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This report summarizes the results of the Vital Signs Profile (VSP) assessment of Fiji’s primary health care system, conducted by the World Bank, PHCPI, and Fiji’s Ministry of Health. Using the PHCPI framework, the VSP highlights both strengths and challenges in Fiji’s primary health care, focusing mainly on health service delivery processes and performance. Fiji, along with three other Pacific countries, leveraged these tools to evaluate their current PHC systems, preserve successful practices, and identify key priorities for future improvement.