JICA’s Global Health Strategyfor resilient and sustainable health systems

towards social transformation

Dr Tomohiko Sugishita

Senior Advisor, JICA

JICA’s Position Paper for Global Health Cooperation

Sep. 2013

• HSS for UHC

• Three focus areas

• Health market approach

• Evidence-based approach

• R&D/Innovation approach

• Aid effectiveness and coordination

• Multi-sectoral approach

Policy Dialogue

Multi-stakeholder

Approach

Transformative

Capacity Development

Japanese

Experience

as Active

References

Transformative Learning Network and

Collaboration

Transformative

Financing

Supply and

Demand Side

Synergetic

Assistance

Innovative DHA Modalities

JICA’s Portfolio in DAH

15,104Health sector

trainees in Japan

since 2000

2,425Health

sector

volunteers

since 2000

150 Health projects

in 2013

US$ 23billion

JICA’s Technical Cooperation in health

sector since 2000

152 countries

100 overseas

offices

Development Assistance for Health

US$ 6,588

million (2012)

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Health Systmes Maternal and Child health

Infectious Disease Control Others

Technical cooperation projects 1960-2013

Global Health Training Program in Japan

As of March 1, 2016

Dept. of Human Development, JICA

JICA's Cooperation for Health Systems Strengthening

Laos

●Capacity Development for Sector-wide Coordination

in Health Phase 2（2010.12-2015.12）

VIetnum

●Project for Strengthening Medical Service in

Northwest Provinces（2013.3-2017.3）

●Detailed Design Study on Cho Ray Viet Nam-

Japan Friendship Hospital (Cho Ray Second Hospital) Development Project (2015.10-2017..6)

Senegal●Technical Advisor（2014.4-2016.5）●Projet de construction du centre d'application pour la santé de la mère et de l'enfant de l'Ecole Nationale de Développement sanitaire et Social (ENDSS) (2014.8-2017.10)

Zambia

●Project for Upgrading Lusaka Health Centres to District Hospitals （2013.7-

2016.6）

●Project for Strengthening Basic Health

Care Services Management for Universal

Health Coverage in Zambia（2015.10-

2019.9）

India●Improvement of the Institute of Child Health and Hospital for Children Egmore, Chennai, Tamil Nadu, India（2014.4-2016.12）

Mongolia

●Project for Construction of Mongolia-Japan

Teaching Hospital（2015.5-2021.12）

●Traditional Japanese Medical Treatment (Judo

Therapy Techniques) Instructors' Training and Diffusion Project（2011.9-2016.8）

Tajikistan●Project for Improvement of Medical Equipment and Water Supply and Drainage Facilities for Maternal and Child Health Care Institutions（2013.3-2015.10）

Banguradesh

●Safe Motherhood Promotion

Project(Phase 2)（2011.7-2016.6）

●Project for Capacity Building of

Nursing Services（2015.7月-2020.6）

● Technical Cooperation

● Dispatch of Expert● Tra ining program in Japan

● Third Country Tra ining Program

● Tra ining Program in the country

Philippines●Project for Cordillera-wide Strengthening of the Local Health System for Effective and Efficient Delivery of Maternal and Child Health Services（2012.2-2017.2）●Advisor on Health Sector（2013.4-2016.4）

Kenya

●Partnership for Health Systems Strengthening in Africa（2011.9-2016.3）

●Project for Organizational Capacity

Development for Devolved County Health Systems in Kenya（2014.10-2019.10）

●ＵＨＣ Advisor(2013.9-2016.9）

●Health Sector Policy Loan for Attainment of the UHC（2015.8-2016.1）

●Project for supporting health from school to community（2012.9-2017.8）

Egypt

● Training on Health

economics(2014.11-2017.3)

Indonesia●Project for Enhancement of Nursing Competency through In-Service Training(2012.10-2017.10)●Project for Ensuring Drug and Food Safety(2015.8-2020.8）

Uganda● Project for the Rehabilitation of

Hospitals and Supply of Medical Equipment in the West Region in Uganda（2013.11-

2016.9）

Cambodia

●Project for Improvement of Sihanouk Province Referral Hospital （2013.3-2016.2）

●Project for Improvement of Svay Rieng

Provincial Referral Hospital（2015.3-2020.12）

●Project for Expansion of National Maternal

and Child Health Center（2014.3-2017.2）

Bhutan

●Project for Replacement of

Ambulances Phase 2（2015.3-2017.2)

Sri Lanka

●Basic social services improvement project

in rural community（2012.4-2017.4）

●Project for Enhancement of Non-

communicable Diseases Management

（2014.2-2018.1）

●5S-CQI-TQM implementation (2014.7-2017.3）

Vanuatu

●Project for Redevelopment of Vila

Central Hospital（2012.6-2016.12）

Haiti●Technical Adviser for Ministry of Public Health and the Population（2014.7-2017.7）

Paraguay

●Project for Strengthening Primary Health Care System（2012.2-2016.1）

Bolivia

●Maternal and Child Health Network

Improvement Project in Potosi（2013.5-

2017.5）

● Grant Aid (Equipment and facility)

● ODA Loan

● Technical Assistance Loan

● Grass Roots Technical Cooperation

Ecuador ●Medical Facilities and Equipment Preparation Survey in Chimborazo Province, Ecuador（2014.10-2017.7）

Honduras ●Project for Improvement of the Quality of Maternity and Child Attention Services in Departments of Lempira and El Paraiso（2014.4-2017.2）

Guatemala●Strengthening of capacities for operation of systems in Hospital management（2012.6-2016.1）

Tanzania

● Project for Strengthening Hospital

Management of Regional Referral

Hospitals（2015.5-2020.5）

Francophone African Countries （Senegal, Benin, Burkina Faso, Burundi, Ivory Coast, Guinea, Mali, Mauritania, Niger, Togo, DR Congo）●Project for Reinforcement of Human Resource Management Network（2015.1-2019.3）●Project for Reinforcement of the capacity of technique for maintain medical equipment (Phase 2)（2015.1-2019.3）

Sierra Leone

●Project for Strengthening Supportive

Supervision System（2013.1-2017.5）

Benin●le Projet de Construction et d' Equipment de l' Hôpital d' Allada dans le Département de l' Atlantique（2015.3-2018.9）

Ghana●Capacity Development for CHPS Scale-up and Strengthening of Community Structure for CHPS（2014.4-2017.3）●Improvement of Maternal and Neonatal Health Services Utilising CHPS system in the Upper West Region（2011.9-2016.9）●Policy Advisor for Promoting Community Health (2014.9-2016.9)

Mozambique●the Project for Construction of Health Science Institute in Maputo(2014.6-2016.6)●The Project for Construction of Health Science Institute in Nacala（2015.10-2019.1）

Malawi●Expert on 5S-KAIZEN-TQM for Hospital Management（2014.11-2016.10）

Democratic Republic of Congo●Project for the Development of Human Resources in Health in DRC Phase 2（2014.1-2018.1）●Expert on the Management of Basic Training Institution（2015.9-2017.8）

Myanmar

●Project on Health Systems Strengthening（2014.10-2018.9）

●Project for Enhancement of Medical Education

（2015.4-2019.9）

●Project for Upgrading the Health Facilities in

Central Myanmar（2012.10-2015.10）●Project for Improvement of Medical Equipment

for Hospitals in (2013.3-2016.4)

●Yangon Project for Improvement of Medical

Equipment in Hospitals in Yangon and Mandalay

（2015.4-2019.9）● Project for Improving Lashio General Hospital in

Shan State（2014.5-2019.12）

●The Project for Improving Loikaw General

*Assistances to introduce and strengthen 5S-KAIZEN-TQM are

underlined**Training Program on 5S-KAIZEN-TQM in 2015 received

participants from 18 countries, namely Egypt, Kenya, Malawi,

Nigeria, Sudan, Tanzania, Uganda, Zambia, Elitoria, Benin, Burkina Faso, Brundi, DR Congo, Madagascar, Mali, Morocco, Niger, and

Serbia

● Project for Improvement of the

National Breast Cancer Prevention

Pakistan● Project for the Improvement of Child Health Institute in Karachi（2012.12-2015.11）

Sudan

●PHC Policy Advisor（2014.6-2016.6）

●Project for the Improvement of Health Care

Service in Suburban Area of Khartoum State（2015.9-

2018.8）

Nicaragua ●Maternal and Child Health Project at SILAIS Chontales and SILAIS Zelaya Central（2015.7-2019.7）●Project for the Construction of Department Hospital of SILAIS Zelaya Central (2016-2019)

Health Systems Strengthening

As of March, 2016

JICA

Marked with blue: Project sites

Technical Cooperation ★ Technical Cooperation

Bilateral Government Loans ● Other type of Technical Cooperation

Grant Aid ■ Grass-Roots projects

JICA's Projects for Reproductive, Maternal Newborn and Child Health in the World

【Cambodia】

■Project for improving w omen

health care of factory workers(2015－2018）

【Laos】★Capacity Development for Sector-wide Coordination in Health

Phase 2 (2010-2016)★Project for Improving Quality of Health Care Services (2016-2020)

【Vietnam】

★The Project for Strengthening Capacity for

Measles-Rubella Combined Vaccine

【Nigeria】★Strengthening Primary Health Care Project (2014-2018)

【Philippines】

★The Project for Cordillera-w ide Strengthening of the Local

Health System for Effective and Efficient Delivery of Maternal and Child Health Services (2012-2017)

★The Project for Comprehensive Etiological and

Epidemiological Study on Acute Respiratory Infections in Children (2011-2016)

★Strengthening Maternal and Child Health Services in Eastern

Visayas (2010-2016)

【Dominican Republic】

★The Project for Strengthening Primary Health

Care for Pregnant Women and New borns in Health Region III (2013-2017)

【Ghana】

★Improvement of Maternal and

Neonatal Health Services Utilising CHPS system in the Upper West Region (2011-2016)

●Policy Advisor for Promoting

Community Health(2014－2016)

【Malawi】

■Child Friendly Community

Health Project (2013-2016)

【Kenya】

■Project for

supporting health from school to

community(2012-2017)

【Honduras】

★Project for Strengthening Primary

Health Care System based on the "National Health Model"(2013-2018)■Project for Improvement of Primary

Health Care for Mothers and Children in 3 Municipalities in the Southern Part of El Paraiso Department(2014-2016)

【Senegal】●Training for Teachers of Nurse-Midw ife

Schools in French Speaking countries(Phase2) (2014-2018)

★Project for Reinforcement for Maternal and

New Born Health Care Phase 2 (2012-2017)

【Sierra Leone】

★Project for Strengthening Supportive

Supervision System(2013-2017)

●Strengthening Nursing Skills on New born

【Benin】●Expert on Maternal and Child Health (2013-2016)

【Burundi】

★Project for Capacity

Building of Provincial Health Staff for Maternal and Child

Health(2013-2017)

【 Indonesia】

●Strengthening District Health

Planning in the era of

decentralization for

improvement of the health

status of children and mothers

【Bolivia】

★Maternal and Child Health Netw ork

Improvement Project in Potosi (2013-2017)

★Mother and Child Health Netw ork

Improvement Project in Oruro (2015-2019)

【Paraguay】

★Project for Strengthening Primary

Health Care System(2012-2016)

【Bangladesh】

★Safe Motherhood

Promotion Project (Phase 2) (2011-2016)

★Project for Capacity

Building of Nursing Services(2015-2020)●Strengthening Pediatric Surgical and Neonatal Surgical Services in Bangladesh to achieve MDG4 (2013－2016)■Oketani method training enhancement project (2014-2016)

Maternal, Neonatal and Child Health Improvement Project(Phase 1)(Health, Population and Nutrition Sector Development Program) (2012-2015)

【Sudan】

★PHC Policy Advisor

(2014-2016)

■The Project for Improvement

of Medical Services in Remote Areas of Sharg Al-Neel Locality, Khartoum State(2014-2017)

【Morocco】

●Maternal and Child Health Care

(2013-2016)

●Maternal and Child Health Care

(Phase3) (2013-2016)

●Capacity Development for the

【Myanmar】

★Project on Health

Systems Strengthening

(2014-2018)

■The Project for

Improving Maternal Health through Enhancement of

Community Capacity in Rural Areas of Myanmar (2014-2016)

【Nicaragua】

★Maternal and Child Health Project at SILAIS

Chontales and SILAIS Zelaya Central (2015-2019)

Project for Expansion of National Maternal and Child Health Center(2014-2017)

【Tajikistan】

★Project for improving Maternal

and Child health care system in Khatron oblast (2012-2016)

The Project for Improvement of Medical Equipment and Water Supply and Drainage Facilities for Maternal and Child Health Care Institutions(2013-2015)

【Pakistan】

Project for Strengthening of Routine Immunization(2014-2017)

Project for Improvement of the Quality of Maternity and Child Attention Services in Departments of Lempira and El Paraiso（2014-2017）

Project for Construction of the Practical Training Center for Maternal and Child Health in National School of Health and Social Development (2014-2017)

【Nepal】

■Maternal and Child Health Project

for Safe and Secure Delivery (2015-2017)

【Thailand】

■A Collaboration Project for

the Development of ICT Telemedicine for Perinatal Care and Diabetes in

Thailand (2014-2016)

【Zambia】

■Project for Community

Empow erment to sustain the Integrated Mother and Child Health in rural area, Chisamba

District(2014-2017)

【 India】

■ Improvement of integrated mother

and child health by collaboration betw een government health staff and

rural health volunteers(2013-2017)

Improvement of the Institute of Child Health and Hospital for Children Egmore, Chennai, Tamil Nadu, India (2014-2016)

【Mongol】

■Project for Establishing a Sustainable

Structure to Build a Healthy Lifestyle

from Adolescence (2015－2019)

Maternal Child Health TCs

As of March 1, 2016

Dept. of Human Development, JICA

SATREPS: Science and Technology

Research Partnership for Susta inable

Development

Thailand●The Project for Integrative Application of Human and Pathogen Genomic Information for Tuberculosis Control2015.4－2019.3

Laos●●Development of Innovative Research Technique in Genetic Epidemiology of Malaria and Other Parasitic Diseases in Lao PDR for Conta inment of Their Expanding Endemicity (SATREPS)2014.5-2019.4

Vietnam●Project for Capacity Development for Laboratory Network in

Vietnam of Biosafety and Examination of Highly Hazardous Infectious Pathogens 2011.2－2016.2

●Determine the Outbreak Mechanisms and Development of a surveillance Model for Multi-Drug Resistant Bacteria (SATREPS)

2012.3－2017.3

●The Project for Strengthening Capacity for Measles-Rubella Combined Vaccine Production 2013.5－2018.3

Zambia●Project for Surveillance of vi ral zoonoses in Africa (SATREPS) 2013.6－2018.5

Kenya

●TB Control Advisor2014.7 – 2016.7

●The Project for Development of Rapid Diagnostics and the Establishment of an Alert System for Outbreaks of Yellow Fever and Rift Va l ley Fever (SATREPS)2012.1－2017.1

South Africa

● Strengthening Monitoring and Evaluation (M&E) Capacity Building of HIV/AIDS Response (Expert)

2013.1－2016.1●● Establishment of an Early-warning

System for Infectious Diseases in Southern Africa Incorporating Cl imate

Predictions (SATREPS) 2014.5-2019.5

Myanmar

● Project for Improvement of Malaria

Control Equipment (Grant Aid)

2014.11－2016.12

●● Advisor for Infectious Disease Control

2015.10-2017.9

●Project for Development of Malaria Control (Interrupting Transmission Toward

Pre-el imination) Model in Myanmar2015.10-2019.9

Pakistan●Project for Strengthening of Routine

Immunization 2014.10－2017.10China

● Project for Planning and Management of National Policies for

Publ ic Health 2012.3－2016.3

Bangladesh

●Project for Research and Development of Prevention and Diagnosis for Neglected Tropical Diseases, especially Ka la-Azar(SATREPS) 2011.6 – 2016.5

Philippines●The Project for Comprehensive Etiological and Epidemiological Study on Acute Respiratory Infections in Chi ldren (SATREPS) 2011.4－2016.3

● HIV and AIDS

● Tuberculosis

● Malaria

● Neglected Tropical Disease (NTD)

● Other Infectious Diseases

Egypt●●Project for Quality management of concurrent infection control of TB/HIV for Africa (Nile basin and Djibouti) 2014.7－2018.3●Toward TB elimination 2015.1－2017.3 ●Project for Control of Cross Hospital Infection in Middle East Countries2014.9－2017.3 ● Infectious diseases: cl inical and laboratory diagnosis 2015.6－2018.3 ●Promoting Infection Control Practices toReduce Transmission of Viral Hepatitis 2015.10－2018.11

● Mozambique The Project for Strengthening

HIV/AIDS Response System in Mozambique 2015.9―2018.9

Indonesia

●●Project for Searching Lead Compounds of Anti-malarial

and Anti-amebic Agents by Utilizing Diversity of Indonesian Bio-resources (SATREPS) 2015.4－2020.3

●Project for Ecological Studies on Flying Foxes and Their Involvement In Rabies-related and Other Viral Infectious

Diseases (SATREPS) 2015.8－2020.7 ●Project for Enhancing the Early Warning and Response

System of Infectious Disease 2015.3－2020.3

Afghanistan●Tuberculosis Control Project in Afghanistan

Phase 3 2015.10－2018.09

● Supply of antitubercular drug (Grant Aid)2015 －2016

Infectious Disease Control TCs

Equity

SDGs & UHC

Finance

SystemsResilience

Equity

Coverage

Inclusiveness

Purchasing

Pooling

Costs

Protection

Transformative

Social Determinants

Health

Systems

6 blocks

Liberia

Sierra Leone

14

Kenya

Tanzania

Bangladesh

Pacific islands

Thailand