Breaking down barriers between Pacific islands to spur economic development, visioning 21st century skills that island youth must have for jobs locally or globally, action needed to reverse the non-communicable disease pandemic sweeping the region, and reinventing governance systems for governments to successfully navigate the future of their nations — these are among priority issues that Dr Transform Aqorau believes need to be on the agenda for island leaders.

But for the most part they are not in the conversation.

“There isn’t enough discussion about the future,” said Dr Aqorau, who took up the Solomon Islands National University’s vice-chancellor position in January.

Dr Aqorau was in Majuro recently for the official opening of the Parties to the Nauru Agreement or PNA Office. He was the founding chief executive of the PNA Office from 2010-2016, guiding it from a decision of the leaders on paper to establish the first office of the PNA to becoming one of the most powerful fisheries organisations in the world.

“This is a conversation that isn’t just for universities,” he said. “Governments need to be discussing their vision for the future and work in tandem with national universities.”

It was not simply a theoretical exercise. The conversation could have much needed practical impact on islands in the region, he said.

PNA model ‘has clout’
The PNA model had shown the clout of a regional effort and the governance systems that supported the vision of the nine nations involved in PNA, he said.

“All Pacific islands need to create opportunities in agriculture, fisheries, tourism and other areas,” he said. “It’s difficult, but in the region, we should ask ourselves: What kind of collective brand can we create?”

He thinks the Pacific could offer itself to visitors as a tourism package, not in competition with one another.

“What did we learn from covid?” he asked. “Those that relied on one thing, such as tourism, struggled.”

“We shouldn’t see ourselves as separate. Instead, we should see ourselves as a single economic bloc (and by doing so) we could help ourselves more (during times like the covid pandemic).”

Tourism and trading blocs would work to the advantage of different islands, combined with technology and educational initiatives.

“In our Blue Continent, we should tear down national barriers and work together,” he said.

‘What future for our children?’
“If we don’t do these things for the people, respect for governments as institutions will decline. We need to be asking: What is the future we want for our children?”

Pacific youth should have global skills so they are citizens of the world, Dr Aqorau said.

Seeing NCDs undermine the health of people across the Pacific is great concern too Aqorau. “We need to manufacture our own healthy snacks and alternative foods from our own resources,” he said.

Governments need to get behind incentivising production of island “super foods” and phasing out imported junk food to attack the health crisis “so our next generation can live healthy like their forefathers”, he said.

“These are conversations with impact,” said Dr Aqorau. “They create jobs.”

He expressed worry about the present levels of governance in the region.

“Current structures of government are not working,” he said. “I don’t see their ability to manage this change unless there is a foundational change in the way governments are designed.”

Worsening corruption
He said he saw worsening corruption undermining governance in the region.

“I see increasing alienation of people and increased power in small groups of elite,” Aqorau said, adding that in the present governance environment there was “no way for youth and women to be involved.”

PNA was a shining example of governance that benefited people in the region, he said.

But in the area of resource extraction aside from fisheries — logging and forestry, fossil fuels, mineral mining and deepsea mining — there were no comparable levels of governance.

“PNA shows there is a lot that we can do with forestry, deep sea mining and other extraction resources,” he said.

“We need governance systems in place so we are not exploited. But it’s happening [exploitation] in forestry.”

In the context of the geopolitical competition that is putting additional stress on governance in the islands, Dr Aqorau offered this suggestion to donors.

“Instead of donating things we don’t need that add a level of burden on island countries, support constitutional reforms in governance.”

Dr Aqorau believes that “it won’t always be like this. Young people will demand change”.

Republished with permission.

Article by AsiaPacificReport.nz

By Adi Ana Civavonovono in Suva

The estimated financial cost and economic burden of diabetes in Fiji reached a staggering $124 million (NZ$84 million) in 2014 with health experts sounding an urgent need for people to relook at their lifestyles and eating habits.

Dr Jone Hawea, a medical doctor and codirector of the Foundation for Rural Integrated Enterprise and Development, did not mince words when he told participants at the Media and Diabetes Advocacy Workshop in Suva last week about the reality of the disease he tagged as an “ongoing disaster”.

According to Dr Hawea, the total yearly financial cost of diabetes in Fiji in 2014 took into account factors such as the total productivity cost for patients and carers and excluded estimates such as private health care costs, out of pocket expenditures and other tangible indirect costs which were difficult to obtain.

“So you can imagine, the true financial cost is therefore very likely to be higher, a high estimate of about $180.3m,” he said at the Holiday Inn.

“Diabetes has the single highest impact on productivity of all non-communicable diseases in Fiji.”

He said diabetes imposed a huge financial and non-financial burden on Fiji’s economy, adding the latter amounted to more than 56,000 years of life lost because of ill-health, disability or premature death.

-Partners-

“Diabetes is largely preventable, so a large portion of these enormous and unnecessary costs can be averted,” Dr Hawea said.

Tangible solutions
While opening the workshop, Assistant Minister for Health Alex O’Connor said the gathering of media professionals and partners in health and wellness programmes was a platform to find tangible solutions to combat this major health issue.

“About 15 percent of Fiji’s adult population have diabetes and another 15 percent have impaired fasting glucose – these are people who have high blood sugar and are at risk of being diagnosed with diabetes,” O’Connor said.

Journalists from print and broadcast media as well as student journalists from the University of the South Pacific, civil society and non-governmental organisations, and the Fiji National University were part of the one-day event, which was organised by Diabetes Fiji in conjunction with the Ministry of Health.

Adi Ana Civavonovono is a final year journalism student at the University of the South Pacific reporting for Wansolwara News.

USP Journalism Programme’s final year student Adi Ana Civavonovono interviews Fiji’s Assistant Minister for Health and Medical Services Alex O’Connor at the Holiday Inn in Suva. Image: Wansolwara News

Article by AsiaPacificReport.nz