Development of an otitis media strategy in the Pacific: key informant perspectives

Abstract

Ear and hearing health services are scarce within Pacific Island countries. Where available, they remain under-resourced, despite there being a high estimated prevalence of otitis media and otitis media-related hearing loss. This study examines the potential for improving ear and hearing health strategies by examining key factors, opportunities and challenges, working with Fiji as a case study.A series of semi-structured interviews were conducted with professionals who had experience in otitis media programme implementation and/or professionals with working experience within the Pacific region and the Fiji health system. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis methods.The three main themes, Identification, Integration, Sustain, highlight the importance of a Pacific-based, locally-driven strategy that builds on existing infrastructure. Three operational themes, Advocacy, Funding and Long-Term Vision, were pivotal to the viability of the main themes.Despite significant challenges, there is potential to develop sustainable otitis media identification, treatment and prevention strategies in Fiji. The sustainability of such a strategy is contingent on a number of key factors, which includes a long-term commitment by stakeholders, be culturally appropriate and responsive to local need, develop close linkages across health, social and educational sectors, and ensure it is embedded within a broader public health framework.