（英）Mother and Child Health Network Improvement Project in Oruro
Ministry of Health, Health Service Department in Oruro
In spite of the recent economic growth, Bolivia still has one of the highest maternal and child mortality ratios
in Latin America. The Government of Bolivia has ratified the Intercultural Community and Family Health Policy
(hereinafter referred to as "SAFCI") in the Sectorial Development Plan (2010-2020) to guarantee the right to health,
inclusion and access to health for all the people and the establishment of the Equitable Health System.
Based on the concept, the Government of Bolivia has also introduced “National Strategic Plan to Improve the
Maternal, Perinatal and Neonatal Health in Bolivia, 2009-2015” to reduce maternal, neonatal and infant mortality
ratios. However, the functions, roles and technical capacities of related organizations and human resources are
limited to implement the Plan at departmental level.
The department of Oruro, consisting of 35 municipalities, is located in the highlands of western part of Bolivia
where approximately 460,000 people live and majority of them are indigenous people. The access to the health
service is limited especially for the residents in rural area. Primary health care facilities are scattered
geographically. Health workers' technical capacities are not enough to deliver their services adequately.
The management capacities of health facilities are weak. Consequently, these health issues have negatively
affected to the health of mother and child in Oruro, which resulted in the higher maternal and under five
infant mortality rates than the national averages. Therefore, Ministry of Health and Department of Health Service
in Oruro (SEDES Oruro) requested the technical cooperation project to the Government of Japan in 2013.
Maternal and child (less than five years old) health situation is improved in Department of Oruro.
Maternal and child health services are improved with community participation in target area.
1) The quality of maternal and child health services is improved at the health facilities at the target area.
2) Community people implement activities to improve practice on maternal and child health through collaboration with health facilities in the target area.
3) The management of municipal health network is improved through information analysis, supervision, and
planning in the target area.
0.1 Baseline survey
0.2 Endline survey
1.1 Planning, implementation and follow - up of training, on the care for pregnant women, children under five years old, referral/counter-referral, evaluation of developmental delay for children under two years old, early
stimulation for children under two years old, biosecurity and medical waste management at health facilities;
1.2 Elaborate and implement technical documents on the quality of services.
2.1 Conduct training on health promotion for facilitators;
2.2 Conduct activities and follow-up based on Local Guide of Education for Life, in the selected communities;
review the guide based on the results of activities.
2.3 Formulate strategy to continue and expand health promotion activities in the whole Department.
3.1 Planning, implementation and follow-up of training on health information system, Information Analysis Committee (CAI), formulation of Annual Operation Plan (POA);
3.2 Elaborate the activity plan based on the results of CAI at health facilities; formulate annual operation
plan (POA-Formulate and implement supervision plan;
3.3 Conduct a workshop to share and replicate the result of project activities among those involved in health.
1) Dispatch of Experts
-Chief adviser/health promotion
-Maternal and child health
-Others (upon necessity)
2) Provision of equipment
3) Necessary cost for project activities (including the cost for local consultant and other operation cost)
1) Provision of project office
2) Assignment of counterpart personnel
3) Provision and maintenance of equipment necessary for the project activities
4) Necessary cost for project activities
The policies on maternal and child health on national and prefectural level are maintained.
Personnel trained by the Project continue to be involved in the project activities.
SEDES Oruro and health networks (Azanaque, Minera and Norte) will be responsible for implementing the project activities in the field closely working with JICA experts and local consultants assigned by JICA Bolivia Office.
Regarding the referral/counter-referral system, the tertiary referral hospital "San Juan de Dios" will
collaborate with the Project to verify the correct implementation of the system among health facilities.
The hospitals of second nivel are also expected to become as a training center in maternal and child health.
Regarding to the early childhood development, the rehabilitation center of Oruro city will be used as a training center for health personnel on the subject of early diagnosis of childhood disabilities early stimulation techniques.
University of Juntendo will send the Japanese experts in the areas of chief advisor/health promotion, maternal and
child health and health information analysis/management) under the contract with JICA.
1) Project for Strengthening Development System of Healthcare Workers (Co-medicals) (Approved in JFY2014)
2) Maternal and Child Health Network Improvement Project in Potosi (2013-2017)
3) Project for Strengthening Health Network in Rural Region Focusing on Mother and Child Health (2008-2014)
4) Project for the Program of the Unified Registration of the Person with Disability Phase 2 (2009-2011)
5) Project on Enhancement of Health Network with Emphasis on Rights, Interculture and Gender (2007-2011)
6) Project for Strengthening Regional Health Network of Santa Cruz (2001-2006)
Explore collaboration with IDB and KOICA as following manners;
1) IDB's PEEP (Programme for the Eradication of Extreme Poverty) and other loans have contributed in the improvement of health infrastructure in the department of Oruro. The Project will complementarily strengthen the capabilities of human resources working at health facilities rehabilitated by the IDB’s financial support.
2) KOICA is implementing the grant aid project to improve health system in Oruro city, in which a secondary care hospital will be constructed (and completed in 2017). The newly constructed hospital will be used for monitoring the progress of the referral/counter-referral system strengthened by the Project.
|Project Outline / Aperçu du Projet |
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