1. Project title
Pathological capacity and system improvement for cervical cancer in Cambodia
2. Country nameCambodia
3. Background
Cancer mortality is increasing in Cambodia. Bureau of International Health Cooperation in National
Center for Global Health and Medicine (NCGM) launched a project for early diagnosis and treatmentof cervical cancer with Ministry of Health in Cambodia, Cambodian Society of Gynecology andObstetric (SCGO) and Japan Society of Obstetrics and Gynecology (JSOG) in 2015. The bottleneckfor scale-up of the screening program lies in the limited capacity of pathological service. In 2015,
there were only 4 pathologists, 15 pathology technologists and 3 public pathology laboratories allover Cambodia with 1.5million population.
A postgraduate course in pathology was created by University of Health Sciences (UHS) in 2015 toincrease the number of pathologists. NCGM developed for 3 years from 2017 to support this course
and improve the diagnostic ability of pathologist and specimen preparing technique of pathology
technologist. As a result, 5 residents became certified as pathologists and the forth new pathology
laboratory was established in the public hospital (National Maternal and Child Health Center). The
recent global trend, telediagnosis requires an increase in the number of pathology technologists, animprovement of their skills to prepare adequate specimens and an implementation system oftelediagnosis. In September 2019, the director of UHS requested us to support the introduction ofpathology into the course of medical laboratory technology.
4. Objective
To increase the number of pathologists and pathology technologists receiving basic education in UHS
To strengthen the quality assured pathology service in Cambodia
5. Program outline
The targets of this project are students and teachers in Technical School for Medical Care (TSMC) forBachelor of Science in Medical Laboratory Technology Bridging from Associated Degree (Bridgingcourse) and in Faculty of Medicine for a postgraduate course in pathology of University of Health
Science (UHS). This is the first year of projects for global growth of medical technologies, systems,and services through human resource development.
The main activities for pathology technologists is that course syllabus of pathology are made andlectures and practices about pathology are given in Bachelor of Science in Medical Laboratory
Technology Bridging from Associated Degree (Bridging course) of TSMC.
The main activities for pathologists are that lectures and class practices are organised andimplemented after subjects of them are identified for a postgraduate course in pathology of UHS
under the cooperation of Germany and France through web system because of the global situation of
COVID-19, and continuous education is implemented for the graduates of from the first batch of apostgraduate course in pathology of UHS.
The expected outcomes are as follows;- Basic laboratory education is introduced and implemented in Technical School for Medical Care
(TSMC)- Lectures and practices are organised and implemented for a postgraduate course in pathology ofUniversity of Health Science (UHS)- Continuous education is implemented for young pathologists including the graduates from the firstbatch of a postgraduate course in pathology of UHS
6. Implementation structure
6-1. Japanese side

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Bureau of International Health Cooperation in NCGM will be focal of this project and assist incommunication and coordination among project members in both countries. Japanese Society ofClinical Cytology (JSCC) and Japanese Society of Pathology will recommend Japanese experts andtraining facilities.
6-2. Counterpart country side
The main counterpart will be Faculty of Medicine and Technical School for Medical Care (TSMC) ofUniversity of Health Sciences (UHS). Faculty of Medicine will conduct a postgraduate course inpathology in which 6 residents are enrolled as second batch and coordinate lectures by theinternational partners. TSMC has created Bachelor of Science in Medical Laboratory Technology
Bridging from Associated Degree with almost 60 students and coordinate lectures and practices.

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7. Indicator

7-1. Output<Technologist>
1) Course syllabus of pathology are made in Bachelor of Science in Medical
Laboratory Technology Bridging from Associated Degree (Bridging course) of
Technical School for Medical Care (TSMC)
2) Lecture and practice about pathology are conducted for 45 hours in the Bridging
course<Pathologist>3) Six residents of the second batch in the postgraduate course in University of
Health Science (UHS) take the one general and the one particular lectures at a time(every two sections)
4) Four young pathologists take a case discussion by diseases<Technologists>
1) Eighty percents of the 60 students in the second batch of Bridging course pass thegraduation exam and get bachelor degree of laboratory technology

7-2. Outcome<Pathologists>
1) The residents of the second batch in the postgraduate course understand the classand are evaluated more than 70% after the lectures2) The pathologists graduated the postgraduate course (first batch) make the samediagnosis with Japanese pathologists in case discussion (more than 70%)

<Both Technologists and Pathologists>
1) Bachelor course curriculum (4 years) including pathology is created on the basis of
the education contents of Bridging course of Technical School for Medical Care(TSMC)
2) Graduates with a bachelor degree of laboratory technology work as pathology
7-3. Impact
technologists at health facilities in Cambodia
3) The postgraduate course in pathologist and the bachelor course of science in
medical laboratory technology in UHS open and continue, and the number ofpathologists and pathology technologists are increased
4) Society of pathology is established and the number of members is increased
8. Main activities
8-1. Training in 2020
1)

Training in Cambodia (Dispatch 9 Japanese experts and NCGM staff for 1 week in July,September, October and January)

2)

Training in Japan back to back with JSCC annual conference (site visit for 4 days) inNovember.

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