Population Child Health Group, University of New South Wales, Sydney 2031, Australia.
Department of Community Child Health, Sydney Children's Hospital Network, Sydney 2031, Australia.
Int J Environ Res Public Health. 2020 Feb 4;17(3):972. doi: 10.3390/ijerph17030972.
Supporting children with neurodevelopmental disabilities (NDDs) is recognized as an increasing priority in Fiji, a middle-income Pacific Island country. Our objective was to describe our approach to developing a model of care and strengthening local leadership in developmental paediatrics in Fiji to ensure high-quality identification, assessment and management of children with NDDs. Paediatric staff at Colonial War Memorial (CWM) Hospital in Suva have worked in partnership with Australian paediatricians to develop the model of care. The platform of continuing medical education during biannual 3 to 4 days of clinic-based teaching with visiting developmental paediatricians from Australia has been used. Since 2010, there have been 15 local and regional paediatric trainees trained. Since 2015, our two local lead paediatric trainees have run a weekly local developmental clinic. In total, 370 children aged 0 to 18 with NDDs have been comprehensively assessed with a detailed history and standardised tools. The model is extending to two divisional hospitals. Research engagement with the team is resulting in the development of a local evidence base. Local, regional and international leadership and collaboration has resulted in increased capacity in the Fijian health system to support children with NDDs.
在斐济，支持神经发育障碍（NDD）儿童被认为是一个日益重要的优先事项，斐济是一个中等收入的太平洋岛国。我们的目标是描述我们在斐济制定护理模式和加强发展性儿科当地领导力的方法，以确保对 NDD 儿童进行高质量的识别、评估和管理。苏瓦殖民战争纪念医院（CWM）的儿科工作人员与澳大利亚儿科医生合作开发了该护理模式。利用了每两年举办一次的为期 3 至 4 天的以临床为基础的教学活动平台，该活动邀请了来自澳大利亚的发展性儿科医生。自 2010 年以来，已经培训了 15 名当地和区域儿科受训人员。自 2015 年以来，我们的两名当地主要儿科受训人员每周都会开办一次当地发展性诊所。总共有 370 名 0 至 18 岁患有 NDD 的儿童接受了详细病史和标准化工具的全面评估。该模式正在扩展到两家地区医院。该团队的研究参与正在为当地循证基础的发展做出贡献。当地、区域和国际的领导力和合作使斐济卫生系统支持 NDD 儿童的能力得到了提高。
