Case study atlas
Scope Health

Revitalising Health Services in the Cook Islands: A Strategic Approach

Cook Islands Cook Islands Ministry of Health 2023
Map showing Cook Islands at 21.20°S · 159.77°W

Reviewing the Cook Islands health strategy and developing the National Health Strategic Plan 2023–2027 after the pandemic.

The challenge

The COVID-19 pandemic profoundly impacted global health systems, and the Cook Islands was no exception. Te Marae Ora (TMO), the Ministry of Health for the Cook Islands, recognised the need to re-evaluate its National Health Strategic Plan post-pandemic. In 2023, supported by the Asian Development Bank (ADB), the ministry embarked on a comprehensive assessment and strategic revision to enhance health services over the next five years. The Cook Islands faced several challenges: limited resources, human resource gaps, and the logistical difficulties of delivering services across remote islands.

What we did

  • Future Partners Associate Dr David Angelson joined the Prime Consulting team to review the 2017-2021 National Health Strategic Plan and develop the new plan covering 2023-2027.
  • Policy and Planning :: A thorough review of the 2017-2021 National Health Strategic Plan.
  • Policy and Planning :: Regular updates to management policies.
  • Policy and Planning :: Development of service plans under the new National Health Strategic Plan 2023+.
  • Capacity Building :: Training programmes focused on digital screening tools.
  • Capacity Building :: Biennial health checks in schools.
  • Capacity Building :: Maintaining high immunisation rates and effective post-natal care.
  • Infrastructure and Community Outreach :: Upgrading health clinics and sanitation facilities.
  • Infrastructure and Community Outreach :: Offering mental health services via telemedicine.
  • Infrastructure and Community Outreach :: Promoting healthy lifestyles through community classes.

Outcomes

Outcomes The initiative led to several positive outcomes. Baselines for treatment needs were established, and community consultations ensured strong local engagement. Scoping studies were completed for specialist services, lab improvements, infrastructure upgrades, and disaster resilience. Specialist and primary care programmes were successfully implemented.
Future directions Looking ahead, the Cook Islands Ministry of Health remains committed to further enhancing health services, including developing staff skills in public and oral health, expanding telemedicine, and continuing infrastructure upgrades, subject to necessary approvals and funding.

Let's talk

Tell us what you're trying to achieve.

We work alongside you — not on your behalf. Wherever you are in the project cycle, there's a sensible first conversation to be had.