DOCSLIB.ORG

Republic of Kiribati WHO Library Cataloguing-In-Publication Data

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Republic of Kiribati WHO Library Cataloguing-In-Publication Data Human Resources for Health Country Profiles Republic of Kiribati WHO Library Cataloguing-in-Publication Data Human resources for health country profiles: Republic of Kiribati 1. Delivery of healthcare – manpower. 2. Health manpower - education. 3. Health resources - utilization. I. World Health Organization Regional Office for the Western Pacific. ISBN 978 92 9061 668 9 (NLM Classification: W76 LA1) © World Health Organization 2014 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO web site (www.who.int/about/licensing/ copyright_form/en/index.html). For WHO Western Pacific Regional Publications, request for permission to reproduce should be addressed to Publications Office, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000, Manila, Philippines, fax: +632 521 1036, e-mail: [email protected]. 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 the World Health Organization 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 lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Table of contents Acronyms v Acknowledgements vi Executive summary vii 1. Introduction 1 1.1 Demographic, social and political background 1 1.2 Current economic situation and macroeconomic indicators 2 1.3 Main health indicators 2 1.4 Health system 3 2. Health workforce supply and trends 4 3. Health workforce distribution 6 3.1 Distribution of health workers by gender 6 3.2 Distribution of health workers by age 6 3.3 Sectoral distribution 7 3.4 Distribution of health workers by citizenship 7 3.5 Skills distribution 7 4. Health professions education 7 4.1 Medical education 7 4.2 Nursing education 7 4.3 Medical assistants 9 4.4 Other health workers 9 4.5 Education capacities 11 4.6 Physical infrastructure 12 4.7 Technical infrastructure 12 4.8 Accreditation mechanisms 12 4.9 In-service and continuing professional education 13 5. Human resources for health (HRH) utilization 14 5.1 Recruitment 14 5.2 Deployment and distribution policies and mechanisms 14 5.3 Vacancies 16 6. Financing HRH 17 6.1 HRH expenditure 17 6.2 Remuneration to health workers 17 7. Governance of HRH 19 7.1 HRH policies and plans 19 7.2 Policy development, planning and management for HRH 19 7.3 Professional regulation 19 7.4 HRH information systems 21 8. Concluding remarks 21 References 22 Annexes 23 Annex A. Ministry of Health and medical services organizational chart 23 Annex B. Distribution of health workers by gender, April 2013 24 Annex C. Distribution of health workers by age, April 2013 25 Republic of Kiribati iii List of tables Table 1. Selected sociodemographic indicators 1 Table 2. Selected economic indicators 2 Table 3. Selected health indicators 3 Table 4. Number of health workers at the national level in 2008 and April 2013 5 Table 5. Skills distribution in March 2013 7 Table 6. Number of first-year enrolments by year, 2008–2012 12 Table 7. Number of graduates by year, 2008–2012 13 Table 8. Allowances and entitlements for Kiribati public service workers 15 Table 9. Vacant posts by April 2013 17 Table 10. Average entry-level incomes by profession in 2013 18 Table 11. Registration requirements for health workers in Kiribati 20 List of figures Figure 1. Gender distribution (%), April 2013 6 Figure 2. Age group distribution (%), April 2013 6 iv Human Resources for Health Country Profiles Acronyms A$ Australian dollar AusAID Australian Agency for International Development CPE continuing professional education FNU Fiji National University GDP gross domestic product HRH human resources for health KANI Kiribati-Australia Nursing Initiative KSN Kiribati School of Nursing MHMS Ministry of Health and Medical Services NCD noncommunicable disease P&O prosthetist and orthotist PHRHA Pacific Human Resources for Health Alliance POLHN Pacific Open Learning Health Network PSO Public Service Office SKH Southern Kiribati Hospital SPC Secretariat of the Pacific Community SSCSIP Strengthening Specialised Clinical Services in the Pacific UNDP United Nations Development Programme UNICEF United Nations Children’s Fund US$ United States dollar USP University of the South Pacific WHO World Health Organization Republic of Kiribati v Acknowledgements The Kiribati Human Resources for Health Country (Senior Local Government Auditor) from the Ministry Profile is the result of the collaboration of Wiriki of Internal and Social Affairs; and Sophia Lin. Tooma (Secretary for Health), Teatao Tiira (Director Public Health) and Kaateti Tooto (Senior Assistant The Human Resources for Health Country Profiles in Secretary) from the Ministry of Health and Medical the Western Pacific Region are prepared under the Services, Republic of Kiribati; Tareti Ioane Ruaia logistical and editorial support of the WHO Western (Deputy Principal) from the Kiribati School of Nursing; Pacific Regional Office Human Resources for Health Beniana Atantaake (Scholarships Officer) from the unit and coordinated by a team composed of Ministry of Education; Moannata Ientaake (Director) Gulin Gedik, Rodel Nodora, Jose Aguin and Dyann from the Public Service Office; Teewaa Tonaeka Severo. vi Human Resources for Health Country Profiles Executive summary Background workers, there are no private practitioners. Services are almost all provided by government at no or low The Republic of Kiribati consists of 32 low-lying cost to locals. atolls and one volcanic island arranged in three main groups: the Gilbert, Phoenix and Line Islands. While a large proportion of the workforce is young Most atolls are less than two metres above sea level, (almost half are between the ages of 30 and 39), making the country vulnerable to climate change and many of the formally qualified, senior-level staff natural disasters. Kiribati ranks low on the Human are approaching retirement age. The practice of Development Index and is unlikely to meet any of the contracting retired staff to fill specialist posts is Millennium Development Goals by 2015. increasing. The workforce is mostly female. Nurses provide many of the services across the country The population of Kiribati is 103 058. Most live in the and are usually the only types of health workers Gilbert Island group, and the capital Tarawa is densely available in the outer islands. While health services populated. As birth rates are high and international are concentrated on Tarawa atoll due to the high migration is minimal, population growth is one of population density, there are few outreach services the highest in the region. Significant rural-to-urban to the outer islands, which disadvantages those who migration has produced new “urban” settlements are already unable to afford transport to access the that have placed stress on limited resources, jobs services they need. and infrastructure. Sanitation is often poor, leading to high rates of communicable disease. Overcrowding Main HRH issues and social decline have contributed to increased youth violence and alcohol abuse. The main issues that affect human resources for health in Kiribati are all underpinned by a lack of finances. Compared to other Pacific island countries, life These are: critical shortages of skilled health workers; expectancy is shorter, and child and maternal lack of central HRH management; and inadequate mortality rates are some of the highest in the region. health worker production. Noncommunicable disease is the major cause of mortality and morbidity, but communicable diseases Critical shortage of skilled health workers such as tuberculosis and diarrhoeal disease still cause The Kiribati workforce is ageing and there is an one third of all deaths, many among children. increasing reliance on retired staff (compulsory retirement is set at 50 years) to fill nursing and Attempts to decentralize the health system have been medical positions. unsuccessful thus far. The four tiers of health facilities provide increasing levels of medical care, starting with Several departments, particularly laboratory, medical dispensaries and health centres in the outer islands, imaging, health promotion and environmental health, followed by subdivisional hospitals, and finally the have staff who are not formally
Load more

Recommended publications
  • The Need for a Rights-Based Public Health Approach to Australian Asylum Seeker Health Jo Durham1* , Claire E
    Durham et al. Public Health Reviews (2016) 37:6 DOI 10.1186/s40985-016-0020-9 REVIEW Open Access The need for a rights-based public health approach to Australian asylum seeker health Jo Durham1* , Claire E. Brolan1,2, Chi-Wai Lui1 and Maxine Whittaker1,3 * Correspondence: [email protected] Abstract 1Faculty of Medicine & Biomedical Sciences, School of Public Health Public health professionals have a responsibility to protect and promote the right to School of Public Health, The health amongst populations, especially vulnerable and disenfranchised groups, such University of Queensland, Herston as people seeking asylum and whose health care is frequently compromised. As at Road, Herston, Queensland 4006, Australia 31 March 2016, there was a total of 3707 people (including 384 children) in immigration Full list of author information is detention facilities or community detention in Australia, with 431 of them detained for available at the end of the article more than 2 years. The Public Health Association of Australia and the Australian Medical Association assert that people seeking asylum in Australia have a right to health in the same way as Australian citizens, and they denounce detention of such people in government facilities for prolonged and indeterminate periods of time. The position of these two professional organisations is consistent with the compelling body of evidence demonstrating the negative impact detention has on health. Yet in recent years, both the Labour and Liberal parties—when at the helm of Australia’s Federal Government—have implemented a suite of regressive policies toward individuals seeking asylum. This has involved enforced legal restrictions on dissenting voices of those working with these populations, including health professionals.
    [Show full text]
  • Kiribati Fourth National Report to the Convention on Biological Diversity
    KIRIBATI FOURTH NATIONAL REPORT TO THE CONVENTION ON BIOLOGICAL DIVERSITY Aranuka Island (Gilbert Group) Picture by: Raitiata Cati Prepared by: Environment and Conservation Division - MELAD 20 th September 2010 1 Contents Acknowledgement ........................................................................................................................................... 4 Acronyms ......................................................................................................................................................... 5 Executive Summary .......................................................................................................................................... 6 Chapter 1: OVERVIEW OF BIODIVERSITY, STATUS, TRENDS AND THREATS .................................................... 8 1.1 Geography and geological setting of Kiribati ......................................................................................... 8 1.2 Climate ................................................................................................................................................... 9 1.3 Status of Biodiversity ........................................................................................................................... 10 1.3.1 Soil ................................................................................................................................................. 12 1.3.2 Water Resources ..........................................................................................................................
    [Show full text]
  • Participatory Diagnosis of Coastal Fisheries for North Tarawa And
    Photo credit: Front cover, Aurélie Delisle/ANCORS Aurélie cover, Front credit: Photo Participatory diagnosis of coastal fisheries for North Tarawa and Butaritari island communities in the Republic of Kiribati Participatory diagnosis of coastal fisheries for North Tarawa and Butaritari island communities in the Republic of Kiribati Authors Aurélie Delisle, Ben Namakin, Tarateiti Uriam, Brooke Campbell and Quentin Hanich Citation This publication should be cited as: Delisle A, Namakin B, Uriam T, Campbell B and Hanich Q. 2016. Participatory diagnosis of coastal fisheries for North Tarawa and Butaritari island communities in the Republic of Kiribati. Penang, Malaysia: WorldFish. Program Report: 2016-24. Acknowledgments We would like to thank the financial contribution of the Australian Centre for International Agricultural Research through project FIS/2012/074. We would also like to thank the staff from the Secretariat of the Pacific Community and WorldFish for their support. A special thank you goes out to staff of the Kiribati’s Ministry of Fisheries and Marine Resources Development, Ministry of Internal Affairs, Ministry of Environment, Land and Agricultural Development and to members of the five pilot Community-Based Fisheries Management (CBFM) communities in Kiribati. 2 Contents Executive summary 4 Introduction 5 Methods 9 Diagnosis 12 Summary and entry points for CBFM 36 Notes 38 References 39 Appendices 42 3 Executive summary In support of the Kiribati National Fisheries Policy 2013–2025, the ACIAR project FIS/2012/074 Improving Community-Based
    [Show full text]
  • Public Health Association of Australia
    FSANZ Amendment (Forum on Food Regulation and Other Measures) Bill 2015 Public Health Association of Australia Submission on the Food Standards Australia New Zealand Amendment (Forum on Food Regulation and Other Measures) Bill 2015 Committee Secretary Senate Standing Committees on Community Affairs PO Box 6100 Parliament House Canberra ACT 2600 [email protected] Contact for PHAA Michael Moore CEO 30 October 2015 20 Napier Close Deakin ACT Australia, 2600 – PO Box 319 Curtin ACT Australia 2605 1 T (02) 6285 2373 F (02) 6282 5438 E [email protected] W www.phaa.net.au FSANZ Amendment (Forum on Food Regulation and Other Measures) Bill 2015 Contents Executive Summary ...................................................................................................................... 3 Introduction ................................................................................................................................ 3 The Public Health Association of Australia ...................................................................................................... 3 Vision for a healthy population ....................................................................................................................... 3 PHAA’s Mission ................................................................................................................................................ 4 Priorities for 2014 and beyond .......................................................................................................................
    [Show full text]
  • Australia in 2030: What Is Our Path to Health for All?
    SUPPLEMENT 3 May 2021 Volume 214 No 8 www.mja.com.au Australia in 2030 What is our path to health for all? PP255003/00505 Approved Post Print Journal of the Australian Medical Association MJA2_v214_s8_cover.indd 1 4/16/2021 7:14:53 AM Australia in 2030: what is our path to health for all? Coordinating Editors: Dheepa Jeyapalan, Lewis Keane and Cara Büsst This Supplement was sponsored by Citation: Backholer K, Baum F, Finlay S, et al. Australia in 2030: what is our path to health for all? Med J Aust 2021; 214 (8 Suppl): S1-S40; doi: 10.5694/mja2.51020 MJA2_v214_s8_Title.indd S1 4/19/2021 12:44:26 PM Australia in 2030 Contents S5 Our path to health for all: Australia in 2030 Jane Shill, Cara Büsst, Kellie Horton, Kirstan Corben, Sandro Demaio S7 1. How Australia improved health equity through action on the social determinants of health Sharon Friel, Fran Baum, Sharon Goldfeld, Belinda Townsend, Cara Büsst, Lewis Keane S12 2. Aboriginal and Torres Strait Islander connection to culture: building stronger individual and collective wellbeing Summer M Finlay, Karla Canuto, Kootsy Canuto, Nadia Neal, Raymond W Lovett S17 3. Physical determinants of health: healthy, liveable and sustainable communities Billie Giles-Corti, Anthony Capon, Annemarie Wright, Patrick Harris, Anna Timperio, Andrew Butt, Melanie Lowe, Belen Zapata-Diomedi, Carmel Williams, Tahna Pettman, Lucy Gunn S22 4. Health promotion in the Anthropocene: the ecological determinants of health Rebecca Patrick, Fiona Armstrong, Anthony Capon, Kathryn Bowen, Selina N Lo, Aileen Thoms S27 5. Disrupting the commercial determinants of health Alexandra Jones, Jennifer Lacy-Nichols, Phil Baker, Anne Marie T Thow, Jane E Martin, Mike Daube, Kathryn Backholer, Belinda Townsend S32 6.
    [Show full text]
  • Public Health Association of Australia Submission on COVID-19
    Public Health Association of Australia submission on COVID-19 Contact for recipient: Committee Secretary A: Department of the Senate PO Box 6100, Parliament House Canberra ACT 2600 E: [email protected] T: (02) 6277 3892 28 May 2020 Contact for PHAA: Terry Slevin – Chief Executive Officer A: 20 Napier Close, Deakin ACT 2600 PHAA submission on COVID-19 Contents Preamble 4 The Public Health Association of Australia ............................................................................................ 4 Vision for a healthy population ............................................................................................................ 4 Mission for the Public Health Association of Australia .......................................................................... 4 Introduction 5 Context 6 Assessing the response through the WFPHA lens ................................................................................. 6 Sustainable Development Goals (SDGs) ................................................................................................ 6 Training and role of public health professionals ................................................................................... 7 Equity .................................................................................................................................................. 8 One Health .......................................................................................................................................... 9 Response 10 Coordination between Governments
    [Show full text]
  • North Tarawa Social and Economic Report 2008 2 of 2
    - 41 - 3.5.7. Community involvement to improve standard of education Normally the community does not interfere with the school curriculum, as it is the responsibility of Government to design them to suit the ages being taught to and ensure their effective implementation. However the community, through the school committee, often takes the initiative to address a wide range of other issues, such as children and teachers comfort, security, staffing, sports, and even school infrastructure. In a lot of cases, the teachers have to take the initiative and assign each pupil a specific task to do for a class activity or a school project at which times, the children always seek and are given help and support from families. This kind of help and support from individual families can take the form of money, food or their own involvement such as in the building of a school ‘mwaneaba’ or singing in a school dancing practice and competition etc. Over the past years the community has assisted both the primary and junior secondary schools especially in performing critical maintenance work on classrooms, offices and teacher residences. These buildings are by right the responsibility of Government who, in many cases has been very slow in providing the financial support needed to keep school infrastructure in good shape. North Tarawa is not an exception in these slow provisions of financial support from the Government, Despite this, the community continue to support their school children and their schools by being guardians of the school property as well as in provision of pupil/student’s school needs for school activities or other school requirements as may arise from time to time.
    [Show full text]
  • INDEFINITE DESPAIR the Tragic Mental Health Consequences of Offshore Processing on Nauru
    © MSF INDEFINITE DESPAIR The tragic mental health consequences of offshore processing on Nauru Médecins Sans Frontières mental health project, Nauru December 2018 © MSF CONTENTS 1. Excutive Summary 4 2. Introduction 8 2.1 Purpose 8 2.2 Context 8 2.3 MSF presence in Nauru 12 3. Methodology 14 3.1 Data sources 14 3.2 Data analysis 14 4. Findings 15 4.1 Demographics 15 4.2 Family situation of refugee 17 and asylum seeker patients 4.3 Exposure to difficulties and 19 traumatic events 4.4 Mental health morbidities 22 4.5 Self-harm and suicidal behaviour among 27 refugee and asylum seeker patients 4.6 Service and referral 28 4.7 Additional data analysis on 29 outcome measures 5. Conclusions 35 6. References 37 7. Appendix 39 2 Indefinite Despair December 2018 3 Refugee and asylum seeker patients 1. MSF’s patients EXECUTIVE SUMMARY Among the 208 refugees and asylum seekers MSF treated • Aged from under 1 to 74 years old with in Nauru, 124 patients (60%) had suicidal thoughts © MSF an average age of 32. and 63 patients (30%) attempted suicide. Children • 19% of patients were under 18. as young as 9 were found to have suicidal thoughts, committed acts of self-harm or attempted suicide. • 157 were female and 128 were male. Almost two-thirds (62%) of MSF’s 208 refugee • Of the refugee and asylum seeker and asylum seeker patients were diagnosed with patients, 193 (93%) were recognised moderate or severe depression. The second highest refugees while 15 (7%) were asylum morbidity was anxiety disorder (25%), followed by seekers.
    [Show full text]
  • When a Patient's Ethnicity Is Declared, Medical Students' Decision-Making Processes Are Affected
    The University of Notre Dame Australia ResearchOnline@ND Medical Papers and Journal Articles School of Medicine 2015 When a patient's ethnicity is declared, medical students' decision-making processes are affected S C. Ewen J Barrett David Paul University of Notre Dame Australia, [email protected] D Askew G Webb See next page for additional authors Follow this and additional works at: https://researchonline.nd.edu.au/med_article Part of the Medicine and Health Sciences Commons This article was originally published as: Ewen, S. C., Barrett, J., Paul, D., Askew, D., Webb, G., & Wilkin, A. (2015). When a patient's ethnicity is declared, medical students' decision-making processes are affected. Internal Medical Journal, 45 (8), 805-812. http://doi.org/10.1111/imj.12800 This article is posted on ResearchOnline@ND at https://researchonline.nd.edu.au/med_article/689. For more information, please contact [email protected]. Authors S C. Ewen, J Barrett, David Paul, D Askew, G Webb, and A Wilkin This article is available at ResearchOnline@ND: https://researchonline.nd.edu.au/med_article/689 This is the peer reviewed version of the following article: Ewen S.C., J. Barrett, D. Paul, D. Askew, G. Webb, A. Wilkin (2015) “When a patient’s ethnicity is declared, medical students’ decision-making processes are affected” Internal Medicine Journal, 45(8): 805- 812. doi: 10.1111/imj.12800, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/imj.12800/abstract. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.
    [Show full text]
  • Plants of Kiribati
    KIRIBATI State of the Environment Report 2000-2002 Government of the Republic of Kiribati 2004 PREPARED BY THE ENVIRONMENT AND CONSERVATION DIVISION Ministry of Environment Lands & Agricultural Development Nei Akoako MINISTRY OF ENVIRONMEN P.O. BOX 234 BIKENIBEU, TARAWA KIRIBATI PHONES (686) 28000/28593/28507 Ngkoa, FNgkaiAX: (686 ao) 283 n34/ Taaainako28425 EMAIL: [email protected] GOVERNMENT OF THE REPUBLIC OF KIRIBATI Acknowledgements The report has been collectively developed by staff of the Environment and Conservation Division. Mrs Tererei Abete-Reema was the lead author with Mr Kautoa Tonganibeia contributing to Chapters 11 and 14. Mrs Nenenteiti Teariki-Ruatu contributed to chapters 7 to 9. Mr. Farran Redfern (Chapter 5) and Ms. Reenate Tanua Willie (Chapters 4 and 6) also contributed. Publication of the report has been made possible through the kind financial assistance of the Secretariat of the Pacific Regional Environment Programme. The front coverpage design was done by Mr. Kautoa Tonganibeia. Editing has been completed by Mr Matt McIntyre, Sustainable Development Adviser and Manager, Sustainable Economic Development Division of the Secretariat of the Pacific Regional Environment Programme (SPREP). __________________________________________________________________________________ i Kiribati State of the Environment Report, 2000-2002 Table of Contents ACKNOWLEDGEMENTS .................................................................................................. I TABLE OF CONTENTS .............................................................................................
    [Show full text]
  • Australia: Rainforest, Reef, and Cultural Ecology
    Australia: Rainforest, Reef, and Cultural Ecology TABLE OF CONTENTS GENERAL INFORMATION ............................................. 2 PREVENTION OF INSECT-BORNE ILLNESSES ................. 2 PREVENTION OF FOOD- AND WATER-BORNE ILLNESSES ..................................................................... 3 OTHER DISEASES .......................................................... 3 IMMUNIZATIONS ......................................................... 3 IMMUNIZATION SCHEDULE ......................................... 4 SIT Study Abroad programs may venture off the usual tourist track. Pay careful attention to health GENERAL INFORMATION and safety guidelines. To protect your health in Australia, you need certain pre-departure immunizations followed by reasonable health precautions while in the country. The following PREVENTION OF INSECT-BORNE health guidelines and requirements are based on years of ILLNESSES experience and the current recommendations from the Dengue US Centers for Disease Control and Prevention. It is Dengue is a viral disease and is transmitted by designed to inform you of health concerns that may be mosquitoes which bite primarily in the daytime. Low risk present in Australia especially as you venture to smaller exists in northern Queensland, including the urban areas cities off the usual tourist track, or spend time in small of Cairns and Townsville. There is no licensed vaccine villages and rural areas for extended periods. against it, but personal protective measures against mosquito bites are effective in prevention.
    [Show full text]
  • Na'a Tarawa Conservation Area Kiribati Ecotourism Scoping Study
    NA’A TARAWA CONSERVATION AREA KIRIBATI ECOTOURISM SCOPING STUDY Prepared for the South Pacific Biodiversity Conservation Programme of the South Pacific Regional Environment Programme March 2000 1 1. EXECUTIVE SUMMARY The objective of this assignment was to assess the ecotourism potential of the Na’a Tarawa Conservation Area, and to identify needs for planning of tourism development in Na’a Tarawa Na’a (North) Tarawa is well positioned to provide tourism products for visitors arriving in South Tarawa. There is a good range of tourism resources, and North Tarawa is relatively traditional and pristine compared to South Tarawa. North Tarawa is also close to South Tarawa With less than 500 tourists arriving in South Tarawa per annum, the current ecotourism potential is limited. Existing tourism products in North Tarawa also serve other markets (VFR, business visitors, residents). However, if tourist arrivals to South Tarawa increase, there could be a growing potential for North Tarawa communities to provide tourism products This report identifies several initiatives that could increase community participation in current tourism activity and prepare North Tarawa for possible future tourism growth It is recommended that the Buariki community and the two tourism operators in Buariki establish a forum to discuss management issues, and that the community also work with these operators to develop a community-based ecotour It is also recommended that Nabeina further develop their proposal for an ecotourism facility on Biketawa Island, focussing on providing a tour, day use facilities and possible overnight accommodation In preparation for possible future growth of North Tarawa tourism, it is recommended that the Conservation Area develop a closer partnership with the Kiribati Visitors Bureau and with FSP project activities in North Tarawa It is also recommended that the North Tarawa Island Council and all relevant stakeholders consider developing conditions for Council tourism licenses.
    [Show full text]