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Press Releases

August 24, 2017

Signing of Record of Discussions on Technical Cooperation Project with Fiji: Support for enhanced services at three major national hospitals

photosigning ceremony

On August 24, the Japan International Cooperation Agency (JICA) signed a Record of Discussions with the Government of the Republic of Fiji in Suva for Project for Improvement of Health Services through 5S-KAIZEN-TQM, a technical cooperation project.

The project aims to provide effective, efficient and high-quality health services through expanding 5S activities [1] particularly in national major hospitals and other health facilities located in the Central and Eastern Division, the Northern Division and the Western Division of Fiji. This project will be the first instance of 5S-Kaizen-TQM [2, 3] technical cooperation in the Pacific region, and it is expected that Fiji will play a central role in expanding 5S-Kaizen-TQM to the regional countries in the future.

In recent years, Fiji has been focused on “improving of the quality of health services” as one of the priority areas of their health strategic policy. Under these circumstances, the Ministry of Health and Medical Services (MHMS) of Fiji initiated its own 5S-Kaizen-TQM program which provided training for nurses in 2012. However, the program did not reach the expected level due to insufficient technical knowledge on 5S-Kaizen-TQM, a lack of human resources, and low motivation among participants.

In the meantime, the MHMS started a new 5S-Kaizen-TQM program in 2015 to respond to the demand for quality health services. Along with that program, the Government of Japan was requested to provide support for 5S-Kaizen-TQM implementation and support, areas in which JICA has cultivated expertise and experience for many years.

The project is expected to improve the quality of health care services in Fiji by developing systems in the target health facilities and making the extension of 5S-Kaizen-TQM efficient through capacity building of the national 5S-Kaizen-TQM team.

In addition, JICA has been implementing the Project for Prevention and Control of Non-Communicable Diseases in Fiji since 2015. In order to address non-communicable diseases, health care workers maintain relationships with target patients by providing preventative health education and long-term treatment. For such circumstances, health care service improvements are critical, and the introduction of 5S-Kaizen-TQM is expected to have a synergistic effect.

1: The 5S words can be translated as sort, set, shine, standardize and sustain.
2: An approach intended to enhance productivity, service quality, cost management, service efficiency, medical safety, motivation and moral of workers, by establishing 5S activities and improving working environment in health facilities.
3: TQM stands for Total Quality Management.

[Basic project information]
Country Republic of Fiji
Project title Project for Improvement of Health Services through 5S-KAIZEN-TQM
Planned implementation period December 2017 to December 2020
Executing agency Ministry of Health and Medical Services
Target region, facilities Colonial War Memorial Hospital (Suva), Labasa Hospital, Lautoka Hospital, Nausori Health Centre and Nausori Maternity Hospital
Specific project details (provisional) Building an organization framework at the target health care facilities and strengthening the process for effectively extending 5S-Kaizen-TQM activities through capacity building of the 5S-Kaizen-TQM team of Fiji


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