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Islands HEALTH SITUATION The is an overseas territory of the of Great Britain and , consisting of four islands in the South . Only one island with an of 46 square kilometres is inhabited. Fifty-four people, including five children, live on the island. The leading causes of illness are diabetes, cardiovascular diseases, allergies and asthma, and accidents. The Pitcairn Islands actively participates in the Pacific Public Health Surveillance Network, closely monitoring communicable diseases. Extended periods of drought are another growing health-related challenge for the Pitcairn Islands.

http:// www.who.int/countries/en/ HEALTH POLICIES AND SYSTEMS

The Pitcairn Islands Strategic Development Plan 2014–2018 consists of WHO Western Pacific five goals, including healthcare. World Bank income group The health care goal outlines the strategic vision to provide the best Healthy Islands Monitoring Framework Indicators possible health care to all members of the community, acknowledging Number of skilled health workers* per 10 000 population the challenges of its geographical location. The health care goal

Per capita total expenditure on health at average exchange includes five key strategies: to provide the best primary health care rate (US$) and via the medical centre; to provide secondary health Total expenditure on health as a percentage of (%) care as required via Tahiti and ; to ensure that the Healthcare and Compassionate Grant Policy is followed, operates Tuberculosis incidence (per 100 000 population) effectively, and meets the best practices and needs of both patients Life expectancy at birth (both sexes) and the Government of Pitcairn Islands; to prepare for the needs of Under-five mortality rate (per 1000 live births) the ageing population within the community in terms of health care,

Absolute number of maternal deaths health and safety and infrastructure development; and to improve on- island communications by introducing a communication repeater Maternal mortality ratio (per 100 000 live births) system. Adult mortality rate from NCDs at ages 30–69 years (%)

Number of suicides

Immunization coverage rate for diphtheria-tetanus-pertussis (three doses) (DTP3) (%) COOPERATION FOR HEALTH The United Kingdom of Great Britain and Northern Ireland provides Immunization coverage rate for measles-containing vaccine (first dose) (MCV1) (%) substantial bilateral cooperation to the Pitcairn Islands. The Pitcairn

Current tobacco smoking among persons 15 years of age and Islands communicates with WHO by submitting a weekly Pacific over (%) syndromic surveillance report on the number of cases of outbreak- Population using improved drinking-water sources (%) prone syndromes. Population using improved sanitation facilities (%)

Proportion of endemic neglected tropical diseases (NTDs) having reached elimination goals envisaged in the global NTD Roadmap to 2020 (%) – target 100%

NA = not available *Skilled health workers are defined as physicians, nurses and midwives.

WHO COUNTRY COOPERATION STRATEGIC AGENDA (2018–2022)

Strategic Priorities

STRATEGIC PRIORITY 1: To maintain the syndromic surveillance system.

To maintain the syndromic

surveillance system.

STRATEGIC PRIORITY 2: To promote healthy living for the prevention and control of noncommunicable diseases.

To promote healthy living for the prevention and control of noncommunicable diseases.

rd Please note that the 3 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 appr oximate 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/Pitcairn Islands Updated May 2018