HEALTH SITUATION French Polynesia is a French territorial overseas community with an estimated population of 280, 000 (2014). Whilst the overall life expectancy has improved for citizens, new health-care challenges have emerged due to an ageing population, and an increase in noncommunicable diseases (NCDs) and emerging diseases. French Polynesia has confirmed Zika and chikungunya virus infections on all its archipelagos. Guillain–Barré syndrome was associated with both infections, with cases reported in the Windward Islands, Leeward Islands, Tuamotu Islands, Austral Islands and Marquesas Islands. There are also challenges in maintaining social cohesion and health equity. HEALTH POLICIES AND SYSTEMS The Centre Hospitalier de la Polynésie Française is the national referral hospital. Public general hospitals are located in Tahiti, Moorea, Raiatea and Nuku Hiva islands, and there are 115 public health facilities. The entire population has social health insurance. The Strategic Orientations of the Health Policy 2016–2025 sets out four strategic areas. This includes: modernizing and optimizing governance of the health and social welfare system; improving the general social protection system for optimum coverage of health and social needs; focusing policy on prevention and health promotion; and ensuring a quality health system. The Health Organization Scheme (SOS) 2016–2021 defines the first steps for implementation and has the following six major areas: 1. Restore authority by establishing a regulatory body for health and social welfare; 2. Improve primary health for the archipelagos; 3. Adapt health provision to changing needs; 4. Make the fight against overweight a priority; 5. Meet the challenges of population ageing in partnership with the Ministry for Solidarity; and 6. Support all such efforts by setting up a digital portal on Polynesian health. COOPERATION FOR HEALTH In implementing this strategy, WHO and the Government will work with other sectors, academia, civil society, other United Nations agencies, bilateral development partners, regional and global health initiatives, philanthropic foundations and others in support of planned national health priorities. French Polynesia 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 (2009) 68 Per capita total expenditure on health at average exchange rate (US$) (2008) 3362 Total expenditure on health as a percentage of gross domestic product (%) NA Tuberculosis incidence (per 100 000 population) (2010-13) 22 Life expectancy at birth (both sexes) (2013) 75 Under-five mortality rate (per 1000 live births) (2013) 2.2 Absolute number of maternal deaths NA Maternal mortality ratio (per 100 000 live births) (2011) 0 Adult mortality rate from NCDs at ages 30–69 years (%) NA Number of suicides (2010) 3 Immunization coverage rate for diphtheria-tetanus-pertussis (three doses) (DTP3) (%) (2015) 99 Immunization coverage rate for measles-containing vaccine (first dose) (MCV1) (%) (2015) 98 Current tobacco smoking among persons 15 years of age and over (%) (2010) 41 Population using improved drinking-water sources (%) (2015) 100 Population using improved sanitation facilities (%) (2015) 98 Proportion of endemic neglected tropical diseases (NTDs) having reached elimination goals envisaged in the global NTD Roadmap to 2020 (%) – target 100% (2017) 0 NA = not available *Skilled health workers are defined as physicians, nurses and midwives. WHO COUNTRY COOPERATION STRATEGIC AGENDA (2018–2022) Strategic Priorities Main Focus Areas for WHO Cooperation STRATEGIC PRIORITY 1: To strengthen essential health service delivery to progress towards universal health coverage and the vision of Healthy Islands. STRATEGIC PRIORITY 2: To strengthen health policy on NCDs. 2.1. Develop a national cross-sectoral strategic plan on NCDs that covers the key risk factors and NCD management, and includes country-specific targets and a monitoring plan. 2.2. Develop and implement effective NCD prevention activities, in line with best practices and building on regional experience. STRATEGIC PRIORITY 3: To strengthen capacity to prepare for and respond to public health events caused by common epidemic-prone and emerging diseases, environmental hazards and climate change, and the health consequences of disasters. STRATEGIC PRIORITY 4: To increase access to health care for people with disabilities and strengthen rehabilitation. 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 approximate 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/French Polynesia Updated May 2018
HEALTH SITUATION French Polynesia is a French territorial overseas community with an estimated population of 280, 000 (2014). Whilst the overall life expectancy has improved for citizens, new health-care challenges have emerged due to an ageing population, and an increase in noncommunicable diseases (NCDs) and emerging diseases. French Polynesia has confirmed Zika and chikungunya virus infections on all its archipelagos. Guillain–Barré syndrome was associated with both infections, with cases reported in the Windward Islands, Leeward Islands, Tuamotu Islands, Austral Islands and Marquesas Islands. There are also challenges in maintaining social cohesion and health equity. HEALTH POLICIES AND SYSTEMS The Centre Hospitalier de la Polynésie Française is the national referral hospital. Public general hospitals are located in Tahiti, Moorea, Raiatea and Nuku Hiva islands, and there are 115 public health facilities. The entire population has social health insurance. The Strategic Orientations of the Health Policy 2016–2025 sets out four strategic areas. This includes: modernizing and optimizing governance of the health and social welfare system; improving the general social protection system for optimum coverage of health and social needs; focusing policy on prevention and health promotion; and ensuring a quality health system. The Health Organization Scheme (SOS) 2016–2021 defines the first steps for implementation and has the following six major areas: 1. Restore authority by establishing a regulatory body for health and social welfare; 2. Improve primary health for the archipelagos; 3. Adapt health provision to changing needs; 4. Make the fight against overweight a priority; 5. Meet the challenges of population ageing in partnership with the Ministry for Solidarity; and 6. Support all such efforts by setting up a digital portal on Polynesian health. COOPERATION FOR HEALTH In implementing this strategy, WHO and the Government will work with other sectors, academia, civil society, other United Nations agencies, bilateral development partners, regional and global health initiatives, philanthropic foundations and others in support of planned national health priorities. French Polynesia 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 (2009) 68 Per capita total expenditure on health at average exchange rate (US$) (2008) 3362 Total expenditure on health as a percentage of gross domestic product (%) NA Tuberculosis incidence (per 100 000 population) (2010-13) 22 Life expectancy at birth (both sexes) (2013) 75 Under-five mortality rate (per 1000 live births) (2013) 2.2 Absolute number of maternal deaths NA Maternal mortality ratio (per 100 000 live births) (2011) 0 Adult mortality rate from NCDs at ages 30–69 years (%) NA Number of suicides (2010) 3 Immunization coverage rate for diphtheria-tetanus-pertussis (three doses) (DTP3) (%) (2015) 99 Immunization coverage rate for measles-containing vaccine (first dose) (MCV1) (%) (2015) 98 Current tobacco smoking among persons 15 years of age and over (%) (2010) 41 Population using improved drinking-water sources (%) (2015) 100 Population using improved sanitation facilities (%) (2015) 98 Proportion of endemic neglected tropical diseases (NTDs) having reached elimination goals envisaged in the global NTD Roadmap to 2020 (%) – target 100% (2017) 0 NA = not available *Skilled health workers are defined as physicians, nurses and midwives. WHO COUNTRY COOPERATION STRATEGIC AGENDA (2018–2022) Strategic Priorities Main Focus Areas for WHO Cooperation STRATEGIC PRIORITY 1: To strengthen essential health service delivery to progress towards universal health coverage and the vision of Healthy Islands. STRATEGIC PRIORITY 2: To strengthen health policy on NCDs. 2.1. Develop a national cross-sectoral strategic plan on NCDs that covers the key risk factors and NCD management, and includes country-specific targets and a monitoring plan. 2.2. Develop and implement effective NCD prevention activities, in line with best practices and building on regional experience. STRATEGIC PRIORITY 3: To strengthen capacity to prepare for and respond to public health events caused by common epidemic-prone and emerging diseases, environmental hazards and climate change, and the health consequences of disasters. STRATEGIC PRIORITY 4: To increase access to health care for people with disabilities and strengthen rehabilitation. 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 approximate 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/French Polynesia Updated May 2018