Exploring Fijian Health System Resilience

Na vakadidike ni tabana ni bula raraba e na iwalewale me taurivaki ke sotavi na leqa tubukoso
A research project investigating resilience and mapping the adaptive practices that are emerging in response to crises in Fiji

“No plans about us without us”: Dr Akisi Ravono Presents at UPSM & HS International Health Conference

Our Associate Investigator Dr Akisi Ravono recently presented at the inaugural Umanand Prasad School of Medicine & Health Sciences International Health Conference, held on 27–28 May 2025 at the University of Fiji’s Saweni campus in Lautoka.

Dr Ravono’s presentation, titled “Men, Women & Youths’ Vision of Health Care During a Pandemic: A Talanoa of COVID-19 Experiences in Fiji – An iTaukei Community Context”, drew on findings from our collaborative research investigating adaptive practices and health system resilience in the wake of the COVID-19 crisis. The presentation focused on the findings from the two talanoa sessions held with iTaukei communities.

Dr Ravono highlighted community-level concerns about top-down decision-making, disruption of cultural obligations, and poorly coordinated pandemic plans. Yet, amidst these challenges, participants also shared powerful stories of adaptation drawing on cultural values such as solesolevaki (working together), and using herbal medicines, traditional knowledge, and local resources to support community wellbeing.

Her presentation underscored a core message: “No plans about us without us.” Disaster preparedness and healthcare decision-making must include the voices of the communities they serve. Dr Ravono’s recommendations from the study include the need for culturally informed healthcare practices, curriculum review to strengthen disaster management training, and improved preparation of the health workforce through community-based attachments.