Abstract
Strengthening health information systems and digital health capabilities is increasingly recognised as essential for improving health system performance. In Pacific Islands countries, the transition to digital health systems is challenging due to geographic dispersion, limited technical capacity, and constrained health resources. At the same time, these shared challenges create opportunities for regional collaboration and mutual learning. This article aims to describe a Pacific-led peer learning initiative between Tonga and Tuvalu that supported the development of national digital health systems and highlights the lessons for digital transformation in small island contexts.
The initiative enabled Tuvaluan health officials to participate in technical workshops and field visits in Tonga to observe the implementation of Tonga’s National Health Information System. Follow-up technical engagement further supported Tuvalu’s digital health planning. The exchange provided practical insights into governance arrangements, workforce roles, and the operational processes required to transition from paper-based records to digital systems. Early outcomes include strengthened planning for Tuvalu’s National Digital Health Strategy, the mobilisation of technical partnerships to support electronic health record implementation and growing regional interest in similar exchanges. The experience highlights how peer learning among countries with similar health system contexts can accelerate digital health development, strengthen local capacity, and support contextually appropriate solutions across Pacific Island Nations.