hrough various environ- ments (social/cultural, political/economic, physical, and built). The key component of the program is to establish a standardized monitoring system for child BMI. In partnership with Head Start (Early Childhood Agencies) and the US government program for early childhood education (ECE), the project targets BMI monitoring of 2-8 years old children in pre-schools. Measurements of BMI of children 5-8 years is conducted twice a year (starting and finishing the school year) by teachers in ECE and is compulsory. CHL has been involved in the standardization of anthropometric measures through the training of trainers and the development of standardization protocols and courses [17]. Of the 16 PICTs, four countries have an established system of periodic BMI measurements in children which are Fiji, the Cook Islands, New Caledonia, and French Polynesia. Tuvalu also reported conducting a survey of childhood BMI in selected primary schools, with childhood BMI measurements done on an ad-hoc basis. The prevalence of overweight was 19.6% while obesity was 16.2% in the survey conducted by the Health Directorate in French Polynesia in 2014 in the age group of 7-9 years. The Sanitary and Social agency of New Caledonia (ASSNC) conducted a cross-sectional survey in 2012 among children aged 6, 9 and 12 years old in New Caledonia and found out the prevalence of obesity as 7.8%, 11.4% and 20.5 % respectively. According to several research projects, the prevalence of overweight and obesity in children and adolescents in Fiji varies. One study reported overweight in Fijian adolescents between the ages of 12-14 at 15.2% and 15-18 year olds at 17.4%. When categorized according to ethnicity, 24.9% of I-Taukei adolescents between the ages of 12-18 years were overweight and 9.8% of Fijians of Indian-descent were over- weight [18]. The Global Burden of Disease study in 2013 estimated a prevalence of overweight and obesity as 12.8 % among boys (less than 20 years of age) and 24.9% among girls in a similar age group in the