migration schemes, and externally controlled funding.

Dr Boladuadua said these systems limited Pacific control over health research, policy priorities, and resources, even as communities face growing burdens from non-communicable diseases and climate change.

“Global Health, at its core, is about health equity for all,” she said. “That means prioritising the most pressing problems faced by communities with the least resources.”

A plan for change
The paper outlines four action areas to transform global health in the Pacific: strengthening sovereignty through Pacific-led decision-making; integrating Indigenous and Western knowledge systems; building genuine and reciprocal partnerships; and ensuring fair pay, recognition, and leadership opportunities for Pacific professionals.

The authors argue Pacific Island countries must be supported to set their own priorities, including control over funding, research management, data sovereignty, and workforce training.

The researchers also highlight language as a source of power. They say English is often treated as the default in global health, but its use “should not come at the expense of Indigenous Pacific languages and knowledge systems”.

The research places Pacific women at the centre of decolonisation efforts, noting that while colonisation was deeply patriarchal, Indigenous women historically held major leadership roles in island societies.

“Contrary to the control of white women during colonisation, Indigenous women held powerful positions in Island societies,” the research states.

Growing Pacific leadership
Dr Boladuadua said change was already underway, pointing to the establishment of the Fiji Institute of Pacific Health Research and the launch of the Pacific Academy of Sciences in Sāmoa as signs of growing Pacific leadership.

At the academy’s opening ceremony, then-prime minister Fiamē Naomi Mata’afa said the launch marked an important milestone for regional collaboration and would “give voice to science in and from the Pacific Islands”.

The authors argue Pacific-led approaches offer a blueprint not only for the region, but for building fairer and more resilient global health systems worldwide.

Republished from Pacific Media Network News with permission.

Article by AsiaPacificReport.nz

In all of the meandering years in the life of Papua New Guinea, 2021, which ended on Friday has to be it.

The colours were there, the love and laughter were there, the sadness, emotions, losses, highs and lows, the bleakness of our long-suffering population and blackness of ethereal poor governance were all intertwined with making 2021 standout.

In a nutshell, 2021 will be remembered as the year that shook PNG to the core.

The biggest and most enduring life changer was covid-19. Like a thief in the night, it descended on our lives. It robbed our children of their innocence. It stopped our businesses dead in their tracks. It stole our bread. It stole the breath of our nation builders.

This year, we will still be waking, walking and wandering with covid-19. It was and is the most tumultuous health issue ever, hovering over the gardener in a remote valley to a bush driver in a town to a business executive in the city.

Big or small, rich or poor, we all face the same anxiety.

Covid-19 was on everyone’s lips and in everyone’s ears. It is a global event that is still unraveling and we cannot predict what it holds for us in 2022.

The Kumul will fly
Now you can’t go anywhere without a face mask. But we must rise to the occasion. We must be resilient like our forefathers. We must face it. The Kumul will fly.

So many of our fathers and forefathers left us over the past year. Men, who walked and talked with giants, whose dreams and aspirations – covid-19 or not – we must carry in our hearts and move forward. That is the challenge that awaits our bones in 2022.

Sir Mekere Morauata (2020), Sir Pita Lus, Sir Philip Bouraga, Sir Paulias Matane, Sir Ramon Thurecht, Sir Ronald Tovue and the Chief of Chiefs, GC Sir Michael Thomas Somare.

One could only wonder as we wandered, tearfully from “haus krai” to the next mourning house. Why?

In one swoop, 2021 took our history book and shook the knights of our realm out of its pages.

Men whose colourful and storied existence led to the birth of our nation. How said indeed it is that a country loses its foundation so suddenly. Shaken to the core.

While mainland PNG mourned the loss of Sir Mekere, Kerema MP Richard Mendani, Middle Fly MP Roy Biyama and recently Middle Ramu MP Johnny Alonk, Bougainville was not spared.

The island is reeling from losing its Regional MP Joe Lera and just two weeks ago, Central Bougainville MP Sam Akoitai. Our leadership shaken to the core!

Historic year for PNG
This is also a historic year for PNG. Sixty-four years after Sir Michael shook his fist at Australia and demanded: “Let my people go,” Bougainville has done the same, voting overwhelmingly to secede from PNG in a referendum.

Two weeks ago, its president declared: “Let my people go!” Shaken to the core!

Ethnic violence — 1000 tribes in distress with violence becoming an everyday happening, Tari vs Kerema, Kange vs Apo, Kaimo vs Igiri, Goi vs Tari, threatening the very fabric of our unity. Our knights in their freshly dug tombs would be turning in their graves.

Family and Sexual Violence against women and children and the ugly head of sorcery related violence.

I mean, how dare we call ourselves a Christian nation and tolerate such evil? How dare you men accuse our women, mothers, sisters and daughters, and murder them in cold blood?

What more can we, as a newspaper say? We have spent copious amounts of sheet and ink, more than enough on these issues, we have raised our anger, we have commiserated with those in power about these issues. The message is not getting through to the men of this nation. Where have all the good men gone?

Spectre of ‘pirate’ Tommy Baker
Law and order wise, the name Tommy Baker raises the spectre of piracy, armed robbery, shootouts with law enforcement and a million kina manhunt that has failed to corner Baker.

Until he was shot dead by police, the self-styled pirate was still out there in Milne Bay, hiding, abiding in time, waiting to strike again.

The Nankina cult group on the Rai Coast and its murderous rampage also shocks us, as a reminder of the Black Jisas uprising gone wrong, two decades before.

Add the consistent and constant power blackouts in the major cities and towns. This is hardly a sign of progress, especially when the management of the major power company PNG Pawa Ltd has been changed three times!

However, yes, we need to remember this too. In our topsy turvy perennial spin, some of the major positive developments need to be mentioned.

The giant Porgera Mine was shut down and promised to be reopened, Ok Tedi, Kumul, BSP and IRC all handed the government a gold card standard in millions of kina dividends.

And the government has signed for a gold refinery in PNG for the first time.

22 billion kina budget
The passing of a 22 billion kina (about NZ$9.2 billion) budget. That is, in the finest words of my best friend Lousy, preposterous. Never before has the budget being built around such a humongous money plan.

Spending is easy but raising it sounds very challenging. Therein lies the challenge.

The most important part is to ensure this money plan reaches the unreached, that service delivery will go where the ballot boxes, somehow manage to reach on election days.

One noticeable explosion of knowledge is the awareness of social communications platforms. For better or worse, Facebook has taken a stranglehold of the lives of ordinary Papua New Guineans.

Communication around the country has changed overnight at the touch of a button or dial of a mobile phone.

In sport – the heart of the nation missed a beat when star Justin Olam was overlooked in the Dally M awards. A major uproar in PNG and popularly support down under forced the organisers to realign the stars. Justin easily pocked the Dally M Centre of the Year.

The good book the Holy Bible, says there is a season for everything. Maybe we are in a judgement season, being tried and tested and refined. Only we can come out of that judgement refined and define the course of our country – from Land of the Unexpected to the Land of the Respected!

We will remember the 365 days of you, as the jingle fiddles our imagination, we were “all shook up!”

Patrick Levo is a senior PNG Post-Courier journalist. Republished with permission.

Article by AsiaPacificReport.nz

Former New Zealand Prime Minister Helen Clark says the global handling of the covid-19 pandemic is marred with failures, gaps and delays.

Clark is a co-chair of the Independent Panel for Pandemic Preparedness and Response and is urging nations to spend less time debating commas in committees and instead get on with implementing the panel’s proposed reforms.

These include new financing of at least $10 billion a year for pandemic preparedness, and negotiations on a global pandemic treaty.

Clark told RNZ Morning Report the wheels were in motion on the structural responses the panel had called for but progress was slow.

“The wheels grind slowly but they are grinding,” she said, noting that the World Health Assembly (WHA) would meet for a special session next week and the sole item on the agenda was discussing whether to begin negotiating a treaty aimed at preventing future pandemics.

“I’m quite optimistic that they [the WHA] will embark on negotiations — now what they negotiate is another matter, but the process is kind of under way.”

If the WHA decided to move forward with treaty negotiations it would be only the second global public health treaty, after a 2003 accord to control tobacco use.

Unequal global response
Speaking in London overnight, at the launch of a six-month accountability review into the report commissioned by the World Health Organization (WHO) and published by the panel, Clark criticised the unequal response globally to the current pandemic’s more immediate challenges.

“There hasn’t been an equitable supply of tools to fight the pandemic, despite the sincere efforts of many people,” she said.

“We’ve talked a lot about vaccines, but many countries have lacked adequate access to other basics such as diagnostics, therapeutics, personal protective equipment, and even oxygen.”

She told Morning Report the panel had recommended reforms that addressed those inequalities, including dedicated financing for pandemic preparedness and a redesigned “end-to-end” platform that could control the flow of essential medical goods in the event of a future pandemic.

“That’s quite a big ask and in many ways this will be the hardest of all the asks that we had because it does require confronting the current way that the WTO (World Trade Organisation) deals with intellectual property,” Clark said.

The issue of intellectual property rights was already a hot topic, she said, adding that India and South Africa were leading the change in pushing for “the waiver of intellectual property rights in the event of pandemics, including this one”.

More than 257 million people have been reported to be infected by the SARS-CoV2 coronavirus and 5.4 million have died since the first cases were identified in central China in December 2019, according to a Reuters tally.

215 new cases in NZ
in New Zealand, the Ministry of Health reported 215 new community cases and one death, a patient in their 50s At Auckland City Hospital who was admitted to hospital on November 17.

This took the total of deaths to 40 since the pandemic began.

Clark said a key part of “how to do better next time” globally would hinge on reforms required at the WHO itself and admitted the slow progress on deciding what those reforms should be was “frustrating”.

The next regular meeting of the WHO was in late May next year and that would focus on the reform programme, she said.

“While it’s slow and it’s frustrating and we’re coming up, at the end of next month, to the two-year anniversary since what was then a novel coronavirus – which isn’t now so novel – was first identified, the wheels are in motion on these structural responses.”

‘We’re by no means through this’
Clark told Morning Report the newest wave of covid-19 infections in Europe was “largely avoidable” and should serve as a warning to New Zealand not to let its guard down.

“What we’ve seen in … developed countries that are capable of administering a vaccine rollout [is] they then tend to throw out all the other measures,” she said.

She was scathing of images she had seen showing almost no one on the London underground wearing masks: “Can we be surprised that there’s tens of thousands of cases a day?”

She said both the WHO and the panel’s report advocated the ongoing use of public health measures in addition to vaccination.

“Don’t throw the baby out with the bathwater. Don’t be satisfied …

“In New Zealand, when you get to even 90 percent of vaccination of eligible people, don’t throw away the rest of the toolkit because you need it to control transmission among those who aren’t vaccinated,” Clark said.

“It’s a complex story but we’re by no means through this.”

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz