Maasina Heart Pacifika

Maasina Heart Pacifika I am Dr. Maryanne Kora’ai, a Paediatrician with special interest in Paeds cardiology.

I advocate for building local capacity in Paeds echo and early detection of heart disease by echo screening in the Pacific Islands.

Today on Teachers’ Day in India. I would like to acknowledge one of my teachers, mentors, and dear friend, Dr. Ashish Ka...
05/09/2026

Today on Teachers’ Day in India.

I would like to acknowledge one of my teachers, mentors, and dear friend, Dr. Ashish Katewa, someone who took the time to teach me even when he did not have to.

I first met Dr. Katewa in 2016, when he was the Director of Sri Sathya Sai Sanjeevani Hospital in Raipur, India, and led the first visiting paediatric cardiac team from India to Fiji, invited by the Sai Prema Foundation team. It was a privilege and a pleasure to work alongside the team.

Recognising the need to build paediatric cardiology in Fiji, the team, offered an opportunity for a doctor in Fiji to undertake Paedaitric cardiology training in India.

I completed my Masters in Paediatrics in 2017 and was fortunate to receive sponsorship from the Sai Prema Foundation in collaboration with Ministry of Health and Medical Services, Fiji for this training. Because of the shortage of staff at home, I could only be away for three months.

So, I packed my bags and left for India.

I remember feeling completely overwhelmed by the ocean of knowledge and the incredible variety of congenital heart disease (CHD) I encountered. I wondered how I could possibly learn so much in such a short time.

So, I read and read whatever books I could get my hands on.

The hospital provided an abundance of clinical experience, with children presenting with all kinds of complex and fascinating congenital heart conditions. The staff were incredibly welcoming, patient, and willing to teach.

Dr. Katewa understood the setting I came from, the sacrifice of being away from home, and the need for me to maximise every opportunity to learn.

Despite being an extremely busy cardiac surgeon, with rounds, clinics, and sometimes up to four surgeries in a day, he offered to teach me every morning at 7:00 am, before the day’s rounds began at 7:30.

Sometimes one or two fellows would join us, but I made sure I was there. I read the topics he gave and came prepared, because I knew the value of those teaching sessions.

He taught from a surgical perspective, the anatomy, why surgery was needed, and the different surgical options and approaches.

That teaching has stayed with me. It has greatly helped me understand CHD and, importantly, has helped me counsel families and patients today.

Some of the most important lessons in my career were not only taught in lecture rooms or textbooks. They were taught by people who were willing to give their time, knowledge, and experience.

I will forever be grateful to all my teachers, mentors, and those who invested in my learning.

To all teachers, mentors, and educators, not forgetting the first teachers, parents.

Happy Teachers’ Day!

My daughter recently sent me this photo of the topic of my Paediatric Master’s research. My study looked at the outcomes...
01/09/2026

My daughter recently sent me this photo of the topic of my Paediatric Master’s research. My study looked at the outcomes of children born with congenital heart disease (CHD) at CWM Hospital over a five-year period.

It made me reflect on how much has changed in just a few short years.

There was a time when children in Fiji were dying from relatively simple CHD conditions that could have been corrected if we have a cardiac surgical team on the ground or means to send the children abroad. In those days, we relied on one or two visiting cardiac teams each year, and they could only operate on a limited number of children. Or able to only send a few abroad for these very expensive surgeries. Sometimes we waited six months for the next team to arrive, and sadly, some babies could not wait that long.

Today, with the Sri Sathya Sanjeevani Hospital, as many as six visiting cardiac teams are coming each year, the situation has changed dramatically. Many children with treatable and correctable heart conditions now have access to the care they need.

Fiji’s children and the mang children from other Pacific countries, who have come for these life saving surgeries are truly fortunate. Thanks to Sai Prema Foundation for taking the leading role, the many NGOs, Governments, sponsors, visiting teams, hospitals, and the many individuals who have worked tirelessly to make this possible.

But this is not yet the reality for many of our Pacific Island neighbours. There is still so much work to do to ensure that every child in our region has access to life-saving cardiac care, not only for CHD, but also to prevent avoidable illness and deaths from rheumatic heart disease (RHD).

Our children are our future. Every child, no matter where they are born, deserves the chance to grow, thrive and live a healthy life.

❤️

Such a pleasure working with the amazing team at Princess Margaret Hospital. And this highly experienced group of specia...
23/07/2026

Such a pleasure working with the amazing team at Princess Margaret Hospital. And this highly experienced group of specialists.

Fafetai lasi for your warm hospitality and teamwork.

Fetaui.

Fafetai lasi, PMH. It is always a privilege and a pleasure to serve the beautiful children of Tuvalu.The warmth, kindnes...
08/07/2026

Fafetai lasi, PMH.
It is always a privilege and a pleasure to serve the beautiful children of Tuvalu.
The warmth, kindness, and hospitality of the people make every trip so special.
Fetaui! 🇹🇻

When you truly understand the magnitude of addressing Rheumatic Heart Disease across the Pacific, from prevention and cl...
16/06/2026

When you truly understand the magnitude of addressing Rheumatic Heart Disease across the Pacific, from prevention and clinical care to advocacy and the lived experiences of those affected, it is incredibly inspiring to see more ❤️ joining the regional team, sharing knowledge, experiences, and solutions.

It was a privilege to finally meet fellow RHD champions from Vanuatu and the Solomon Islands, many of whom I had previously only connected with virtually. It was also wonderful to be alongside colleagues and friends from Fiji, Kiribati, Tuvalu, Tonga, Samoa, Cook Islands Timor-Leste, Nepal, and the supporting big brothers from Australia and New Zealand.

Coming together from across the region and beyond reinforced the strength of our shared commitment to improving the lives of our people affected with RHD. It was also a powerful reminder that while our challenges can be overwhelming, we are not facing them alone.

What makes this gathering even more special is the formal launch of the Vaka Mauri Collective, a shared commitment to strengthening our efforts across the Pacific. This marks an exciting new chapter in our journey, one that will deepen regional collaboration, amplify our collective voice, and create even greater opportunities to learn from and support

A heartfelt thank you to Dr. Kado and the Pacific RHD program team for their leadership, vision, and dedication in bringing this initiative to life.

We also remember the late Dr. Toakase of Tonga, whose passion, commitment, and tireless work in this space helped shape this vision and inspire the path we continue to follow today.


❤️


Happy to give consent for my son to undergo RHD screening by the school health team from the Ministry of Health and Medi...
04/06/2026

Happy to give consent for my son to undergo RHD screening by the school health team from the Ministry of Health and Medical Services, Fiji.

He has already been screened, but I fully support and appreciate this important initiative and would always encourage participation.

I am truly grateful for programs like this being offered in Fiji.

If your child is given the opportunity, I strongly encourage you to allow them to be screened for RHD/CHD. Early detection saves lives.

❤️

Throwback to the few snapshots from our three-day clinic at NRH. As expected, it was a very busy few days, with many chi...
26/05/2026

Throwback to the few snapshots from our three-day clinic at NRH. As expected, it was a very busy few days, with many children and families coming through for consultations.

Despite the long hours, it was rewarding to serve and support the team in providing care. Grateful for the opportunity and teamwork that made it all possible.


❤️

It was good to see this come full circle with Dr.  Kuboto Kaniki  of GP Private Medical & Dental Clinic,Solomon Islands....
26/05/2026

It was good to see this come full circle with Dr. Kuboto Kaniki of GP Private Medical & Dental Clinic,Solomon Islands.

3 years ago, after my first clinic in Honiara, he approached me and asked how services like this could be brought to the Western side of Solomon Islands.

I remembered him from his days as a medical student, and I know firsthand that coordinating trips like these is no easy task.

I am glad that we have finally taken the first step, and I am confident that more visits like this will happen in the future.

These services are most successful when we work closely with the team on the ground, who understand the local setting better and provide continuity of care long after we leave. We are also committed to seeing patients through and facilitate referal abroad when needed.

Grateful for the teamwork and shared vision to improve care for our children and hopefully adults in the near future.


❤️

23/05/2026

Good afternoon from Gizo!
The capital of Western Province.

Yesterday marked the final day of our Western Province outreach. Following a special request from my dear friend Carol, and in collaboration with Dr. Kaniki, it was a pleasure to provide Maasina Heart Pacifika services to some children this morning.

Now, signing off from work, time to enjoy a little of this beautiful place before heading back.

Future visits and collaborations will be posted here.


❤️

22/05/2026

Leana Hola Island Link Transport for taking us safely to the capital of Western Province. Your great service is highly recommended. (Call 7339845 for a booking when in Noro, Munda or Gizo)

We got off the hospital wharf and straight for clinics where the children were waiting. It was a busy clinic today, but the team remained in high spirits and we managed to see everyone.

Thank you to Dr. Boara, Dr. Alepio and your team for the warm welcome. Much appreciated.

It was truly our pleasure to serve the children of your beautiful islands.

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