ISBN 978-4-909675-49-1

Contents
Overview ........................................................................................................................................................ 02
Keynote Speech 1 ........................................................................................................................................ 03
Keynote Speech 2 ........................................................................................................................................ 04

1

Brief explanation on the overall framework of MOU between NMCHC and NCGM andthe progress since December 2016 .......................................................................................... 05
Dr. Hidechika Akashi		2

Progress of the ‘Project for Cervical Cancer Early Diagnosis and Treatment ................. 15
Prof. Kuon Kanal

3

5

President, Cambodia Society of Gynecology and Obstetrics

Progress of research activities on scientific evaluation of ‘women-friendly care’ ........... 26
Dr. Mitsuaki Matsui		4National Center for Global Health and Medicine, Japan

Nagasaki University
School of Tropical Medicine and Global Health

Progress of research activities on follow up for chronic malnutrition among children in
Steung Trang district, Kampong Cham province .................................................................. 32
Dr. Azusa Iwamoto		

National Center for Global Health and Medicine, Japan

Ms. Asuka Miyazaki		Nagasaki University
School of Tropical Medicine and Global Health

Scope of collaborative research between NMCHC, NCGM and Nagasaki University .. 38
Prof. Kazuhiko Moji		Nagasaki University
School of Tropical Medicine and Global Health

Closing Remarks ........................................................................................................................................... 41

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 2017

1

The 6th Joint Technical Meeting between
National Maternal and Child Health Center andNational Center for Global Health and Medicine
26th December 2017
9:00 - 12:00
atNational Maternal and Child Health Center
Phnom Penh

Objective
To share/reconfirm the framework and all activities of the collaboration
based on the MOU between NMCHC and NCGM,
To share the progress and achievement of each activity of
the collaboration based on the MOU between NMCHC and NCGM
since the 5th meeting on 16 Dec 2016.
Participants
Professor Tung Rathavy and NMCHC team,Doctor Hinoshita Eiji and NCGM team,
NCGM local staff (technical and administrative assistants/interpreters)Société Cambodgienne de Gynécologie et d’Obstétrique (SCGO),JICA Cambodia, JICA IINeoC Project, Nagasaki University,
Phnom Penh Municipal Health Department,
Kampong Cham Provincial Health Department
Language
English and Khmer2

1
Keynote Speech
Greetings, honorable guests, ladies and gentlemen.
On behalf of NMCHC, I am very pleased to welcome and thank Dr. Eiji HINOSHITA and Dr.
Hidechika AKASHI and NCGM Team, JICA staffs, Nagasaki University team, Prof. Koum Kanal, thepresident of Cambodian Society of Gynecology and Obstetrics (SCGO), all NMCHC staffs and
Dr. Ngy Mean Heng, the director from Phnom Penh Municipal Health Department (PPMHD), Dr.
Kimsour Phirun, the director from Kampong Cham Provincial Health Department and the director of
Stung Trang OD for attending in this meeting besides your busy schedule.
It is a great honor for me to participate in 6th Joint Technical Meeting between NMCHC and
NCGM. I greatly appreciate Dr. HINOSHITA and Dr. Akashi’s participation to share the achievementby the cooperation between NMCHC and NCGM. As Dr. HINOSHITA mentioned about cooperation
between both centers as well as MOU between MoH and NCGM since 2012. The duration of the
MOU is 5 years. We were concerned about the collaboration beyond the countries in the beginning,
however the technical collaboration strengthened Maternal and Child Health in Cambodia.
The collaboration between staffs of NMCHC and NCGM has been since 1992. We have kept the
memory of NCGM staffs who worked for JICA projects in difficult situations. For improving Maternal,
Newborn and Child Health and Women’s Health, we need to continue working together and thecollaboration should not be only between both centers but also among municipal and provincial
institutions. We also have been collaborated with SCGO to improve Women’s Health focused on
cervical cancer screening and early treatment. There were many obstructions for implementing
activities in Cambodia. We have been lucky to have good partners, especially Japanese friends. We
have good relationship and collaboration to improve the quality of our health service.
Furthermore, you can enhance it if you find the gaps and identify the problems throughresearches. We apply the research findings for implementation and recommendation of the strategy.
A lot of findings and experiences during a year from 2016 to 2017 will be presented in this meetingand I hope they will be resources for further implementation.
I would like to suggest the officials to continue collaboration for the advantage of both
Cambodia and Japan.

						Prof. Tung Rathavy						Director,						National Maternal and Child Health Center (NMCHC)						Ministry of Health, Cambodia

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 20173

2
Keynote SpeechDistinguished guests, Ladies and Gentlemen,
On behalf of NCGM, I would like to extend you my sincere congratulation.
Since 1992, National Center for Global Health and Medicine (NCGM) has continuously
provided its technical assistance to the Ministry of Health (MoH) of Cambodia at the
beginning, and then to this National Maternal and Child Health Center (NMCHC). For morethan two decades, there have been four projects of technical assistance by JICA to improve
the status of maternal and child health in Cambodia. Through these projects, a lot of NCGM
staffs have been working with you.
It has been five years since signing a Memorandum of Understanding (MOU) between
His Excellency, Prof. Eng Huot and Dr. Kasuga, the former President of NCGM to facilitate
a direct collaboration between NMCHC and NCGM in December, 2012. Since then, various
activities including personal exchange, training, research and technical assistance have been
implemented under this framework, in addition to the currently on-going JICA project.
Moreover, the number of activities at NMCHC has been increasing since the inceptionof the International Promotion of Technologies Program starting from 2015, which is a new
ODA scheme by the Ministry of Health, Labour and Welfare (MHLW) of Japan. I believe that
all the activities are beneficial not only for improving health status in Cambodia, but also for
nurturing the friendship between Cambodia and Japan as following;
As for the ‘Project for Improving Women’s Health Care of Factory Workers Focusing on
Cervical Cancer’, we started screening and early treatment of cervical cancer in factories
in collaboration with the OBGY Societies of the both countries. And as for the research on
the ‘follow-up cohort study on factors that influence malnutrition among children under
two-years-old in rural Cambodia’, we also started continuous follow-up for growth anddevelopment of children in villages of Kampong Cham province, as a new approach. I heardthat the preliminary results of these studies have been already reported in several academic
conferences. Today I am looking forward to listening to the results of these studies in thismeeting.
As a joint monitoring mechanism of our direct collaboration, I think it is very important for
all of us to share the progress or plan of all activities within the framework of our MOU, in thismeeting today. I also expect the fruitful discussion although the time is limited.
Last but not least, I wish NMCHC and NCGM for their success and collaboration further
more as well as for our beautiful friendship forever!
Okun churan (Thank you)!

						Dr. Eiji Hinoshita						Director-General,						National Center for Global Health and Medicine (NCGM)

4

1

Brief explanation on the overall framework of MOU
between NMCHC and NCGM and the progress since
December 2016
Dr. Hidechika Akashi
National Center for Global Health and Medicine, Japan

Objec/ves  of  today
1) To	
  share/reconﬁrm	
  the	
  framework	
  and	  all	
  ac6vi6es	
  of	
  the	  collabora6on	
  based	  on	
  the	
  MOU	
  between	
  NMCHC	
  and	
  NCGM,	
  

2)	
  	
  To	
  know	
  the	
  progress	
  of	
  each	  ac6vity	
  of	
  the	
  	
  
	
  	
  	
  	
  	
  	
  collabora6on	
  based	  on	
  the	
  MOU	
  between	
  NMCHC	
  	
  	
  	
  
	
  	
  	
  	
  	
  	
  and	
  NCGM	  since	
  the	
  5th	
  mee6ng	
  on	
  16	
  December	
  2016.
Who  are  we  –  NCGM  ?
(former IMCJ)

ü Core	  ins6tute	
  of	
  Japan's	
  interna6onal	
  health	
  coopera6on	
  Ø Formulate	
  and	
  implement	
  projects	
  with	  JICA	  Ø Dispatches	
  technical	
  advisors	
  to	
  many	  countries	  Ø Organize	
  training	
  courses	  in	
  Japan	
  and	  other	
  countries

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 20175

Global Network & Partnership in
	
  	
  	
  2017年3月現在	
  Asia

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Memorandum  of  Understanding  (MOU)    on  collabora/on  between  NMCHC  and  NCGM  18  Dec  2012  

Joint  ac/vi/es    within  the  framework  of  collabora/on
NMCHC	
  and	
  NCGM	  have	  been	  conduc6ng	
  	
  joint	  	
  ac6vi6es	
  as	
  follows:	
  
	
  
1. 	
  Technical	
  coopera6on	  2. Training	  3. Research	
  4. Personnel	
  exchange	
  programs	  5. Others

61. Brief explanation on the overall framework of MOU between NMCHC and NCGM and the progress since December 2016	  Ac6vi6es	
  and	
  achievement	  	
  under	
  MOU	
  since	  2013	  
1. Neonatal	
  mini-­‐project	
  to	
  improve	
  neonatal	
  medical	
  

care	
  
2. Joint	
  research	
  on	
  delivery	
  and	
  neonatal	
  care	  3. Survey	
  of	
  chronic	  malnutri6on	
  among	
  children	  	
  4. Project	
  of	
  cervical	
  cancer	
  and	
  women’s	
  health	  5. NMCHC	
  accepts	
  NCGM	  residents	
  as	
  part	  of	
  their	
  training	
  program	  6. Counterpart	
  training	
  in	
  Japan	
  (JICA	
  project)	
  All  ac/vi/es  in  2017-­‐2018
Partner

1)  JICA

2)  SCGO/          JSOG/  NCGM3)  NCGM

4)  NCGM

5)  Nagasaki  University
Research

Style

GR*

IPT***Research

Research

Period2015-­‐18

2017-­‐19

2015-­‐17

2015-­‐17

2015-­‐18

Topic

Cervical  cancer  Screening-­‐TA	  **	  /Training	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Pathology
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Training	  EENC  at  facili/es

Child  malnutri/on  surveyMidwifery  care  at  health  centers  in  PP

Presenter-Prof.	
  Kanal	  Dr.	
  Kitamura	
   Dr.	
  Iwamoto(Dr.	
  Sugiura)

Dr.	
  Matsui*GR:	  Glass-­‐Roots,	
  **	
  TA:	
  Technical	
  Assistance,	
  	
  	
  
***	
  IPT:	
  Interna6onal	
  Promo6on	
  of	
  Technologies	
  (Japan’s	
  MOH)

Advisors	  	
  (Since	  1992)

Dr. Kita

Dr. Tateno

Dr. Yamada
Dr. KinoshitaDr. Murakami
Present photos

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 20177

5	
  MCH	
  Projects	  	
  (since	  1995	
  in	
  NMCHC)

Dr. Yamada
1st Project LeaderMiss Kawata (Mrs. Osanai) 

Old Hospital
Pet ChenMarch, 1997

Ward for admission

Out PatientNew	
  Hospital	
  Open	
  in	
  March,	
  1997	  	
  Na6onal	
  Maternal	
  and	
  Child	
  Health	
  Center,	
  Cambodia	
  constructed	
  by	
  Grant	
  Aid	  by	
  Japanese	
  Government

8

1. Brief explanation on the overall framework of MOU between NMCHC and NCGM and the progress since December 2016

June, 1997

Airplane	
  crush	  at	
  Pochentong	
  Airport	
  	
  
(in	
  September	  1997)

From Dr. Matsui

Road to Sihanoukville, Cambodia,1998

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 20179

Back to Normal life, Phnom Penh,1997-1998

Kandal Hospital, 1997

ICU

Operation Theater
In OBGY

Takeo Hospital
1998

10

1. Brief explanation on the overall framework of MOU between NMCHC and NCGM and the progress since December 2016

Kampong Spue Hospital, 1998

We	
  are	
  trying	
  new	
  things	
  together	
  	
  
in	
  NMCHC	  as	
  a	
  pioneer	
  in	
  Cambodia.
• Obstetric	
  care	  • Training	
  capacity	
  and	  training	
  courses	
  for	
  rural	
  Midwives	  • User	  fees	  • Hospital	
  management	  • Maintenance	
  of	
  medical	
  equipment	  • MCAT	
  • Newborn	
  care	  • Pathology,	  	  	
  etc.	
  Tariﬀ	
  for	
  User	  fees	
  at	
  the	
  entrance

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201711

Registra6on	
  and	
  payment

Patient document (Hospital) management

Cambodia

Clinical Training in Developing countries

Cambodia,1997-2000

12

1. Brief explanation on the overall framework of MOU between NMCHC and NCGM and the progress since December 2016

Training in Developing countries

Cambodia,1997-2000

IEC

Cambodia1998
The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201713

2017	  
Ankor Wat, 1998

It’s  a  Collabora/on  work,  with  other  people,  and  Genera/on  by  genera/on…


14

2

Progress of the ‘Project for Cervical Cancer Early Diagnosis
and Treatment

Prof. Kuon Kanal
President,
Cambodia Society of Gynecology and Obstetrics

Remember?  Why  the  cervical  cancer  project  is  important  in  Cambodia  now?

• In	
  Cambodia,	
  it	
  is	
  es@mated	
  that	
  1,500	
  women	  are	
  newly	
  diagnosed	
  and	
  about	
  800	
  women	
  die	  of	
  cervical	
  cancer	
  each	  year.	
  
	
  
• 	
  In	
  Cambodia,	
  cervical	
  cancer	
  data	  is	
  leading;	
  it	
  
is	
  big	
  burden	
  for	
  women,	  and	
  also	  the	
  most	  importance	
  of	
  health	
  issue	
  for	
  public	
  health	
  of	
  
MoH.	
  
	
  

AQer	
  several	
  years’	
  communica@on	
  and	
  technical	
  exchanges:	
  	

SCGO-­‐JSOG	  Joint	
  Project	  -­‐	
  Women’s	
  Health	
  and	
  Cervical	
  Cancer-­‐	29	
  July	  2015	  	
  Signing	  of	  Minutes	
  of	
  Memorandum	
  of	
  
the	
  Project	
  	
  
at	
  the	
  Ministry	
  of	
  Health,	  Cambodia	
  	
  	

JICA	
  Grassroots	  Technical	
  Coopera@on	  Project	

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201715

HUMAN	  RESOURCE	
  AND	  SYSTEM	  DEVELOPMENTS	
  FOR	  
CERVICAL	  CANCER	
  EARLY	  DIAGNOSIS	  AND	
  TREATMENT	  PROJECT	  FOR	  IMPROVING	
  WOMEN’S	  HEALTH	
  CARE	
  OF	
  FACTORY	  WORKERS	  
FOCUSING	
  ON	
  CERVICAL	  CANCER	
  JICA	
  Grassroots	  Technical	  Coopera@on	
  The	
  Program	
  for	  Interna@onal	
  Promo@on	
  of	
  Japan’s	
  Healthcare	  Technologies	
  and	
  Services	
  funded	  by	
  Ministry	
  of	
  Health,	
  Labour,	
  and	
  Welfare	  Japan	

Implementer	

SCGO	
  	
  and	
  JSOG	
Period	NCGM	  Japan	

3  years  from  Oct  2015	

Content	
 For	
  female	
  factory	
  workers	
  	
  
-­‐	
  Health	
  Promo@on	
  	
  
-­‐	
  Cervical	
  cancer	
  screening	
  	
  
in	
  three	
  na@onal	
  hospitals	
  	
  
-­‐	
  	
  Development	
  of	
  a	
  system	
  for	
  early	  diagnosis	
  and	  therapy	  	
  April  2017  to  March  2020	For	
  pathologists	
  and	
  pathology	
  technologists	
  in	
  three	
  na@onal	
  hospitals	
  and	  UHS	  -­‐	
  Technical	
  Training	
  in	
  Japan	  -­‐	
  Support	
  for	
  pathology	
  system	  development	
  and	
  specialist	
  training	
  Progress	
  &	
  Planned	
  ac@vi@es	Completed	
	
  	
  	
  	
  	
  
Q

July  2015  to  Jan  2017	For	
  gynecologists	
  in	
  three	
  na@onal	  hospitals	
  	
  
-­‐	
  Technical	
  Training	
  in	
  Japan	  	
  -­‐	  Protocol	
  Development	
  	
  

	
  	
  	
  2015	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  2016
2017	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  2018	
  
	
  3	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  4	
  	
  	
  	
  	
  	
  	
  	
  	
  1	
  	
  	
  	
  	
  	
  	
  	
  2	
  	
  	
  	
  	
  	
  	
  	
  3	
  	
  	
  	
  	
  	
  	
  	
  4	
  	
  	
  	
  	
  	
  	
  	
  	
  1	
  	
  	
  	
  	
  	
  	
  	
  2	
  	
  	
  	
  	
  	
  	
  	
  	
  3	
  	
  	
  	
  	
  	
  	
  4	
  	
  	
  	
  	
  	
  	
  1	
  	
  	
  	
  	
  	
  	
  2	
  	
  	
  	
  	
  	
  	
  3	
  	
  	
  	
  	
  	
  	
  	
  4	
  	
  	
Report	  to	
  annual	
  conference	
  
JSOG	
  &	
  	
  SCGO	
  Project	
  	
  

M/M	
  

Report	  to	
  relevant	  groups	  and	
  stakeholders	

Kick-­‐oﬀ	
  mee@ng	  	
  management	
  mee@ng	  	
Brieﬁng	  to	
  factory	
  managers	
  
JSOG	
  &	
  SCGO	
  Kick-­‐oﬀ	
  mee@ng	
  in	
  Tokyo	
Project	
  launch	
  
Set	
  up	
  SCGO	
  oﬃce	  	  as	
  project	
  oﬃce	  	Output	  1	
  Health	
  promo@on	
KAP	
  survey

Health	  educa@on
Cx	
  Ca	
  screening	
  at	
  factories 	  Promo@on	
  material	
  development	Output	
  2	
  Understanding	  of	
  factory	
  managers	
Visit	
  and	
  necessary	
  coordina@on

mee@ng	  with	  factory	
  managers

	  Output	  3	
  	
  Strengthen	
  system	
  for	  Cx	  Ca	  Early	
  Dx	
  and	  Tx	Training	
  in	
  Japan	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Training	
  in	
  Japan	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Training	
  in	
  Japan	
  (Pathology)	
  Clinical	
  Protocol	
  development	
  	
  →Finaliza@on	
  	
  
	

On-site skill strengthening@ 3 hospitals	

Early	  Ex	  and	
  Tx	
  	
  
@	
  3	
  hospitals	

Early	  Dx	  @	
  factories	  	
  Project’s	
  Strategic	
  Focus	Primary
PrevenNon	
  -­‐Health	
  educa@on	
  -­‐(&HPV	  vaccine)	
  Factory	  female	
  workers	

Cx  Screening-­‐Pap	  smear	  -­‐VIA	  -­‐(HPV	  tes@ng)	
  Early  Treatment-­‐ LEEP	  -­‐ Cryotherapy	
  Tx  for  Invasive  Cancer-­‐Surgery	
  -­‐Radio	  Tx	
  -­‐Chemo	
  Tx	
  Gynecologists	
  in	
  the	
  three	
  pilot	
  hospitals	

Source:  Comprehensive  cervical  cancer  control-­‐  A  Guide  to  essen8al  prac8ce  –  Second  edi8on  ,  WHO,  2014  (The  ﬁgure  was  made  by  H  Obara,  based  on  the  content  of  the  Guide)	

16

2. Progress of the Project for Cervical Cancer Early Diagnosis and Treatment

KAP  Survey-­‐Interview  factory  worker  at  PPSEZ    in  March  &  April  2016

Na@onal	
  Ins@tute	
  of	
  Public	
  Health	
  to	
  conduct	
  interview	
  factory	
  workers	
  at	
  
Sumi	
  (Cambodia)	
  Wiring	
  System	  Co.,	
  
Ltd.	
  	
  
• The	
  aim	  to	
  exploring	
  knowledge,	  amtude	  and	
  prac@ces	
  toward	
  cervical	
  cancer	
  and	  Other	  reproduc@ve	
  health	
  services.	
  	
  
• A	
  total	
  of	
  443	
  women	
  in	
  among	
  900	
  women.	
  	
  Preparation Period For Implementation
Training  course  for  development  of  humans  resources    and  systems  for  cervical  cancer  early  diagnosis  and  treatment  in  Cambodia

	
  

•

•

First	
  groups	
  	
  6	
  peoples	  in	
  Sept.	
  
2015	
  at	
  	
  NCGM	
  &	
  OSAKA	  University	  Second	  group	
  7	
  peoples	  in	
  Sept.	
  
2016	
  

Mini-Lecture by
Japanese expert
during their visit By•All	
  Japan	  Labor	
  Welfare	
  Founda@on	
  (Feb.	
  2016)	
  • Jikei	  University	
  (June	  16)	
  • Tokushima	
  University	
  
	
  	
  	
  	
  	
  	
  	
  (July	
  2016)	
  • Keio	  University	
  (August	
  2016	
  and	
  June	  2017)	
  • Nihon	  University	
  (Nov.	
  2016)	
  • Juntendo	
  University	
  	
  (Dec.	  2016)	
  • Yokohama	
  City	  University	
  	
  
	
  	
  	
  	
  	
  	
  (Jan.	
  2017)	
  • Kyorin	
  University	
  and	
  Tsukuba	
  University	
  (Sep.	
  2017)	
  
	
  
	
  
	
  
The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201717

Experts	  Visit	  	
  for	  up	
  da@ng	
  Knowledge	  of	
  ours	  Members	
  by	
  giving	
  Mini-­‐lecture	
  
•
•
•
•
•
•
•
•
•
•

Dr. Ruriko Nishino from all Japan Labor Welfare Foundation in January to
February 2016
Dr. Nozomu Yanaihara and Dr. Kuruda from Jikei University in June 2016
by Dr. Akira Kuwahara and Dr. Akiko Abe from Tokushima University in July
2016
Dr. Kouji Banno and Dr. Wataru Yamagami from Keio University in August 2016
Prof. Kei Kawana and Dr. Hiromitsu Azuma from Nihon University in November
2016
Dr. Yasuhisa Tarao and Dr. Tsuyoshi Ota from Juntendo University in December
2016
Dr. Mikiko Sato and Dr. Naho Yokota from Yokohama city University in January
2017
Dr. Ruriko Nishino from all Japan Labor Welfare Foundation in February 2016
Dr. Kouji Banno and Dr. Yuya Nogami from Keio University in June 2017
Dr. Yoriko Nishigaya from Kyorin University and Dr. Sari Nakao from Tsukuba
University in September 2017

Hospital Visit by Doctors at the Implementation sites	
  Pathology	
  expert	
  visit	  	
  for	
  baseline	
  survey	
  of	
  the	
  current	
  pathology	
  situa@on	  in	
  Cambodia	  • Dr.	  Tomoko	  Wakasa	
  from	  Kindai	  University	
  in	
  September	
  2017	
  • Prof.	
  Toshiaki	
  Kawai,	
  Dr.	  Tomoko	  Wakasa,	
  Prof.	
  Sadayuki	
  Hiroi,	
  Ms.	
  Kyoko	
  Komatsu	
  in	
  August	
  2017	
  • Prof.	
  Motoji	  Sawabe	
  from	
  Tokyo	
  Medical	
  and	
  Dental	
  University	
  in	
  September	
  2017	  18

2. Progress of the Project for Cervical Cancer Early Diagnosis and Treatment

Pathology	
  Training	
  	
  in	
  Japan	
  (Nov	
  2017)	
  	
nPar@cipants:	
  4	
  pathologists	
  and	  4	  technologist	
  from: 	  • University	
  of	
  Health	
  Science	  • Calmeoe	  Hospital	  • Preah	
  Kossamak	
  Hospital	  • Khmer	
  Soviet	
  Friendship	
  Hospital	
  Training	
  at:	
  NCGM,	
  Ariake	
  Cancer	
  Ins@tute,	  Juntendo	
  University	  Nerima	  Hospital,	  Dokkyo	  University	  Koshigaya	  Hospital,	
  Kobe	  University,	
  Awaji	  Medical	
  Center,	
  Osaka	  Interna@onal	
  Cancer	
  Ins@tute,	
  Nitobe	
  College,	
  Tokyo	
  Medical	
  and	
  Dental	
  University,	
  and	
  Nippon	
  Medical	
  University	
  Nagayama	  Hospital	  Pathology  technologist​  ​26  Oct  -­‐  20  Nov,  2017	
Objec@ve:	
  	
  
To	
  obtain	
  skills	
  for	  preparing	
  high-­‐quality	
  pathological	
  specimen	  	  Training	
  at	
  3	
  pathology	
  labs	  in	
  Tokyo:	
  Fixa@on	
  and	  	
  paraﬃn	
  block	  sec@oning	  Rou@ne,	  special	
  and	  cytology	
  staining	
  Frozen	  sec@on	
  Quality	  control	
  of	
  slides	  Laboratory	
  management	  Microtome maintenanceFixation

Frozen section

Microtome Cutting

Hematoxylin and Eosin

Giemsa’s (H-Pylori)

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201719                  Pathologist​  ​1  Nov  -­‐  20  Nov,  2017	
Objec@ve:	
  	
  
To	
  iden@fy	
  the	
  steps	  required	
  for	
  improvement	
  of	
  pathology	
  division	
  and	
  cul@va@on	
  of	
  pathologists	
  in	
  Cambodia	  	  Program:	
  lectures	
  and	  hospital	
  visits	
  
Role	
  of	
  academic	
  society	
  Cancer	  registra@on	
  Collabora@on	
  between	
  clinicians	
  and	
  pathologists	  Japanese	  pathology	
  specialist	
  training	
  system	  Visit	
  pathology	
  labs	  Quality	  control	
  of	
  specimen	  Telepathology	
  Poster	  presenta@on	
  at	
  Japanese	  Society	
  of	
  Clinical	
  Cytology	
  20

Report	  mee@ng2. Progress of the Project for Cervical Cancer Early Diagnosis and Treatment

Health Education Material for Factory Workers
Japanese Expert meet with implementer team	  for developing leaflet and Flipchart	
  CollaboraNon  with  JSOG  Experts

Manual	  for	
  cervical	
  cancer	
  screening	
  Protocol	
  development	  The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201721

Health Education at Factory Activities Year 2017	  Health  EducaNon  at  Factory  AcNviNes  Year  2017

1. Health	
  educa@on	
  for	
  factory	
  workers	
  at	
  SUMI	  
2. Health	
  educa@on	
  for	
  factory	
  workers	
  at	
  Minebea	
  3. Health	
  educa@on	
  for	
  factory	
  workers	
  at	
  Kaneju	  4. Health	
  educa@on	
  for	
  factory	
  workers	
  at	
  Maru	  T	
  Ohstuka	  5. Health	
  educa@on	
  for	
  factory	
  workers	
  at	
  Lucian	  6. Health	
  educa@on	
  for	
  factory	
  workers	
  at	
  Toyota	  Company	  Total#	  Aoendance	  About	
  1.765	
  peoples	  /@mes	  First Screening at SUMI on June 18, 2017
Conduct	
  ﬁrst	  screening	
  for	
  factory	
  workers	
  at	
  SUMI	
Place:	
  @SUMI	
  Cambodia	  Topics:	
  Doing	  Cervical	
  cancer	  Screening	
  	
  
HPV	
  Test	  Providers:	
  Dr.	
  Chhit	  Maryan,	  Dr.	
  Kim	
  Lumpini	
  
and	
  3	
  Nurse	  from	  Khmer	
  Soviet	
  Supervisors	
  from	  SCGO:	
  Prof.	
  Kanal,	  Prof.	
  Soeung,	  	
  Expert:	  	
  Prof.	
  Kimura,	  Dr.	
  Nishino,	
  Dr.	  Banno,	
  	
  
Dr.	
  Noriko,	  Dr.	  Matsumoto	
  and	
  Dr.	
  Noyami	  Date:	  Prepara@on	
  1day	  (17	
  June	  2017)	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Implementa@on	
  1	
  day,	
  18	
  June	  2017)	
  at	
  morning	
  @me	
  Numbers	
  of	
  room:	
  2	
  rooms	
  Aoendance:	
  44	
  (31	  ps	
  receive	
  HPV	
  test)	  	

22

2. Progress of the Project for Cervical Cancer Early Diagnosis and Treatment

Conduct	
  ﬁrst	  screening	
  for	
  factory	
  workers	
  at	
  SUMI	

Review of the First Cervical Cancer Screening
From	
  Health	
  educa@on	
  to	
  Cancer	
  screening:	
  Factory	
  A	
  (1200	
  workers	
  in	
  total)	

350	
  Health	  educa@on	
  

309	
  

•

300	
  
250	
  

•

200	
  

•
•

148	
  

150	
  

•

100	
  

75	
  
44	
  

50	
  
0	
  

350	
  

Step	
  1:	
  Basic	
  hygiene	
  &	
  women’s	
  body	
  
Step	
  2:	
  Family	
  planning	
  
Step	
  3:	
  
Antenatal	
  care	
  
Step	
  4:	
  Cervical	  cancer	
  
Step	
  5:	
  How	  to	
  receive	
  cervical	  cancer	  screening	
  

31	
  

Staﬀ	
  >	
  25	
  y/
Step	
  5	
   ever	
  married	
   Registered	
   Received	
  	
  
o	
  
par@cipants	
  

From	
  Health	
  educa@on	
  to	
  Cancer	
  screening:	
  Factory	
  A	
Health	  educa@on	
  
•

309	
  
300	
  

•

31/around	
  150	  =	
  around	
  20%	

•

250	
  

•

200	
  

•

148	
  

150	
  
100	
  

75	
  
44	
  

50	
  
0	
  

31/	
  around	
  75	
  =	
  around	
  41%	

Step	  1:	  Basic	
  hygiene	
  &	
  women’s	
  body	
  
Step	
  2:	
  Family	
  planning	
  
Step	
  3:	
  
Antenatal	
  care	
  
Step	
  4:	
  Cervical	  cancer	
  
Step	
  5:	
  How	  to	
  receive	
  cervical	  cancer	  screening	
  

Staﬀ	
  >	
  25	
  y/o	
  

Step	
  5	
  
ever	
  married	
   Registered	
  par@cipants	
  

31	
  
Received	  	
  The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201723

Results	
  of	
  Care-­‐HPV	
  test	Total	  par@cipa@on:	
  31	
  
HPV	
  test:	
  NMCHC	
  	
  +	
  
Calmeoe	  	  Total	  4	  cases	  posi@ve	
  of	
  
HPV	
  high	  risk	  HPV	  (both	  posi@ve	
  2:	
  either	
  posi@ve	  2)	
  Conﬁrma@on	
  by	
  Prof.	
  Kawana’s	
  labo	  (by	
  HPV	  DNA	  typing)	
  	
  Accuracy	
  rate	  was	  30/31=96%,	
  both	
  NMCHC	  and	
  Calmeoe	  	
  Double	  check	
  will	  increase	
  accuracy	
  rate,	  but	
  single	
  check	  is	
  acceptable	
  for	  the	  next	
  screening.	
  (cost	
  vs.	
  accuracy)	
  

1	
 2	
 3	
 4	
 5	
 6	
 7	
 8	
 9	
 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3
0	
 1	
 2	
 3	
 4	
 5	
 6	
 7	
 8	
 9	
 0	
 1	
 2	
 3	
 4	
 5	
 6	
 7	
 8	
 9	
 0	
 1	
MCH	

-­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   +	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 +	
 -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   +	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	

Calm
eoe	

-­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   +	
 -­‐	
 -­‐	
 -­‐	
 +	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   +	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	

Kaw
ana	

-­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   +	
 -­‐	
 -­‐	
 -­‐	
 +	
 -­‐	
 -­‐	
 +	
 -­‐	
   -­‐	
   -­‐	
   -­‐	
   -­‐	
   +	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
 -­‐	
20-­‐Nov-­‐2017	

Project Future Plan - Year 2018
Month

Main  AcNviNes

Dec	
  2017	  Health	  educa@on	
  (Toyota),	  	
  prepara@on	
  of	
  screening	
  Jan	
  2018	  -­‐2nd	  Cervical	
  Cancer	
  screening	
  (14	  January)	
  -­‐Start	
  reviewing	
  protocol	  -­‐Evalua@on	
  of	
  health	
  educa@on	
  Feb	
  2018	  Health	  educa@on	
  for	
  screening	  	
  (Kaneju,	
  Sumi,	  Minebea)	
  Mar	
  2018	
  -­‐Review	  of	
  screening	
  -­‐Evalua@on	
  and	  reviewing	
  protocol	
  -­‐5th	  ICOE	  training	
  program	
  (10-­‐11	
  Mar)	
  	
  April	  2018	  -­‐3rd	  Cervical	
  Cancer	
  screening	
  (22	  or	
  29	  April)	
  -­‐Project	
  evalua@on,	
  Prepara@on	
  of	
  Seminar	  May	
  2018	  -­‐Annual	
  conference	
  in	
  Japan	  -­‐Results	
  of	
  evalua@on	
  of	
  the	
  project	
  shard	
  at	
  Women	
  health	
  seminar	
  (26	
  May	  2017)	
  June	
  2018	
  -­‐6th	  ICOE	  training	
  program	
  (June	  30-­‐July	  01)	  	
  July-­‐Aug	
  2018	  CME	
  program	  provincial	
  sites	  Sept	
  2018	  Submit	  ﬁnal	  report	
  to	
  MoH,	
  Future	
  plan,	
  End	  of	
  the	
  project	
  Oct	
  2018	  Prepara@on	  of	
  17th	  symposium	
  Nov	
  2018	  17th	
  Symposium	
  (Nov	
  02-­‐03,	
  2017)	
  20-­‐Nov-­‐2017	

Dec	
  2018	  Prepare	
  budget	
  plan	
  and	
  work	  plan	
  for	
  next	  year	  SCGO-­‐JSOG	  Project	  Project	
  for	
  Improving	
  Women’s	
  Health	
  Care	  of	
  Factory	  Workers	
  Focusing	  on	
  Cervical	
  Cancer	We,	
  Ob/Gyn	
  doctors	
  protect	  	
  women’s	
  health	
  throughout	
  their	
  lives 	  24

2. Progress of the Project for Cervical Cancer Early Diagnosis and Treatment

Qestion and Answer

Q1

Do you have a plan to expand cervicalcancer screening to other health facilities
in Phnom Penh?
(Dr. Ngy Mean Heng, Director of PPMHD)

AnswerWe selected the women at the factories as atarget because it is easy to control. We need tocollect clear data. Related to the expansion of
the screening program, we should submit theclear result to MoH first. We need an approval
from MoH before expansion. The association
with PPMHD and SCGO will be feasible
after the approval of MoH. The number ofpathologist is not enough in Cambodia and it
is less than 10. If you would like to expand thecervical cancer screening around the country,
we need more pathologists.
(Prof. Kanal)

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201725

3

Progress of research activities on scientific evaluation of‘women-friendly care’

Dr. Mitsuaki Matsui
Nagasaki University
School of Tropical Medicine and Global Health26

3. Progress of research activities on scientific evaluation of ‘women-friendly care’The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 2017

27

28

3. Progress of research activities on scientific evaluation of ‘women-friendly care’The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 2017

29

30

3. Progress of research activities on scientific evaluation of ‘women-friendly care’

Qestion and Answer

Q1

Q3

When was the data collected?
(Dr. Ngy Mean Heng, Director of PPMHD)

AnswerAnswer

We will finish it in the next year.

Q2

Do only selected SBAs receive obstetricemergency care training such as BEmOC
and CEmOC?

(Dr. Matsui)

Is the result bivariate or multivariate
analysis?
(Dr. Ngy Mean Heng, Director of PPMHD)

Answer(Dr. Matsui)

We have to select SBAs from health facilities
though we would like to train all of them. We
do not have enough resources. Emergency
obstetric service is available in only 180 healthfacilities. SBAs in non-EmOC health facilities
also need to have training to transfer patientsto EmOC health facilities.
(Prof. Rathavy)

It is multivariate analysis and confounding
factors such as socio-economic factors ofmothers are adjusted.
(Prof. MOJI)

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201731

4

Progress of research activities on follow up for chronicmalnutrition among children in Steung Trang district,Kampong Cham province
Dr. Azusa Iwamoto
National Center for Global Health and Medicine, Japan

Ms. Asuka Miyazaki
Nagasaki University
School of Tropical Medicine and Global Health

NHAM  survey  !  

(NutriHon  for  Health  of  Acha-­‐chan  and  Mothers)

Background	 •Child  mortality  in  the  world  has  been  decreasing  consistently.  
However,  around  5.9  million  children  died  in  2015  and  45%  of  them  were  with  malnutriHon  (WHO,2015).  

•MalnutriHon  during  ‘the  ﬁrst  1000  days’  (from  pregnancy  period  to  two-­‐year-­‐  old  of  the  child)  crucially  aﬀects  physical  and  mental  development,  performance  in  the  long  perspecHve.  

• Cambodian  Demographic  and  Health  Survey  in  2014  said                24%  children  under-­‐ﬁve-­‐years-­‐old  were  underweight  (low                weight-­‐for-­‐age:  WFA)  and  32%  were  stunted  (low  height-­‐for-­‐                age:  HFA).
	• Factors  that  inﬂuence  on  chronic  malnutriHon*  especially  in  transiHon  period  from  neonatal  to  infant  age  has  been  sHll  unknown.  
•

	
	

32

There  are  various  factors  which  induce/determine  the  signiﬁcance  of  chronic  malnutriHon.  Therefore,  countermeasure  against  chronic  malnutriHon  with  mulH-­‐
sectorial  cooperaHon  is  recognized  as  a  diﬃcult  challenge  unHl  now.	

*  Chronic  malnutriHon：
Children  whose  hight-­‐for-­‐age  Z  score  in  below  -­‐2SD  from  the  mean  of  the  reference  populaHon  of  WHO  child  growth  standards  (stunHng)                                                          (CDHS,2014)

4. Progress of research activities on follow up for chronic malnutrition among children in Steung Trang district, Kampong Cham province

  ObjecHve	 • This  research  aims  to  grasp  the  real  situaHon  of  chronic  malnutriHon  among  children  unHl  two-­‐years-­‐old  in  rural  Cambodia.
• To  detect  factors,  which  inﬂuence  on  the  occurrence  of  child  malnutriHon,  we  have  launched  a  prospecHve  cohort  study  in  12  villages  of  Stung  Trang  in  Kampong  Cham.  • This  is  a  report  of  birth  cohort  study  which  we  started  to  register  all  newborn  infants  since  1  April  2016.  
• In  addiHon,  we  will  report  the  living  environments  of  children  and  associate  factors  with  child  malnutriHon,  base  on  a  cross-­‐secHonal  study.  

	Method  for  cohort  study	 • The  survey  team  visited  all  households  of  children  under  two-­‐years-­‐
old  in  12  villages  covered  by  two  health  centers  in  Stung  Trang,  Kampong  Cham.  
• The  survey  team  measured  weight  and  height  of  children  and  interviewed  their  caregivers  about  their  feeding  pracHces  and  health  condiHons,  aker  gelng  informed  consent,  every  three  moth.
• Using  the  sok  (WHO  Anthro  Version  3.2.2),          we  described  nutriHonal  status  for  age  (months)            and  sex.
• All  collected  data  was  analyzed  with  STATA  sokware  (STATA  14).
• This  study  was  approved  by  both  ethical  comminees  of  the  Ministry  of  Cambodia  and  NCGM.

Map

Kampong(
Cham

Phnom&Penh

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201733

Result  (1)  Number  of  follow-­‐up  visits  (by  August  2017)  	
  Number  of  children
250

200

197
160

150
104

100

54

50

0

22

3m

6m

9m

12m

15m

age (months)	

DeﬁniHon	 § Underweight:
Children  whose  weight  for-­‐age  Z  score  in  below  -­‐2SD  from  the  mean  of  the  reference  populaHon  of  WHO  child  growth  standards§ StunHng:
Children  whose  hight-­‐for-­‐age  Z  score  in  below  -­‐2SD  from  the  mean  of  the  reference  populaHon  of  WHO  child  growth  standards§ WasHng:
Children  whose  weight-­‐for-­‐height  Z  score  in  below  -­‐2SD  from  the  mean  of  the  reference  populaHon  of  WHO  child  growth  standards                                                                                                (CDHS,2014)

•
•
•
•
•

Z-­‐score:  degree  of  SD  (standard  deviaHon)  below/
above  from  mean  of  the  reference  populaHon
MalnutriHon:  when  Z-­‐score  is  below  -­‐2SD
WAZ:  Z-­‐score  of  weight-­‐for-­‐age
HAZ:    Z-­‐score  of  height-­‐for-­‐age
WHZ:  Z-­‐score  of  weight-­‐for-­‐height

Result(2)  Comparison  of  WAZ  by  age-­‐group  (months)	

Values	  are	
  shown	  in	
  mean	
  +/-­‐	  SE	

34

4. Progress of research activities on follow up for chronic malnutrition among children in Steung Trang district, Kampong Cham province

Result(3)  Comparison  of  HAZ  by  age-­‐group  (months)	

Values	  are	
  shown	  in	
  mean	
  +/-­‐	
  SE	

Result(4)  Comparison  of  WHZ  by  age-­‐group  (months)	

Values	  are	
  shown	  in	
  mean	
  +/-­‐	
  SE	

Risk  factors  on  child  malnutriHon    results  from  a  cross-­‐sec.onal  survey  in  2017

MIYAZAKI  Asuka
Nagasaki  University  School  of  Tropical  Medicine  and  Global  Health	

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201735

Children	
  living	
  condiOon	
  	
  Result  (5)  Living  Environments  of  the  children	
  Main	
  care	  giver	
  is	
  mother	  (88.5)	
  Using	
  feeding	
  boSle	  	
  (50.0)	
  Someone	  smoke	
  in	
  the	
  household	
  (45.5)	
  Living	  with	  other	
  child	  	
  (34.0)	
  Children	
  spend	  outside	
  (54.5)	
  Children's	
  exposure	
  to	
  domesOc	
  animal	
  (12.8)	
  

WASH	
  

Handwashing	  before	
  food	  preparaOon	
  (38.5)	
  Sanitary	  disposal	
  of	
  children's	
  stool	
  (43.6)	
  Improved	  toilet	
  facility	
  (61.5)	
  Medical	  history	  Improved	
  drinking	
  water	  source	  	
  (25.3)	
  Cough	
  (34.2)	
  Fever	  	
  (35.6)	
  Diarrhoea	  	
  (11.4)	
  

0

20

40

60

80

100

    

Results  (6)  Associate  factor  in  child  nutriHon
NegaHvely  aﬀecHng  factors

Coeﬃcient 95%  CI

	  Age	
  -­‐0.12	
  [-­‐0.19,	
  -­‐0.06]	
  	
  Living	
  with	  other	
  child	
  aged	  less	  than	  5	
  years	
  -­‐0.39	
  [-­‐0.80,	
  0.00]	
  	
  Using	  a	  feeding	
  boSle	  -­‐0.50	
  [-­‐0.90,	
  -­‐0.10]	
  

0.42	
  

[0.05,	
  0.79]	
  	
  

	
  	
  Sex	
  [male]	
  -­‐0.05	
  [-­‐0.40,	
  0.30]	
  	
  	
  Socio-­‐economic	
  status	
  [lowest	
  quinOle	
  group]	
  -­‐0.23	
  [-­‐0.69,	
  0.23]	
  	
  	
  Recent	
  medical	
  history	
  [cough]	
  -­‐0.32	
  [-­‐0.70,	
  0.06]	
  PosiHvely  aﬀecHng  factors
	
  Hand	  washing	
  with	  soap	  before	
  food	  preparaOon	
  Factors  with  no  associaHon  with  malnutriHon

Conclusion	 • The  prevalence  of  malnutriHon  gradually  increased  as  children  grew  up.  
• In  our  cohort  study,  we  could  not  ﬁnd  signiﬁcant  diﬀerence  between  boys  and  girls  as  there  were  in  our  cross-­‐secHonal  survey  in  2016.
• In  a  cross-­‐secHonal  study  by  Ms.Miyazaki,    we  idenHﬁed  ‘living  with  other  children  aged  less  than  ﬁve-­‐year’,  ’using  a  feeding  bonle’,  and  ‘no  washing  hand  with  soap  always  before  food  preparaHon’  as  risk  factors  of  child  malnutriHon.
36

14	
  

4. Progress of research activities on follow up for chronic malnutrition among children in Steung Trang district, Kampong Cham province

Future  plan  for  our  cohort  study• We  could  not  obtain  enough  number  of  data  especially  for  the  children  more  then  one-­‐year  old.
• We  will  add  more  results  from  September  2017  to  March  2018  (seven  months).
• We  want  to  conHnue  the  registraHon  unHl  the  total  target  number  will  be  500.  By  increase  of  total  number,  we  will  be  able  to  grasp  the  real  situaHon  easier  than  now.
• In  the  future,  we  also  want  to  know  the  risk  factors  for  each  individual  child’s  growth  and  development.

Notes• This  research  was  supported  by  the  Grant  for          NCGM  (27-­‐5).
• A  part  of  this  study  has  been  conducted  in  collaboraHon  with  Nagasaki  university,  London  School  of  Hygiene  and  Tropical  Medicine,  and  East  Anglia  University.

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201737

5

Scope of collaborative research between NMCHC, NCGM
and Nagasaki University

Prof. Kazuhiko Moji
Nagasaki University
School of Tropical Medicine and Global Health

Nagasaki University (since 1857)	
1857 Dr. Pompe open the first medical school in Nagasaki
1942 Institute of Endemic Diseases
1967 Institute of Tropical Medicine
2006 Master Course of Tropical Medicine 12 x 1yr
2008 Master of Public Health (IHD) 10 x 2 years
2010 Collaboration with NCGM
2015 School of Tropical Medicine and Global Health2017 Satellite campus at NCGM (Tokyo) +10
2018 PhD in Global Health (from October)	

38

5. Scope of collaborative research between NMCHC, NCGM and Nagasaki University

New  Nagasaki  University  Graduate  School  of  Tropical  Medicine  and  Global  Health	
Course	Degree	#	  	
  Students	

Year	

AP	
 Language	 Entrance	

Field	  study	

Tropical  medicine	

Master	  of	
  Tropical	
  Medicine	

12+α	

1	

MD	

English	

October	+	

Health  innova@on	

Master	  of	
  Science	

5+α	
  
	

2	

-­‐	

English	

October	+	Interna@onal   Master	
  of	
  Health  Public	  Development  	
 Health	

10+α	
  
	

2	

-­‐	

English	

October	

1+8	
  months	Nagasaki  University  School  of  Tropical  Medicine  and  Global  Health	• Established	
  in	
  2015	
  (SEll	  new!).	
  All	  in	
  English	  • Three	
  courses	
  and	
  degrees	
  (MTM,	
  MPH,	
  MSc)	
  • IntegraEon	
  of	
  Research,	
  EducaEon,	
  and	
  PracEce	  • SoluEon-­‐oriented,	
  ﬁeld-­‐oriented	
  (MPH	  2nd	  yr)	  	
  • CollaboraEon	
  with	  NCGM	  (Satellite)/JICA	  	
  • CollaboraEon	
  with	  London	  LSHTM	  for	
  JD-­‐PhD	  • AccepEng	
  2	
  MPH	  JDS	
  students	
  annually	
  from	  Cambodia	
  since	  2018.	
  • Maternal	
  &	
  Child	
  Health/Gender	
  has	
  priority.	
  	
  	
  
• CollaboraEon	
  in	
  MCH	  in	
  Cambodia	
  (NCGM,	
  etc.)	
  	
  The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201739

Universal  Medical  Coverage                                                                                    vs.    Universal  Health  Coverage	
Ecohealth	
  :	  Reduce	  medical	  demand	  by	
  creaEng	  supporEve	  	
  environment,	  society,	  lifestyle	

ConvenEonal	
  Global	  Health	
  :	
  
More	
  money	
  to	
  
the	
  medical	
  services	

Diﬀerent  approach  to  health:  Global  Health  Vs  EcoHealth	

Conclusion
More collaborationon
Science/Research,
Education/Capacity Building,Service Implementation/Improvement,on
MCH ＋Alfa
among
NMCHC, NCGM, NU-TMGH + othersinCambodiaThank  you  for  your  aIen@on!	

40

Closing Remarks
We shared the achievements of the cooperation between both NMCHC and NCGM
as well as among other institutions in this meeting. We have worked together with JICA,
Nagasaki University, Phnom Penh and provincial health departments, SCGO and Japan
Society of Obstetrics and Gynecology, and factories. We get better results if we work
together. We can continue the good experiences and findings which are recommend today
for further expansion.
I wish all of you good luck and health in New Year, 2018.

						Prof. Tung Rathavy						Director,						
National Maternal and Child Health Center (NMCHC)						Ministry of Health, Cambodia

The 6th Joint Technical Meeting between National Maternal and Child Health Center and National Center for Global health and Medicine ｜ Dec. 26th, 201741

NMCHC-NCGM
The 6th Joint Technical Meeting between
National Maternal and Child Health Center andNational Center for Global Health and Medicine

National Center for Global Health and Medicine, Japan
Bureau of International Health Cooperation
1-21-1 Toyama, Shinjuku, Tokyo 162-8655, Japan
Tel: 81-3-3202-7181 / Fax: 81-3-3205-7860
info@it.ncgm.go.jp
http://kyokuhp.ncgm.go.jp/
Issued in March, 2018
©National Center for Global Health and Medicine, Japan All rights reserved.