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Aiming to Strengthen Early Diagnosis and Treatment of Cancer in Developing Countries (Grant Aid Projects)
Procurement, Renewal, and Management of Medical Equipment

Cuba: Medical Equipment Development Plan for Improving Medical Services in Major Hospitals

In the Republic of Cuba, the mortality rate from non-communicable diseases such as heart disease and cancer exceeds that from infectious diseases, with all four major causes of death being non-communicable diseases.
Among these, cancer has a lifetime incidence risk of 23%, a lifetime mortality risk of 13%, and a 5-year recurrence rate of 984 per 100,000 people, which are higher than the averages in the Latin American region (18%, 10%, and 601, respectively).
The reasons include the aging population and severe shortages and aging of medical equipment nationwide due to financial difficulties caused by a lack of foreign currency, hindering the provision of healthcare services to cancer patients.
In response, the Cuban government requested grant aid and technical cooperation projects from the Japanese government to strengthen the system for early diagnosis and treatment of cancer and promote the digitization of radiographic images.

We were commissioned by the Japan International Cooperation Agency (JICA) to conduct a survey and analysis of Cuba’s cancer policies and systems, disease structure including cancer, future patient demand, and the status of medical service provision and equipment operation and maintenance at 35 major hospitals nationwide (ultimately 34 hospitals). Based on this, we formulated a grant aid project plan for medical equipment development.
Additionally, we conducted a detailed planning survey for the technical cooperation project, formulating plans with the aim of achieving synergy between the grant aid’s soft components (technical support) and the technical cooperation project.
Based on the survey results, after the exchange of notes (E/N) between the Japanese and Cuban governments and the signing of the grant agreement (G/A) between JICA and the Cuban government, we managed the procurement and installation of medical equipment, provided daily maintenance guidance, and supervised manufacturer training and regular inspections.

Key Success Points

POINT1
Fostering Understanding of Grant Aid Projects
Grant aid projects require the cooperation and role-sharing of the recipient country in the survey. As this was Cuba’s first general grant aid project, it was necessary to obtain Cuba’s understanding and agreement on the complex mechanisms and processes.
ITEC Strengths

During the survey stage, we provided detailed explanations of the mechanisms and processes, incorporating examples to gain understanding and agreement.
In the implementation stage, we provided close support to the client, gaining trust and successfully completing the project.
We believe our knowledge and experience from implementing projects in over 100 countries were utilized.

POINT2
Efficient Survey Covering a Wide Area
The target facilities were 34 hospitals (35 surveyed) across Cuba. In a country with insufficient transportation infrastructure, efficient operations within a limited period were required during the survey and implementation stages.
ITEC Strengths

To efficiently and effectively move between the 34 locations (35 surveyed) and conduct operations within the required period, we collaborated with reliable local partners and organized schedules based on local conditions.
In overseas projects, local partners are key to success, and we believe our extensive global network was an asset.

POINT3
Promoting Digitization Under Limited Conditions
Strengthening cancer treatment services and promoting digitization were goals of this project, but achieving this in Cuba, where communication infrastructure and internet penetration are lagging, was a key challenge.
ITEC Strengths

At the start of the survey, internet connectivity was very limited even in the capital, Havana, and many rural areas had no mobile phone coverage. Digitizing hospitals required knowledge of medical information systems and network infrastructure. Based on our knowledge and experience in supporting the introduction of medical information systems in Japan, we were able to plan and implement the project according to local conditions, contributing to the digitization of hospitals.

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Department in Charge: Administration Department
Email Address: info@itec-ltd.co.jp

19-Sep-23
Ningyocho First Building 3F
3-3-6 Nihonbashi Ningyocho, Chuo-ku, Tokyo 103-0013, Japan
ITEC Ltd.
President: Hiroomi Suzuki



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