PH-Japan Fiscal Year 2021 Activity and Financial Report(July 1, 2020 – June 30, 2021)
Reviewing Fiscal Year (FY) 2021
By Shingo Oda, Chairperson of the Board of Directors
When People’s Hope Japan (PHJ) started fiscal year (FY) 2021, the COVID-19 outbreak
was already well underway, and it was uncertain when the epidemic would come to an end.
And with the actions taken by the military in Myanmar, we subsequently faced anothersituation that was beyond our control. Despite these unexpected constraints, I am pleased
to report that, for the most part, PHJ accomplished its objectives for FY2021. I would like toexpress my heartfelt appreciation to our individual and corporate supporters for theircontinued support and my gratitude to all PHJ staff for their sincere efforts in carrying out
our planned activities.
The situation in FY2022 remains severe, but we are making good use of the experience andinsights gained in FY2021, and are working to achieve our objectives, carry out appropriate
crisis management measures, and reform our work style.
Your continued cooperation, advice, and support would be truly appreciated.

FY2021 Activity Report
1. Outline
1-1. PHJ’s International Projects and the SDGs
Since its establishment in 1997, PHJ has been engaged in international cooperation anddisaster support in the health and medical fields. Starting in 2003, PHJ focused its activities
on maternal and child health and nutrition improvement programs. PHJ projects contributetoward the achievement of goal 3 (good health and well-being for all persons) of the United
Nations’ Sustainable Development Goals (SDGs), which were unanimously adopted by the
UN General Assembly in 2015. Specifically, PHJ’s projects are focused on target 3.1(reducing maternal mortality), target 3.2 (reducing newborn and under five mortality), andtarget 3.8 (realizing universal health coverage).
The relationship between PHJ’s projects in Cambodia and Myanmar and the SDGs is
explained on pages 14 and 15 of this report.
PHJ’s vision for bringing health and hope to all is based on what we call the “happy-happy
concept,” namely, that the bringing of happiness to others leads to happiness for oneself, amutual benefit. And PHJ’s activities are closely linked with the SDG basic concept of leaving
no one behind.

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1.2 Project Contents and Progress
In FY2021, PHJ engaged in the following health, medical, and disaster support projects:(1) In Cambodia, PHJ continued implementation of a project to strengthen the community
care and support network for children in Stoung Trong Operational Health District (OD)of Kampong Cham Province, as explained in the following 1.2 (1).
(2) In Myanmar, upon completion of the project to improve maternal and child health inrural communities, centering on Tatkon Township in the Nay Pyi Taw Union Territory,
PHJ started the project for supporting health system strengthening for maternal andnewborn health improvement in Lewe Township, Nay Pyi Taw Union Territory as
explained in the following 1.2 (2).
(3) In Japan, PHJ supported the launch of a psychosomatic counselling project in Minami
Soma, Fukushima Prefecture, as explained in the following 1.2 (3).
1.2(1) In Cambodia, PHJ continued its implementation of the above-mentioned project tostrengthen the community care and support network for children in the StoungTrong OD of Kampong Cham Province. This project was launched in October 2018
and is due to be completed in January 2023. In the first year of this project, PHJ
operated with its own funds. In October 2019, the project received a Grant
Assistance for Japanese NGO projects from the Ministry of Foreign Affairs of Japan(hereinafter MOFA grant). The first year of project activities under this MOFA grant
was completed on October 3, 2020, as planned. The second year of activities under
this grant commenced in January 2021.
1.2 (2) In Myanmar, the above-mentioned PHJ project to improve maternal and child healthcentering on Tatkon Township in the Nay Pyi Taw Union Territory started in October
2017 and was concluded in November 2020, and funding was provided by a MOFA
grant. As 2020 was the third and final year of the project, PHJ focused at that point on
activities that would ensure the continued operation of this program at the project site
after the project completion date. Due to the COVID-19 outbreak, PHJ decided toextend the project by one and half months, to the end of November 2020, in order tocomplete all the planned activities. In November 2020, PHJ concluded a new
Memorandum of Understanding (MoU) with Myanmar’s Ministry of Health and Sports,
and in December 2020 renewed its registration as an International NGO with thecountry’s Ministry of Union Government Office. Under the MoU, and with the renewed
registration, PHJ was set to commence the aforementioned project in Lewe Townshipof Nay Pyi Taw Union Territory in December 2020 and also received a MOFA grant inMarch 2021. However, due to the political crisis that began in Myanmar on February
1, PHJ has been holding up its project activities placing high priority on the safety ofthe staff members.
1.2(3)Since January 2019, PHJ has been providing support for the provision of
psychosomatic counselling, based on a memorandum that was concluded with the
Musubino-Kai medical association, and for this purpose has leased a room at the Hori
Mental Clinic in Minamisoma. This project entered its second phase in July 2020, andp. 2

three experts, Dr. Hori, Dr. Sakakibara, and Dr. Takahashi, have been providing
cognitive behavior therapy, medical counselling, and psychological testing. As a resultof the COVID-19 outbreak, psychosomatic diagnostic testing was suspended for twomonths. However, the doctors were able to resume testing by moving these sessions
online. The project will be completed at the end of 2021.
1.3 Communications and Fundraising
Communications activities included publication and distribution of the FY2020 Activity and
Financial Report the PHJ Newsletter, which went out to in February and June to supporting
individuals and organizations. PHJ also produced wall and desktop versions of an “Asian
Fairy Tale” 2021 calendar, and distributed them in return for donations.

The Fundraising, Communications, and Disaster Support Departments, Cambodia and
Myanmar offices, and Project Support Department worked as one team in supporting thecrowdfunding for a rural health center in Cambodia from December 2020 to February 2021
and raised 1,322,000 yen.
Due to the COVID-19 outbreak, PHJ once again had to cancel a planned study tour for
Saitama University and donors in FY2021.
To help counter the above-mentioned negative effects of COVID-19 and get out ourmessage to donors and supporters, PHJ conducted more meetings online and made use ofvideo distribution services, and this received a positive response.
The Communications Department released data, announcements, and other information on
the PHJ website in a timely manner and updated the site on a daily basis, and fulfilled its
responsibility as the certified NGO. As a growing percentage (currently 70%) of the website
traffic in Japan is from smartphones, PHJ is making changes to its website to meet thisrequirement.
As for fundraising, although Japan NGOs are well aware that PHJ has a large number ofcorporate supporters and donors (in 2016, PHJ was ranked 11th in this respect), our income

p. 3from individual and corporate membership fees has been decreasing. As described in thefollowing paragraph, PHJ has to find new ways to counter this trend.
In addition to the above-mentioned crowdfunding initiative, PHJ collected 285,000 yen in
donations for Cambodia. In March 2021, iRobot Japan, G.K. donated 550 robot vacuum
cleaners (worth 44.76 million yen) to member hospitals of Tokyo Medical Association through
PHJ.
In May of this year, PHJ started a trial postcard collection campaign. In October or November
2021, PHJ will start a cashless donation campaign using the PayPay online payment service.
These trial cases have been successful in raising more than 1,000,000 yen to date, and the
PHJ staff have learned many ways to make such campaigns more effective and efficient.
With the announcements by the Japanese government of full- and semi-states of emergency
to combat the coronavirus, PHJ has expanded its use of Zoom and Teams to meet with andreport information to parties such as Ono Pharmaceuticals C o., Ltd., Dainippon Sumitomo
Pharma Co., Ltd., and the Narita Cosmopolitan Rotary Club. These online meetings havehelped us maintain good relationships with donors and gain support for our projects.

1-4. Financial Report
Total revenues excluding goods in kind were 162 million yen (budget 138.66 million yen),and total expenditures came to 67.73 million yen (budget 138.45 million yen), resulting in a
profit of 38.47 million yen (budget 0.21 million yen). Accordingly, the net profit was 38.26
million yen higher than the initial budget and net assets of 167.7 million yen were forwarded
to the next fiscal year.
Under the NGO financial standards, PHJ is required to report the amount of donations for
specific purposes that are left over for the next fiscal year and included in the forwarded net
assets. That amount came to 58.36 million yen, and mainly consisted of the balance of the
MOFA grants for Cambodia and Myanmar. This balance will decrease as the projects
proceed, and will be eliminated upon their completion. PHJ’s true financial capabilities canbest be understood by referring to the donations not designated for specific purposes thatare carried forwarded to the next fiscal year. This can be calculated by simply deducting thebalance of the donations designated for specific purposes from the net assets carriedforward. This amount at the end of FY2021 came to 48.40 million yen, which is up 5.83
million yen from the previous fiscal year. This favorable financial situation owes much to theincrease of general donations (2.3 million yen) and the reduction of headquarters expenses(-2.13 million yen) arising from the cancellation of business trips to/from the Cambodia and
Myanmar offices.
The number of corporate and individual memberships has been steadily decreasing. This
trend has accelerated since March 2020 due to the impact that the COVID-19-related
economic slowdown has had on our corporate supporters. Because of the suspensions andreductions in the payment of membership fees, and the cancellation of memberships, we
fell short of the target number for membership fees and donations.
Donation of goods in FY2021 totaled 44.78 million yen, with the goods mainly consisting of
450 Roomba robot vacuum cleaners and 100 BravaJet robot floor cleaners that werep. 4

donated by iRobot Japan G.K. and distributed via PHJ to member hospitals of the Tokyo
Medical Association, as shown on the following photos.

During FY2021, PHJ tried to enhance the support content by concentrating on specificactivities funded not only by grants but also by multiple donors. As this trend is expected togrow, PHJ strengthened the financial control by improving visualization of information suchas the amount received, the amount spent, and details of the expenditure.

2. Effects of External Environment and PHJ’s Response
2-1. COVID-19 Effects and Measures
The COVID-19 had a variety of effects on PHJ’s operations inside and outside Japan, but
as of the end of FY2021, none of the Japanese staff had been infected with the virus or
identified as a close contact of a person with COVID-19. To cope with the overall situation,
PHJ held Crisis Management Committee meetings at the PHJ Headquarters andresponded to the orders and instructions of the Japanese Government and municipal
authorities. PHJ announced a basic rule for working at home and sought to keep thepercentage of work performed at its office at about 30%. Further, PHJ staff have followed
basic hygiene rules by wearing masks, washing hands, maintaining physical distance, andmeasuring body temperature each day. To stay in touch with staff working at home andensure work was being done efficiently and without delay, PHJ used Zoom to hold regularstaff meetings.
The outbreak greatly influenced PHJ’s communications and fundraising operations as we
could not visit donors and hold other meetings face to face. PHJ dealt with this byincreasing the frequency of e-mail communications, conducting online meetings, andmailing out appeals for memberships and donations. Some corporate members canceled
their memberships or opted to pay a lower fee because of financial difficulties related to
the COVID-19 outbreak. As a countermeasure, PHJ introduced and strengthened online
fundraising activities using crowdfunding and cashless PayPay donations. The
crowdfunding initiative from December 2020 to February 2021 in support of health center
facilities in rural areas of Cambodia was successful and exceeded the donation target. As
for the expenditures of the Tokyo headquarters, both domestic and international travel
were suspended for staff and replaced with online meetings, thus resulting in a significant
decrease in travel expenses.

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As mentioned earlier, iRobot Japan made a large donation of Roomba robot vacuum
cleaners and Brava Jet robot floor cleaners for hospitals, medical clinics, and medical staff
in Tokyo. Dr. Masataka Inoguchi, Chairman of the Tokyo Medical Association, expressed
his gratitude as follows, “Due to the COVID-19 outbreak, hospitals have great difficulty insecuring cleaning staff. These robot cleaners are truly useful in responding to these needs
and are appreciated by all the medical personnel and other staff at our facilities.”
In Cambodia, Ms. Ishiyama, the Country Director, remained on site to lead the project
activities. All of the first-year project work under the MOFA grant was completed by
October 2020, as planned. In November and December, COVID-19 spread in thecommunity where the project had been conducted, and as a result, meetings with no morethan 20 participants were allowed. Although PHJ could not organize group training andmonitoring sessions, it provided detailed technical guidance and monitored the activities ofa limited number of trainees.
At the Khpop Tagnoun and Areak Thnot Health Centers (HCs), the number of newly
infected persons increased and the target areas were temporarily closed. PHJ cancelledsome of its scheduled activities. In the meantime, the Stoung Trong OD administrators
requested emergency support goods. PHJ donated masks and other hygiene products to
the HCs within the OD to protect medical staff. This donation was truly appreciated by the
medical staff.
In Myanmar, PHJ ordered the country director and project manager to return to Japan in
April 2020. Since then, all operations have been managed online. With this change, PHJ
established new guidelines. In September 2020, PHJ’s project site at Tatkon Township went
into lockdown and project activities were temporarily suspended. This caused PHJ to delay
completion of the third year of work under the MOFA grant by one and a half months, to theend of November 2020.
PHJ succeeded in starting the new project in Lewe Township in December 2020, and project
activities under the MOFA grant commenced at the end of March 2021. However, due to thepolitical situation that began in Myanmar on February 1, PHJ had to suspend all project
activities. Under these circumstances, operational expenditures were significantly lower
than projected.
Upon receiving requests for emergency support goods from the Tatkon and Lewe Township
Medical Offices, PHJ donated masks, sanitary products, protective clothing, and otherinfection prevention goods to the medical staff in these townships. This donation was truly
appreciated by the medical staff.
Regarding the Minamisoma Psychosomatic Counselling Project, the three doctors were notable to provide face to face counselling and examinations, and suspended their project
activities for two months. They then moved these operations online and the number of casesthat they subsequently handled exceeded the planned number. Following the suspension of
study sessions for the community, the project team learned that remote counselling had
certain merits.

p. 6

2.2 Effects and Measures for Changes in Myanmar
Since the announcement of a state of emergency on February 1, 2021, Myanmar has been
in a state of confusion. The PHJ Myanmar Office operations had been conducted remotely
by Japanese staff who temporarily returned home in April 2020. In February 2021, PHJ
decided to immediately suspend implementation of all planned activities as its top priority
was to ensure the safety of the Myanmar office staff and partners. Using the internet to place
calls and send text messages, the PHJ staff in Japan tried to communicate every day with
the Myanmar office staff, who were all working from home, but sometimes no internet service
was available in Myanmar. Starting February 1, crisis management committee meetings
have been held each week at the PHJ headquarters to update staff on the current situation
in Myanmar, respond to requests of the Myanmar office staff, and discuss the future directionof PHJ’s Myanmar operations. Also, PHJ organized two meetings in April and May for all
staff and a Steering Committee Meeting (SCM) in May so that, by sharing information,
opinions, and ideas, all staff, SCM members, and Board members could reach a consensus
on what was to be done.
At the project site, many medical doctors and staff have been participating in the civil
disobedience movement. Public medical services have not been available, so many women
have been choosing to give birth at home, with the assistance of an auxiliary midwife or
traditional birth attendant. Such an environment for childbirth is neither safe nor clean, andthere often are none of the basic items necessary to assist with delivery. In order to promote
the provision of medical care by the health services, which is the objective of this MOFAfinanced project, PHJ was able to get in touch with 24 auxiliary midwives and provide them
570 sanitary delivery kits (support provided by Yagami Co., Ltd.), 1,710 sheets of gauze(MOFA grant), and 1,710 pairs of disposable gloves (MOFA grant), which amounts to a six
month supply.
And although the Myanmar Office presently cannot receive remittances from Japan, it has
been able to keep operating by using the balance of the funds from the completed project.
Thus, the office has been able to pay local staff, pay office rent and communications
expenses, and purchase donation goods. The office is still facing problems with thetemporary suspension of banking services, restrictions over the amounts that can bewithdrawn, and so on, but has managed in a flexible and timely manner to deal with changing
circumstances and avoid any delays in making payments. As for the implementation of the
project and administration of the Myanmar office under the MOFA grant, PHJ will contact,
report, and consult with the Japanese Embassy in Myanmar and with the Japan Ministry ofForeign Affairs.
The PHJ Communications Department has informed donors and supporters of PHJ’s stanceon this matter via website announcements, monthly email updates, and newsletters. The
PHJ Fundraising Department has also explained this matter in detail to donors such as
Yagami Co., Ltd. and Ono Pharmaceutical Co. Ltd., and they have indicated that they
understand the local situation and are willing to be flexible and continue providing support.
Under these uncertain conditions, PHJ withdrew the grant application to the Azbil Yamatake
General Foundation that had been submitted in December 2020 and decided not to go
ahead with an application for a grant to the Japanese Trade Union Confederation, which it
had planned to submit in March 2021.

p. 7

3.

Support Programs

3.1

Cambodia Program

3.1.1 Project to Strengthen Community Care and Support Network for Children in
Kampong Cham ProvinceThis project has its origins in the Healthy Child Growth Pilot Program, which commenced
in November 2018 and expanded in October 2019 as a three-year project, under a
MOFA grant and with funds from donors. In October 2020, PHJ completed the first-year
activities under the MOFA grant, and started the second year in January 2021. In April
2021, PHJ hired a Japanese expatriate to the Project Manager position, which had beenvacant since April 2020, bringing the total number of Japanese staff to two in this office.
In FY2021, PHJ supported the following five initiatives: Support of Health Center Infrastructure(MOFA grant activities)
PHJ used the equipment control list prepared in cooperation with the OD office to checkthe inventories at the four targeted health centers (HCs): Peam Kohsna, Oun Mlou, Areak
Thnot, and Khop Tangoun. It was confirmed that each maintains an appropriate inventoryof child health care medical equipment and supplies.
(Self-funded activities)
In November 2020, PHJ supported the renovation of the building and the postpartum
care room at the Peam Kohsna HC, and this work wascompleted in May 2021 as shown on the left photo. In
February 2021, PHJ started and completed thepaving of the entrance walk at the Khop Tangoun HC.
Further, in April 2021, PHJ supported the installationof furniture and medical equipment in the postpartum
care rooms at the Peam Kohsna, Oun Mlou, andAreak Thnot HCs.

 Supporting Technical Training for HC Staff(MOFA grant activities and self-funded activities
At all four targeted HCs, PHJ monitored the monthly HC
staff meetings for the sharing of information from the OD
office and discussion of proposals and workplaceissues. The OD office supervised and provided training
for the integrated management of childhood illnesses(IMCI), growth monitoring and promotion (GMP), andpostnatal care (PNC) as shown on the right photo. The
OD staff paid particular attention to strengthening thesupervision of PNC counselling. One mother expressedgratitude for having received detailed counselling that gave her confidence in her ability
to take care of her baby.

p. 8

 Strengthening Child Care Network in Community( MOFA grant activities and self-funded activities)
PHJ monitored bimonthly meetings of a health center management committee (HCMC)
and a village health support group (VHSG), which wasmade up of local volunteers. It also monitored
quarterly meetings of community care workers formothers and newborns (CCMNs), a group of maternaland child health volunteers as shown on the left photo.
In order to facilitate the effective sharing of information
at these meetings, PHJ prepared a recording format
in cooperation with the OD office. Making good use ofthis format, the meeting members could enter, access,and share health records.
 Improvement of Child Care in Community(MOFA grant activities and self-funded activities)
PHJ printed and distributed posters to be used by VHSGs and CCMNs during healthclasses. To promote awareness of health issues, they were posted on the walls at the
HC offices. PHJ also monitored the home visits conducted by CCMNs and confirmed
whether the women were eliminating harmful habits such as taking alcohol during
pregnancy.
 Cooperation with OD Office(MOFA grant activities and self-funded activities)
PHJ organized monitoring & evaluation workshops with the OD staff; the first was in
October 2020, prior to the completion of the first-year project under the MOFA grant, andthe second was in May 2021, in the middle of the second year project. The OD Director
and other OD staff as well as the staff of the PHJ Cambodia Office participated to review
the achievements using performance indicators and provide information on planned
activities.
3.1.2. COVID-19 Outbreak Emergency Support(MOFA grant activities)
As the protective and preventive measures against COVID-19, PHJ donated personal
protective goods such as masks and hand sanitizer to the HC steering committee, healthvolunteers, CCMNs, participants of childcare educational program follow-up training, andtarget residents for health knowledge monitoring.
(Self-funded activities)
PHJ donated emergency support medical goods on three occasions between July 2020and June 2021 as shown on the next page photos. In July 2020, 525 unwoven masks
were distributed to four HCs in the Stoung Trong OD. Between July and October 2020、
155 cloth masks donated by Japanese individuals and supplied via the Japanese
government were distributed to VHSGs, CCMNs, and HCMC members, and 50 unwovenmasks donated by Japanese individuals were distributed to Khpop Tagnoun HC. At thep. 9end of March 2021, 14,000 unwoven masks and 14 gallons of sanitizing solution were
distributed to Stoung Trong OD, local hospitals, and 12 HCs.

3.2 Myanmar Program
3.2.1 Project on Maternal and Child Health Service Improvement in Rural
Communities
This three-year project funded by a MOFA grant and donations from corporations started
in October 2017. Due to the impact of the COVID-19 pandemic, PHJ extended the project
period by a month and half, and the project was completed in November 2020. At the
project site, PHJ implemented the following five initiatives, and it is expected that these
activities will continue to show results.
 Safe Environment for Childbirth(MOFA grant activities)
PHJ periodically monitored the hygiene and sanitary conditions of the facilities,
equipment, and medical supplies at each of the six HCs in the Myauk Myiek Rural HealthCenter (RHC). PHJ made it a routine practice for the RHC to report each month on themonitored status of each HC to the Township Department of Public Health. PHJ also
supported activities to ensure a safe and sanitary environment for home deliveries
performed by midwives.
 Enhancing the Skills of Medical Staff(Self-funded activities)
In July and August 2020, PHJ arranged for lady health visitors, township health officers,
and an obstetrician/gynecologist to check the skills of 38
midwives in the Tatkon Township as shown on the left photo,
and a three-day refresher course was conducted for 36
auxiliary midwives in the township.
(MOFA grant activities)
PHJ monitored meetings of auxiliary midwives and midwivesthat were conducted on a periodic basis and supervised bylady health visitors and health assistants. Through the sharing of information on maternaland child health (MCH) and the discussion of improvement measures, these meetings
strengthened cooperation between the supervisors and the participants.
 Maternal and Child Health Education for Pregnant and Post-partum Women(MOFA grant activities)

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Based on the annual plan, PHJ monitored MCH education sessions for pregnant womenthat were conducted by midwives at the Myauk Myiek, EaiGel, and Nyaung Lunt RHCs as shown on the right photo.
These sessions not only gave the participants a better
understanding of MCH, but also helped to strengthen therelationship between midwives and people in the local
communities. As a result, the people became more open
to the idea of using the health service.
 Training Maternal and Child Health Promoters and Strengthening Communication(MOFA grant activities)
PHJ monitored the meetings of midwives and MCH promoters that were held regularly
at the Myauk Myiek, Eai GelAije, and Nyaung Lunt RHCs to share MCH information. The
purpose of these meetings was to enhance awareness in the communities of the role ofthe MCH promoters, and to firmly establish community networks. To this end, PHJ soughtfor village leaders to better understand the roles and responsibilities of the MCH
promoters. As a result, the number of home visits by MCH promoters increased and morepregnant women were able to be introduced to midwives. And to provide instruction on
MCH, the MCH promoters visited mothers in the first week after they had given birth.
 Strengthening Partnerships with Government Officials(MOFA grant activities)
In November 2020, PHJ participated in the monthly meeting of the Tatkon Townshipmedical office to update the officials on the progress and the achievements of the threeyear project and discuss post-project activities. The township medical officers and healthstaff expressed their appreciation for the contributions PHJ had made in improving MCH
health in the targeted areas and strengthening the health system.
3.2.2 Project for Supporting Health System Strengthening Maternal and Newborn
Health in Lewe Township, Nay Pyi Taw Union Territory
The three-year project started in December 2020, after PHJ concluded the MoU with the
Ministry of Health and Sports in November 2020 and renewed the international NGO
registration in December 2020. This is a comprehensive project that is funded by a
MOFA grant and corporate donations.
In April 2020, the Japanese staff were ordered to temporarily return home due to the
COVID-19 outbreak, and work on the project was handled remotely, from Japan. At theend of March 2021, the project manager resigned, and at the end of June 2021 thecountry director also resigned. For the time being, PHJ is holding off on recruiting people
for these posts and the Program Support Department manager is working remotely as
the acting country director to oversee project operations.
The project has the following three initiatives: Rolling-out Proven Effective Activities to Other Townships within Nay Pyi Taw(MOFA grant activities)
Due to the changes in Myanmar since February 1, 2021, PHJ has suspended thep. 11planned activities for this initiative. As soon as the situation gets back to normal, PHJ
will restart the activities.
 Promoting Partnerships among Township Departments of Public Health, Medical
Staff, and Community(MOFA grant activities)
Due to the changes in Myanmar since February 1, 2021, PHJ has suspended theplanned activities for this initiative.
 Improving Health of Mothers and Newborns by Increasing Access to HealthServices(Self-funded activities)
PHJ implemented skill monitoring for all 84 midwives in Lewe Township in December
2020, and for 50 auxiliary midwives in January 2021. For the midwife skill monitoring,Township Medical officers and RHC staff worked as trainers, while for the auxiliary
midwife skill monitoring, midwives acted as trainers and checked the skills of each
auxiliary midwife.
(Self-funded activities and MOFA grant activities)
Under the current situation in Myanmar, very few women have been giving birth at healthfacilities and receiving visits from health staff, and deliveries attended by traditional birthattendants have been on the rise. To ensure safe childbirth, PHJ has provided thefollowing to 24 auxiliary midwives: 570 childbirth kits, 1,170 sheets of gauze, and 1,170
pairs of medical gloves (a six month supply).
3.2.3 COVID-19 Outbreak Emergency Support(Self-funded activities)
On three separate occasions, PHJ donated items to help combat the spread of COVID19. In August 2020, PHJ donated 300 unwoven masks to the Tatkon Township Medical
Office and 285 masks to the Lewe Township Medical Office. In October 2020, PHJ
responded to the rapid increase in COVID-19 cases that began in August 2020 byproviding 56 protection suits, 9,400 masks, 2,000 pairs of medical gloves, 1,000 medical
aprons, 700 medical caps, 4.5 liters of sanitary solution, and 65 surgical suits to the Tatkon
and Lewe Township Medical Offices as shown on the folowing photos. In December 2020,
PHJ donated 45 masks to Lewe Township. These goods were used by the medical staff
at quarantine facilities, in hospitals, and in the community.

p. 12

3.3 East Japan Disaster Reconstruction Support(Self-funded activities)
Two and a half years have passed since PHJ launched the three-year Minamisoma
psychosomatic counselling support project. This project is being implemented by the
Musubino-Kai medical association, using a room that is being rented from the Hori Medical
Clinic (Clinic Director Dr. Arinobu Hori). At the start of FY2021, PHJ reviewed and revisedpart of the project plan and contents. The initial objective was for this counseling program toachieve self-sufficiency within three years.
However, given the need during the COVID-19 pandemic to switch to remote counselling as
shown on the right photo and forgo patient visits by clinical psychologists, PHJ has
acknowledged that this objective could not be accomplished within the planned three year
timeframe. Accordingly, PHJ has revised its objective tothat of establishing a strong track record in the provisionof psychosomatic counselling that alleviates the mental
suffering of the people of Minamisoma, who arerecovering from not only the East Japan earthquake andtsunami but also the nuclear power plant accident, andthereby building a firm foundation for next steps.
In FY2021, as planned, Dr. Hori provided cognitive
behavioral therapy for post-traumatic stress disorder(PTSD) based on the prolonged exposure (PE) method, the clinical psychologist Dr.
Sakakibara provided counseling on family relationships, and the clinical psychologist Dr.
Takahashi provided psychological testing to accurately evaluate developmental disabilities.
To keep things moving in the right direction, the project members are working to promote a
better understanding of PTSD and psychosomatic counselling in Minamisoma, andproviding mental health care training.
Although ten years have passed since the East Japan disaster, the people in Minamisoma
have not forgotten the disaster. Dr. Hori reported to PHJ that when an earthquake ofmagnitude 7.3 hit northern Japan at 11 p.m. on February 3, 2021, there was no physicaldamage at Dr. Hori’s clinic, but many people were reminded of the sad events of the violent
earthquake ten years ago. Also, on March 11, 2021, when TV networks and newspapers
covered the 10th anniversary of the disaster, many people in Minamisoma were afraid to lookat anything that reminded them of the disaster of 10 years ago.

p. 13

Cambodia: Strengthening Community Care Network for Child Health and Nutrition in
Kampong Cham Province
Supporting Healthy Growth of Children Bearing the Future of Cambodia
Project period : 2018.11-2023.01 (About 4 years)

O G
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Achieve healthy growth of under five children in Kampong Cham ProvinceGoal
Evaluation: 4 PNC ratio, Periodical vaccination ratio, physical check ratio, 3 months continued physical checkregistration ratio, tri-monthly physical check ratio.

Health facilities

Medical staff

Volunteers

Villagers

Health admin.

p. 14

Myanmar: Project for Supporting Health System Strengthening for Maternal andNewborn Health Improvement in Lewe Township, Nay Pyi Taw Union Territory
Supporting Safe Pregnancy and Childbirth
Project period: 2020.12-2024.4 (About 3 years)
OG
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Improve maternal and health conditions of Nay Pyi Taw Union Territory
Improving the health of mothers and newborns by ensuring safe pregnancy and child birth throughthe health system strengthening in communities in Lewe Township, as well as rolling out the proveneffective activities over other townships within Nay Pyi Taw .
Evaluation: ・Make action plan・Appropriate health data・Periodical pregnancy check ratio・ratio of
medical assistance at childbirth・childbirth at hospital ratio・postpartum check ratio

Project achievements and lessons
learned are shared with the Min,of Health and Sports, othertownships outside Nay Pyi Taw
through Nay Pyi Taw Twonship
Dept. of Public Health which will
promote rolling out the proveneffectives to other townships

Strengthening local health systemthrough cooperation of townshiphealth department, medical staff,
and community

Policy proposal

Strengthening healthadministration system

Strengthening cooperation
between Min. of Health &Sports and Nay Pyi Taw
Township Dept. of Public
HealthStrengthening capabilities of
LeweTwonship Dept. of
Public Health

Improving pregnant women andnewborns’ accessibility toward
health services.

Promoting access toward
health care services

Strengthening health staff
capabilities and improvementof knowledge of community
peoplep. 15

Summary of FY2022 Business Plan
1. Outline
PHJ continues its work on international projects and disaster support projects, and iscontributing to the achievement of the Sustainable Development Goals (SDGs) adopted by
the United Nations in 2015. The continuation of these activities depends on funding, humanresources, and project planning. Accordingly, PHJ is formulating a midterm plan (2020-2023)
that sets out our thinking on how we will ensure stable fundraising, recruit and train staff,
implement existing projects, and plan new projects.
In Cambodia, PHJ will complete the second-year program and start the third-year programof the Project to Strengthen Community Care and the Support Network for Children in
Kampong Cham Province (from October 2018 through January 2023), with a MOFA grant.
Along with these activities, PHJ will search potential sites for a new project to commence in
2023, design the project, and plan to meet local needs. This is going to be the first time that
PHJ will apply for the JICA Partnership Program, another governmental grant different from
the MOFA grant.
Regarding the Myanmar program, PHJ started the first year of the MOFA project for
supporting health system strengthening for Maternal and Newborn Health improvement in
Lewe Township, Nay Pyi Taw Union Territory. As the country has been in turmoil since thepolitical change that took place on February 1, 2021, PHJ has not implemented the activities
that were planned for this new project. Confirming the actual situation and placing the safetyof the Myanmar staff as its top priority, PHJ will implement whatever activities are needed
and possible. Regarding the project activities planned under the MOFA grant, PHJ will keep
close communications with Myanmar counterparts and the Myanmar Office staff. PHJ also
will continue to consult with the Ministry of Foreign Affairs and the Japanese Embassy in
Myanmar.
In Japan, PHJ is continuing a three-year project (January 2019 to December 2021) tosupport the provision of psychosomatic counselling, based on a revised agreement with thepartner organization that was concluded in July 2020. This project will be completed at theend of December 2021.
Our budget for FY2022 projects revenues of 59.13 million yen, expenditures of 93.95 million
yen, and a deficit of 34.82 million yen. The reason for this deficit in FY2022 is the delay inreceiving the MOFA grant for Myanmar until FY2023. Nevertheless, this has not had a major
impact on PHJ’s financial condition, and the profit forwarded to the next fiscal year willamount to 71.95 million yen.
2. Support Programs
2-1.

Cambodia Program

2-1-1. Project to Strengthen Community Care and Support Network for Children in
Kampong Cham Province(MOFA grant activities and self-funded activities)
PHJ will expect to complete the second year of the MOFA grant project in January
20212 and start the third year in the same month, focusing on 1) support of HC
facilities, 2) enhancement of HC staff skills, 3) establishment of community network
for child health, 4) provision of child health care education to families, and 5)

p. 16

cooperation with the OD administration.
 Support of HC infrastructure
Using a list of inventory, PHJ will continue to monitor the use of child health careequipment at the four HCs (Khpop Tagnuon, Areak Thnot, Peam Kohsna, and Oun
Mlou).
PHJ will also monitor the check list-based inspection by HCs of the sanitary situationand medical equipment.
 Supporting Technical Training for HC Staff
As all four HCs have adequately equipped postpartum care rooms, PHJ will start
monitoring their use. PHJ will also provide education to postpartum women on
important matters such as the need to stay in a care room for at least 48 hours after
giving birth. Education of HC staff members on IMCI, GMP, and PNC will be continued.
The GMP, IMCI, and nutrition training for medical staff in Stoung Trong OD that was
postponed due to the COVID-19 pandemic will be provided.
 Strengthening Child Care Network in Community
PHJ will continue to organize and monitor information sharing and problem solving
meetings of the VHSGs and CCMNs. Also, PHJ will confirm the effective use ofmanuals on emergency referrals to hospitals for children who need immediate
treatment, which were drafted in cooperation with the OD.
 Improvement of Child Care in Community
As activities directed toward communities, PHJ will focus on organizing healtheducation in the targeted villages. VHSGs will receive practical training on child healthcare and sanitation, while the CCMNs will receive practical training on child nutrition.
After the completion of the training sessions, they will organize health and sanitation
education, including COVID-19 preventive measures, demonstrations for families on
the preparation of nutritious baby food, and education on child nutrition. In addition,
PHJ will support the organization of a sanitation campaign for COVID-19 prevention.
 Cooperation with OD Office
To strengthen the partnership with the OD office that is responsible for local healthadministration, PHJ will organize a monitoring and evaluation workshop twice a year.
At this workshop, information on achievements and issues with project activities will
be shared with a view to improving the effectiveness of local health and child healthcare-related medical activities.
With the above-mentioned five initiatives, PHJ will work closely with the OD office, HCs,
VHSGs, and CCMNs to implement effective community health care education, andthereby contribute to the enhancement of health knowledge among the community
members.
In the above, PHJ’s aim is to build confidence within communities in their ability tomaintain good health.
2.2 Myanmar Program
2-2-1 Project for Supporting Health System Strengthening for Maternal and Newborn
Health Improvement in Lewe Township, Nay Pyi Taw Union Territory( MOFA grant activities and self-funded activities)

p. 17

This will be the first year of the three-year project in Lewe Township. While the project
covers the entire township, PHJ will focus on those areas that have poor access tohealth services. The aim is to improve MCH by strengthening the local health system
to provide better access, based on practical requirements. Also, PHJ will cooperate with
Lewe Township Medical Office to roll out proven effective activities in Lewe Township toother areas within the Union Territory.
The project has three initiatives. The first one is “to spill-over the effects of achievementsof this project to other areas.” The second initiative is “to promote a partnership between
the Township Medical Office, medical staff, and the community.” The third initiative aims
“to improve the quality of health services for pregnant and postpartum women andnewborns.”
 Rolling out Proven Effective Activities to Other Areas of the Union Territory
As for this initiative, PHJ will organize an annual planning meeting with the Ministry of
Health and Sports, project evaluation meetings with the Nay Pyi Taw Department of
Public Health and Township Medical Office, and field visits by other townships of Nay
Pyi Taw Union Territory.
 Strengthening Partnership among Township Department of Public Health,
Medical Staff and Community
For this initiative, PHJ will organize regular meetings and project workshops with Lewe
Township health staff, provide equipment for enhancement of the IT infrastructure, andprovide refresher training on the use of health management information systems(HMIS).
 Increasing Access to Health Services for Pregnant and Postpartum Women
PHJ will support in organizing health education meetings to increase the healthknowledge of community people, promote the use of health facilities, monitor healthfacility inventories, and provide training for midwives and auxiliary midwives.
Due to the changes in Myanmar since February 1, 2021, PHJ suspended the execution of
the planned activities. As soon as things get back to normal, PHJ will resume the project
activities. While staying in communication with the Myanmar office staff and relatedorganizations such as the Ministry of Foreign Affairs of Japan and the Embassy of Japan in
Myanmar, PHJ will redesign the project plan in response to changing needs at the projectsite.
2-3 . East Japan Disaster Reconstruction Support(Self-funded Program)

PHJ will continue working on and complete the final year of the Minamisoma PsychosomaticCounseling Project (three years, from January 2019 to December 2021). PHJ will use all
donated funds by December 31, 2021 and conclude the project.
However, due to the enforcement of mobility restrictions to counter the COVID-19 pandemic,
it is unlikely that all of the objectives for the provision of psychosomatic counselling at Hori
Mental Clinic will be accomplished. Based on the achievements and the medical informationthat has been obtained over the past three years, Dr. Hori has made a plan for the next two
years and has asked for PHJ’s support. If PHJ decides to continue supporting this project in
FY2022 and 2023, fundraising and the finding of new donors will be the main issue.
End of FY2021 activity report and FY2022 business planp. 18

FY2021 Financial Report
Balance Sheet
Balance Sheet
PH-Japan (People' s Hope of Japan)
All offices
AssetsItem【Current assets】（Cash/deposits）
Cash
Ordinary deposit
Cash and deposit outside Japan
Total cash and deposits
Total current assets

Total assets

Unit: Japanese Yen

As of June 30, 2021
Liabilities
Item【Current liabilities】
Account payable
5,973 Account payable (for experts)
91,330,672 Accounts receivable
15,934,680 Total current liabilities
107,271,325
Total liabilities
Net assets
107,271,325【Net assets】
Net assets from previous period
Increase or loss in current fiscal year
Total net assets
Total net assets
107,271,325
Total liabilities and net assets

AmountPH-Japan (People's Hope Japan)tax)

Amount345,003
8,168
152,000
505,171505,171

68,292,548
38,473,606
106,766,154
106,766,154
107,271,325

Unit: Yen (including

FY2021 Expenditure（Total 67.73 MYen，Cash）

FY2021 Revenue(Total 106.2 MYen，Cash）
Others0.6%

Administration
10.9%
Membershipfee 27.2%

Grant
53.1%

Publication/
fundraising
16.5%

RevenueDonation
19.0%

Disaster support
7.3%

Cambodia
35.6%

Expenditure

Myanmar29.7%

FY2021 Budget, Result and FY2022 BudgetItem

FY2021
BudgetFY2022
ResultBudget29,400,000

28,919,877

27,200,000

Corporate membership

24,800,000

24,230,000

23,000,000

Individual memebership

4,600,000

4,689,877

4,200,000

16,800,000

20,222,036

11,500,000

Corporate donation

5,800,000

6,700,000

3,500,000

General-purpose donation

7,000,000

10,573,663

6,500,000

East Japan disaster

4,000,000

2,948,373

1,500,000

3. Grant

92,460,000

56,443,697

20,430,500

Grant

0

1,000,0000Subsidy

92,460,000

55,443,697

20,430,500

4. Others (interst, etc.)

0618,0370

5. Goods in kind

044,783,736

0

T otal revenue

138,660,000

150,987,383

59,130,500

Cash

138,660,000

106,203,647

59,130,500

Goods

0

44,783,736

0

129,450,000

60,375,860

85,550,000

Cambodia

28,810,000

24,126,599

29,400,000

Mynmar

81,540,000

20,123,831

39,600,000

East Japan disaster

5,600,000

4,930,000

3,050,000

Communications and fundraising

13,500,000

11,195,430

13,500,000

2. Administration

9,000,000

7,354,181

8,400,000

3. Goods in Kind

044,783,736

0

T otal expenditure

138,450,000

112,513,777

93,950,000

138,450,000

67,730,041

93,950,000

044,783,7360

210,000

38,473,606-34,819,500

210,000

38,473,606-34,819,500

0

0

0

IV. Net assets forwarded from previous

68,292,548

68,292,548

106,766,154

Cash

68,292,548

68,292,548

106,766,154

0

0

0

68,502,548

106,766,154

71,946,654

68,502,548

106,766,154

71,946,654

0

0

0

I.Revenue
1. Membership fee

2. Cash donation

II.Expenditure
1. Program

Cash
Goods in kind
III. Net assets variation
Cash
Goods in kind

Goods in kind
V. Net assets forwarded to next FY
Cash
Goods in kind

＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊
Auditor's Report
To: Mr. Shingo Oda
Chairperson of the Board of Directors
PH-Japan (People’s Hope Japan)
I have audited the PH-Japan’s FY2020 business activities and financial report and consider
them appropriate and correct.
August 3, 2021

Koji Maemura, Auditor＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊

PHJ Board of Directors as of September 6. 20211

Title at PHJ

Name

Title at respective organization

Chairperson

Shingo Oda

Former President, Hewlett-Packard Japan, LLC.

Vice

Shigeru Tanaka

Chairman,

Chairperson
Director

SaitamaPrefectural

University;

Professor Emeritus, Keio University
Masaki Iiduka

Former Board Member, Officer of HewlettPackard Japan, LLC.

“

Yuji Inokuchi

Chairman, AllJapan

Hospital Association;

Chairperson, Medical Foundation Jukoukai“

Kohei Ito

President, Keio University“

Shuzo Kaihori

FormerChairman,

Board

of

Directorsof

Yokogawa Electric Corporation“

Youhei Kamiya

Former Director of Yokogawa & Co., Ltd.

“

Sunao Manabe“

Ken-ichiChairman, The Federation of Pharmaceutical
Manufacturers’ Association of Japan; President
and CEO, Daiichi Sankyo Co. Ltd.
Chairman,JFMDA;Chairman,OMETA; Chairman,

Matsumoto

Sakura Global Holding Co., Ltd.

Yasuo Nakajima

Director“ofRadiology

Consultation

Clinic;Professor Emeritus, St. Marianne University“

Mitsuhiro Saotome

First Ambassador of Civil Society of Japan,
Former Ambassador of Japan to the Republic ofZambia, the Repubic of Malawi“

Chiaki Yamamoto

Citizen of Musashino City“

Miyoko Yasuda

Associate Professor, Faculty of Healthcare andNursing, Graduate School of Healthcare andNursing, Juntendo University“

Yae Yoshino

Associate Professor, Faculty of Human Sciences,
Department of Nursing

AuditorKoji Maemura

Audit and Supervisory Member of Yokogawa（Okamoto）

Electric Corporation

PH-Japan FY2021 Activity/Financial Report・FY 2022 Activity Plan/Budget
Published by PH-Japan (People’s Hope Japan) on October 15, 2021
Editor-in-Chief: Youhei Kamiya, PHJ Board member/Managing Director
Editor: Sachiko Yazaki, Head of PHJ Communications Department
Acknowledgements: We wish to express our sincere thanks to James
O’Gieblyn for his help in editing the FY2021 activity report andthe FY2022 activity plan.
Address: 2-9-32 Nakacho, Musashino-shi, Tokyo 180-8750 Japan
Phone: 81-(0)422-52-5507 Fax: 81(0)422-52-7035
e-mail: info@ph-japan.org
URL: https://www.ph-japan.org/en
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