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HEALTH SITUATION

The Pitcairn Islands is an overseas territory of the United Kingdom of Great Britain and Northern Ireland, consisting of four islands in the South Pacific Ocean. Only one island with an area of 46 square kilometres is inhabited. Fifty-four people, including five children, live on the island.

The leading causes of illness are diabetes, cardiovascular diseases, allergies and asthma, and accidents. The Pitcairn Islands actively participates in the Pacific Public Health Surveillance Network, closely monitoring communicable diseases. Extended periods of drought are another growing health-related challenge for the Pitcairn Islands.

HEALTH POLICIES AND SYSTEMS

The Pitcairn Islands Strategic Development Plan 2014–2018 consists of five goals, including healthcare.

The health care goal outlines the strategic vision to provide the best possible health care to all members of the community, acknowledging the challenges of its geographical location. The health care goal includes five key strategies: to provide the best primary health care and education via the medical centre; to provide secondary health care as required via Tahiti and New Zealand; to ensure that the Healthcare and Compassionate Grant Policy is followed, operates effectively, and meets the best practices and needs of both patients and the Government of Pitcairn Islands; to prepare for the needs of the ageing population within the community in terms of health care, health and safety and infrastructure development; and to improve on- island communications by introducing a communication repeater system.

COOPERATION FOR HEALTH

The United Kingdom of Great Britain and Northern Ireland provides substantial bilateral cooperation to the Pitcairn Islands. The Pitcairn Islands communicates with WHO by submitting a weekly Pacific syndromic surveillance report on the number of cases of outbreak- prone syndromes.

Pitcairn Islands

http:// www.who.int/countries/en/

WHO region Western Pacific

World Bank income group

Healthy Islands Monitoring Framework Indicators

Number of skilled health workers* per 10 000 population Per capita total expenditure on health at average exchange

rate (US$)

Total expenditure on health as a percentage of gross

domestic product (%)

Tuberculosis incidence (per 100 000 population) Life expectancy at birth (both sexes) Under-five mortality rate (per 1000 live births) Absolute number of maternal deaths Maternal mortality ratio (per 100 000 live births) Adult mortality rate from NCDs at ages 30–69 years (%) Number of suicides

Immunization coverage rate for diphtheria-tetanus-pertussis (three doses) (DTP3) (%)

Immunization coverage rate for measles-containing vaccine (first dose) (MCV1) (%)

Current tobacco smoking among persons 15 years of age and over (%)

Population using improved drinking -water sources (%) Population using improved sanitation facilities (%) Proportion of endemic neglected tropical diseases (NTDs) having reached elimination goals envisaged in the global NTD Roadmap to 2020 (%) – target 100%

NA = not available

*Skilled health workers are defined as physicians, nurses and midwives.

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WHO COUNTRY COOPERATION STRATEGIC AGENDA (2018–2022)

Strategic Priorities

STRATEGIC PRIORITY 1:

To maintain the syndromic surveillance system.

To maintain the syndromic surveillance system.

STRATEGIC PRIORITY 2:

To promote healthy living for the prevention and control of noncommunicable diseases.

To promote healthy living for the prevention and control of noncommunicable diseases.

Please note that the 3rd generation CCS 2014-20g finalize

© W orld Health Organization 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence.

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent appr oximate border lines for which there may not yet be full agreement. This publication does not necessarily represent the decisions or policies of WHO.

WHO/CCU/18.02/Pitcairn Islands Updated May 2018

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