Cook Islands

The Cook Islands National Health Strategic Plan (NHSP) 2017–2021 outlines a comprehensive approach to improving health outcomes, emphasizing accessibility, quality, and equity in healthcare services. The plan is aligned with the National Sustainable Development Plan (NSDP) 2016–2020 and global health targets, particularly the Sustainable Development Goals (SDGs). It retains the overarching vision of ensuring that all people in the Cook Islands live healthier lives and achieve their aspirations. The NHSP is structured around six Key Result Areas (KRA): Health Administration and Management, Community Health Services, Hospital Health Services, Allied Health Services, Pa Enua Health Services, and Health Partnerships. Non-communicable diseases (NCDs), particularly cardiovascular conditions, diabetes, and related complications, are identified as the leading causes of morbidity and mortality. The plan advocates for preventive measures, including strengthened legislation on tobacco control, alcohol, and sugar-sweetened beverages. It also highlights the need for expanded mental health services, enhanced diagnostic capabilities, and better geriatric care. Health financing remains a critical challenge, with government health expenditure at around 3% of GDP. The strategy calls for increased investment to support infrastructure, workforce development, and service delivery improvements. Additionally, the plan underscores the importance of intersectoral collaboration, involving government agencies, NGOs, and development partners such as the WHO and UNDP. Key gaps include the dependence on expatriate medical specialists, limited tertiary care services, and the need for improved health information systems. The NHSP sets ambitious targets for service coverage, infrastructure upgrades, and workforce training, aiming for a more resilient health system​.