Tuvalu International Health Insurance / Tuvalu Healthcare System

 

  Tuvalu The Pacific island nation of Tuvalu is the third-least populous country in the world, with slightly more than ten thousand inhabitants. It also has the second lowest elevation of any island nation, with a maximum height of 4.5 metres (only the Maldives is lower), and is therefore considered at risk of disappearing by some climate change experts. The country has few natural resources, and is almost entirely reliant on foreign aid and eco-tourism for income. The former British colony, known then as the Ellice Islands (as part of the Gilbert and Ellice Islands Colony), achieved independence in 1978 and became a member of the United Nations (UN) in 2000. This poor country’s GDP per capita using purchasing power parity is only about USD1,600, and the UN considers it a Least Developed Country (LDC). Government expenditure makes up nearly all of health care spending in Tuvalu, and most of this comes from foreign aid. Only 0.2 percent of health care spending comes from the private sector and this is entirely out of pocket spending. There is no local private health insurance in Tuvalu.

According to the UN health agency, the World Health Organisation (WHO), life expectancy in Tuvalu is 64 years for males and 65 for females, which is quite low, even by regional standards. Tuvalu is considered part of the WHO’s Western Pacific region. Heavy smoking rates persist despite measures to curtail the number of tobacco users in the country; over half of adult Tuvaluan males, and more than twenty percent of females, are smokers. Obesity is increasingly problematic; 46.6 percent of males and 67.6 percent of females are considered obese. This has led to a host of health problems, including diabetes and heart disease.

The WHO has helped to implement a number of strategic objectives in cooperation with the Tuvaluan Ministry of Health in order to reduce the burden of disease on the local populace. These include providing tuberculosis drugs, prevent public health issues associated with poor diet and inactivity, increase Tuvalu’s capacity to address health issues affecting the poor, improve the capabilities of local health care professionals, and provide and analyse data to improve the drafting and implementation of health care policies.

Annual per capita spending on health care is only USD205, which is about 11.4 percent of GDP. Although there are usually fewer than ten doctors on the island, there are over 40 nurses and midwives (more than twice the regional average per 10,000 people), thereby ensuring that there is a decent level of medical care during childbirth and infancy. In fact, every birth in Tuvalu is attended by a skilled health care professional, which is an important achievement for a country with the level of poverty of Tuvalu.

In the wake of the global economic downturn many Pacific islands, being peripheral to global markets, suffered serious economic dislocation which adversely affected the delivery of health care. The WHO has arranged ministerial meetings to address a host of health issues arising from the reduction in aid revenue to the island. These include food security, aid effectiveness, access to essential medicines, control of non-communicable diseases and preparedness for epidemics (such as avian flu). A 2011 conference in Brussels was arranged by the UN with the aim of making up funding shortfalls for aid programs following the global recession; seeking alternative sources of aid revenue has become a major issue as wealthier countries weather economic shocks.

A recent fatal case of H1N1 flu in Fiji has been blamed on the opening of a new trade route with Tuvalu. Although this could occur anywhere, travellers are advised to avoid contact with patients, wash hands with soap or alcohol-based sanitizer and to always cover mouth and nose with a handkerchief when coughing or sneezing.

Although quite remote, Tuvalu is increasingly a tourist destination for adventure eco-travel and aid workers. There is only one scheduled flight into Tuvalu per week which originates in Fiji and lands in the capital city of Funafuti in Tuvalu. The airport runway is used as a road when planes aren’t using it. Visitors to Tuvalu should visit a health care specialist four to six weeks before travel to ensure that routine immunisations are up to date, including typhoid, which may be transmitted in areas with limited access to clean food and water. As with many tropical islands, insect borne diseases are prevalent. These may be prevented with insect repellent with DEET, wearing long sleeved clothing and sleeping under mosquito nets.

As with most travel destinations, the most common medical issue for visitors to Tuvalu is gastrointestinal discomfort. Drinking bottled or purified water is recommended; raw and undercooked food should be avoided. Acute cases of nausea, diarrhoea and vomiting can be treated with over the counter drugs, although serious persistent cases require a visit to a physician.

Given Tuvalu’s limited medical care resources, its inhabitants must often go overseas for healthcare, usually to Fiji, Australia or New Zealand, and increasingly to India. Given the country’s lack of health insurance infrastructure, travellers must make arrangements before embarking on a trip too Tuvalu.

 

Tuvalu International Health Insurance

 

For travellers planning a visit to the island nation of Tuvalu, Globalsurance can assist with any international health insurance requirements. Our experienced teams worldwide can provide a free consultation on all available insurance policy options, including those for solo travellers, families and any type of tour group. Policies available through the Globalsurance network cover a wide range of medical services including: dental, maternity, specialist consultation, transportation, inpatient services and more. Contact a Globalsurance representative today for further details and a free expat medical insurance consultation.

 

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