Oral Presentation Lancefield International Symposium for Streptococci and Streptococcal Diseases 2025

The veituberi approach  transforming RHD through patient leaderhip and lived experience (118483)

Erini EK Kala 1 , Marika MY Yalimaiwai 1 , Maria MM Mow 2 , Jimaima JK Kailawadoko 2 , Joseph JK Kado 3
  1. Heart Heroes Fiji, Suva, Fiji
  2. Cure Kids Fiji Rheumatic Heart Disease support programme, Suva, Fiji
  3. Pacific RHD Program, The Kids Research Institute Australia, Perth, Western Australia, Australia

Background

Rheumatic heart disease (RHD), a complication of untreated Strep A infections, is a major global health concern. In Fiji, sub-optimal treatment adherence due to limited access and awareness increases the RHD burden. Heart Heroes Fiji (HHF) developed Veituberi, a culturally-based approach combining nurturing support and motivational interviewing. This patient-led approach uses lived experience to improve engagement and adherence, while working through existing health, indigenous community structures and youth networks.  

 

Approach

Veituberi, meaning "to guide and assist," represents an indigenous concept emphasizing nurturing relationships and empowering growth. HHF implements veituberi through three interconnected pathways:

  1. Veisikovi: Advocates conduct structured home visits to build trust and allows space for confidential discussions about treatment, challenges and family-specific solutions.
  2. Veitalanoa: Trained champions engage with newly-diagnosed patients and families through culturally-appropriate dialogue to address fears, explain treatments, and share success stories.
  3. Veitauraki: Community-based workshops combine health education with cultural practices to facilitate talanoa sessions, skill-building exercises, and peer-support.

 

Implementation relies on a network of champions, volunteers, and family members with shared lived experiences. This approach emphasizes cultural connection and awareness of community wisdom. The program includes regular upskilling for volunteers, coordination with local healthcare providers, and feedback from community members to improve effectiveness.

        

Significance

     Veituberi demonstrates a culturally-sensitive approach integrated  with healthcare. Unlike Western medical approaches, veituberi builds trust by speaking the local language, both literally and figuratively. Veituberi uses existing community networks, and seeks to build a sustainable system that improves RHD prevention, management, health policies and patient outcomes.