The Ministry of Health and Medical Services sets national standards, supports financing and programs, and coordinates health services. Provincial Health Services operate across Central, Choiseul, Guadalcanal, Isabel, Makira-Ulawa, Malaita, Renbel, Temotu and Western provinces. Honiara City Council provides urban primary health services in Honiara. Government, church, private and nongovernmental providers all contribute to the documented health system, but their staffing, equipment, opening hours and treatment capacity differ. National planning documents record around 353 health facilities. The local referral chain can begin at a Nurse Aid Post, continue to a Rural Health Clinic or Area Health Centre, and then move to a provincial or general hospital. An Area Health Centre can stabilize acute medical, maternity and psychiatric emergencies and arrange transfer when a higher level of care is needed. Urban Health Centres provide primary care in Honiara and provincial main towns; in Honiara they generally serve as the first point before referral to the National Referral Hospital. The National Referral Hospital in Honiara provides tertiary, general and specialist care, coordinates some overseas medical transfers and has an emergency department for initial stabilization and trauma treatment. Specialist outreach may extend services to provinces when available. Preventive and community services include routine immunization, including HPV vaccination, malaria prevention, testing and treatment, tuberculosis and leprosy control, sexually transmitted infection and HIV services, screening for diabetes and hypertension, maternal and reproductive health care, family planning, antenatal care, birth planning, child health, infant feeding, treatment of acute malnutrition, eye care, dental care, water and sanitation promotion, and community health outreach. Satellite clinics and outreach are particularly relevant for people on outer islands. Malaria remains a national priority; the WHO World Malaria Report 2024 recorded 123,476 indigenous malaria cases in 2023. Noncommunicable diseases, including diabetes and hypertension, are also receiving increasing attention through screening and follow-up programs. Health facilities provide outpatient and inpatient care, basic emergency and trauma treatment, laboratory services, medicine dispensing and counselling, maternity care, surgery and anaesthesia where capacity allows, and imaging such as X-rays or ultrasound at selected levels. Basic diagnosis and treatment are available for conditions such as malaria, dengue, tuberculosis, sexually transmitted infections and HIV, but availability differs by facility. Mental health care includes frontline management of common disorders, acute psychiatric treatment at the National Referral Hospital and a policy direction toward integrated, accessible, community-based services. Follow-up after discharge can include chronic disease care, asthma or chronic lung disease reviews, postoperative and trauma rehabilitation, physiotherapy, dietetics, nutrition support and community-based rehabilitation. Disability inclusion is a stated health-system objective. The 2023 National Essential Medicines List defines medicines that facilities should manage within the essential medicines system. The National Medical Stores supplies medicines centrally, with provincial second-level medical stores supporting distribution. A Ministry snapshot dated 21 June 2026 reported 83.5% availability of essential medicines, while laboratory reagents were critically low and replenishment was being arranged. Last-mile delivery remains a major barrier, so a medicine listed in national guidance is not a guarantee that it is available at a particular facility on a particular day. Universal health coverage is a policy principle aimed at equitable preventive, curative, rehabilitative and health-promotion services regardless of residence. The available evidence does not establish a current individual right to free treatment throughout Solomon Islands. There is also no reliable current nationwide fee schedule. Transport by road, boat or aircraft, accommodation, waiting time and referral delays can create substantial access burdens, especially on remote islands. The Facility Map generally lists services from 8:30 to 16:30 on weekdays, with weekends and public holidays closed except for emergency arrangements; local confirmation is sensible because facilities can close or experience interruptions. Emergency contact information should be checked locally before use. Ministry emergency reports from 2021 and 2022 listed St John Ambulance numbers 111, 911 and 7136000, and National Referral Hospital Emergency Operations Centre number 21068. Gender-based violence and rape-care services may include emergency contraception, HIV post-exposure prophylaxis, sexually transmitted infection treatment, counselling, testing and referral, depending on local capacity. Disease-surveillance and notification duties appear in health-system reform plans, but they should not be treated as a blanket current individual duty without confirmation of the specific disease and rule. Reported health indicators use different sources and years. WHO indicators give healthy life expectancy at 57.4 years in 2021, a maternal mortality ratio of 122.6 per 100,000 live births in 2023 and under-five mortality of 21.23 per 1,000 live births in 2022. UNICEF reported under-five mortality of 20.0 per 1,000 in 2024, third-dose diphtheria-tetanus-pertussis coverage of 87%, second-dose measles coverage of 66% and childhood stunting of 30%. These figures describe population conditions and do not predict the service capacity or outcome of an individual facility visit.
Health in Solomon Islands
Health care in Solomon Islands combines public, church, private and nongovernmental services under national coordination by the Ministry of Health and Medical Services and provincial health services. First contact is usually a nearby rural health clinic, area health centre, urban health centre or other health facility; clinical need determines referral to a provincial or general hospital and, when necessary, the National Referral Hospital in Honiara. Services cover prevention, diagnosis, treatment, maternity and child health, medicines, mental health and rehabilitation, but access varies with island location, transport, staffing, equipment and medicine supply. There is no verified nationwide fee-free rule or current nationwide tariff; transport, accommodation, waiting and referral time can form a major part of the practical burden.
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