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May 17, 2017

Signing of Grant Agreement with Zambia: Contributing to improved access to health services in Lusaka, the capital city, through expanded hospital functions

photosigning ceremony

On May 16, the Japan International Cooperation Agency (JICA) signed a grant agreement with the Government of the Republic of Zambia to provide grant aid of up to 3.908 billion yen for the Project for Upgrading Lusaka Health Centres to District Hospitals (Phase 2).

The project will provide facilities and equipment for district (Level 1) hospitals [1] in three locations in Lusaka District, where the capital city is located, in order to improve inadequacies at hospitals that perform surgery and other such procedures. The project will thereby improve access to health services by Lusaka District residents, promoting health.

Indices in the health sector, such as the child mortality rate, the maternal mortality rate and the HIV infection rate are higher in Zambia than the world averages, and continuing efforts are required in order to make improvements. Although there are health centers offering basic health services in Lusaka District, Lusaka Province, there is a definite lack of Level 1 hospitals capable of carrying out cesarean sections, basic surgeries and other such procedures. To improve the situation, the Zambia Ministry of Health has elevated five health centers in Lusaka District to Level 1 hospitals, but they lack the facilities and equipment to provide surgery and other such medical services and cannot currently function adequately as Level 1 hospitals.

By providing an operating ward, a surgical ward and other facilities, as well as ultrasound diagnostic devices and other equipment, it is estimated that the project will enable the admission of an additional 140,000 patients, four times as many basic surgical procedures (excluding cesarean sections) and 11 times the number of cesarean sections at the targeted three Level 1 hospitals in Lusaka District within three years from the end of the project.

In advance of this project, JICA carried out the Project for Upgrading Lusaka Health Centres to District Hospitals, grant aid signed in July 2013, to support the expansion of function at two of the five hospitals upgraded from health centers in Lusaka District. Through these forms of support, JICA is strengthening the provision of health services in Zambia and contributing to the achievement of Sustainable Development Goal 3, which is to “ensure healthy lives and promote well-being for all at all ages.”

1: Hospitals with internal, surgery, obstetrics and gynecology and pediatric departments and capable of performing cesarean sections, basic operations and basic tests.

【Basic project information】
Country Republic of Zambia
Project title The Project for Upgrading Lusaka Health Centres to District Hospitals (Phase 2)
Planned implementation period 33 months (including detailed design work and the bidding period)
Executing agency Department of Planning and Development, Ministry of Health
Target region, facilities Chipata, Kanyama and Chawama Level 1 Hospitals in Lusaka District, Lusaka Province
Specific project details (provisional) (1) Facility improvements, equipment procurement
Facilities for each hospital: In accordance with the standard facility specifications for district hospitals, an outpatient ward, a geriatric ward, an administration building, a surgical ward, a test laboratory, medical imaging equipment, rehabilitation facilities
Equipment for each hospital: In accordance with the standard equipment specification for district hospitals, a general X-ray imaging device, a mobile X-ray imaging device, an ultrasonic diagnostic device, a mobile ultrasonic diagnostic device, an anesthesia apparatus, an electrosurgical knife, patient monitoring equipment, a mobile infant incubator, an infant warmer, an autoclave, a ceiling shadowless lamp, other
(2) Consulting services
Detailed design work, bidding assistance, construction and procurement supervision. As guidance in managing the facilities, technical guidance for the maintenance and management of the equipment.

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