JICA has supported Cambodia's health sector since the 1990s focusing on maternal/child health, infrastructure, human resources, and communicable diseases like TB. Projects include experts, equipment, volunteers, grants, loans. Current projects strengthen medical equipment management, TB control, midwifery, and human resources development. Key health indicators like mortality and nutrition have significantly improved but targets remain to further reduce rates by 2015.

1. JICA’s Supports to Health
Sector in Cambodia
PR-Seminar, Sihanouk Ville Province
November 16, 2012
Health Section
JICA Cambodia Office
Japan International Cooperation Agency

2. 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
Japan International Cooperation Agency

3. 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
Japan International Cooperation Agency

4. 2. Assistance Tools of Japan’s Official
Development Assistance (ODA) for Health
Technical Cooperation Grant Aid
Acceptance of Trainees Development Study Economic Aid for Increase of
Development Aid, etc. Food Production, etc.
Dispatch of Experts Dispatch of JOCV
Provision of Equipment Disaster Relief
Technical Cooperation Project Others
ODA Loans
Concessionary Loans provided to
SHV Sea Port etc.
Japan International Cooperation Agency

5. 3. Past Schemes
No. 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
Source: Chronological List of JICA’s Support to Cambodia in Health
Sector by JICA Cambodia Office 2012
Japan International Cooperation Agency

6. 4. On-going Schemes
Schemes # of Projects Completion Time
Technical Cooperation (TC) 4 2015
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
Survey
3). 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
Grant Aid 2 2015
JICA Partnership Program (JPP) 2 2015
Another one GA is under the reviewing process of Gov’s of Japan.
Japan International Cooperation Agency

7. 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)
Japan International Cooperation Agency

8. 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)
Japan International Cooperation Agency

9. 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)
Japan International Cooperation Agency

10. 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)
Japan International Cooperation Agency

11. 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
Japan International Cooperation Agency

12. 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
Japan International Cooperation Agency

13. 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
Japan International Cooperation Agency

14. 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 International Cooperation Agency

15. Japan Overseas Cooperation Volunteer
(JOCV)
No. Profession
1 Nurse
2 Laboratory Technologist
X-Ray Technician
Note:
Junior Volunteer :Age 20-39
Senior Volunteer: Age 40-69
Japan International Cooperation Agency

16. 5. Key Cambodian Health Indicators
2015
Key Indicator Unit 2000 2005 2010
(Target)
Per 100,000 live
Maternal Mortality Ratio 437 472 206 250
births
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 50 43 40 22
- Wasted % 17 8 11 9
-Underweight 39 28 28 22
HIV Prevalence Ratio
Per 100,000 428
Prevalence of Smear Positive TB 321 251 135
population (1997)
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.
Japan International Cooperation Agency

17. 6. Expected Results by 2015
The Function of NMCHC in taking
Improvement of MCH the primary role in Maternal and
Child Health in Cambodia is
.Development of Basic
strengthened.
Health system
Improvement of MCH Medical Equipment Management [ Institution-building ]
.Through strengthening
, Health Facilities and Capacity and System are
function of C/P
Infrastructure developed. institutions, skill and
knowledge are acquired
The system for improving the for implementation of
Improvement of HED quality of co-medical education is activities/programs with
developed. independent-efforts on
the following basic areas
for health sector.
Improvement of CD National TB Control Program is [Sustainability]
focused on TB Control strengthened.
Japan International Cooperation Agency

18. 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
Japan International Cooperation Agency

19. Inclusive and Dynamic Development
Website: http://www.jica.go.jp/cambodia/
THANK YOU FOR YOUR KIND ATTENTION!!!
Japan International Cooperation Agency