PIHOA's Initiatives

The Pacific Island Health Officers Association (PIHOA) is dedicated to the health and well-being of the Pacific Island populations. Our initiatives cover a broad spectrum of health-related issues relevant to the Pacific region. Each of our initiatives are guided by our Board of Directors, and our mission. Our pursuits include health policy development, knowledge dissemination, communication enhancements, health services, research, continuing health professional development, quality assurance, and cooperative networking inside and outside the Pacific Basin. These include:


The Pacific Island Health Officers Association declared a regional state of health emergency on May 25, 2010 due to the epidemic of non-communicable diseases (NCD) in the United States Affiliated Pacific Islands (USAPI), which include American Samoa, Guam, the Republic of the Marshall Islands, the Federated States of Micronesia, the Republic of Palau, and the Commonwealth of Northern Mariana Islands. The PIHOA Policy pages primarily focus on regional NCD-related issues.

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Human Resources for Health

A dominant theme of PIHOA members is local capacity building and more specifically, human resource development. Pacific health professionals generally advocate for developing the training and educational linkages and systems that will allow them to foster the local expertise necessary for adapting and/or creating public health systems uniquely responsive to each jurisdiction.

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Health Information Management Systems

The effective use of health information is critical to the success of most health agency functions. The PIHOA Health Information Management Systems Initiative aims to assist member jurisdictions to improve the capture and use of data across the domains of vital statistics, community based surveys, medical records including electronic health records, disease registries, administrative data and IT networks. The Initiative was established by the PIHOA Board in 2010.

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Performance Management, Quality Assurance & Quality Improvement

Effective quality assurance and improvement (QA/QI) programs are the soil in which the seeds of education grow and bear fruit. They are foundational for effective patient care and will be playing an increasing larger role in combatting the epidemic of non-communicable diseases experienced in the USAPI. QA/QI is also essential in the development and retention of the health workforce. For the USAPI, this 'secondary' role is critical: Since most health professional training occurs in country and on the job, it is essential to have effective systems that promote best practices and provide feedback and benchmarks for professional development, as well as support quality patient care.

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Ancillary & Support Services

PIHOA Lab Network consists of 10 hospital/public health labs in the US-affiliated Pacific Islands (USAPI).The Clinical Laboratory Improvement Amendment (CLIA) – regulated labs in the US flag territories of American Samoa, Commonwealth of the Northern Mariana Islands and Guam Public Health Lab; and the non-regulated hospital labs in the freely-associated states of Federated States of Micronesia (Chuuk, Pohnpei, Kosrae, Yap), Palau and the Republic of the Marshall Islands (Majuro and Ebeye).

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Pacific Basin Primary Care Office (PBPCO)

The Pacific Basin Primary Care Office’s (PB-PCO) is a Cooperative Agreement between the Federal government, Office of Shortage Designation (OSD), and Pacific Island Health Officers’ Association (PIHOA), In this capacity, the PB-PCO provides support for primary care services access in the Pacific Basin: US Territory of American Samoa (i.e. American Samoa Hospital), US Territory of Guam, Commonwealth of the Northern Marianas Islands (map), Federated States of Micronesia (Pohnpei, Chuuk, Kosrae, and Yap), Republic of the Marshall Islands (RMI), and Republic of Palau.


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PIHOA's Calendar

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