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North Fly Health Services Development Program

The North Fly Health Services Development Program (NFHSDP) is a community health program working in partnership with existing health providers to improve the health of people in North Fly District, Western Province, Papua New Guinea (PNG).

This partnership aims to achieve sustainable health improvements through strengthening the existing health system. The NFHSDP is being implemented in line with the National Department of Health (NDoH) Strategic Plan and priorities. The NDoH priorities, and therefore a number of the NFHSDP’s 12 objectives, include reducing child mortality, improving maternal health, and combating HIV/AIDS, Malaria, TB and other diseases.

The NFHSDP is an initiative of the Ok Tedi Mining Limited (OTML) Managing Director and the OTML Board. In 2008, Abt Associates (formely Abt JTA) was requested to develop a solution for improving health service provision across the North Fly District, including how OTML could best support this solution. The proposed program addressed the main causes of illness and death, the priority areas needed for improvement to strengthen health service delivery, and provided suggestions for improved collaboration between all health service providers in the district. The OTML Board approved the proposal and committed PGK 20 million over five years for the program.

In November 2013, OTML extended funding for the NFHSDP for a further five years, to consolidate the achievements of 2009 – 2013 and to continue to revitalise and embed the primary health care approach in North Fly District.

In 2015, integration commenced between the NFHSDP and its counterpart program in the Middle and South Fly Districts, the Community Mine Continuation Agreement (CMCA) Middle and South Fly Health Program (CMSFHP). CMSFHP is funded by the Western Province Peoples’ Dividend Trust Fund and administered by Ok Tedi Development Foundation (OTDF), with Abt Associates as the implementation partner. This integration is expected to bring greater coordination to health service delivery in Western Province.

North Fly Health Services Development Program – A Partnership

North Fly Health Services Development Program is a public-private partnership established in 2009. The key partners are North Fly District Health Services, Evangelical Church of PNG Health Services, Catholic Health Services, together with implementation partner Abt Associates and funding partner Ok Tedi Mining Limited.

Ok Tedi Mining Limited


PNG National Department of Health


Rumginae Rural Hospital & Community Health Worker Training School


Abt Associates


Catholic Health Services

The Catholic Health Services of Daru-Kiunga Diocese is an organisation which

  • serves all the sick people without exception;
  • ensures those in remote places receive good health care;
  • strives to improve health services;
  • prioritises capacity building of the staff; and
  • our services should always be as expression of Jesus’ compassion for the sick.

About North Fly District, Western Province, Papua New Guinea

    • Estimated population in 2011: 62,850*
    • Ethnic & linguistic diversity – Tok Pisin, English and at least four local languages
    • Shared border with Indonesia & other provinces of PNG (West Sepik, Southern Highlands)
    • Geographic isolation & inaccessibility
    • Fly River, mountains, 8-11m annual rainfall
    • One major road, two airports plus several airstrips
    • Ok Tedi Mining Ltd operations
    • Exploration activities

*Source: National Statistics Office – PNG, 2011 Census

Table 1. Selected indicators of health in Papua New Guinea

Selected Indicators (2013)
Total Population 7,321,000
Population living in urban areas (%) 13
Total fertility rate (per woman) 3.8
Life expectancy at birth* (m/f) (years) 62
Under-five mortality rate (per 1,000 live births) 61
Maternal mortality rate (per 100,000 live births) 220
Deaths due to HIV/AIDS* (per 100,000 pop.) 13.6
Deaths due to malaria (per 100,000 pop.) 64.5
Deaths due to Tuberculosis among HIV-negative people (per 100,000 pop.) 33

* 2012 data

Source: Global Health Observatory, Papua New Guinea: health profile. http://www.who.int/gho/countries/png.pdf; Accessed 1 May 2015.