With a specialised focus on gynaecological oncology, Dr Nanise embodies the commitment and passion required to address women's health issues in Fiji. Her journey, rooted in her upbringing in Viro, Ovalau, and her heritage from Ono-i-Lau, reflects a connection to her community and a determination to improve health outcomes for women.
This year’s theme for Fijian Language Week, Vakamareqeta na Vosa Vakaviti—Nurture and Sustain the Fijian Language—holds significant meaning for Dr Nanise, who reflects on its personal impact.
“For me, nurturing and sustaining the Fijian language is deeply personal. Growing up in a village and later moving to the city for my education, I carry my culture and traditions with me. It's important to remember our mother tongue, as it reflects our identity and heritage. In my daily work, especially when caring for i-Taukei patients, speaking in our language is essential. For patient care, communication is the key."
Dr Nanise’s interest in obstetrics and gynaecology was ignited during her medical training.
“I’ve always wanted to practice Obstetrics and Gynecology since I got out of medical school. It was mainly the thought that women are the foundation of a family.”
This perspective highlights the integral role women play not only within their families but also in the broader societal context.
At the heart of Dr Nanise’s advocacy is a clear message: “Early detection is the key.”
She emphasises the importance of education and awareness regarding gynaecological cancers, particularly cervical cancer.
“As a gynaecologist, I advocate towards screening for cervical cancer. It is the only cancer that is preventable and has a proper screening modality,” she explains.
She specifically addresses the importance of regular cervical screening, especially for Pacific women who may harbour hesitance towards these essential health checks.
"Pacific women have access to Pap smears. In some areas, HPV testing,” she notes. Regular cervical screening not only aids in the early detection of abnormal cells but can also guide women through necessary diagnostic pathways, like colposcopy.
Throughout her practice, Dr Nanise has encountered numerous misconceptions surrounding gynaecological cancers. Many women mistakenly believe that “Pap smear is a treatment” or that “cancer is a punishment.” Such myths often hinder timely medical intervention, making education and outreach even more vital.
From a Pacific perspective, Dr Nanise recognises the unique challenges in addressing gynaecological health issues.
“Our culture and beliefs do hinder at times. Women with symptoms will go to traditional healers or church leaders first before the doctor,” she explains. While traditional medicine holds a respected place within many communities, bridging the gap between conventional treatment and cultural practices is crucial for improving health outcomes.
Reflecting on her career, Dr Nanise shares the most rewarding aspects of her work. “The most rewarding part is saving women from cancer by treating them or assisting them in getting their treatment,” she states. Her commitment extends beyond treatment; she strives to empower women to make informed decisions about their health through evidence-based care recommendations.
By advocating for awareness and encouraging women to undergo screenings, Dr Nanise is paving the way for a healthier future. Her dedication is a testament to the impact one medical professional can have on their community, especially in a region where access to healthcare can be fraught with challenges.
As we celebrate Fijian Language Week, let's continue to celebrate the tireless efforts of medical professionals like Dr Sikiti, who are committed to the health and wellbeing of women in Fiji. Her advocacy for cervical cancer screening and women's health is not just a professional duty; it is a calling that resonates deeply within her cultural heritage.
