Private Sector Investment Finance
Ex-Ante Evaluation
１．Name of the ProjectCountry: Kingdom of Cambodia
Project: Emergency Life Saving Center Development Project
Loan Agreement: June 25, 2015
Borrower: Sunrise Healthcare Service Co., Ltd
２．Background and Necessity of the Project
In Cambodia, over 20 year-conflict since 1970 devastated the healthcare
system of the country, healthcare professionals such as doctors and nurses
became the target of massacre as intellectuals, and medical facilities andequipment were also destroyed and abandoned. After the peace accrods in1991, Cambodia regained political stability under Hun Sen administration andachieved about 8% of annual economic growth in the decade of 2003 to 2012.
Due to the rapid economic growth in the recent years, the structure of diseases
in the society is changing. In 2012, the proportion of non-infectious diseases
including cardiovascular diseases, cancer, respiratory diseases and diabetes
surpassed other diseases, it accounted 52% (63% including wounds caused byaccidents and injury), while infectious, perinatal and nutrition-related diseases
accounted 37%. Cambodia is facing a turning point of the structure of diseases
due to changes in lifestyles and social environment. Therefore, not only
infectious and maternal and child health, but also non-infectiuos disease
including lifestyle diseases should be addressed.
In National Strategic Development Plan 2014-2018, the Government of
Cambodia highlights capacity building and human resource development aspriority areas to improve healthcare services. In addition, the Government of
Cambodia published Health Strategic Plan 2008-2015, and emphasizes on
addressing 1) maternal and child heathcare, 2) infectious disease and 3)
non-infectiuos diseases including reduction of number of death caused by traffic
accidents as priority area.
Japan’s “Country Assistance Policy for the Kingdom of Cambodia” puts anemphasis on “promotion of social development” to support Cambodia’s stable
and sustainable economic development, and regards “development ofhealthcare services” as one of development challneges. Furthremore, JICA’s
Country Analysis Paper for the Kingdom of Cambodia analyzes healthcare as atarget area of technical cooperation. Since Cambodia’s development challenges

and policies are in line with Japan and JICA’s assistance policy, it is highly
necessary for JICA to implement this project.
３．Project Description（１）Project Objective
The objective of this project is to provide medical services including disease
prevention, treatment as well as rehabilitation based on Japanese technology
and expertise by establishing a privatge hospital equipped with an emergencelive saving center in Phnom Penh city, threby contributing to improvement ofdisease statsus in the county.
（２）Project Site/Target Area: Phnom Pen, Kingdom of Cambodia（３）Project outline
Establishment of an emergence life saving center, provision of consultation
and rehabilitation of inpatients and outpatients, mainly targeted to meddle
income groups (department of emergency medical care, trauma surgery,
infectious disease, general medicine, general surgery, digestive organs,cardiovascular internal medicine, neurosurgery, cerebrovascular treatment,
neurosurgery, rehabilitation, and pediatric department), and health examinatoin
as well as development of Cambodian healthcare professionals.
（４）Schedule
Construction period: December 2014 - August 2016, execution of loan
agreement: June 2015, start of commercial operation: October 2016.
（５）Environmental and Social Consideration
１）Category: C２）Reason for Categorization: under the JICA Guidelines for Environmental
and Social Considerations (April, 2010), potential adverse impacts on theenvironment caused by the project are not likely to be significant.
（６）Other Important Issues: None
４. Targeted Outcomes（１）Quantitative effects
１）Number of impatients per year２）Number of outpatients per year（２）Qualitative effects
Improvement of the level of emergency medical care as well as reductionand early detection of non-infectious diseases by establishmenet ofemergency life saving center are expected.
５. Lessons Learned from Past Projects

In the ex-post evaluation report of a ODA project for Thailand about
construction of healthcare facilities in rural area (approved in September, 1996),
it is indicated that improving hospital’s management capacity is quite importatnt
for effective use of provided equipment, and thus capacity building throughtechnical cooperation such as human resource development is useful in casesuch skills are insufficient. Since the borrower participates in hospitalmanagement in this project, a higher management ability compared to thenational hospital is expected, moreover, development of Cambodian healthcare
professionals, who are essential for the hospital, is planned.
６. Plan for Future Evaluation
Timing: 3 years after the hospital being opened
END