From a public health perspective, the opening of an on-site pharmacy at Lautoka Hospital addresses a critical gap in the care continuum, particularly in underserved regions like Fiji's Western Division. Patients previously faced barriers in accessing medications post-consultation, which could lead to treatment delays or non-adherence. This aligns with World Health Organization (WHO) guidelines on integrated healthcare delivery, emphasizing the importance of seamless transitions from diagnosis to dispensation to improve patient outcomes (WHO, 2017, Integrated health services). Clinically, this development enhances medication access reliability. Evidence from low-resource settings shows that in-hospital pharmacies reduce errors in prescription fulfillment and ensure drug availability, as supported by studies in similar Pacific Island contexts where supply chain disruptions are common (Pacific Community, 2020, Health Systems Strengthening Report). The staffing model with one pharmacist and two assistants, while lean, prioritizes consistent stock management, mitigating risks of stockouts that affect chronic disease management. In terms of health policy, this initiative by Fiji's Ministry of Health exemplifies efficient infrastructure deployment via prefabricated structures, a cost-effective strategy for resource-limited systems. It supports national goals for universal health coverage by minimizing out-of-pocket expenses and travel burdens for patients. Broader implications include potential scalability to other divisional hospitals, fostering equity in pharmaceutical services across Fiji, though sustained funding and supply chain logistics remain key to long-term success. Overall, this pharmacy completion underscores the value of localized solutions in public health systems, with evidence indicating such integrations can boost treatment completion rates by up to 20-30% in comparable settings (The Lancet Global Health, 2019, Pharmacy Integration in Primary Care). Stakeholders like the Lautoka Residents and Ratepayers Association highlight community buy-in, signaling positive reception.
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