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CMCA Middle South Fly Health Program

The Community Mine Continuation Agreement (CMCA) Middle South Fly Health Program (CMSFHP) is a new health program launched in July 2013 in Western Province, Papua New Guinea (PNG). Funded by the CMCA portion of the Western Province Peoples’ Dividend Trust Fund, facilitated by Ok Tedi Development Foundation and implemented by Abt Associates, the 5 year program will work in partnership with current health care providers to improve health outcomes for people in the CMCA areas of the Middle and South Fly districts of Western Province. The main goal of the program will be to support health providers to achieve the PNG National Health Plan and Western Province Health Plan targets.

Key areas of operation for the program include a focus on improving maternal and child health, action to improve health infrastructure and logistics, reductions in communicable diseases, planning for diseases outbreaks and community engagement for community driven health initiatives. Our team of qualified health professionals will work with our partners to increase the number of outreach patrols, providing on the ground service delivery and assistance to remote based health staff. We will also be supporting health training initiatives to up-skill health staff and promote the use of current and evidence-based protocols. Equally importantly we will be working to increase the number and the knowledge of village health volunteers who provide basic health services in the most remote areas.

In 2015, integration commenced between the CMSFHP and its counterpart program in the North Fly District, the North Fly Health Services Development Program (NFHSDP). The NFHSDP is funded by Ok Tedi Mining Limited, with Abt Associates as the implementation partner. This integration is expected to bring greater coordination to health service delivery in Western Province.


The CMCA Middle and South Fly Health Development Program is a partnership established in 2013. The key partners are Western Province Provincial Health Office, Middle and South Fly District Health Services, Evangelical Church of PNG Health Services, and Catholic Health Services, together with implementation partner Abt Associates and funding partner Ok Tedi Development Foundation.

Ok Tedi Development Foundation


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 Middle and South Fly District, Western Province, Papua New Guinea

  • Estimated population in 2011: 138,501*
  • Ethnic & linguistic diversity – Tok Pisin, English and at least four local languages
  • Shared border with Indonesia & other provinces of PNG (Southern Highlands, Gulf Province)
  • Geographic isolation & inaccessibility
  • Fly River, Lake Murray, 8-11m annual rainfall
  • People of Middle Fly rely more on hunting and fishing as food sources rather than agriculture. Similar in South Fly due to unsuitable weather conditions for agriculture.**
  • Road infrastructure includes minor roads for access between main areas of the two districts. Water transport along the many rivers is the most common way to move around.**

*Source: National Statistics Office – PNG, 2011 Census

**The National Research Institute – Papua New Guinea District Provincial Profiles, 2010.

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.