Kirakira, Solomon Islands

[1] Kirakira is located on the north coast of Makira (formerly San Cristobal), the largest island of the province.

The majority of the population lives in rugged terrain in villages on the slopes of the mountains which are covered in dense jungle and rise along the spine of Makira Island.

Fresh fish can be found each morning, along with fruit and vegetables, which are sold from the markets which are located on the bay in the center of KiraKira.

RAMSI (Regional Assistance Mission for Solomon Islands) has built a number of new homes for the resident police force near the airport.

The aid money from RAMSI has meant the construction of several new bridges which has made transport to KiraKira more accessible.

For a group of 3–6 people, the cost of boat hire, a couple of guides and petrol for a day trip is around $1500–1800 SBD.

In this remote province, people still predominantly live in houses built with thatched palm fronds.

The most relaxing part of any visit to Kirakira is the freedom from the continuous cycle of news and being accessible to work that invades all aspects of life in the more developed world.

Children have access to a comprehensive immunisation schedule and there are midwives who provide antenatal care and assist with deliveries.

The hospital does have plain radiography and an ultrasound machine and there is access to a very limited number of blood tests.

Ketamine sedation is available and allows for the doctor on the island to do a range of minor procedures such as drainage of abscesses and setting of simple fractures.

Complex cases are referred to the National Referral Hospital in Honiara and can be transported on one of the commercial flights that leaves the island each week.

Patients who present for care will often have been bought by their family for a medical consultation after trekking for two or three days to see the doctor.

There are efforts by the Health Service to encourage women after their fourth child to consider having a tubal ligation or for their husbands to have a vasectomy.

There are some conditions, readily treated in developed nations, such as renal failure and cancer, for which there is no treatment available in KiraKira.

Since the beginning of 2013, Australian final year medical students have been completing placements on KiraKira from Bond University.

In 2014, the university received funding from the Australian government, through Health Workforce Australia, to allow physiotherapy, urban design and nutrition students to also complete work placements in Kirakira.

The project received a Faculty of Health Sciences and Medicine award for making an outstanding contribution to student learning in 2017.

there have been almost 200 students from across the university and 50 academic supervisors involved in a project that has provided direct aid and support to the community.

Students from other faculties of the university have visited KiraKira and completed repairs of the hospital's pharmacy and repainted the birthing suite, with a plan that further aid efforts and improvements would follow in 2014.

A group of students formed a charity called The Strong Island Foundation which has raised several thousand dollars for the community of KiraKira and plans to expand on the good work to date.

These include a paper describing peer-to-peer supervision as a novel way of students being able to academically and practically support one another in this remote community.

There have also been papers published on antenatal care, an audit of the obstetric ward, on coconut tree injuries sustained by children and a paper that highlights the high perinatal mortality rate of 31 per 1,000 live born deliveries that is an ongoing health problem in the remote provinces of Kirakira.

Runway at Kirakira airport.
View from the Main Street in Kirakira, close to Kirakira Hospital
The beach at Kirakira, where local markets are usually held every day
Starfruit which, once ripe, often graced the breakfast table at Freshwinds Guesthouse
In the evening, following the river on the track to the local beach in Kirakira
Beach at Kirakira
Sunset at the local beach in Kirakira
Local beach at Kirakira at sunset, when the rain was rolling in for another evening
Approaching Three Sisters Island
Flowers in local gardens in Kirakira
One of the many beautiful flowers in Kirakira
Houses in Kirakira, next to the beach
Front entrance of Kirakira Hospital at sunset
Evening view from the front entrance of Kirakira Hospital
Butterfly at the Freshwinds Guesthouse.