Primary Health Care Upgrade: Solomon Islands has become the first Pacific country to roll out the Primary Health Care Performance Initiative (PHCPI) framework, linking health spending like staffing, facilities and medicines to real service delivery and outcomes across provinces. Health Facility Safety: Australia-backed waste management training helped 22 staff prepare for the new Naha Birthing and Urban Health Centre, with practical lessons on safely handling and segregating medical waste to prevent infectious disease spread. Disaster-Ready Rehabilitation: Twenty-nine health and emergency professionals completed a three-day disaster rehabilitation course at the National Referral Hospital, focused on patient care, coordination, and access for people with disabilities during emergencies. El Niño and Health Risks: Solomon Islands’ drought response plan is now active as El Niño conditions are declared, with health impacts expected if rainfall stays below normal; the Meteorological Service warns water tanks, wells and dams could run dry in some areas. Water, Food and Health Link: A Borlaug Scholar award highlighted research on how water access affects health, agriculture and long-term food security in Solomon Islands. Climate Displacement: Reporting on the A’ama tribe’s relocation after 2014 flash floods underscores how climate change is forcing communities to move, often losing homes and basic services. Regional Health Security: SPREP urges Pacific communities to prepare early for El Niño impacts, stressing that knowledge and practical steps can protect families and services.