Gianluca Rampolla is resident coordinator of the United Nations in Papua New Guinea and says public health communications and health system strengthening undertaken during the Covid-19 outbreak, will help to put the PNG health system on a better platform to combat future pandemics
PORT MORESBY - On Friday, I received my first dose of the Covid-19 vaccine.
It is incredible to think that in a little over a year since the World Health Organisation declared Covid-19 a pandemic, a vaccine has been developed and is now being administered in PNG.
Of course, I am in Port Moresby and am receiving my vaccine at a private hospital. Ensuring vaccines are available to communities around the country will be the true test.
I have been fortunate during my time in PNG to be able to travel to some of the planet’s most unique and vulnerable landscapes.
When I travel, I am constantly reminded of just how remote some communities in PNG truly are.
North Fly in Western Province bordering Indonesia was one of the first to report cases of Covid and now has one of the highest counts of Covid cases in the country.
It is also home to some of the most difficult-to-reach communities in the region and hosts asylum seekers. Some riverside communities are entirely inaccessible during the dry season.
At the start of the pandemic, I visited Rumginae Hospital, a referral hospital about an hour’s drive from the region’s major town of Kiunga, to speak with Dr Kevin Pondikou – the hospital’s only doctor – and his staff.
Dr Pondikou showed us the storerooms which were running low on personal protective equipment (PPE).
A new diagnostic machine was sitting in a box because travel restrictions meant the technician had not been able to travel to install it.
A few weeks after this visit, colleagues from the UN Population Fund returned to Rumginae.
A young woman came in suffering from shock. She had delivered a baby three weeks earlier in her village without a midwife or any medical support.
Bleeding heavily, she and her mother walked for close to one day to reach the aid post at Mougolou, from where she was airlifted to Kiunga and then brought to Rumginae where she received a blood transfusion.
Healthcare providers like the team at Rumginae were stretching their resources to treat patients even before a surge in cases in February 2021. Preventing severe complications from Covid is vital to keeping this hospital open.
We have received 132,000 vaccines through the COVAX Facility.
Despite the incredible achievement in bringing a vaccine to so many developing countries within such a short time, this shipment arrived too late for the 136 people, including one of our colleagues, who have died from Covid-19.
That shipment contained less than half of the 288,000 vaccines PNG was originally assigned. We need to push for better distribution of vaccines to the most vulnerable.
And that doesn’t end with a photo op at Port Moresby’s Jacksons Airport. It ends when every person in this half island nation of 7.4 million has been given the choice to get the vaccine.
Reaching communities like Rumginae is of course a major challenge, but an achievable one.
In 2018, WHO and UNICEF vaccinated 3.1 million children against polio within only a few months of an outbreak being announced.
The challenge we have on our hands with Covid is that the virus and the vaccine are new, leading to significant skepticism and vaccine hesitancy.
As more young people are connected to the internet, vaccine conspiracy spreads like wildfire. Rumours reach these communities before we can.
However, to focus on the scale of this challenge ignores the opportunities.
The public health information we share now – on how a virus is spread and on how vaccines work – sets us and the local health system on a better platform to combat future pandemics.
Funding to the Covid response has enabled Institute of Medicine and UNICEF to build water facilities in North Fly, and to support the districts most vulnerable people.
We have also demonstrated, at the regional and global level, that PNG has friends all over the world who are ready and willing step up to support.
Development partners and the private sector have donated tonnes of PPE, testing kits and lab consumables, medical devices and personnel, and vaccines.
This pandemic is testing our capacity for cooperation and I believe it is a test we will pass.