Fiji Rheumatic Heart Disease (RHD) Control and Prevention

Since June 2014, Cure Kids has been leading a partnership initiative to prevent and reduce the impact of rheumatic heart disease (RHD) in Fiji. This five-year project is a collaboration between Cure Kids, the Fiji Ministry of Health and Medical Services, the University of Auckland, the Kids Institute, and the Murdoch Children’s Research Institute. As part of this initiative, Heart Heroes Fiji (https://heartheroesfiji.org/), a patient- and vuvale-led movement, empowers individuals and families affected by RHD to advocate for better care, raise awareness, and support others on their journey.

Together, we are working to improve early detection, treatment, and prevention efforts to protect the health and futures of Fijian children. 

The Challenge of Rheumatic Heart Disease in Fiji 

RHD is a serious heart condition caused by an untreated throat infection (strep throat) that can lead to inflammation and scarring of the heart valves. This condition is entirely preventable with appropriate treatment. However, in Fiji, it is common for children to be diagnosed with symptomatic RHD only when it is already too late for effective intervention. 

  • One in 50 children in Fiji is affected by RHD, making it a significant public health issue. 
  • Fiji has one of the highest rates of RHD in the world, with 35.4 cases per 1,000 children aged 5-14 years. 
  • At least 60 people die each year from RHD in Fiji. 
  • RHD is also the second leading (second to drowning) cause of death for children, youths and pregnant women in the country. 

Focus Areas

The programme focuses on the following key areas: 

Enhanced RHD surveillance and diagnosis:

  • Dedicated screening in schools and antenatal clinics
  • Availability and maintenance of diagnostic equipment
  • Strengthening medical management for RHD patients and supporting the national RHD database

Workforce Development

  • Training medical professionals in echocardiography screening to enhance early detection and diagnosis

Lived Experience/Community Voice

  • Developing community education initiatives and culturally appropriate educational materials 
  • Providing peer support and family counselling for those affected by RHD 
  • Supporting adherence to RHD treatment to improve health outcomes