1.Staff Dissatisfaction and Reasons leading to exit: A study of exit interview forms from 2017 - 2021 at the Ministry of Health and Medical Services, Fiji
K Venkata Raman Reddy ; Richard D Nair ; Ledua Tamani ; Torika Tamani
Pacific Journal of Medical Sciences 2025;26(1):52-60
In the Pacific Island countries, including Fiji, staff attrition in the healthcare sector, particularly at the
Ministry of Health & Medical Services (MOHMS), became a pressing issue from 2017 to 2021. This study examines the reasons for staff dissatisfaction and departure from MOHMS during this period. Using a quantitative descriptive cross-sectional approach, data from 249 exit interview survey forms were analysed. The primary causes of staff exit were migration, better job opportunities, pursuing further studies, and family-related factors. Dissatisfaction leading to some of the staff departures was mainly attributed to pay issues, working conditions, and supervisor-related concerns. The findings emphasize the need to address these factors to mitigate the increasing staff attrition trend. Given the recent challenges faced by the healthcare workforce, proactive measures are essential to retain healthcare professionals and prevent a worsening attrition problem.
2.Situation analysis of COVID-19 on Domestic Violence in Fiji
Nehoray Azan Al- Nazhir ; Richard D. Nair ; Mashnil Shinoy ; Jignesh Sharma
Pacific Journal of Medical Sciences 2023;24(1):37-47
COVID-19, a highly contagious and deadly virus rapidly swept across the world from the year 2019 to 2020 killing more than two million people. Due to the magnitude of affect the virus was having, governments were forced into taking measures that required isolation of the infected from the unaffected, as mitigation to halt the spread. This brought about the “COVID-19 Lockdown”. Though the Pacific Island Countries (PICs) were with one of the least numbers of COVID-19 cases, similar measures were implemented as measure to prevent the virus from entering the countries. Like other countries, PICs like Fiji had a lockdown and this affected the lifestyles of the people. Amidst the lockdown, there was a rise in domestic violence cases. The literature review was done using databases; Medline, ProQuest, Embase, and Scopus. The research was done by using the relevant keywords in the field of COVID-19 which was aimed specifically on domestic violence during the pandemic. Moreover, local, and international publications, like media reports and published reports were also used. Upon carrying out this research it could be stated that there was a rise in the number of domestic violence cases in the wake of the COVID-19 pandemic lockdown. The literature review was aimed at identifying the consequences of COVID-19 and why it triggered a spike in domestic violence cases. The study concluded that the psychological impacts, and socio-economic state created as the result of the lockdown was the main contributing factor which gives rise to substance abuse, depression, which collectively lead to violence

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