|Director of Health, Mrs Silivia Tavite|
Tokelau Health Department provides healthcare services and is responsible for resourcing promotion, prevention, preservation and sustainability of the health of Tokelauan people.
The health of the population has over a generation worsened to the point that Non Communicable Diseases (NCDs) has become an urgent priority that needs to be addressed. . Other health issues such as Communicable Diseases, Mental Health, Reproductive Health, Women’s Health, Men’s Health and Child Health have been woven into the overall population health approach we are pursuing and planning for over the next 5 years.
The population health approaches in the THSP 2009-2015 & TNSP planned for the next five years will help arrest the worsening health status of Tokelauan people
The World Health Organisation (WHO) Steps Survey (2005) provided the baseline regarding NCDs for the Department of Health, Government of Tokelau and population to address.
There are also a number of Global and Regional Health strategies that Tokelau is recommended to incorporate into the planning process1 alongside a number of other key funded health strategies related to population health. One such strategy is the ‘Pacific Framework for the Prevention and Control of Non Communicable Diseases’
Tokelau has a draft NCD Plan (2008) which has provided the basis for planning and implementation of actions incorporating the recommendations from the Step Survey.
1. Protect the health of our population
2. Protect our environment
3. Develop an Efficient and Effective health system
4. Develop our Workforce
Addressing the four key goals means we will be addressing public health issues, strengthening our health system so that we can provide good safe primary care.
1. Tokelau & Donor agency resourcing
2. Engagement by Taupulega & Villages
3. Participation by Communities
We aim to integrate the principles of sustainable development into policy and programmes and work with Department of Economic Development, Natural Resources and Environment to also ensure the health issues associated with such developments are interwoven. Protecting our environment and ensuring robust inter departmental/inter atoll planning regarding climate change and natural disasters are incorporated for national outcomes.
Workforce is key to delivery of the THSP and the Department is committed to developing a workforce that meets the needs of the current and future population.
A number of actions with measurable outcomes supported by a monitoring and evaluation (M&E) framework have been developed for the next five years in each of the key goal areas. These actions will require a whole of Government and Whole of Community approach for Family Centred outcomes that will encourage ownership, choice and change by each of the communities across the country.
The indicators and targets identify the high level outcomes the department intends to achieve and is closely linked with the Tokelau Health Strategic Plan (2009 - 2010) and Donor agency strategic funded outcomes.
Developed a number of key documents:
Draft National Health Strategic Plan (2009 - 2015)
• International Health Regulation Action Plan
• Non Communicable Diseases Plan
• Reproductive Health Plan
• Mental Health Policy
• Draft Health Policy
• Draft Health Workforce Plan (2009 - 2015)
Developed population Data base,
Strengthened Health Committees – (link to Coop Committees)
Strengthened Primary Care
Providing training (4 Nursing Trainees,1 Public Health trainee, Rotational training as agreed by each Taupulega for local health staff: received training in Reproductive Health, Pharmaceutical procurement, EPI – Immunisation, general clinical
• 2 Local health staff have graduated as Eye Care technicians (Fakaofo & Nukunonu)
• 1 Nursing graduate – now working in Nukunonu
• 1 Public Health graduate - Atafu
Non-Communicable Diseases (NCD) programs
Inaugural workshop Nov 2009
Appointed National NCD Focal point & Public Health Advisor
Worked with other Departments to achieve outcomes:
Contributed to a number of key documents for Government – business as usual
Managed TPRS included Casuals
Director of Health: Silivia Tavite (+685) 20822 or firstname.lastname@example.org
Chief Clinical Advisor:Doctor Tekie Iosefa (+690) 3161 or email@example.com
Nukunonu: Doctor Susana Leitu (+690) 4111 or firstname.lastname@example.org
Fakaofo: Doctor Iuta Sili (+690) 3111 or email@example.com