JICA s Global Health Strategy for resilient and sustainable health systems towards social transformation. Dr Tomohiko Sugishita Senior Advisor, JICA

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1 JICA s Global Health Strategy for resilient and sustainable health systems towards social transformation Dr Tomohiko Sugishita Senior Advisor, JICA

2 JICA s Position Paper for Global Health Cooperation Sep HSS for UHC Three focus areas Health market approach Evidence-based approach R&D/Innovation approach Aid effectiveness and coordination Multi-sectoral approach

3 Innovative DHA Modalities Transformative Capacity Development Japanese Experience as Active References Policy Dialogue Multi-stakeholder Approach Supply and Demand Side Synergetic Assistance Transformative Financing Transformative Learning Network and Collaboration

4 JICA s Portfolio in DAH 2,425 Health sector volunteers since 2000 US$ 23 billion JICA s Technical Cooperation in health sector since Health projects in ,104 Health sector trainees in Japan since countries 100 overseas offices

5 Development Assistance for Health US$ 6,588 million (2012)

6 Technical cooperation projects Health Systmes Infectious Disease Control Maternal and Child health Others

7 Global Health Training Program in Japan

8 Health Systems Strengthening JICA's Cooperation for Health Systems As of March 1, 2016 Dept. of Human Development, JICA Serbia Project for Improvement of the National Breast Cancer Prevention Sudan PHC Policy Advisor( ) Project for the Improvement of Health Care Service in Suburban Area of Khartoum State( ) Senegal Technical Advisor( ) 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) ( ) 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( ) Project for Reinforcement of the capacity of technique for maintain medical equipment (Phase 2)( ) Sierra Leone Project for Strengthening Supportive Supervision System( ) Ghana Capacity Development for CHPS Scale-up and Strengthening of Community Structure for CHPS ( ) Improvement of Maternal and Neonatal Health Services Utilising CHPS system in the Upper West Region ( ) Policy Advisor for Promoting Community Health ( ) Benin le Projet de Construction et d' Equipment de l' Hôpital d' Allada dans le Département de l' Atlantique( ) Zambia Project for Upgrading Lusaka Health Centres to District Hospitals ( ) Project for Strengthening Basic Health Care Services Management for Universal Health Coverage in Zambia( ) Egypt Training on Health economics( ) Pakistan Project for the Improvement of Child Health Institute in Karachi( ) Democratic Republic of Congo Project for the Development of Human Resources in Health in DRC Phase 2 ( ) Expert on the Management of Basic Training Institution( ) Malawi Expert on 5S-KAIZEN-TQM for Hospital Management( ) Mozambique the Project for Construction of Health Science Institute in Maputo ( ) The Project for Construction of Health Science Institute in Nacala ( ) Tajikistan Project for Improvement of Medical Equipment and Water Supply and Drainage Facilities for Maternal and Child Health Care Institutions ( ) Banguradesh Safe Motherhood Promotion Project(Phase 2)( ) Project for Capacity Building of Nursing Services( 月 ) India Improvement of the Institute of Child Health and Hospital for Children Egmore, Chennai, Tamil Nadu, India ( ) Sri Lanka Basic social services improvement project in rural community( ) Project for Enhancement of Noncommunicable Diseases Management ( ) 5S-CQI-TQM implementation ( ) Uganda Project for the Rehabilitation of Hospitals and Supply of Medical Equipment in the West Region in Uganda( ) Kenya Partnership for Health Systems Strengthening in Africa( ) Project for Organizational Capacity Development for Devolved County Health Systems in Kenya( ) UHC Advisor( ) Health Sector Policy Loan for Attainment of the UHC( ) Project for supporting health from school to community( ) Tanzania Project for Strengthening Hospital Management of Regional Referral Hospitals( ) Mongolia Project for Construction of Mongolia-Japan Teaching Hospital( ) Traditional Japanese Medical Treatment (Judo Therapy Techniques) Instructors' Training and Diffusion Project( ) Bhutan Project for Replacement of Ambulances Phase 2( ) Indonesia Project for Enhancement of Nursing Competency through In-Service Training( ) Project for Ensuring Drug and Food Safety( ) Vanuatu Project for Redevelopment of Vila Central Hospital( ) VIetnum Project for Strengthening Medical Service in Northwest Provinces( ) Detailed Design Study on Cho Ray Viet Nam- Japan Friendship Hospital (Cho Ray Second Hospital) Development Project ( ) Laos Capacity Development for Sector-wide Coordination in Health Phase 2( ) Philippines Project for Cordillera-wide Strengthening of the Local Health System for Effective and Efficient Delivery of Maternal and Child Health Services( ) Advisor on Health Sector( ) *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 Myanmar Project on Health Systems Strengthening ( ) Project for Enhancement of Medical Education ( ) Project for Upgrading the Health Facilities in Central Myanmar( ) Project for Improvement of Medical Equipment for Hospitals in ( ) Yangon Project for Improvement of Medical Equipment in Hospitals in Yangon and Mandalay ( ) Project for Improving Lashio General Hospital in Shan State( ) The Project for Improving Loikaw General Cambodia Project for Improvement of Sihanouk Province Referral Hospital ( ) Project for Improvement of Svay Rieng Provincial Referral Hospital( ) Project for Expansion of National Maternal and Child Health Center( ) Technical Cooperation Dispatch of Expert Training program in Japan Third Country Training Program Training Program in the country Guatemala Strengthening of capacities for operation of systems in Hospital management ( ) Honduras Project for Improvement of the Quality of Maternity and Child Attention Services in Departments of Lempira and El Paraiso( ) Haiti Technical Adviser for Ministry of Public Health and the Population ( ) Nicaragua Maternal and Child Health Project at SILAIS Chontales and SILAIS Zelaya Central( ) Project for the Construction of Department Hospital of SILAIS Zelaya Central ( ) Ecuador Medical Facilities and Equipment Preparation Survey in Chimborazo Province, Ecuador( ) Bolivia Maternal and Child Health Network Improvement Project in Potosi( ) Paraguay Project for Strengthening Primary Health Care System( ) Grant Aid (Equipment and facility) ODA Loan Technical Assistance Loan Grass Roots Technical Cooperation

9 Maternal Child Health TCs JICA's Projects for Reproductive, Maternal Newborn and Child Health in the World Pakistan As of March, 20 JI Sudan PHC Policy Advisor ( ) The Project for Improvement of Medical Services in Remote Areas of Sharg Al-Neel Locality, Khartoum State( ) Morocco Maternal and Child Health Care ( ) Maternal and Child Health Care (Phase3) ( ) Capacity Development for the Tajikistan Project for improving Maternal and Child health care system in Khatron oblast ( ) The Project for Improvement of Medical Equipment and Water Supply and Drainage Facilities for Maternal and Child Health Care Institutions( ) Project for Strengthening of Routine Immunization( ) India Improvement of integrated mother and child health by collaboration betw een government health staff and rural health volunteers( ) Improvement of the Institute of Child Health and Hospital for Children Egmore, Chennai, Tamil Nadu, India ( ) Mongol Project for Establishing a Sustainable Structure to Build a Healthy Lifestyle from Adolescence ( ) Vietnam The Project for Strengthening Capacity for Measles-Rubella Combined Vaccine Senegal Training for Teachers of Nurse-Midw ife Schools in French Speaking countries(phase2) ( ) Project for Reinforcement for Maternal and New Born Health Care Phase 2 ( ) Project for Construction of the Practical Training Center for Maternal and Child Health in National School of Health and Social Development ( ) Sierra Leone Project for Strengthening Supportive Supervision System( ) Strengthening Nursing Skills on New born Ghana Improvement of Maternal and Neonatal Health Services Utilising CHPS system in the Upper West Region ( ) Policy Advisor for Promoting Community Health( ) Benin Expert on Maternal and Child Health ( ) Nigeria Strengthening Primary Health Care Project ( ) Burundi Project for Capacity Building of Provincial Health Staff for Maternal and Child Health ( ) Zambia Project for Community Empow erment to sustain the Integrated Mother and Child Health in rural area, Chisamba District( ) Kenya Project for supporting health from school to community ( ) Malawi Child Friendly Community Health Project ( ) Bangladesh Safe Motherhood Promotion Project (Phase 2) ( ) Project for Capacity Building of Nursing Services ( ) Strengthening Pediatric Surgical and Neonatal Surgical Services in Bangladesh to achieve MDG4 ( ) Oketani method training enhancement project ( ) Maternal, Neonatal and Child Health Improvement Project(Phase 1)(Health, Population and Nutrition Sector Development Program) ( ) Nepal Maternal and Child Health Project for Safe and Secure Delivery ( ) Myanmar Project on Health Systems Strengthening ( ) The Project for Improving Maternal Health through Enhancement of Community Capacity in Rural Areas of Myanmar ( ) Laos Capacity Development for Sector-wide Coordination in Health Phase 2 ( ) Project for Improving Quality of Health Care Services ( ) Philippines The Project for Cordillera-w ide Strengthening of the Local Health System for Effective and Efficient Delivery of Maternal and Child Health Services ( ) The Project for Comprehensive Etiological and Epidemiological Study on Acute Respiratory Infections in Children ( ) Strengthening Maternal and Child Health Services in Eastern Visayas ( ) Thailand A Collaboration Project for the Development of ICT Telemedicine for Perinatal Care and Diabetes in Thailand ( ) Indonesia Strengthening District Health Planning in the era of decentralization for improvement of the health status of children and mothers Cambodia Project for improving w omen health care of factory workers ( ) Project for Expansion of National Maternal and Child Health Center ( ) Honduras Project for Strengthening Primary Health Care System based on the "National Health Model"( ) Project for Improvement of Primary Health Care for Mothers and Children in 3 Municipalities in the Southern Part of El Paraiso Department( ) Project for Improvement of the Quality of Maternity and Child Attention Services in Departments of Lempira and El Paraiso( ) Bolivia Maternal and Child Health Netw ork Improvement Project in Potosi ( ) Mother and Child Health Netw ork Improvement Project in Oruro ( ) Dominican Republic The Project for Strengthening Primary Health Care for Pregnant Women and New borns in Health Region III ( ) Nicaragua Maternal and Child Health Project at SILAIS Chontales and SILAIS Zelaya Central ( ) Paraguay Project for Strengthening Primary Health Care System( ) Marked with blue: Project sites Technical Cooperation Bilateral Government Loans Grant Aid Technical Cooperation Other type of Technical Cooperation Grass-Roots projects

10 Infectious Disease Control TCs Pakistan Project for Strengthening of Routine Immunization Egypt Project for Quality management of concurrent infection control of TB/HIV for Africa (Nile basin and Djibouti) Toward TB elimination Project for Control of Cross Hospital Infection in Middle East Countries Infectious diseases: clinical and laboratory diagnosis Promoting Infection Control Practices to Reduce Transmission of Viral Hepatitis Afghanistan Tuberculosis Control Project in Afghanistan Phase Supply of antitubercular drug (Grant Aid) Bangladesh Project for Research and Development of Prevention and Diagnosis for Neglected Tropical Diseases, especially Kala-Azar (SATREPS) Mozambique The Project for Strengthening HIV/AIDS Response System in Mozambique China Project for Planning and Management of National Policies for Public Health Philippines The Project for Comprehensive Etiological and Epidemiological Study on Acute Respiratory Infections in Children (SATREPS) Laos Development of Innovative Research Technique in Genetic Epidemiology of Malaria and Other Parasitic Diseases in Lao PDR for Containment of Their Expanding Endemicity (SATREPS) Vietnam Project for Capacity Development for Laboratory Network in Vietnam of Biosafety and Examination of Highly Hazardous Infectious Pathogens Determine the Outbreak Mechanisms and Development of a surveillance Model for Multi-Drug Resistant Bacteria (SATREPS) The Project for Strengthening Capacity for Measles-Rubella Combined Vaccine Production As of March 1, 2016 Dept. of Human Development, JICA Myanmar Thailand The Project for Integrative Application of Human and Pathogen Genomic Information for Tuberculosis Control South Africa Strengthening Monitoring and Evaluation (M&E) Capacity Building of HIV/AIDS Response (Expert) Establishment of an Early-warning System for Infectious Diseases in Southern Africa Incorporating Climate Predictions (SATREPS) Project for Improvement of Malaria Control Equipment (Grant Aid) Advisor for Infectious Disease Control Project for Development of Malaria Control (Interrupting Transmission Toward Pre-elimination) Model in Myanmar Indonesia Project for Searching Lead Compounds of Anti-malarial and Anti-amebic Agents by Utilizing Diversity of Indonesian Bio-resources (SATREPS) Project for Ecological Studies on Flying Foxes and Their Involvement In Rabies-related and Other Viral Infectious Diseases (SATREPS) Project for Enhancing the Early Warning and Response System of Infectious Disease Zambia Project for Surveillance of viral zoonoses in Africa (SATREPS) Kenya TB Control Advisor The Project for Development of Rapid Diagnostics and the Establishment of an Alert System for Outbreaks of Yellow Fever and Rift Valley Fever (SATREPS) SATREPS: Science and Technology Research Partnership for Sustainable Development HIV and AIDS Tuberculosis Malaria Neglected Tropical Disease (NTD) Other Infectious Diseases

11 SDGs & UHC Equity Equity Coverage Inclusiveness Transformative Social Determinants Resilience Finance Purchasing Pooling Costs Protection Health Systems 6 blocks Systems

12 Liberia

13 Sierra Leone

14 Kenya 14

15 Tanzania

16 Bangladesh

17 Pacific islands

18 Thailand