Fiji made considerable progress in advancing health outcomes of its citizens from the 1950s to 1970s. However, this progress has been stalled since the 1980s with little or no headway being made in improving health outcomes (World Health Organization, 2013). Additionally, a series of reports outlined growing user dissatisfaction with health services (Coombe, 1982, Dunn, 1997, The Government of Fiji, 1996, The Government of Fiji, 1997, The Government of Fiji, 1979, World Bank, 1993). As a result, Fiji attempted two waves of reforms: the first between 1999 and 2004; and the current from 2009 (see Box 6.1). This section provides an overview of the two waves of reform and describes their impact on service organization and planning, financing, human resources, and service delivery.