Maternal Mortality Rate

UNICEF (2015) http://data.unicef.org/topic/maternal-health/maternal-mortality/1Gaps in Skilled Birth Attendance
Skilled attendance at births (2010-2015)(Source：UNICEF Web page. Accessed on 16 September 2016. http://data.unicef.org/maternalhealth/delivery-care.html )2

Global and African Trends in Malnutrition
Number and rate of children under 5 affected by stunting
100

300
Number (Global)

90

Number (Africa)
80

Rate (Africa)

200

60
50

150

40100

3020

Number of Stunted (mil)Rate (Global)

70

Stunting Rate (%)

250

50

1000199019952000

2005

2010

2015

Year

Source: Joint child malnutrition estimates 2016 (UNICEF-WHO-WB)

3

Main Issues in Health, Food Security and Nutrition
in JICA Cooperation

Infectious Disease Control and Resilience Polio eradication and Expanded Programme on Immunization
 Research of Infectious Diseases with industry and academics
 Strengthening of HRH and laboratories
Health Systems Strengthening Comprehensive Strengthening of healthfinancing, service delivery and governance 5S-KAIZEN-TQM
Maternal and Child Health (MCH) Continuum of Care for reproductive, maternal,
newborn and child health , MCH Handbook Promotion of Safe Motherhood
Non-Communicable Disease Control
 Early detection, Prevention , Diagnosis and Treatment
Food Security and Nutrition
 Food production improvement
 Improvement of food delivery system to reach out also to the rural poor
 Nutrition Education

4

TICAD VI: UHC in Africa
FinancingMore and better spending and effective
financial protection
Services
People-centered, quality and multisectoral action
EquityTargeting the poor and marginalized andleaving no one behind
Preparedness
Strengthening health security
Governance
Political and institutional foundations for
the UHC agenda

59JICA’s cooperation modalities

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JICA’s Cooperation in Health andNutrition/Agriculture• 166 countries worldwide
48 countries in Africa(over 50 years)• [Worldwide] Health: JPY 52 biliion/year (3.1%)

Nutrition/Agriculture: JPY 34 billion/year (2.1%)(All Sectors 1,653 billion/year)• [Africa] Health: JPY 12 biliion/year (7.1%)
Nutrition/Agriculture: JPY 14 billion/year (8.6%)(All Sectors: 163 billion/year)(JFY2013-2015 average)

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“Target” Countries in Africa● Reproductive, Maternal,
Newborn and Child Health● Infectious Diseases● Health Systems Strengthening
IFNA target countries

8Comprehensive Approach for UHC in Kenya
JICAGovernance• Political and institutional foundations
for the UHC agenda• Partnerships
UHCStudyTourFinancing
More and better spending andeffective financial protection
Services
People-centered, quality and multisectoral action

EquityTargeting the poor and marginalized andleaving no one behind⇒To increase the insurance coverage ofthe poor

Kenya Health Sector
Strategy & Investment Plan
Partnership for Resiliencethrough Research andEducation

Health Financing
Strategy
Capacity Development for
the Management of
Devolved Health SystemsCollaboration withDonor Partners• Strengthening ofCounty
Department ofHealth• Joint External
Evaluation for IHR• Jointimplementation
support Missionfor Kenya HealthSector SupportProgramInfectious disease control

Preparedness
Strengthening health security⇒Strengthening of IHR corecapacities

9Current Perspective toward UHC in Ghana
Achieving Universal Health Coverage in Ghana
Developing resilient health system focusing on
1. the life-course approach through strengthening community-based health system (=CHPS)
2. Surveillance and laboratory support through strengthening technical capacity for infectious
disease control

1-1.Expandingquality service
coverageof primaryhealth care

1-2. Developing
sustainablefinancingof primary healthcare

Technical cooperation
for capacity building

Study & Meetingfor initial financial
establishment

Demographic transition
Youth and Aging

Epidemiological transition
Double Burden

2. Preparedness
Strengthening
NMIMR* as Main
platform* The Noguchi Memorial Institutefor Medical ResearchTechnical cooperation
for capacity building
among Ghana andneighboring countries

Socio-economic transition
Financing challenge

10Preparatory Survey
Ajinomoto Co., Inc. (Ghana)“Nutrient Enriched Food Business”(2011-2014)• “Koko Plus” : supplemental foodadded to koko, a traditional weaning
food, to fulfill nutritional requirements

Ref: JICA’s World (May 2013)• Social business model based on:- understanding local needs- developing local partnerships- educating mothers- building up a distribution model1111

Preparatory Survey
Saraya Co., Ltd. (Uganda)“Alcohol Based Hand Rub” (2012-2013)• Local Production of Alcohol
Based Hand Rub• Education for health workers todisseminate sanitation by alcohol
based hand rub throughinstructors, posters, videos– Collaboration with JOCVs, TechnicalCooperation Project (5S-KAIZEN)
12

Preparatory Survey
Cancer Scan Co., Ltd. (Kenya)“Healthy Kiosk”(2016-2017)• increasing NCD diseaseburden• Kiosk + Health check– opportunity for customers
to know their health status– promotion of healthier foods

13

Preparatory Survey
euglena Co., Ltd (Bangladesh)“Utilization of Euglena” (2012-2013)• Growing mug beans for nutrition
improvement by training smallscale farmers in rural areas• Scalable impacts with over 3,000
farmers currently employed• Aiming to export them to Japan inthe future
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Science and Technology Research Partnershipfor Sustainable Development (SATREPS)[JICA-AMED SATREPS Project] (2012-2017)
Collaborative Research between Nagasaki University and KEMRI

Development of mobile SMS-based disease outbreak alertsystem (mSOS)
 Networking between thecentral Ministry andrural health facilities
using mobile phones
 System model
development for early
detection and response
to outbreaks

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PPP and Technical Cooperation‘The TB Package’(Philippines, Indonesia and Afghanistan)• Application of three technologies as‘The TB Package’ through PPP(Philippines and Indonesia) andTechnical Cooperation (Afghanistanand Philippines)- TB-LAMP (Eiken Chemical Co., Ltd.)- Delamanid (Otsuka Pharmaceutical Co., Ltd.)- Genoscholar (Nipro Corporation)
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Expectation to the Private Sector• Innovation/Technology• Sustainability• Scaling-up

17

Potential Areas for furthercollaboration• Non-Communicable Diseases• Prevention/Health Promotion• Digital Maternal and Child HealthHandbook• Civil Registration and Vital Statistics• e-Health, m-Health18

Our common bright futureis depending on“Healthy Africa”!

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