更新日2018/06/14
ボリビア事務所

プロジェクト基本情報

































主管区分


在外事務所


在外事務所


00409_ボリビア事務所


本部/国内機関






 


案件番号



1400401

プロジェクトID(旧)


 


200


北米・中南米地域




対象国名


ボリビア


31300












対象国(その他)







 





案件名(和)


オルロ県母子保健ネットワーク強化プロジェクト

 





スキーム







名称(和)


技術協力プロジェクト


Technical Cooperation Projects

 



協力期間20160222日20200221日
 









分野課題1


保健医療-母子保健・リプロダクティブヘルス


分野課題2




分野課題3




分野分類


保健・医療-保健・医療-人口・家族計画

 





プログラム名


保健医療システム強化プログラム


プログラムID


3060000000005


援助重点分野


社会的包摂の促進


開発課題


保健サービスの普及強化






実施状況


実施中


備考



 

案件概要表

詳細を隠す:案件概要表案件概要表




 





案件名


(和)オルロ県母子保健ネットワーク強化プロジェクト




(英)Mother and Child Health Network Improvement Project in Oruro

 





対象国名


ボリビア


対象国名(その他)


 


署名日(実施合意)


2015/10/26
 


プロジェクトサイト


アサナケ保健ネットワーク、ノルテ保健ネットワーク、ミネラ保健ネットワークの合計16市
 
協力期間20160222日202002月 21日
   


相手国機関名


(和)

保健省、オルロ県保健局


相手国機関名


(英)

Ministry of Health, Health Service Department in Oruro









日本側協力機関名


 


プロジェクト概要




背景


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.


上位目標


Maternal and child (less than five years old) health situation is improved in Department of Oruro.


プロジェクト目標


Maternal and child health services are improved with community participation in target area.


成果


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.


活動


0.1 Baseline survey
0.2 Endline survey
(Output 1)
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.
(Output 2)
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.
(Output 3)
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.


投入




日本側投入


1) Dispatch of Experts
-Chief adviser/health promotion
-Maternal and child health
-Coordinator/training management
-Others (upon necessity)
2) Provision of equipment
3) Necessary cost for project activities (including the cost for local consultant and other operation cost)


相手国側投入


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


外部条件


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.
 


実施体制




(1)現地実施体制


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.


(2)国内支援体制


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.

 





関連する援助活動




(1)我が国の援助活動


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)


(2)他ドナー等の援助活動


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
詳細を隠す:Project Outline / Aperçu du ProjetProject Outline / Aperçu du Projet







Project Under Country Office's Control

As of


Jun.14,2018







Overseas Office


JICA Bolivia Office


Headquarters
Domestic Office








Project Number


1400401


Title


Mother and Child Health Network Improvement Project in Oruro






Country


BOLIVIA






Project Type


Technical Cooperation Projects






Field 1


Health-MCH /Reproductive Health


Field 2




Field 3








Sector


Health/Health Care-Health/Health Care-Population/Family Planning






Program Title


Health System Strengthening


Program Number


3060000000005


Cooperation Priority Area


Promotion of social inclusion


Development Issue


Improvement of Health Service






Project Site


Health Networks of Azanaque, Minera and Norte (16 municipalities)





Oct.26,2015
Term of Cooperation2016/02 ~2020/02


Implementing Organization


Ministry of Health, Health Service Department in Oruro


Background




Overall Goal




Project Purpose




Output




Project Activities




Input Summary byJapanese Side








Consultant Name








Dispatch of Study Team(s)

Team

From


To










































































Related Project




(1)Japanese side




(2)Collaboration with Other Donors








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