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| >>ODA Policy on Health and Population >>Good Practices on Health and Population |
Last Updated: November 19, 2007 |
Poor health and limited access to reproductive healthcare in developing countries, can have negative impacts on socio-economic activity, leading to poverty. It is therefore extremely important to achieve health-related MDGs if poverty is to be effectively reduced. With globalization, Japan has a responsibility to assist in the global fight against infectious diseases such as HIV/AIDS, avian flu and Severe Acute Respiratory Syndrome (SARS). This is beneficial not only to the people of Japan but to the world. Japan is committed to improving health in developing countries and has launched a number of initiatives in the Health sector. These include the "Okinawa Infectious Disease Initiative (IDI)", "Global Issue Initiative on Population and AIDS (GII)", the "International Parasite Control Initiative (also known as Hashimoto Initiative)," and "TICAD Tokyo Action Plan". With the completion of IDI in March 2005, Japan launched the "Health and Development Initiative (HDI)" and has implemented international assistance in health-related areas, with an emphasis on the achievement of MDGs.
- The Framework Featured in ODA Charter &Mid-Term Policy (Extracts)
Japan's Official Development Assistance Charter (August, 2003)
I. Philosophy: Objectives, Policies, and Priorities
3. Priority Issues
(1) Poverty Reduction
Poverty reduction is a key development goal shared by the international community, and is also essential for eliminating terrorism and other causes of instability in the world. Therefore, Japan will give high priorities to providing assistance to such sectors as education, health care and welfare, water and sanitation and agriculture, and will support human and social development in the developing countries. At the same time, sustainable economic growth, increase in employment, and improvement in the quality of life are indispensable for realizing poverty reduction and Japan places importance on providing assistance for these issues accordingly.
(2) Addressing Global Issues
As for global issues such as global warming and other environmental problems, infectious diseases, population, food, energy, natural disasters, terrorism, drugs, and international organized crime, further efforts must be given immediately and in a coordinated manner by the international community. Japan will address these issues through ODA and will play an active role in the creation of international norms.
Japan's Medium-Term Policy on ODA (February, 2005)
3. Priority Issues
(1) Poverty Reduction
i. Japan's Position on Poverty Reduction
(a) In developing regions, around 1.1 billion people live in poverty on less than US$1 a day. To deal with this situation, the Millennium Development Goals (MDGs) were adopted following the United Nations Millennium Summit in September 2000, establishing targets to be achieved by 2015 relating to poverty reduction, gender equality, health and education, HIV/AIDS and other infectious diseases, and environmental sustainability. MDGs are goals that the international community should work in concert to achieve in order to build a better world. Japan will contribute actively to achieving the MDGs, including through effective use of ODA.

©Akiko Mori
(b) Poverty is not only an economic dimension, such as low income and expenditure, it also has social and political dimensions exemplified by lack of access to basic social services such as education and public health services, gender inequality, and lack of opportunities to participate in the decision-making process. The MDGs consist, to a large extent, of targets relating to the social sector, such as education and public health. At the same time, as the experience of development in East Asia demonstrates, sustained economic growth is a necessary condition for reducing poverty. Therefore, poverty reduction should be pursued comprehensively through actions that address both the economic and social dimensions.

©Akiko Mori
ii. Approach to Poverty Reduction and Specific Actions
(a) Cross-sectoral Assistance that is tailored to the stages of development
The underlying causes of poverty are diverse, and the poor face a range of problems. Therefore, in order to effectively reduce poverty, there is a need for cross-sectoral assistance. Prior to the formulation of projects, efforts will accordingly be made to determine the poverty situation of each country and region and to analyze the needs of the poor. In order to collect a wide range of information on the poor, networking with governments, NGOs, universities, research institutions and private enterprises will be strengthened. Based on the results of analyses, assistance will then be provided according to the situation in each country and region and the stage of development of the recipient country, by effectively combining various schemes such as bilateral Japanese ODA Loan, grant aid, technical cooperation and assistance through international agencies.
For example, HIV/AIDS will be tackled not simply as a medical problem; instead, across-sectoral approach utilizing a variety of schemes will be adopted. More specifically, priority will be placed on strengthening prevention and voluntary counseling and testing (VCT), while at the same time paying attention to reinforcing the regional health care system as a whole. Employment support will also be provided to people living with HIV/AIDS, along with medical treatment and care, and social support for sufferers, their families and HIV/AIDS orphans Consideration will also be given to incorporating, as necessary, HIV/AIDS measures into development assistance programs in view of the risk of HIV/AIDS epidemics caused by the movement and concentration of populations which accompany economic development, trafficking in children and women, and the growing risk of transmission of HIV/AIDS through drug use.

Checkup for infants by Japan's Support (Ghana)
(i) Enhancing Basic Social Services
In order to improve the quality of life of the poor, Japan will actively assist in the enhancement of basic social services, such as education, health services, safe water supply, shelter, and electrification, while encouraging improvements in governance in the recipient country. For example, Japan will seek to improve hygiene conditions and raise awareness by providing wells and latrines in its school construction projects in poor areas, and to improve children's nutrition through school meals. With a view of strengthening the delivery of basic social services, assistance will be provided to build the capacity of central and local governments, and to improve health and medical systems. At the same time, the establishment of transport, communications and electric power infrastructure will be assisted with the objective of improving access to hospitals and schools. Support will also be provided for training and development of educational materials in order to improve the quality of services. In addition, assistance that will contribute to women and children's health and reproductive health will be provided, addressing infectious diseases and women's capacity building.
- Initiatives & Funding Commitment
A Comment in the Lancet "Japan's new global health policy: 2011-2015 by Mr. Katsuya Okada, Minister for Foreign Affairs of Japan(September 2010)
- Text (Japanese / English)
Policy Speech by Mr. Masahiko Koumura, Minister for Foreign Affairs of Japan "Global Health and Japan's Foreign Policy - From Okinawa to Toyako -" (November 2007)
- Text (Japanese / English)
Health and Development" Initiative (HDI) (June, 2005)
- Summary (Japanese / English)
- Text (Japanese (PDF)
/ English (PDF)
)
- Information (Japanese (PDF)
/ English (PDF)
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Japan's Africa Infectious Diseases Action Plan
- Summary (Japanese)
- Further Details (Japanese (PDF)
)
Japan's Maternal and Child Health Handbook System Adopted in Indonesia

The Maternal and Child Health (MCH) Handbooks are well known in Japan. The handbook is widely used in health care centers and hospitals. The handbook together with health system strengthening contributed to the achievement of low infant mortality rate in Japan. Japan has provided assistance to enable the introduction of MCH handbook in Indonesia since the mid-1990s. The handbooks are widely used throughout the country.
Further Details (Click here) (Japanese) >>
The Bridge of Hope Between Thailand and Laos: Japanese ODA Loan Project in the Fight Against HIV/AIDS
Infrastructure development projects in developing countries often result in large temporary movements of people. The movement of people has been associated with the spread of sexually-transmitted diseases such as HIV/AIDS in some regions. Consequently, Japan has provided onsite awareness raising and education on prevention of HIV infection to construction workers through ODA.
<HIV/AIDS education at a construction site/Training for the HIV/AIDS education trainers selected among workers>

(Photo : IPPF)

(Photo : IPPF)

(Photo : PPAT)
Further Details Click here (Japanese) >>
- Cooperation with Multilateral Organizations
[Palestine]
In 2006, based on Japanese and Indonesian experience, JICA developed MCH handbooks for Palestine taking into consideration local culture. UNICEF received funding from Japanese government, to print and distribute the MCH handbook, in cooperation with JICA experts. The dissemination of MCH handbook is expected to improve the Maternal and Child Health sector.
2. Cooperation with WFP
[Cambodia]
JICA has provided assistance to improve anti-tuberculosis measures in Cambodia and to expand the use of the Directly Observed Treatment, Short Course (DOTS). WFP, with the support from Government of Japan, provided food for approximately 33,000 TB patients per year, who receive DOTS treatment from the Government. Providing food to TB patients is not only an incentive to receive medical treatment for more than 6 months after which point they become eligible for this support. It also ensures the TB patients nutritional needs are met and helps to make treatment more effective. It is also helps to support the families of TB patients whose resources may be stretched.
Photo from Millennium Development Goals (MDGs) Handbook (MOFA, 2005)
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