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Youth and Mental Health in Tuvalu: a Situational Analysis

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Youth and Mental Health in Tuvalu: a Situational Analysis Youth and Mental Health in Tuvalu: A Situational Analysis Commissioned by the FSPI Regional Health Funded by NZAID Programme Tuvalu Association of Non-Governmental Government Foundation of the Peoples of the Organisations of Tuvalu South Pacific International USP Library Cataloguing-in-Publication Data Morris, Teuleala Manuella Youth and mental health in Tuvalu : a situational analysis / Teuleala Manuella Morris . – Suva, Fiji : Foundation of the Peoples of the South Pacific International, 2009. p. ; 30 cm. ISBN 978-982-9091-13-0 1. Youth—Mental health—Tuvalu 2. Youth—Tuvalu—Social conditions 3. Mental health—Tuvalu I. Foundation of the Peoples of the South Pacific International II. Title. RA790.7.T8M677 2009 362.2099682 © 2009 Foundation of the Peoples of the South Pacific International, Suva, Fiji Islands Acknowledgments o the young people of Tuvalu who partici- Manuella, Lopati Samasoni, Reverend Tafue pated in the survey, we extend a special Lusama, Siosi Finiki, Melitagi Lifuka, Salilo Enele, thank you. It is our hope that by illuminating Melei Melei, Tefiti Malau, Tebau Sotaga, Captain Tmental health issues in this report, the future will Usugafono Tofiga, Eti Esela and John Herdsford, be brighter for all of you. from the ALPHA (Seamen Recruiting Agency); the This work is also dedicated to the memory of young people living with mental illness, and their Tiesi Livi Tapumanaia, a 15-year-old girl from the in- families and carers. digenous Funafuti community, who contributed Special thanks to Bateteba Aselu Esela for help- much to the research, but died before the report ing with the data entry and analysis and to Lupe was published. Tavita for providing an analysis of domestic vio- We wish to thank the following people for pro- lence against women in Tuvalu. To Nia Nakala, who viding much of the information for this Situational worked on the graphics for the front cover of this Analysis: Pulefenua o Vaitupu Lonitona Panapa report; the Staff of the Department of Community (Chief for Vaitupu Island); Reverend Kalahati Kilei, Affairs and the Ministry of Home Affairs, for assist- his Faletua, Oliula Kalahati, and te Talavou o ing with the logistics of the survey; and to Youth Vaitupu (Church Youth Organisation); Te Lima Mal- Officer Petueli Noa, who organised the focus osi (Youth Organisation for te Fenua o Vaitupu, the groups of young people from the islands of Tu- island community); the Principal of Motufoua Sec- valu. ondary School, Mosese Halofaki, and staff, espe- We are grateful to Margaret Leniston, Regional cially Kaboua Eli and Elaine Laupepa; Reverend Health Programme Manager, and Margaret East- Iosefa Mautinoa, his Faletua, Elenisi Mautinoa, and gate, Regional Youth Mental Health Project Co-or- Losiga Nelesone and the youth on Nukufetau; dinator, from the Foundation of the Peoples of the youth from Vaiaku Village, Fenua o Funafuti, South Pacific International (FSPI). Thanks must Fakaifou Village, Lofegai Village, all of the youth also go to Annie Homasi, the National Co-ordinator from the Tuvalu islands who participated, either for Tuvalu Association of Non-Governmental Or- in focus groups or in interviews, for the Knowl- ganisations (TANGO), for providing technical sup- edge Action Practice (KAP) survey and who helped port. to organise youths on their islands for research Our sincere appreciation to FSPI and to New work. Zealand International Aid and Development We gratefully acknowledge the key informants: (NZAID), for providing the funding that enabled us Dr Stephen Homasi, Dr Puakena Boreham Pasuna, to carry out this important study for Tuvalu. Dr Nese Ituaso Conway, Penehulo Hauma, David 3 Youth and Mental Health in Tuvalu: A Situational Analysis Foreword by the Honourable Minister of Health, Italeli Taeia t is with a sense of honour and eagerness lives, regardless of our status, either as a par- that I present this report for all those ent, a community leader, a pastor, a civil ser- who are concerned with nurturing the vant or as a member of the private sector, Imental, spiritual and physical health of Tu- for the health of future generations. valu’s young people. Government will examine these issues se- Youth and Mental Health in Tuvalu Islands: riously and introduce viable measures to en- A Situational Analysis is the first report to analyse sure that mental ill health among youth is the mental health of this age group. The report will addressed through advocacy programmes that in- act as a guide to the development of our young crease awareness among all stakeholders. It is people, not only for the Tuvalu Government and vital that young people with mental illness receive non-governmental organisations, but also for the improved treatment and services from qualified regional and international donor community. medical personnel. It recommends a holistic and sustainable ap- With these words of encouragement, I would proach to fostering youth mental health and pro- like to commend everyone who helped to provide vides a checklist of the services available and those the new insights into youth mental health that are that are needed. This will serve as a valuable re- documented in this report. Special thanks to the source for families, the community, the Church, office of FSPI for kindly making this research pos- the Government and civil society. The report calls sible for Tuvalu by means of financial and technical on us to implement strategies and create an envi- support. ronment that will provide optimum conditions for Knowing is not enough, but working together the social, psychological, spiritual and physical de- to advance mental health will change the lives of velopment of our youth. our young people for the better. In this era of change and globalisation, our tra- ditional way of life and our identity as Tuvaluans Fakafetai lasi and thank you very much. are being challenged. We Tuvaluans have been colonised and decolonised and are now subject to Te Atua mo Tuvalu, God is for Tuvalu. the many influences of the modern world. This re- port reminds us of the effects these challenges and influences have on mental health, particularly that of our youth. I would therefore like to encourage all of us to look deeply into our hearts and examine what it means to ‘give the best’ to our children and our Honourable Italeli Taeia, youth, who hold Tuvalu’s future in their hands. It Minister of Health, is our duty to contribute constructively to their Government of Tuvalu 4 Youth and Mental Health in Tuvalu: A Situational Analysis Message from the National Co-ordinator, Tuvalu Association of Non-Government Organisations he Tuvalu Association of Non-govern- and implement the project in Tuvalu. mental Organisations (TANGO) be- We want to thank the island communities, lieves the future of a nation is its including the young people on Nukufetau, young people. Through this report, TANGO Vaitipu and the principal and staff of Motu- T foua Secondary School for organising the re- has aimed to provide a forum for our youth to voice how they are coping with the search work with the students; pastors on lifestyle changes they experience. Vaitupu and Funafuti especially for Lofeagai, Youth and Mental Health in Tuvalu spells out and youth on Fakaifou, Funafuti and Vaiaku for how young people feel about the kind of environ- being open and involved in the interviews. To the ment we are building and how it affects their men- island Chief on Vaitupu, the elders on Funafuti, pro- tal health. It reveals their struggles in coping with fessionals in Government and the various people social and economic problems and the demands who provided input for this report, we are deeply of parents and island communities that they do grateful. well in education and find employment. Some- Special thanks to Ms Teuleala Manuella Morris times young people are overwhelmed by the high for her interest in the work and for carrying out expectations placed on them and struggle with the research and the analysis. Also, for allowing aimlessness, alcohol abuse and financial hardship. staff within the Department of Community Affairs The two main pillars of Tuvaluan society, par- to assist in the formatting of this report and in the ents and island communities, need to be aware of data-related work. the challenges confronting young people in order Moreover, our sincere appreciation to the staff to ensure they can participate in and benefit from of FSPI for their editorial and technical support and the traditional way of life and modernisation. for the co-ordination of the publication of this re- It is of paramount importance that Govern- port, including the support of New Zealand Inter- ment, the private sector and non-governmental or- national Aid and Development (NZAID) for funding ganisations help members of civil society, such as this Youth and Mental Health Project in Tuvalu parents and elders, to understand the changing through FSPI. lifestyles of our young people. In order to ad- Our greatest hope is that the report will be vance their development, we must nurture their taken seriously by people at all levels of our society mental health through preventative measures and so that Tuvalu’s young people are cared for and also help them to understand and cope with life’s equipped to deal with these changing times. This demands. can only be done if we develop effective strate- TANGO has employed an officer to plan, imple- gies in our homes and communities that will sup- ment, co-ordinate, monitor and evaluate actions port and empower them to live in a harmonious that will advance mental health for young people relationship with society and the environment. in Tuvalu. The TANGO office is adamant about ed- ucating, advocating and assisting in the develop- Fakafetai lahi.
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