Geographical Locations - Niue

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  • (Statistical) Number of Inhabitants per Doctor:
  • CIA - World Factbook : Niue

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Reports, Guidelines, and Projects

  • Lessons from the Pacific programme to eliminate lymphatic filariasis: a case study of 5 countries
    Background: Lymphatic Filariasis (LF) is an important Neglected Tropical Disease, being a major cause of disability worldwide. The Global Programme to Eliminate Lymphatic Filariasis aims to eliminate LF as a public health problem by the year 2020, primarily through repeated Mass Drug Administration (MDA). The Pacific region programme commenced in 1999. By June 2007, five of the eleven countries classified as endemic had completed five MDA campaigns and post-MDA prevalence surveys to assess their progress. We review available programme data and discuss their implications for other LF elimination programs in developing countries. Methods: Reported MDA coverage and results from initial surveys and post-MDA surveys of LF using the immunochromatographic test (ICT) from these five Pacific Island countries (Tonga, Niue, Vanuatu, Samoa and Cook Islands) were analysed to provide an understanding of their quality and programme progress towards LF elimination. Denominator data reported by each country programme for 2001 was compared to official sources to assess the accuracy of MDA coverage data. Results: Initial survey results from these five countries revealed an ICT prevalence of between 2.7 and 8.6 percent in individuals tested prior to commencement of the programme. Country MDA coverage results varied depending on the source of denominator data. Of the five countries in this case study, three countries (Tonga, Niue and Vanuatu) reached the target prevalence of <1% antigenaemia following five rounds of MDA. However, endpoint data could not be reliably compared to baseline data as survey methodology varied. Conclusion: Accurate and representative baseline and post-campaign prevalence data is crucial for determining program effectiveness and the factors contributing to effectiveness. This is emphasised by the findings of this case study. While three of the five Pacific countries reported achieving the target prevalence of <1% antigenaemia, limitations in the data preclude identification of key determinants of this achievement. [author abstract] [BMC Infectious Diseases 2009, 9: 92]
  • Niue: A Situation Analysis of Children, Women and Youth
    "Niue is a very small State, with few natural resources, a very small and youthful population base, and is economically and ecologically vulnerable, as was proven by Cyclone Heta [of January 2004]. Despite the loss of all health statistics, and other data in the cyclone, previously reported and anecdotal evidence however shows that the major statistical indicators for Niue are good. Education and health indicators are particularly positive, although some serious doubts over reproductive health education, incest and teenage pregnancy, and the health implications of asbestos on the island remain. Part I of this report identifies the political, economic and socio-economic issues relevant to children, youth and women on Niue with some of those key indicators. Prima facie examination of Niue’s legislation (1994) shows compliance with all provisions of the Convention on the Rights of the Child. The real questions however, arise as to the implementation of legislation through appropriate policies and institutional mechanisms. It is in the interface of legalisation, policy and implementation that flaws in the protective net can be found. Part II of this report identifies legal (and budget), policy and institutional issues, with key statistics, affecting children in Niue. Comments in this section are structured around the provisions of the Convention. Unfortunately there are deficiencies in the delivery of services to children, youth and women in Niue. These are most obvious in regard to, inter alia, reproductive health education, vocational training, and protection and enforcement of children’s rights. An underlying protectionist attitude towards the sharing of resources – both financial and human – and information, knowledge and expertise, also impacts on service delivery. This is never as evident as in the handling of sexual assault against children under the age of 15 years." [UNICEF Pacific Office, August 2004]
  • Niue National Assessment Report on Strategic Sustainable Development
    "This assessment looked at various aspects of Niue’s development, its priorities and strategies to achieve its long term goals. While the focus was to determine whether sustainable development is practiced or featured in the development plans, the assessment also looked at the degree of coherence and consistency of policies at the national level, community and the international arena as well as the level of consultation and/or public participation in the decision making process. The assessment found that there is consistency and coherence with respect to policies. With respect to public participation, there is a need for increase involvement of major groups to ensure that the “checks and balances” are in place with respect to Niue’s development. The lack of funding and limited human resource capacity have hindered the development efforts of Niue. Funding is required for improvement in the level of infrastructure to cater for further development particularly in the agriculture and tourism sectors and access to such will ensure that development will be sustainable. Furthermore, more people are required to participate and assist towards the development of the country. The irony of this is that although there is a growing concern over the continuing decline in its population, the small population may be Niue’s saving grace in terms of slowing the level of development to the pace that is suitable for Niue’s environment and precious resources and limited services." [UN, July 2006]

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