ASSOCIATION OF
MEDICAL
DOCTORS OF
ASIA

2022 ANNUAL REPORT[TABLE OF CONTENTS]MESSAGE FROM AMDA PRESIDENT
AMDA’s GPSP Concept
1. Peace Building
Emergency Relief (01)Post-disaster Reconstruction Assistance (13)Disaster Response Platform (16)
2. Health Development
Primary Health (17)Facilitating Medical Technology Transfer (19)
AMDA GPSP Hospitals (23)
3. Educational Support (25)
4. Livelihood Assistance (29)MESSAGE FROM AMDA PRESIDENT
Soon after the year 2022 began, a humanitarian crisis
occurred in Ukraine. Still now, many people have been
forced to take refuge under the cold skies. Throughemergency relief activities held in response to this diresituation, AMDA has witnessed both the preciousness andfragility of peace.
Aside from this, there were natural disasters in Pakistan, thePhilippines, and Indonesia that affected the lives of millions.
In flood-stricken Pakistan, one-third of the country was
submerged. The typhoon that stormed the Philippines leftmany people displaced. In Indonesia, a huge earthquake brought about
tremendous damage to Java and its peripheral areas.
On one hand, what allowed us to respond to these calamities was AMDA’s global
network that was formed under the principle of “Sogo-Fujo,” a Japanese term for
mutual assistance. It was indeed something that could not be accomplished byourselves alone.
No one knows what awaits us tomorrow. However, let us believe in the power ofthe good, so that our wish for a peaceful world can be turned into reality.
We thank you for allowing us to operate our projects in every corner of the globe.
Our contribution may be small. However, it would bring us immense joy ifsomeone is saved by what we do.
Your continued assistance and guidance would be very much appreciated.

Sincerely,

Dr. Shigeru Suganami M.D., Ph.D.
President, Association of Medical Doctors of Asia (AMDA)

AMDA’s GPSP Concept

Livelihood
Assistance

In 2014, AMDA established a concept ofglobal network named, “Global Partnershipfor Sustainable Peace” (GPSP). The aim of
this network is the coexistence of diversity,
which is virtually indispensable for world
peace. Under this concept, programs havebeen developed beyond borders with thephilosophy of Open Sogo-Fujo (mutual
assistance), which, AMDA believes, is theuniversal value of the 21st century. The
framework consists of four activity fields,
namely, 1) peace building, 2) healthdevelopment, 3) educational support, and4) livelihood assistance.

AMDA defines peace as “today’s family life
with hope for a better tomorrow.” “Today’s family life” symbolizes a healthy family condition
where one has sufficient food to maintain a decent living. The phrase, “hope for a better
tomorrow” points to providing education to children. The said four fields of GPSP activities
have been set to abate conflict, disaster, and poverty, all of which are considered hindrances
to realizing peace.
By involving governments, local public authorities, public interest groups, corporate
enterprises, and academia, AMDA hopes to enlighten the world with the concept of Open
Sogo-Fujo to realize the coexistence of diversity. This is the end goal of the Global
Partnership for Sustainable Peace.

GPSP’s three core values
1. Partnership: the natural feeling of mutual trust and respectattained through working together to overcome difficulties
2. Open Sogo-Fujo: expanding the concept of Sogo-Fujo (mutual
assistance) into a universal value. It promotes mutual
assistance across and beyond one’s own community,
regardless of race, religion or culture
3. Local Initiative: maintaining the utmost respect for each andevery community’s values and culture
Sogo-Fujo is a cycle of giving and receiving, a traditional value deeply rooted in the closeknit community-oriented way of life in Japan.

1. Peace Building

Emergency Relief

Whenever natural disasters or humanitarian crises occur, AMDA prides itself on swiftly
sending relief teams to provide timely and coherent assistance to the victims. By tapping into
the vast network of partner organizations around the globe, AMDA does what it can to deliver
what is most needed on the ground.

11. Peace Building

Humanitarian crisis in Ukraine (March 2022 - )Immediately after the humanitarian crisis occurred in Ukraine in late February 2022, AMDA
launched emergency relief operations to help the evacuees who sought refuge inneighboring countries. AMDA sent aid workers to Hungary where many Ukrainians werearriving from war zones. At the time, sources reported that approximately 18 million people
had fled Ukraine to other countries for their safety.
From March to October of that year, a total of 14 aid workers were dispatched from AMDA
Headquarters in Japan and other locations. After the completion of the initial activity phase,
AMDA commissioned its relief work to local partner organizations in Hungary and Ukraine toprovide further assistance.

◆Beregsurany (Hungary):
AMDA’s relief team worked at a help center for evacuees in Beregsurany, a village locatedon the Hungarian border with Ukraine. During the initial phase, the team worked around theclock to provide medical services, seeing around 10 patients per day at the center’s makeshift
clinic. The staff members also did their rounds within the facility to see if anyone needed2

1. Peace Building
assistance. Likewise, the team took care of local aid workers and volunteers, as fatigue wastaking its toll on them due to the strenuous work.
The team also offered foot-spa treatment and massage to anyone that needed them. In
addition, AMDA’s staff members helped the children at the shelter to relieve their stress byorganizing recreational activities.

◆Kisvarda (Hungary):
In June, AMDA’s local counterpart Várda Hagyományőrző,Kulturális Egyesület (hereafter referred to as “Várda”) helda sporting event in Kisvarda, Hungary, where many
evacuees were taking refuge. The event brought together
participants from both Ukraine and Hungary to enjoy
dancing and singing together. The AMDA team participatedin the event by setting up a first aid tent to be on standby.
In addition, the team offered drinks and snacks toparticipants.
In July, AMDA joined a cooking event which was held as part of an initiative to support
Ukrainian evacuees. Among a variety of Hungarian andUkrainian dishes served, one notable dish was theJapanese-style pan-fried noodles (yakisoba) prepared by
the staff members of AMDA and Kárpátalja Ház, AMDA’s
local counterpart. At the noodle stand, each staffer wore a
traditional Japanese robe which bore the messages of
support from AMDA supporters in Japan. The noodles
were so popular that some people bought them repeatedly.
All of the proceeds were used to purchase relief goods tosupport Ukrainian evacuees.
◆Sending medical supplies to hospitals in war zones:
Through Várda, AMDA has been sending medical supplies
to hospitals in Ukraine where medicine and other essential
items have been in short supply. Since Japanese doctors
were not permitted to enter the Ukrainian territory, theorganization acted as a mediator to distribute the goods
on behalf of AMDA. Also, a portable electrocardiogrammachine was donated to Várda for further use in Ukraine.
3

1. Peace Building◆Others:

Foreseeing the protracted crisis, AMDA donated a van to Várda to be used for thetransportation of relief items. AMDA decided to provide the vehicle after learning that theorganization was using a rented car for one of their work vehicles.
Meanwhile, AMDA purchased home appliances such as refrigerators and microwaves to bedelivered to medical rehabilitation facilities in Ukraine. Food distribution efforts have also
been carried out for those who are unable to get food items due to logistical and financial
problems.
In November, AMDA provided two units of air conditioners to a local medical facility in Ukraine
as winter set in. One of AMDA’s local partners also conducted food distribution activities in aregional city, providing foodstuffs such as pasta and cooking oil to 20 local families.

Furthermore, AMDA donated a power generator to one of the local medical facilities in
December to counter the frequent power outages. Because the outages lasted for 12 to 24
hours a day in the region, residents had trouble getting power supplies for heating and lighting.
The generator has been mainly used by people with disabilities at the facility.
In Christmas, presents weredelivered to children remaining in
war zones. To give them somesense of relief amidst the toughsituations, Várda coordinated the
distribution on the ground.

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1. Peace Building

Large-scale flooding in Pakistan (September 2022 - )In response to the floods that devastatedPakistan during the monsoon season (June– August), AMDA dispatched one relief
coordinator from Japan in late September
2022.
Due to the frequent flooding stemming frommonsoons and melting glaciers in the
country’s northern mountainous regions, thePakistani government said 1,486 people
died, 12,749 people were injured and 1.76
million houses were destroyed (as of 14
September).
AMDA had been in touch with its local counterparts since August and decided to send its
relief personnel in the face of the worsening situation. By September, it was said the affected
population reached around 33 million.
A day after arriving in Pakistan, on 22 September, the AMDA coordinator visited the head
office of the National Rural Support Programme (NRSP) for information gathering. NRSP has
been AMDA’s long-time partner in social development and emergency relief projects.
On the 23rd the AMDA coordinator visited the Hamdard Foundation, AMDA’s anothercounterpart for many years, whose founder had deep ties with AMDA president. The following
day, the coordinator visited the heavily-hit province of Balochistan with the foundation’s staff
members.
The coordinator reported that the major bridges connecting the province with the adjacentSindh region had been completely washed away, leaving the local transportation system andeconomy paralyzed.
After paying a visit to two local hospitals which were also used as shelters, the coordinator
reported that the flood water had already receded in the proximity, and the number ofincoming evacuees were getting less. (The hospitals were run by the Hamdard Foundation.)
The next day, the coordinator moved toJamshoro in Sindh Province with thefoundation’s staff members to assess the
local situation. Because many places werestill submerged, a lot of people were taking
shelter in evacuation centers and tents set
up along roadsides.
This time, thanks to the Hamdard
Foundation’s coordination, the coordinator
was able to enter the area that was stillinundated by boat.

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1. Peace Building
With the foundation’s assistance, the team managed to deliver food items to those who haddifficulty evacuating. Each set of food items contained, flour, rice, sugar, dal beans, chickpeas,
powdered milk, and tea leaves. Around 225 sets were distributed in total.
From 26 to 28 September, with NRSP, the AMDA coordinator visited affected communities in
Tando Allahyar and Mirpur Khas (both in Sindh Province) to determine the extent of thedamage. Through briefings with Tando Allahyar’s health officials and the staff members from
NRSP’s Mirpur Khas office, it was learned that although malaria was spreading in each area,
the exact number of the infected was yet to be known because the scale of the infection was
extensive.
The coordinator also identified thatmany of the local residents weretaking shelter in makeshift tents set
up by the roadsides since theirhouses were washed away. As
there was a need for mosquito nets,
the coordinator donated them to
150 households in a village in
Tando Allahyar on the 28th. Thiswas made possible thanks to
NRSP’s assistance.
Later that day, the coordinator met Dr. Shoaib Baqai, the head of the Baqai Foundation, who
also led AMDA Pakistan. According to Dr. Baqai, the foundation was conducting medical
relief with its own team on a bi-weekly basis in Sindh, organizing mobile clinic services anditem distribution efforts.
On the 29th, the coordinator visited severely affected communities in Thatta (also in Sindh)with aid workers from the Hamdard Foundation. Many residents residing along the Indus
River were said to have lost their houses in flooding.
Based on the information provided by the local police and rescue rangers, AMDA andHamdard jointly provided food items such as flour, rice, and beans to 150 local families in
one remote district where assistance had not reached. The distributed food supplies were
procured locally to support the recovery of the regional economy.
Upon completeing his work, the coordinator said, “It is important to see what is happening inreality and consider what each of us can do to help those in need.”◆Follow-up relief activities:
After the AMDA coordinator returned to Japan, the Baqai Foundation practically took over therelief work and continued to be active in Sindh Province from October to December. Each of
the activity periods was as follows:Team
1st team
2nd team
3rd teamWork location
Moro
ThattaGharo
6Period
6-9 October
18-20 November
16-18 December

1. Peace Building
During this time, a team comprising around 10 staff
members worked hand-in-hand to provide assistance to theflood victims. Government-run schools and institutions
accommodated the team at each location.
The relief work consisted of two activities, which were, 1)
medical assistance, and 2) the distribution of relief goods.
For the medical part, paramedical personnel and doctors
took care of patients with common ailments such as diarrhea,
coughs, and ophthalmologic symptoms. Accordingly,
antidiarrheic drugs, cough syrups, and eye drops wereprescribed as needed. In total, more than 1,000 patients
benefited from the medical assistance.
Regarding the item distribution, the team delivered foodstuffs which included rice, beans,flour, teabags, and cooking oil. First aid boxes that contained bandages, ointments,
antibiotics, and other hygiene goods were also provided. It is estimated that more than 200
families benefited from the item distribution as a whole.

Mr. Rehan Lodhi, Baqai’s liaison officer, explained that around the time when the relief work
started, the interactions between the team on the frontline and the back office was not easy
due to security reasons in affected areas. However, he concluded that “people affected by
the disaster were full of praise for the assistance they received.”
Also as a follow-up, he sent the below message to express his views on the existing situation:“In the current scenario, the floods in Pakistan have had a devastating effect on the country.
Millions of people have been displaced and thousands have lost their lives. The floods havedestroyed homes, crops, and infrastructure. The floods also had a significant impact onhuman health with a rise in waterborne diseases and mental health problems.The floods
have had a major impact on the economy of Pakistan. The country is already struggling withhigh levels of debt and inflation. The floods will make it even harder for Pakistan to recover.
It is estimated that it will take years for Pakistan to recover from the floods. In the meantime,
the people of Pakistan need our help. We must do what we can to provide relief and support
to those who have lost so much. It will take time to return to normal life.”7

1. Peace Building

Tropical Storm Nalgae (Paeng), Philippines (November 2022)
In response to tropical storm Nalgae (locally called
Paeng), which struck the Philippines’ Catanduanes
island, AMDA carried out an aid distribution effort
with Kikkawa Co., Ltd., a Japanese privatecompany based in Kurashiki, Japan.
After making landfall on 29 October 2022, the storm,
which moved westward by the following day,battered several islands in the region. A torrential
rainfall caused flooding in many areas, affecting
around 1.47 million families in total, the National
Disaster Risk Reduction and Management Council (NDRRMC) said on 19 November.
To assess the situation, AMDA Headquarters
immediately began contacting AMDA Philippines andits local partners at the outset of the storm. It waslearned that the southern island of Mindanao wasseverely affected.
For two days starting on 13 November, AMDA jointly
organized emergency relief with Kikkawa for the flood
victims in Zamboanga, a city in Mindanao that was
heavily inundated. The company has supported
AMDA’s humanitarian work for many years.
In Zamboanga, the joint relief team was initially planning to distribute foodstuffs such as rice,
dried noodles, tinned sardines, corned beef, coffee, and juice to some 500 local families.
However, due to the greater demand, the team eventually supplied goods to around 800
households in two days, adding non-food items such as blankets, underwear, and clothing
to the list of the goods they provided.

8

1. Peace Building

Earthquake in Java, Indonesia (November 2022)
In response to the earthquake that struck Java
Island in Indonesia on the afternoon of 21
November 2022, AMDA Indonesia dispatched a
medical relief team to Cianjur, the epicentre
regency in West Java Province.
According to Indonesian national disasterauthority BNPB, the magnitude 5.6 earthquake
killed 272 people, leaving 2,061 people injured
and 39 people missing. A total of around 57,000
buildings were damaged, and approximately
60,000 people were forced to take shelter (as of 25 November).
AMDA Headquarters received a request for assistance immediately after the quake hit. This
led AMDA Indonesia to form an emergency medical team comprising 14 medical workers(two doctors, five nurses, one pharmacist, two radiographers, and four coordinators). The
members of the team were led by an anesthesiologist based in Bogol, West Java, who wasa former student of Dr. Andi Husni Tanra, AMDA Indonesia’s chapter chairperson.
On 25 November, the team headed to the Tunggilis village, one of the remote communities
where no help had reached at the time. This time, the relief team consisted of 19 aid workers(five doctors, seven nurses, one pharmacist, two radiology technicians, and four
coordinators) from Ciawi Regional General Hospital in Bogor, West Java.

As some of the stranded communities were difficult to reach by car, the team had to accessthe evacuation shelters on foot, navigating through muddy pathways. Upon arrival, the team
immediately started providing medical consultation services to the affected residents.
On the following day, the team also visited Pasir Cina, another village in the same area, tocarry on with the relief work.
As a whole, the team catered to the needs of around 700 people in two days, seeing 301
patients in total. Symptoms such as fever, diarrhea, respiratory ailments, and body pains
were commonly seen among the patients. Medicine was also prescribed as needed.

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1. Peace Building

On the 27th, the team visited the Cariu village to provide relief goods. Aside from foodstuffs
including instant noodles and milk, it also provided soap, toothbrushes, shampoo and otherdaily necessities.

Earthquakes in Türkiye (February 2023 - )AMDA has been continuing its
humanitarian relief efforts to
support the victims of huge
earthquakes that devastated thesouthern regions of Türkiye on 6
February 2023.
On 1 March, Turkish disastermanagement authority AFAD
reported that a magnitude 7.8
earthquake
andnumerous
aftershocks claimed 45,089 lives, leaving 1,971,589 people displaced.
Five days after the initial quake hit, AMDA dispatched its medical team (one doctor, one nurse,
and one coordinator) to Türkiye from Japan. To join forces with the first team, additional
medical personnel (one doctor and one nurse) were sent after a short period of time.
As the relief work developed, it eventually resulted in joint relief operations in thesoutheastern province of Adiyaman with the Turkish Medical Association (TTB) and theregion’s local doctors’ associations. The aid workers responded to the needs of the residents
by providing medical consultation services and distributing emergency supplies.
◆Adiyaman (20-25 February):
The AMDA team went around evacuation shelters and tents in
Adiyaman’s city center to see if anyone needed medical
assistance.
Many of the patients had badly dry skin and injuries. There weremany people who were suffering from chronic illnesses such as
diabetes and hypertension as well.
One patient had not been able to retrieve antihypertensive
medicine from home, as it was dangerous to enter the house
which was on the brink of collapse. The team also learned thatit made it hard for the patient to go to a hospital because seeing
the destroyed streets would make one distressed.
Although the patient had been put on medication, the blood pressure readings remained high.
Accordingly, the team procured medicine for the patient by referring the case to a local
welfare center.

101. Peace Building◆Visiting remote villages (16-19 February / 26 February - 4 March):
After the initial needs assessments wereconducted at the disaster sites, the AMDA teambegan providing medical consultations in remotecommunities.
This led medical professionals from Adiyaman
and other neighbouring areas to visit some of themost isolated locations. Just as previously noted,
many people came to have their blood pressure
and sugar levels checked for their chronic
symptoms.
“At the time of natural disasters, chronic illnesses tend to get worse because of the stressfulenvironment,” an AMDA doctor said. “The most important thing is to get rid of the patients’stress and give appropriate advice to them by providing check-ups before the symptoms
exacerbate.”
Among the evacuees who dropped by the mobile clinic services were families that had
evacuated to the outskirts from city areas. However, their children had developed stomach
aches, mostly due to the stress of adjusting themselves to unfamiliar environments. An AMDA
doctor emphasized the importance of providing psychological care to minors as thememories of calamities could persist for several years.
◆Item distribution efforts:
To help cope with bone-chilling temperatures (which hit
sub-zero even in the daytime), the AMDA teamdelivered relief supplies to keep the evacuees warm.
The items included ankle-warming braces, blankets,and thermal underwear, some of which were purchased
locally to support the regional economy. In addition, a
set of hygiene supplies (shampoo, liquid soap, wetwipes, towels and sanitary napkins) was also provided
to the evacuees to prevent the risk of infections.
The team also distributed sweets and snacks to children, as well as hijabs to women.
At the mountainous village of Aksu, the team gave out winter socks to the residents as mudfrom landslides had entered their houses.
◆Recreational activities for children:
One of the highlights of this relief mission was the recreational activities, which the AMDA
team organized for children who had been forced to endure the plight.
The team was joined by a sports instructor and a childminder who came to offer help as
volunteers. Thanks to their assistance, the team managed to offer physical exercise andpainting activities to local children.
111. Peace Building
Likewise, an online exchange event between Turkish children and Japanese middle school
students was held on 3 March via video chat. It wasa huge surprise for the Japanese students when
Turkish children introduced themselves in Japanese.
The Q&A session that followed deepened theirmutual understanding.
The AMDA team also succeeded in bringing joy to the
local children through play activities using origami
paper and stickers they brought from Japan. The
children appeared to be having a lot of fun, with someof them exclaiming with joy.
◆Follow-up activities:
After the emergency phase came to an end, AMDA launched post-quake support activities
which would be held on a medium-to-long-term basis. For this initiative, the doctors’
association in Adiyaman was expected to play a key role in the actual work.
Currently, the doctor’s association has been running a temporary clinic by utilizing a truck
container that the Turkish government provided for temporary housing. The clinic has beenoffering free dental check-ups, and antenatal care for pregnant women.
Immediately after the initial tremor struck, psychiatrists were called to provide psychologicalsupport to quake victims. Presently, a specialized mental healthcare team has been formedin conjunction with the opening of four general clinics. Moreover, the organization has been
constructing a children’s day-care facility with an emphasis on providing psychologicalsupport. AMDA covers part of the funding for the project.

List of AMDA Emergency Relief (April 2021 - March 2022)
Month
February
September
NovemberNovemberFebruary (2023)

Project
Crisis in Ukraine
Large-scale flooding in Pakistan
Tropical Storm Nalgae (Paeng)
Earthquake in Java
Earthquakes in Türkiye

12Country
UkrainePakistan
Philippines
Indonesia
Türkiye1. Peace Building

Post-disaster Reconstruction Assistance
The Great East Japan Earthquake (2011 - )Over the past decade, AMDA has supported the disaster-hit communities in northern Japan,
Iwate and Miyagi Prefectures in particular, which were devastated by the 2011 Great East
Japan Earthquake and Tsunami.
On 11 March 2011, the deadliest tremors of an unprecedented scale (mag.9.0) coupled witha horrendous tsunami killed 15,800 people in the region, leaving more than 2,500 people
missing. AMDA was quick to respond to the catastrophe by sending a relief team to Sendai
in Miyagi Prefecture the day after the quake struck. The emergency phase of the relief
activities lasted close to two months (in which 149 aid workers were dispatched in total),followed by the secondary phase with a focus on disaster reconstruction. Ever since, AMDA
has worked with local partners in providing assistance to every nook and corner of thecommunities where people have different needs for support.
◆AMDA Health Support Center in Otsuchi, Iwate Prefecture:
After the 2011 earthquake and tsunami devastatedOtsuchi in Iwate Prefecture, the town has been
facing a gradual decline in population. The
population has dwindled to approximately 11,400
in 2021 from what used to be 15,000 in 2011 before
the disaster occurred.
Still, AMDA Health Support Center in the town has
been continuously serving the local community forthe last 10 years by providing acupuncture therapy,
as well as health-related guidance and workshops
to its visitors.
After vacating a temporary flat where the old center had been located, a new building wasbuilt in 2022 for the facility to make a fresh start. Although the facility was forced to reduce
the number of events due to the COVID-19 pandemic, some activities such as physicalexercise workshops were continued online.

131. Peace Building◆“Gourmet F-1”- A foodie event for regional revitalization:

Gourmet F-1, a foodie event that features local food produce, was originally started with theaim of revitalizing local shopping streets in Kesennuma (Miyagi Prefecture) and otherdisaster-stricken communities in the Tohoku region. AMDA has contributed to the event in
multiple ways: by sending volunteers to help operate it or by holding photo exhibitions at thevenue. Although Gourmet F-1 was temporarily suspended due to the novel coronavirus
pandemic, one of the shopping streets launched food distribution efforts to ease the financial
burden of local residents stemming from the COVID-19 recession.
◆Support for the homeless in Sendai City, Miyagi Prefecture:
AMDA has been supporting the Sendai Yomawari
Group, a local NGO based in the city of Sendai in
Miyagi Prefecture that primarily offers meals tohomeless people. Most of them are those who havebeen forced to live on the streets after the 2011
disaster. Because of the COVID-19 pandemic, thenumber has increased due to job losses. The NGO
has been periodically extending a helping hand to thehomeless people in the city’s several locations. In
addition to providing packed meals and newunderwear, it has been offering mobile shower and laundry services. Furthermore, it supports
the users to become self-reliant by helping them to apply for social welfare benefits, which
include public housing, vocational training, and employment-related assistance. Although theamount is small, the group also pays wages to those who take part in early-morning street
clean-ups.

Post-quake assistance in Haiti
A magnitude 7.2 earthquake that devastated Haiti in August 2021 left deep scars on its
people and society. The damage as a whole was unimaginable especially during the time
when the country had already been struggling with a sluggish recovery from the previous
earthquake in 2010. Not only did they respond to both calamities, but AMDA and AMDA Haiti
have been doing their utmost to help rebuild people’s lives through an array of humanitarian
initiatives.

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1. Peace Building◆Youth soccer exchange program:
As part of post-disaster reconstruction assistance in thewake of the 2021 earthquake, AMDA Haiti co-organized ayouth soccer-exchange program with the city of Beaumont.
A total of 45 children from three areas participated in the twoday event to commemorate the one-year anniversary of thedisaster. All participants, including soccer referees andevent organizers, marched through the streets and offered
five minutes of silence to mourn for the victims.
At the outset of the quake, AMDA Haiti swiftly conducted
medical relief and item distribution efforts. The relief activities were carried out in four different
phases, which included the dispatch of aid workers from Japan. Some of the relief work was
conducted at the direct request of the city mayor of Beaumont.
◆Medical relief for IDPs:
In late December 2022, AMDA Haiti conducted medical
relief activities at a refugee camp set up for internallydisplaced Haitians who fled the escalating gang violence
plaguing Haiti. Due to the political instability stemmingfrom the 2010 earthquake, Haiti’s security situation
significantly deteriorated to the point in which foreign aid
organizations began withdrawing one after another. This
led the citizens to flee for safety, seeking refuge at
refugee camps in Port-au-Prince, the capital.
AMDA Haiti launched a mission to support the internally displaced people who were enduring
extreme living conditions by providing medical services
and food supplies. One of the evacuees said that theinitiative helped them receive medical care and otheressential needs, as they had no money or access to
hospitals. During this mission, the AMDA team treated a
total of 399 patients. As there was a constant need forcomprehensive support in the camp, the evacuees
expressed their hopes for AMDA to conduct the relief
work on a monthly basis.

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1. Peace Building

Disaster Response Platform
AMDA Platform for the Nankai Trough Earthquake Disaster Strategy

About the Great Nankai Trough Crisis
The Japanese government predicts that an earthquake of unprecedented magnitude will
strike Japan along the Nankai Trough within the next 30 years. It is predicted that thequake will cause a massive tsunami that could devastate the extensive coastline along
the Pacific Ocean from Shizuoka to Miyazaki Prefectures, spanning from central towestern Japan. The death toll is estimated to exceed 300,000, with 2 million buildings
expected to be destroyed. AMDA has established a comprehensive counter-disasterscheme called, “AMDA Platform for the Nankai Trough Earthquake Disaster Strategy” toprepare for this anticipated crisis. To fully prepare for this calamity, the platform enables
local governments, medical institutions, private corporations, and NGOs to collaborate
promptly in the event of the disaster.

AMDA’s focus is on the Shikoku region (Kochi and
Tokushima in particular) given that, 1) access to theseareas will be challenging after the Great Nankai TroughEarthquake and Tsunami strikes, and 2) emergency
assistance is expected to concentrate primarily in major
cities such as Osaka and Nagoya. By enhancing
interactions between aid organizations, local
governments, and medical institutions, the AMDA
platform enables timely and coordinated disaster
response in such remote locations.
Every year, AMDA and its partners hold joint evacuation
drills and workshops to simulate concrete disaster
response. What counts is the flexibility in responding to
unforeseen circumstances. As preparedness plays acrucial role in tackling emergencies, all concerned
parties have been eager to keep each other updated,while pushing themselves to acquire advanced skills
and knowledge of disaster management.

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2. Health Development

Primary Health
AMDA Peace Clinic in Bodhgaya, India
For the last couple of years, AMDA Peace
Clinic (APC) in Bihar, India’s poorest state,has implemented a range of food programs
to aid individuals whose household financeswere significantly impacted by the COVID-19
pandemic. APC is located in Bodhgaya, theworld’s most important Buddhist sanctuary.
Established in 2009, APC has been
particularly known for an array of initiatives
aimed at supporting pregnant women andchildren in the local community. However,
the global outbreak of COVID-19 forced theclinic to temporarily suspend its gynecological/obstetrical services. Accordingly, the clinic
overcame the inconvenience by providing telephone consultations and referral services to
respond to clients’ needs.
Similarly, it was a natural decision for the clinic to donate foodstuffs to its clients and theirfamilies during the most trying times, as many of the breadwinners had lost their jobs due tocity blockades and lockdowns.
After Indian authorities eased these restrictions in April 2022, this allowed local residents toreturn to work and start rebuilding their daily lives. The gradual recovery of the local economy
followed.
Nevertheless, the circumstances surrounding the villages on the outskirts were still bleak.
Women, children, the elderly, and people with disabilities continued to face difficulties insecuring sufficient food supplies for themselves. This led APC to launch a weekly meal
distribution program in January 2023, which provided lunches to those in need.
As the viral infection started to subside, APC
resumed maternal healthcare services that
included biweekly consultations, home visits, andnutritional guidance. Strongly advocating for
women to receive ultrasound check-ups for thehealthy delivery of their babies, the clinic has also
been providing financial support to those who
cannot afford them, or to those whose family
members are less cooperative in receiving thecare.
■Participating organizations: AMDA Headquarters, AMDA Peace Clinic, Japan India
Friendship Medical Center Trust (JIFMC)

17

2. Health Development
AMDA Haiti’s free dental programOn 4 March 2023, AMDA Haiti conducted an annual
dental project for the 12th time in Fond des Negres incentral Haiti. The project was aimed at helping local
residents that were seeking dental treatment in thearea where medical resources were scarce. Patientsgathered to receive free dental care, with manycoming from neighbouring communities which
neither had medical nor dental clinics.
Just as the previous year, the event took place at
Bethel Clinic, a hospital run by the Salvation Army.
Before offering treatment, AMDA Haiti chapter
chairperson Dr. Mac Keven Frederic introduced thehistory and activities of AMDA to the patients. He
talked about the roles AMDA played in the nation in
the realm of disaster relief, post-disasterrehabilitation, and prevention of infectious diseases.
This year, a total of 72 people came to receive thetreatment, which was well over the year-to-year average. Besides providing dental treatment,
medical services such as blood pressure tests and the measurement of body temperatures
were also offered. A man in his forties who received the treatment said it was his first time tocome to the dentist. Another patient expressed her hope for the project to be held in her
hometown. In fact, it is not a rare case in this region to come across someone who has neverreceived dental treatment in one’s life.
Dr. Frederic said many people called for similar activities to be carried out in remote areas
as there were constant medical and dental needs.
■Participating organizations: AMDA Haiti, Bethel Clinic (Salvation Army), AMDA
Headquarters

AMDA Cambodia’s youth health initiatives

In December 2022, AMDA Cambodia collaborated with Chenla University to organize aseminar on reproductive health and rights. The two-day event consisted of two workshops,
which focused on 1) cervical cancer, and 2) reproductive health and rights, as well as the
future of the youth. With scholars and experts from local hospitals, universities, and NGOs in

18

2. Health Developmentattendance, the lectures shed light on the current status of women in rural communities within
the scope of reproductive rights.
For many years, AMDA Cambodia has been raising awareness about HIV/AIDS prevention
among young people. It distributes educational materials such as pamphlets and booklets toschools and youngsters through student volunteers.
■Participating organizations: AMDA Cambodia, Yamaichi Kanko (Japan), AMDA
Headquarters, Chenla University et al.

Facilitating Medical Technology Transfer
Mongolia◆Endoscopy training:
In September 2022, AMDA resumed endoscopy training
in Mongolia, which had been temporarily suspended
due to the coronavirus pandemic. Based on thepartnership formed in 2011 between Mongolian
National University of Medical Sciences (MNUMS) and
AMDA, the project used to take place every year from2017 until 2019. It was led by Japanese endoscopist Dr.
Takushi Sato, who also served as an AMDA board
member.
From 19 to 24 September 2022, Dr. Sato along with Dr. Takeyuki Shirai from Japan visited
Mongolia to give hands-on lectures on esophagogastric varices and colorectal cancer in earlystages. The course was held at MNUMS’ Mongolia-Japan Hospital, which was constructedwith the support of the Japanese government in April 2019.
To begin with, the Japanese specialists and the team of Mongolian endoscopists confirmed
and discussed each other’s procedures and directions concerning upper/lower
gastrointestinal endoscopy. Dr. Shirai talked about the diagnosis of colon cancer using
endoscopic ultrasound and cancer surgery techniques that were common in Japan. The
lecture on endoscopic submucosal dissection (ESD) was held in English. Likewise, Dr. Satotaught young medical interns the basics of endoscopy using an endoscopy simulator hebrought from Japan.

19

2. Health Development
The topics covered during the session were as follows:-Endoscopic variceal ligation (EVL)-Endoscopic mucosal resection (EMS)-Endoscopic ultrasound (EUS)-Endoscopic submucosal dissection (ESD)-Colonoscopy
In future sessions, the training also hopes tocover endoscopic injection sclerotherapy(EIS), as well as EIS with ligation (EISL).
On this occasion, AMDA signed apartnership agreement with the MongoliaJapan Hospital for further collaboration. Dr.
Sato, Dr. Shirai, and Dr. Mendjargal
Adilsaikhan, the head of the hospital,
expressed their hopes for stronger ties
between the two parties through active
technical exchanges in the years to come.
◆Emergency medicine training:
For the first time in two years, AMDA organized a training program for the staff members of
Ulaanbaatar Emergency Service (known as 103), an emergency medical service unit directly
operated by the Mongolian health ministry. The workshop focused on the diagnoses ofexternal injuries and their treatment methods.
Since September 2012, AMDA has held
hands-on workshops every year for thoseworking in emergency medicine in the
Mongolian capital. Until it was temporarilysuspended in 2020 due to the COVID-19
pandemic, more than 200 medical workers
took part in the training. The program wasalso headed by Dr. Sato, a certified
emergency medicine specialist and an
instructor of JATEC (Japan Advanced
Trauma Evaluation and Care).
Ambulances in Mongolia are much like the so-called “doctor cars” (emergency medical
vehicles) in Japan. As these vehicles enable emergency doctors to provide diagnoses andtreatment on board, a high level of skill and knowledge is always required for those who ridein them.
This time, the training delved into how to use portable ultrasound efficiently for diagnosinginternal ailments and external wounds, in which precision and flexibility were required indifferent settings. The workshop included practical guidance on manual intraosseous20

2. Health Development

cannulation and other techniques, all of which contributed to the improvement of the clinicalabilities of 26 participants.
Doctors from other medical facilities in Ulaanbaatar
were also among those who took the course. The
workshop was especially meaningful because aplan was underway to equip ambulances withultrasound. After the program ended, Dr. Sato andthe head of 103 discussed the matters concerning
the introduction of portable ultrasound in depth.
Six months later, AMDA was informed of 103’s
decision to install the device on five of its
ambulances.
■Participating organizations: AMDA Headquarters, AMDA Mongolia, MNUMS, Mongolian
Ministry of Health, Ulaanbaatar Emergency Service 103

Nepal◆Endoscopy training:
AMDA Damak Hospital (run by AMDA Nepal) is asecondary medical facility located in Damak, Jhapa
in the eastern part of Nepal. Serving as the region’s
core hospital, the number of outpatients totalled
66,620, while handling 5,586 childbirths in 2021.
The facility manages to operate intensive care units
thanks to the support from Japan. However, theenvironment surrounding endoscopy has yet to beenhanced. To strengthen its capabilities, AMDA
Headquarters launched a training program on
upper gastrointestinal endoscopy and legion diagnoses for local doctors in February 2018.
Until it was temporarily suspended in 2020 due to the COVID-19 pandemic, in-person training
had been conducted every year by Dr. Takushi Sato, a Japanese endoscopist and AMDA
board member. In 2021, the training session was held online to make up for the suspension.
After the coronavirus situation calmed, Dr. Sato returned to Nepal for the first time in four
years to hold training sessions from 7 to 13 March 2023. He accompanied Dr. Diwas, anendoscopist at AMDA Damak Hospital, to instruct local doctors on lower gastrointestinalendoscopy without anaesthesia. Dr. Diwas completed a three-month training program at
Okayama Saiseikai General Hospital in Japan in 2016, and has received guidance from Dr.
Sato over the years.

212. Health Development

During this year's workshop, Dr. Sato used an endoscopic simulator that he brought fromJapan to examine several patients who were alleged to have intestinal problems. As a resultof 19 cases of upper and lower gastrointestinal endoscopy and 13 cases of uppergastrointestinal endoscopy, patients with rectal cancer, ascending colon cancer, sigmoid
volvulus, Crohn’s disease, and polyps were identified.
Among those who wished to be seen by Dr. Sato were people from areas outside Damak. A
total of 32 patients (15 males and 17 females) underwent diagnosis and treatment. They
ranged in age from those in their 20s to their 80s. Some of the patients said they were happy
that the procedure was “not unbearable at all” compared to what they had experienced inother medical facilities.
From 2018 until now, more than 2,500 people have undergone upper gastrointestinalendoscopy at the Damak hospital, of whom 75 people were diagnosed with cancer. Althoughsome of them lost their lives at a young age because of the late detection of the disease,those whose cancer was detected at an early stage have been treated at a cancer treatment
center in Kathmandu.
Local medical practitioners say that ever since the Damak hospital has started offeringendoscopy services, many people have come to receive check-ups, thereby making themmore conscious about their health.
The endoscope (colonoscope) was originally donated by Taiwan International Health Action(Taiwan IHA), a humanitarian section of the Ministry of Health of Taiwan.

■Participating organizations: AMDA Nepal, AMDA Headquarters22

2. Health Development

AMDA GPSP Hospitals
Japan Afghanistan Friendship Hospital (Afghanistan)
Headed by its chapter chairperson and six other board members,
AMDA Afghanistan has been running Japan Afghanistan
Friendship Hospital in Kabul since 2011. The facility has
contributed to providing quality medical services toimpoverished communities in the region. It has also sent its
doctors to Japan for professional training.

Japan Bangladesh Friendship Hospital (Bangladesh)
Located in central Dhaka, Japan Bangladesh Friendship
Hospital (JBFH) is currently one of the leading hospitals in
Bangladesh. It boasts a capacity of 100 beds. With AMDA
president Dr. Suganami’s support, JBFH was founded in 1993
by laparoscopic surgeon Dr. Sarder A. Nayeem (who later
established AMDA Bangladesh) and pain specialist Dr. Jonaid
Shafiq. Ever since, the hospital has been catering to a wide
range of medical needs.

Japan Mongolia Friendship Hospital (Mongolia)
Established in August 2012, Japan Mongolia Friendship
Hospital (JMFH) is the latest addition to the list of AMDA
hospitals around the globe. While general medicine makes up
90% of medical needs at JMFH, it also runs a children’snursery within the same building. In the near future, thehospital is expected to serve as a medical hub for local
residents where, for instance, women can drop in for prenatal
health check-ups and their children’s vaccinations. There isalso a plan to have young doctors from the Mongolian National University of Medical
Sciences (MNUMS) stationed at the hospital for their practical training.

AMDA Damak Hospital (Nepal)
AMDA Damak Hospital is a 75-bedded general hospitalestablished in 1992 with the help of AMDA International
and the Damak Municipality. In 1995, it became an
implementing partner of UNHCR, and has since served asa primary referral hospital for both the local people andBhutanese refugees in Nepal. AMDA Damak Hospital is
now a popular hospital in the country’s eastern region. The
hospital has anaesthesiology, general medicine, surgery, obstetrics/gynaecology, radiology,
paediatrics, ENT, dentistry, orthopaedics and other departments. It also offers learning
opportunities to medical students from different countries.

232. Health Development
Siddhartha Children and Women Hospital (Nepal)
Siddhartha Children and Women Hospital is a 100-bedded
specialty hospital for women and children. It is closely
located to Lumbini, the birthplace of Lord Buddha.
(“Siddhartha” is his childhood name.) AMDA Nepal
established this hospital after signing a partnershipagreement with Lumbini’s municipal government and the
local chamber of commerce. The hospital also offers nonprofit-based healthcare services. The main hospital building
was constructed with financial assistance from Japan.

AMDA Mechi Hospital (Nepal)
Located in southeast Nepal, AMDA Mechi Hospital was built on aproperty donated by a noble family that wished for better medical
infrastructure in the region. The Embassy of Japan in Nepal anda few other donors also provided support. Now, AMDA Nepal isrunning the facility as a general hospital with a capacity of 15
beds. The hospital is currently offering academic training for
medical practitioners as well.

“AMDA hospitals
are always
committed toproviding quality
medical services
to localcommunities.”24

3. Educational Support

Educational Support
AMDA Junior High and High School Students ClubFounded in 1995 at AMDA Headquarters in Japan, AMDA Junior High and High SchoolStudents Club is a student group that engages in various activities that include street
fundraising and peace-building programs both at home and abroad. The group holds amonthly meeting to discuss topics such as international cooperation and disaster prevention.
Its members consist of secondary school students from Okayama and its neighbouring areas.
For 2022, the club resumed in-person meetings and activities for the first time in three years
since all of its activities had been held online because of the novel coronavirus pandemic. A
total of 33 club members made a fresh start by convening its regular meetings, gearing up
for new activity plans.
◆Annual exchange event with students in Kochi, Japan:

Since 2017, the AMDA students club has been organizing an annual exchange meeting withjunior high school and high school students from the coastal town of Kuroshio in Kochi
Prefecture. Because AMDA has strengthened its partnership with the municipality for the
potential Nankai Trough disaster, the exchange aims to raise awareness among young
people about disaster prevention and preparedness.

25

3. Educational Support

In September 2022, the club members paid a visit to Kuroshio for the exchange event, which
was held for the first time in three years. Participants from Kuroshio consisted of local
students from two middle schools and one high school.
On the first day, AMDA students gave apresentation on AMDA’s disaster response. The
Kuroshio students introduced their disasterprevention efforts they conducted at school. Alsopresent was a Peruvian intern from Japan
International Cooperation Agency (JICA), whotalked about disaster-related topics in her homecountry. The participants also learned how to cookemergency meals using aluminum cans.

On the second day, the AMDA party took part in a tsunami evacuation drill. It was primarily
aimed at making use of a specially-developed smartphone app that would navigate them toa local evacuation tower. Impressed by the fact that drills as such had already been part ofpeople’s daily life in Kuroshio, AMDA students realized the importance of staying preparedfor emergencies at all times.
◆Assisting AMDA’s Ukraine response:

To support AMDA’s Ukraine response, the members of the students club engaged
themselves in preparing supplies to be shipped to AMDA’s relief team in Hungary. As plans
were underway to send traditional Japanese robes to be worn at charity events, each student
wrote a message on a cloth to show solidarity. The cloth was later woven into the robes andsent to Hungary. Likewise, the students helped run AMDA’s photo exhibition related to
Ukraine.

AMDA Kodomo Shokudo Support Platform
Literally translated as “children’s cafeteria,” kodomo shokudo is a volunteer-run canteen thatoffers nutritious meals at a reasonable cost for economically-challenged children and their26

3. Educational Support
families in Japan. As similar facilities have been set
up across the nation in recent years, AMDA has been
donating funds and foodstuffs to several canteens in
Okayama since December 2017 through AMDA
Kodomo Shokudo Support Platform.
The platform is a collaborative effort of governmental,
academic, and private sectors. Not only does it
provide food supplies, but it also aims to create an appropriate environment that fosters
children’s active social participation.
For 2022, besides providing packed meals and foodstuffs such asbags of rice, AMDA donated 560 pairs of underwear to the users of
its registered canteens. This initiative was made possible with thesupport of Gunze Love Earth Club, the philanthropic section ofmajor Japanese garment manufacturer Gunze.
The canteens serve as a place for moral support for single-parent
families in particular, which allows the operators and users tointeract on a daily basis. Such closely-acquainted relationships
have made it possible for the operators to grasp the precise needsof those households, thereby enabling them to provide consistent assistance.

Accepting interns from overseas
Through Japan International Cooperation Agency’s Nikkei Supporter Program, AMDA
Headquarters accepted a foreign intern from Peru between August and September 2022.
During this period, intern Ms. Katherinne D’Ugard Liza underwent training on the Japaneseapproach to disaster prevention and assistance. The training delved into the actual
procedures practiced on both governmental and community levels.
Her schedule included visits to several fire stations, medical facilities, and municipal offices
in Okayama, Tokushima, and Kochi Prefectures. Also, through an online meeting, she wasintroduced to AMDA’s counterpart in Iwate that played an active role in the post-disasterreconstruction of the 2011 East Japan Great Earthquake and Tsunami.

Her findings and proposals were finalized in the presentation that she gave at the completionof her internship. After reviewing past disasters in her home country and how the authorities
responded to them, she explained how Peru’s comprehensive disaster management can bestrengthened in the years to come.

27

3. Educational Support
In closing, she expressed her aspirations to continue exploring an ideal form of cooperation
between Japan and Peru.

Supporting an NGO-operated school in India
For the last few years, AMDA has been providing
educational support to a free boarding school in
Bodhgaya, India. The school is operated by
Jeanamitabh, a local NGO dedicated to uplifting the
lives of children from impoverished communities.
In August 2022, AMDA distributed school textbooks
to more than 100 students studying at the school.
In addition, a set of stationery was provided to every
student. Moreover, sanitary napkins, first aid goods,
and office supplies were donated on this occasion.
Four months later, Dr. Shigeru Suganami paid a visit to the school during his trip to India.
The students and school teachers welcomed him with bouquets and traditional Indianornaments, whose flowers were grown by the students themselves. His visit coincided withthe birthday of Jawaharlal Nehru, the first prime minister of India, which is designated as anational day of celebration.
Dr. Suganami donated new school uniforms to 45
students who could not afford them. The donation
ceremony was followed by an exchange meeting
between the students and Dr. Suganami. Asked what
their dreams were, the students expressed their hopesof becoming doctors and school teachers in the future.
Some also said they would like to study abroad.

28

4. Livelihood AssistanceLivelihood Assistance
Organic farming: AMDA Malino Farm (Indonesia)
2022 marked the eighth anniversary of the
opening of AMDA Malino Farm in South
Sulawesi,Indonesia.
The
farm
has
spearheaded organic agriculture in the region
since 2014. Originally brought in from Japan,
natural farming technology has permeated the
local agricultural scene, with a growing numberof farmers adopting organic practices in recent
years.
The opening of the Malino farm was triggered
by “AMDA Food Program” that was launched
in Japan in 2012. It is an agricultural initiative with the aim of spreading organic farming in
the Asia region. To kick off the project, AMDA began operating an organic farm in the villageof Shinjo in the northern part of Okayama. It incorporated a unique farming method thatutilized live ducks to control pests instead of relying on chemical pesticides. After some time,
two trainees arrived from Indonesia to learn the method. The two later brought it back to theirhome country, and started what we know as AMDA Malino Farm today.
“Food is the source of life” as AMDA puts it, this motto has been firmly embraced by Malino’s
local farmers. Currently, the number of organic farmers has grown to around 15 families,
most of whom are “converts” from conventional “non-organic” methods. They produce crops
such as rice, red rice, mustard greens, cucumbers, lettuce, and Chinese cabbage all year
round. Despite the COVID-19 pandemic over the last three years, the farmers kept
themselves going. Even during the most difficult times, they kept themselves afloat bysticking to their everyday work. As diligent as they can be, they are constantly exchanging
ideas and opinions in search of better farming.

What makes the Malino method unique is the combination of traditional Indonesian farming
and organic agriculture imported from Japan. The use of husk charcoal, homemade fertilizers,
and pesticides, coupled with handmade traditional Indonesian farming tools, seemed to be
the right match when combining the imported natural farming approach.
The local farmers’ enthusiasm can be seen in constantly experimenting with the productionof new vegetables and expanding distribution routes. A recent collaboration with different
sectors led to the creation of a face mask, which was invented using the rice powder
produced at the farm.
29

4. Livelihood AssistanceSun-drying rice grains

A local farmer harvesting Chinese cabbage

Supporting an elderly care home (India)
Originally from southern India, Ms. Vedha now runs anelderly care home in Bodhgaya in the northeastern
Indian state of Bihar. Before her venture, she used towork as a staff member of AMDA Peace Clinic (APC).
After losing her husband in her late 30s, her strong
wish to dedicate the rest of her life to supporting thepoor led her to the country’s most impoverished state.
Following her work at APC, she founded a care home
to help the elderly people who had no one to tend to.
As a qualified Ayurveda therapist, she used to run thecare home by allocating part of her income she gained
through massage services to tourists in Bodhgaya.
However, this became extremely difficult due to the
COVID-19 pandemic, because the government started
imposing travel restrictions and lockdowns.
Eventually, she gave up on the idea and has beenrunning her facility with the support of AMDA and other aid organizations. The period between
March 2020 and March 2022 was the toughest time for the home financially, and it was during
this time that AMDA regularly provided food assistance to the facility.

As of 2022, the facility is looking after 16 elderly residents in a single-story building made ofa tin roof and brick walls. In the building, beds are lined up without partitions in a large open30

4. Livelihood Assistancespace. The facility has been struggling to make ends meet as there is no regular assistanceprovided by aid organizations. Except for occasional donations made by wealthy individuals
who drop by several times a month to provide food items and other supplies, the home
continues to face financial difficulties.

To help ease the situation, AMDA donated one year’s worth of rice, one cow, two calves, 20
chickens, and five ducks to the nursing home. By selling their eggs and milk, the home isexpected to generate income, while supplying the dairy products to its residents. The profits
from the merchandise will be mainly used for paying their medical bills and funeral fees.

31International network of 32 chapters and over 100 collaboratingorganizations around the world

AMDA International Chapters
Afghanistan

Indonesia

SerbiaAlbania

Kazakhstan

Singapore

Bosnia & Herzegovina

Korea

Sri Lanka

Bangladesh

KosovoSudan

Bolivia

Malaysia

TaiwanCambodia

Mongolia

UgandaCanadaNepal

Vietnam

Colombia

New ZealandZambiaGuyanaPakistan

AMDA Group (Japan)

Haiti

Peru

HondurasPhilippines

India

Sakha Republic

Association of Medical Doctors of Asia (AMDA)
3-31-1 Ifukuchou, Kitaku, Okayama City, Okayama
700-0013 Japan
Tel: +81-86-252-6051/ Fax: +81-86-252-7717
https://en.amda.or.jp/
amda_info1984@amdainternational.com