1. Project title
Support for Strengthening Medical Treatment Ability of Childhood Cancer in Developing Country
2. Country nameSocialist Republic of Viet Nam,Republic of Indonesia and other developing countries
3. Background
Eighty percents of childhood cancer patients are children in the developing countries. There aremany problems such as delay of discoveries,misdiagnoses, lack of offer of treatment and treatment
abandonment. The childhood cancer is still uncurable disease in the developing countries.It is
supposed to be 4,000 childhood cancer new patients in Vietnam each year. But there wereapproximately 1000 children in a year who had treated in Vietnam such as Hue central hospital, Ho
Chi Minh Children's Hospital 1 ,Ho Chi Minh Children's Hospital 2 and National children hospital.
Many childhood cancer patients were supposed to remain untreated,not diagnosed. And there were
small numbers of specialists of pediatric cancer in Vietnam. The situation is same in many
developing countries. From 2015 we have managed this project and supported medical treatment
ability of the childhood cancer in Vietnam. We had become to know that many health care providors
were eager to get some oppotunities to learn about childhood cancer treatment.
4. Objective
To support for strengthening medical treatment ability of the childhood cancer in thepediatrics,pediatric surgery,radiotherapy,anethesia,pathology and supportive care of leading
hospitals about pediatric cancer treatment in Vietnam (Hue Central Hospital and Ho Chi Minh
Children's Hospital 1,Ho Chi Minh Children's Hospital 2 and National Children Hospital),Indonesia,Myanmar,Mongolia and other developing conties . And we want to arrange a situation formaking a consulting system based on internet infrastructure that is made by eSite Co.Ltd..
5. Program outline
1.To support for strengthening medical treatment ability of the childhood cancer, we will make thelocal support in a few hospitals in Viet Nam and Indonesia. We will send a few Japanese
professionals of childhood cancer.
2.To have the medical training in Japan, a few trainees from Viet Nam and Indonesia or/and otherdeveloping countries will visit and study at NCGM and the other cooperation hospitals in Japan.
3.We will set an arrangement for making a consulting system based on internet infrastructure.
6. Implementation structure
6-1. Japanese side
National Center For global Health And Medicine(NCGM) Pediatrics,NCGM international medical
cooperation Bureau,
Japanese cooperation agencies, for examples; National Center for child health and development,
Nihon University Itabashi hospital,Osak city general hospital,Hygo Prefectural Cancer Center, Kobe
Children's Hospital,Kyoto prefectural university of medicine,Juntendo University and others. eSiteHealthcare company Ltd.
6-2. Counterpart country side
Viet Nam:National Hue Central Hospital,Ho Chi Minh Children's Hospital 1, Ho Chi Minh
Children's Hospital 2,Hanoi Children's Hospital and others.Indonesia : Gadjah Mada UniversityHospital. Myanmar :Yangon Children's Hospital,and other main hospitals of childhood cancer inother developing countries.

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7. Indicator

7-1. Output· Trainees from developing countries (physician) ;6 trainees from 2 countries.
· Teaching at the local site ; Dispatch of Japanese experts; 12 specialists total in 2countries.
· To newly start consulting system; in 1 sites in Indonesia.

7-2. Outcome· Number of physicians who can practice skills acquired ; 6 doctors in this year.
· Number of patients with childhood solid cancer undergoing medical treatment; inHue Central Hospital ;10 patients in the first year, 20 in the 2nd year, 30 in the 3rdyear. In Ho Chi Minh Children's Hospital: To start the chemotherapy for children
with cancer.
· Consultation number using consult system; 1 year 10 cases 2 institutions, 2nd years
20 cases 4 institutions, 3rd years 50 cases 6 instituions.

7-3. Impact· Reduction of the moratlity of leukemia and solid cancer in children· Formation of an international pediatric cancer treatment group· Initiation of international clinical trials for childhood cancer

8. Main activities
8-1. Training in 20191)

Send medical professionals to Vietnam and Indonesia, 1 week, 3 times a year to support forStrengthening Medical Treatment Ability of Childhood Cancer. Including follow up fortrainee.

2)

Medical training in Japan: 6 trainees from Viet Nam and Indonesia visitting and studying
at NCGM and cooperation hospitals in 4 weeks.

3)

4)

Arrangement for making a consulting system based on internet infrastructure made byeSite Co. Ltd..
Making contents for education of childhood cancer by using consulted cases through theconsulting system.

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