■MissionIn order to help the people in Asia to empower themselves in health care, PH-Japan extendsfollowing health and medical educational support, as well as medical and health support indisaster relief.
Presently, PHJ is implementing maternal and child health improvement projects in Cambodiaand Myanmar, where the infant mortality rate, under 5 mortality rate and maternal mortalityrate are poor.
JapanCambodia

MyanmarInfant mortality rate（per 1,000 births）

２２４３７

Under 5 mortality rate（per 1,000 births）

２２８４６

Maternal mortality rate（per 100,000 births）６１６０

２５０

Delivery attended byskilled attendants (%)

100

８９６０

Average life（years at birth）

８４７０

６７

1%30%

13%58%

11%Cash donationPublic grant

Goods donationOther rev.

6%

12％

69%

Project support

Goods support

Fundraising exp.

Admin.exp.

Myanmar・Maternal and childhealth improvement

Y. ShingaiActing CountryDirectorJapan・East Japan disaster and otherdisaster support

Area: 680,000 k㎡Population: 51,000,000

Area: 380,000k㎡Population: 120,000,000

Cambodia・Maternal and childhealth improvement

All PHJ projects in Thailand andVietnam were transferred to localorganizations. On October 31, 2016the PHJ-Thailand Office was closed.
All PHJ projects in Indonesia weretransferred to local organizations.
On December 31, 2016, the PHJIndonesia Office was closed.

K. IshiyamaT. OkumotoCountry Director Project Manager

Area: 180,000k㎡Population: 15,000,000

【Project site】Stoung Trang Operational Health District (OD)（Health staff capability enhancement：12 health centers, community networking：4 health centers）【Project goal】To address health problems related to children by strengthening community care and support network1. Children in the project site have access to appropriate health care service at appropriate timing through close communicationsbetween the health centers and the community.
2. Local residents have opportunities to enhance their awareness on the children’s health care and dietary behaviors.
【Beneficiaries】4,669 children under 5 years and 4,669 guardians; 5 OD staff ; 29 health center staff; 67 health volunteers; 75 maternal and child healthvolunteers; in 34 villages under 4 health centers with the population of 40,342

PHJ organized regular supervision and training for capacity building ofhealth center staffCyclic MCH checkTraining of health promoters

Training of auxiliary midwives Training of midwives

Construction of MCH facilities

Accumulateddeath(2018.03.31)
Unit:personAccumulatedtotal(2018.03.31)
Unit:personSupport to Minami Soma: suffering from both East Japan Earthquake/Tsunami disaster and Fukushima Nuclear Power Plant Accident, thereconstruction in Fukushima Prefecture is not proceeding as planned. Thedisaster related death rate of Fukushima announced by the ReconstructionAgency is the highest among the three prefectures.
Within Fukushima, the death rate of Minami Soma is the worst. PHJrecognized this grave situation and decided to extend support to mental healthcare of the people of the Minami Soma, by launching a psychosomaticcounselling room, in cooperation with Dr. Arinobu Hori, Director of HoriMental Clinic.
PHJ and Medical Incorporated [Musubino-kai] concluded a Memorandum of Understanding to launch a counseling room where a clinicalpsychologist extends counselling service.
*Psychosomatic Counselling: a clinical psychologist extends 50minutes of listening, understanding, accepting, and sympathizing service toreduce a patient’s mental and psychological stress. The psychologist furtherhelps the patient to find a solution by understand- ing what he/she wishes todo and how to achieve it.
(Clinical psychologist is a private qualification. In 2018 Certified PsychologistSystem started as a national qualification.)This program was implemented steadily, and in the latter half of 2019, thenumber of counselling sessions increased by 1.5 times of the initial plan ofmaximum 72 sessions in three months. However, in April 2020 the JapaneseGovernment announced the COVID19 related emergency declaration. Thepsychosomatic counselling was suspended in April and May. In June theMusubi-no-kai resumed the program by extending remote counselling.
As Dr. Hori’s plan to establish a new NGO became pending by the supporters,PHJ and the Musubi-no-Kai concluded a new Memorandum of Understandingin July 2020. The revised program isexplained on the next page. This program was completed in December 2021as initially planned.

Iwate

FukushimaPhotos:Left: Hori Mental ClinicBelow: Remote counselling