Jica seminar

JICA’s Supports to Health Sector in Cambodia

PR-Seminar, Sihanouk Ville ProvinceNovember 16, 2012

Health Section JICA Cambodia Office

Japan International Cooperation Agency

OUTLINE

1.Background

2.Assistance Tools of Japan’s Official

Development Assistance (ODA) for Health

3. Past Schemes

4. On-going Schemes

5. Key Cambodian Health Indicators

6. Expected Results by 2015


1. Background

• JICA’s support to Health Sector in Cambodia has been started since 1990s.

• The support has focused on 4 main priority areas:

(a)-Maternal and Child Health

(b)-Medical Equipment Management, Health infrastructure and Facilities

(c)-Human Resource Development

(d)-Communicable Disease focuses on TB Control


2. Assistance Tools of Japan’s Official Development Assistance (ODA) for Health

Technical Cooperation Grant Aid

Acceptance of Trainees Development Study

Dispatch of Experts Dispatch of JOCV

Disaster ReliefProvision of Equipment

Technical Cooperation Project Others

Economic Development Aid, etc.

Aid for Increase of Food Production, etc.

ODA Loans

Concessionary Loans provided to SHV Sea Port etc.


3. Past Schemes

Source: Chronological List of JICA’s Support to Cambodia in Health

Sector by JICA Cambodia Office 2012

No. Schemes Started time # of Projects

1 Long-Term Expert 1992 4

2 Equipment Provision Program 1992 16

3 Japan Overseas Cooperation Volunteer (IOCV) 1992 17

4 Grant Aid 1993 11

5 Technical Cooperation 1995 12

6 Community Empowerment p. 1998 6

7 JICA Partnership Program 2003 5

8 Development Study 2006 1


4. On-going Schemes

Another one GA is under the reviewing process of Gov’s of Japan.

Schemes # of Projects Completion Time

Technical Cooperation (TC)1). The Project for Strengthening Medical Equipment Management in Referral Hospitals (MEDEM2 Project)2). The Project for Improving the Capacity of the National TB Control Program through Implementation of the 2nd National Prevalence Survey3). The Project for Improving Maternal and Newborn Care through Midwifery Capacity Development 4). The project for Strengthening Health Human Resource Development System on Co-medicals

4 2015

Grant Aid 2 2015

JICA Partnership Program (JPP) 2 2015


The Project for Strengthening Medical Equipment Management in Referral Hospitals

(MEDEM2 Project) (TC)

Overall goal: Cambodia ME management system is institutionalized and it is also expanded to non-target CPA2.

Purpose: Cambodia ME management system is established and NWT, the target CPA/NH and CPA2 implement ME management activities in cooperation.

Target: 4 NHs , 18 CPA3 and selected CPA2

Period: Nov 2009- Nov 2014 (5 years)


The Project for Improving the Capacity of the National TB Control Program through

Implementation of the 2nd National Prevalence Survey (TC)

Overall goal: TB morbidity and mortality are

reduced.

Purpose: Capacity of National TB Control Program is strengthened through implementation of the

National TB Prevalence Survey.

Target: NTP Nationwide

Period: Jan 2010-Nov 2012 ( 3 Years)


The Project for Improving Maternal and Newborn care through Midwifery Capacity

Development (TC)

Overall goal: The utilization and access of maternal and newborn care by midwives is increased.

Purpose: The midwifery system is strengthened for enabling provision of midwifery services with evidenced-based quality care.

Target: National (Kg Cham, Kg Thom ,Prey Veng , Svay Rieng provinces as model region )

Period: March 2010-February 2015 (5 years)


The Project for Strengthening Health Human Resource Development System on Co-medicals

(TC)

Overall goal: Quality co-medicals are produced through the human resource development system.

Purpose: The educational basis of quality co-medicals is produced by enhancement of Department of Human Resources Development Management Capacity.

Target: HRDD , MoH

Period: May 2010-April 2015 (5 years)


Project for Rehabilitation of Sihanouk Ville Referral Hospital (GA)

Objective: To improve the quality of health services in SHV-RH which is the top referral hospital in Preah Sihanouk province, by renovating facilities and procuring medical equipment .

Target: SHV Referral Hospital , Preah Sihanouk Province

Period: 2013-2015 ????Type of equipment : Building and medical equipment


Project for Improvement of ME in National, Municipal , and Provincial

Referral Hospital (GA)Objective: To provide medical equipment for the national, municipal , and provincial hospitals in Cambodia by identifying adequate equipment specifications and allocations for better public health services in the country.

Target: 4 NHs and 17 CPA3 RHs

Period: 2011- 2012

Type of equipment: X-ray , Patient Monitor,

Ultrasound


Project for child Health Promotion in Svay Antor Operational District (JPP)

Overall goal: Health condition of children under five years old in the coverage area improved through collaboration between area improved through collaboration Health Center and Community.

Purpose: Community-based health promotion program for children under 5 years old (including Integrated Growth Monitoring , Health Education and Mother Support Group Activities) is established.

Target: 5 HC in Svay Antor OD, Prey Veng Province

Period: Mar 2011-Sep 2015

Partner: Services for the Health in Asian &African Regions (SHARE) , Japanese NGO


Popularization and Penetration of Oral Health Promotion in Mondulkiri (JPP)

Overall goal: Preventable dental/oral diseases are decreased in the targeted area.

Purpose: Dental/Oral Health Plan is planned and implemented by Mondulkiri PHD.

Target: PHD, PEO (Mondulkiri Province)

Period: Nov, 2010-Nov, 2013

Partner: Organization of International Support for Dental Education (OISDE) , Japanese NGO


Japan Overseas Cooperation Volunteer(JOCV)

Note:

Junior Volunteer :Age 20-39

Senior Volunteer: Age 40-69

No. Profession 1 Nurse

2 Laboratory Technologist

X-Ray Technician


5. Key Cambodian Health Indicators

Source: (a) CDHS 2012.(b) Strategic Framework for Flood Security and Nutrition in Cambodia 2008-2012.(c) Annual Report 2010 on HIV/AISS.(d) 2010 Annual Report of Ministry of Health.

Key Indicator Unit 2000 2005 20102015

(Target)

Maternal Mortality RatioPer 100,000 live

births 437 472 206 250

Under-five Mortality Ratio Per 1,000 live births 124 83 54 65

Infant Mortality Ratio Per 1,000 live births 95 66 45 50

Children’s Nutrition Status (under 5 years <-2 SD)-Stunted - Wasted-Underweight

%501739

438

28

401128

229

22

HIV Prevalence Ratio

Prevalence of Smear Positive TBPer 100,000 population

428 (1997)

321 251 135


6. Expected Results by 2015

Improvement of MCH

Improvement of MCH , Health Facilities and

Infrastructure

The Function of NMCHC in taking the primary role in Maternal and

Child Health in Cambodia is strengthened.

Medical Equipment Management Capacity and System are

developed.

Improvement of HEDThe system for improving the

quality of co-medical education is developed.

Improvement of CD focused on TB Control

National TB Control Program is strengthened.

.Development of Basic Health system[ Institution-building ].Through strengthening function of C/P institutions, skill and knowledge are acquired for implementation of activities/programs with independent-efforts on the following basic areas for health sector.[Sustainability]


JICA Plaza Cambodia

Opening Hour: Monday-Friday, 8:00-12:00 & 14:00-17:00

Address : 6th Floor , #61-64, Norodom Blvd, Phnom Penh

(Within JICA Cambodia Office)

Website: http://www.Jicaplazacambodia.org


http://www.jicaplazacambodia.org/

Inclusive and Dynamic Development

Website: http://www.jica.go.jp/cambodia/

THANK YOU FOR YOUR KIND ATTENTION!!!


http://www.jica.go.jp/cambodia/

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