An analysis from global perspective

1
An analysis from global perspective

• What are the implications of the JICAs
  reproductive health project in Nghe An in
  achieving Millennium Development Goals (MDGs) and
  Human Security?

2
Global commitment and progress in Asia

• MDGs
• 1. Eradicate extreme poverty and hunger
• 2. Achieve universal primary education
• 3. Promote gender equality and empower
  women
• 4. Reduce child mortality
• 5. Improve maternal health
• 6. Combat HIV/AIDS, malaria and other
• diseases
• 7. Ensure environmental sustainability
• 8. Develop a global partnership for
  development

3
UN Millennium Project Report (2004)

• Assessed the extent to which countries are
  achieving/ likely to achieve MDG targets set for
  2015

4
Progress in South-east Asia
5
Most lagging MDG in Southeast Asia is

• MDG 5
• Reduce maternal mortality by 2/3

6
MDG priorities for southeast Asia

• East and Southeast Asia have made tremendous
  progress towards many of the Goals.. ,but it
  still requires large investments in public health
  systems, rural infrastructure, education, and
  environmental management,
• (UN Millennium Project Report to the UN
  Secretary-General (2004), p.32)

7
Lessons learned

• Good ideas sometimes fail because of poor
  implementation
• A well-functioning health system is at the heart
  of numerous MDGs, especially the lagging MDGs
• Capacity building of health system
• is critical
• (Gayle H. Martin, a handout material at 7th
  Annual Conference of the Asia Pacific Alliance,
  April 2005)

8
Japans ODA policies related to health with human
security perspective

• Japans ODA Charter (Aug., 2003)
• Human security perspective is one of the
  five major policies.
• Japans Medium-term Policy on ODA (Feb., 2005 )
• Health and Development Initiative (June, 2005)
• (Country Assistance Programs)

9
Human Security means

• Focusing on individuals and building societies in
  which everyone can live with dignity, and
  protecting and empowering individuals and
  communities that are exposed to actual or
  potential threats

10
JICAs seven focuses on human security

• 1.Human-centered approach to reach needy people
• 2.Perceiving people not only as recipients of
  assistance but also as future leaders of
  development, and empowering them accordingly
• 3.Placing emphasis on the benefit of vulnerable
  people whose survival, livelihood , and dignity
  are at risk
• 4. Focusing both on freedom from want and
  freedom from fear (including the gap between
  post-conflict emergency humanitarian aid and
  subsequent reconstruction assistance

11
JICAs seven focuses on human security

• 5. Comprehensive and inter-sectoral approaches to
  analyze and resolve threats directed to people
• 6. Approaching both the government (central and
  local) and local communities/people to realize
  sustainable development in developing countries
• 7. Cooperating with various actors, donors, and
  NGOs in developing countries for higher
  assistance impact

12
Challenges and needs to achieve MDGs and Human
Security

• Building capacity of health system
• Empowerment of the people/communities
• Fostering peoples/communitys ability to act
  on their own behalf and on behalf of others.

13
Achievements of the JICAs RH project in Nghe An
Province

• Workable management structure (project steering
  committee at every local levels) Empowerment of
  the tripartite collaboration mechanism of
  government/ health (and family planning) sector/
  community people to enhance community health
  Empowerment of the community
• Focus on the grass-root level (commune level)
  Human centered-approach to reach needy people

14
Achievements of the JICAs RH project in Nghe An
Province

• Massive human resource development including
  various technical trainings/ IEC skill up
  workshops, seminars Capacity building of medical
  personnel, community organization (Womens
  Union), etc.
• IEC and Advocacy activities conducive to behavior
  change with the initiative of the women
  Empowerment of the people
• Strengthening of project management and
  monitoring capacities of the provincial and
  district level health centers Empowerment of
  local health system

15
The project ends. but remains the people
empowered

• Thank you!