Subject: Re: [jica-cis/caucasus]Healthcare/Georgia (Information)
From: Mayuko Taniguchi <[email-masked]>
To: Mayuko Taniguchi <[email-masked]>
Cc: Zaza Bokhua <[email-masked]>, eka kapanadze <[email-masked]>, [email-masked], amiran gogitidze <[email-masked]>, [email-masked], Maia Nikoleishvili <[email-masked]>, [email-masked], [email-masked], [email-masked]
Date: Sun, 23 Dec 2018 16:47:24 +0000

Dear All,

კარგი საღამო.Good evening.
I will share some information.
By the way,Did Emergency center purchase 4WD toyota ambulance with the Ministry of Health budget ?
Please tell me how to get expensive 4WD toyota ambulance (I saw each center)?

Ministry of foreign affair's project : 
Following Georgia, Japan will grant Fire Station Vehicle to Kyrgyzstan.
https://www.ge.emb-japan.go.jp/itpr_ka/Fire_Engine_Geo20181012.html
https://translate.google.co.jp/translate?sl=ja&tl=en&u=https%3A%2F%2Fwww.mofa.go.jp%2Fmofaj%2Fpress%2Frelease%2Fpress4_006930.html

About Ambulance :
JICA will decide to supply ambulance to Kyrgyzstan.
So they will start FS study , the scheme is not decide now.

About Medical equipment:
JICA will decide to supply Brain surgery medical equipment to Uzbekistan.
So they are thinking that they want to start FS study , the scheme is loan(they are planning now).Information will be disclosed soon.

Best regards,
Mayu

On Fri, 21 Dec 2018 18:17:32 +0900
Mayuko Taniguchi <[email-masked]> wrote:

> Dear Eka ,
> 
> Thank you for reply.
> 
> 1.  Basically ,JICA think about loan project now. 
> Due to the income level of Georgia ,it is difficult to grant.(but sometime offer grant )
> 
> 2.  if grant is available, I will show JICA the list and I request them think by themselves. (estimate grant budget is not our work)
> 
> 3.  JICA's project condition is Japanese companies or Japanese technology are involved.
> So one of my idea is not only ambulance but also medical equipment at regional hospitals.
> JICA will be interested in that using alot of Japanese car's. 
> It is better for JICA, if project include strengthening primary care such as regional hospitals.
> 
> Medical equipment project can arrange depend on total budget.(ex. Big and many king of equipment offer project)
> If Japanese medical equipment is not the best, they select other country's equipment.But about over 80% is Japanese one.
> 
> Sometime we ask other donor , if JICA doesn't do it.
> I introduced one of the project for UNDP...
> 
> Best regards,
> Mayu
> 
> On Thu, 20 Dec 2018 17:54:24 +0400
> "eka kapanadze" <[email-masked]> wrote:
> 
> > Dear Mayuko,
> > We again confirm that Georgia needs JICA’s finansial assistance, especially for the purpose of buying ambulances and medical equipment. But, due to identify our expectation we herbaly ask you to answer several questions:
> > 1.	Will this offer be a grant or long-term (big-scale) loan?
> > 2.	If it will be a grant, what shoul be estimate amount?  Diependin on grant’s velue, we would like to get goods (about $5 million velue or less) from the list of identified “needs assesment“   wich was already sent to you.
> > 3.	In case of long-term (big-scale) loan: As you mentioned before, in order to get JICA’s interest, the project size will be over 2 billion JPY (about $18 million). Our interest will be to buy all 206 Emergency Cars and totally replase old vehicles with new ones. Considering that Japanese cars are more expensive than other manufacturers, Does loan conditions allow us to make purchies from other country manufacturers? 
> > 
> > Regards,
> > Eka Kapanadze
> > 
> > Head of  Planning Division
> > LEPL - Emergency Situations Coordination and Urgent  Medical Assistance Center 
> > Ministry of Labour, Health and Social Affairs of Georgia
> > 
> > 
> > 
> > 
> > -----Original Message-----
> > From: Mayuko Taniguchi [mailto:[email-masked]] 
> > Sent: Monday, December 17, 2018 2:42 PM
> > To: Eka Kapanadze
> > Cc: Zaza Bokhua; Maia Nikoleishvili; Avtandil Talakvadze; [email-masked]; Archil Machavariani; Davit Goginashvili; [email-masked]
> > Subject: Re: [jica-cis/caucasus]Healthcare/Georgia
> > 
> > Dear Eka and All,
> > 
> > Thank you for reply.
> > If you read 19 th Nov mail (sorry long) ,you can understand what information I requested...
> > 
> > I want to know just only total cost. scale of the needs (≒detail of equipment and ambulance).
> > I feel that each center and hospital need more ambulance and medical equipment than your data.
> > And please include rural area's hospital equipment and renovation cost.also emergency center's renovation cost.
> > JICA's project format is attachment(AnnexⅡ） ,but I already wrote it by myself ,so not to need to make it.
> > Now blank is cost (amount and detail ).
> > 
> > JICA will not know unless we write and indicate what is in our head and in our heart.
> > If you are having trouble how to write, please contact me soon...
> > I set as a short list project, but if there is no answer the priority will be lowered.とても悲しい。
> > 
> > *****
> > JICA 's support is not tomorrow ,so during thinking about project etc the need will change in future (I think ).
> > My request is review the data.
> > Many rural and mountain area is tourism spot ,so in future tourist increase ,hospital and center need more ambulance etc.
> > Yesterday I wrote and introduced tourisum's issue and merit in my Facebook. 
> > 
> > If it is difficult to estimate, it is necessary to write temporary amount based on some hypothesis.
> > Depending on the size of the amount, JICA's interest and project scheme will change, so I advised.
> > 
> > Therefore, if I need to visit again and need to confirm additional information etc, you need to inform me of the needs as soon as possible and I will consult with JICA. 
> > JICA will decide whether additional investigation in January is necessary during December.
> > 
> > Best regards,
> > Mayu
> > 
> > On Sun, 16 Dec 2018 21:51:19 +0400
> > "Eka Kapanadze" <[email-masked]> wrote:
> > 
> > > Dear Mayuko,
> > >  I am sending the letter on behalf of Avtandil Talakvadze, Of course 
> > > we are interested in the support and assistance of the Japanese 
> > > government, especially in field of emergency medical care service, but 
> > > we did not identify clearly what kind of information is needed to be 
> > > sent, and what is the format of official application.  The most our 
> > > interest is ambulance vehicles and emergency medical equipment, meanwhile the construction of medical facilities will be provided from other donors.
> > > We kindly ask you to explain us what activities we should take to get 
> > > JICA’s aid. Waiting for you response.
> > > 
> > > Regards,
> > > 
> > > Eka Kapanadze
> > > 
> > > 
> > > -----Original Message-----
> > > From: Mayuko Taniguchi <[email-masked]>
> > > To: Zaza Bokhua <[email-masked]>
> > > Cc: Maia Nikoleishvili <[email-masked]>, Avtandil 
> > > Talakvadze <[email-masked]>, "[email-masked]"
> > > <[email-masked]>, "[email-masked]" 
> > > <[email-masked]>, Archil Machavariani 
> > > <[email-masked]>, Davit Goginashvili 
> > > <[email-masked]>, "[email-masked]" 
> > > <[email-masked]>
> > > Date: Sun, 16 Dec 2018 17:07:15 +0900
> > > Subject: Re: [jica-cis/caucasus]Healthcare/Georgia
> > > 
> > > > Dear Zaza,
> > > > 
> > > > I was waiting for a reply,but I submitted the draft final report on 
> > > > Friday (12/14).Because we were prompted by JICA ...
> > > > Since modification and editing will occur after JICA's commnet, we 
> > > > will add information if you will reply.
> > > > If you have already consulted with other donors and you do not need 
> > > > assistance, please let me know.
> > > > 
> > > > In other area's project (I reported in May and June), JICA started 
> > > > public offering and project will start Jan and Feb.There are more 
> > > > than
> > > > 3 projects  ,2 projects are healthcare.
> > > > And other ministry(JAPAN) started public offering and I already get 
> > > > project.Unfortunately it is not a Georgia project.I miss Georgia...
> > > > There is always no response other Ministry (except your Ministry), 
> > > > it is difficult to support because there is insufficient information.
> > > > If JICA's schedule is very slow ,we ask other donor or ministry.
> > > > 
> > > > Best regards,
> > > > Mayu
> > > > 
> > > > On Mon, 26 Nov 2018 17:39:51 +0000
> > > > Zaza Bokhua <[email-masked]> wrote:
> > > > 
> > > > > Dear Mayuko,
> > > > > We would like to thank you very much for providing information 
> > > > > about
> > > > the project.
> > > > >  
> > > > > In last week I was on a business trip in Belarus. So we will meet 
> > > > > and
> > > > discuss the issues mentioned in your email in this week. We will 
> > > > inform you about it later.
> > > > >  
> > > > > Once again thank you very much for fruitful cooperation.
> > > > >  
> > > > > Sincerely,
> > > > >  
> > > > > Zaza Bokhua
> > > > > ________________________________________
> > > > > От: Mayuko Taniguchi <[email-masked]>
> > > > > Отправлено: 19 ноября 2018 г. 8:59
> > > > > Кому: Maia Nikoleishvili; Avtandil Talakvadze; Zaza Bokhua;
> > > > [email-masked]; [email-masked]; Archil 
> > > > Machavariani; Davit Goginashvili; [email-masked]
> > > > > Тема: [jica-cis/caucasus]Healthcare/Georgia
> > > > > 
> > > > > Dear Zaza ,Avtandil
> > > > > 
> > > > > Good morning.დილა მშვიდობისა.
> > > > > I will report JICA's meeting feedback and schedule etc.
> > > > > 
> > > > > *Please reconfirm amount of the necessary medical equipment and
> > > > ambulance and renovation of hospital,please revise list.
> > > > > Please break down each point and each hospital.(target is 
> > > > > emergency
> > > > centers and rural area's public hospital)
> > > > > I'd like you to describe what you might need in the future as well
> > > > ,if you can estimate now(with the logic).
> > > > > (ex:if the project is completed in 3 years, there is something 
> > > > > that
> > > > is not enough for today's needs.
> > > > > Factors such as upgrading specs and increasing tourists etc.)→if 
> > > > > it
> > > > is difficult ,I will ask some information and I will estimate.
> > > > > 
> > > > > (*Attachments are you sent me before.)
> > > > > 
> > > > > 
> > > > > ①Background and situation
> > > > > This survey was to investigate the infrastructure(not technical
> > > > assistance) potential for JICA to implement in the next decade and 
> > > > to list up short lists and long lists.
> > > > > Regarding Georgia, 4 projects are picked up as a short list,
> > > > > ・one is a project after 5 years or more
> > > > > ・two are same sector and Japanese company interrupted the
> > > > examination now
> > > > > ・Last one is highest one, Healthcare sector project
> > > > > 
> > > > > Regarding Short lists of all ,there are 2 particularly promising
> > > > projects.Both are my responsibilities.
> > > > > ・one is other Caucasus area project
> > > > > ・other one is Georgia's Healthcare
> > > > > 
> > > > > Caucasus is lower priority area in JICA as compared with Asia , 
> > > > > but considering these two cases may advance quickly depending on
> > > > reports(I'm writing) submitted .
> > > > > JICA has been told that it was not possible to procure projects 
> > > > > for
> > > > several years due to shortage of budget.
> > > > > Fortunately, concerning projects with high potential and high
> > > > significance, there is a possibility that budget will be available 
> > > > next year.
> > > > > 
> > > > > ※As for long list ,we add Infrastructure (roan) and ,Technical
> > > > assistance and  ,Private investment and lending projects.
> > > > > I added some Georgia's Healthcare projects  ,before I told you.
> > > > > However, I think that needs will change as time passes.
> > > > > 
> > > > > ②What to do next
> > > > > JICA is not interested in Grant's small project.
> > > > > Regarding healthcare, I think that private investment and loan is 
> > > > > not
> > > > promising as a scheme.
> > > > > It is necessary to make report that JICA interested in and they
> > > > submit as promising projects.
> > > > > 
> > > > > According to the impression I investigated in the site visit ,I 
> > > > > think medical equipment and ambulance are needed more than the
> > > > list (you share me).
> > > > > I would like to know the scale of the project and the necessary
> > > > medical equipment to some extent.
> > > > > 
> > > > > Cases of other countries:
> > > > > Because they did not convey accurate intentions, other needs also
> > > > occurred at the completion of the project
> > > > > , and satisfactory medical services could not be provided. There 
> > > > > was
> > > > dissatisfaction, not appreciation.
> > > > > 
> > > > > ③Schedule
> > > > > ~end of Nov :we must submit report of short list project's detail 
> > > > > ~end of Dec :JICA consider possibility of additional survey Middle 
> > > > > of Jan :additional survey if JICA think necessary to gather
> > > > additional information ,(and goverment letter )
> > > > > 
> > > > > They decide high potential and high priority project, after end of
> > > > March(this project finish),
> > > > > they schedule FS survey and they check detail and estimate ,they 
> > > > > will
> > > > decide project.
> > > > > 
> > > > > (※No additional investigations are planned now.
> > > > > In the case of letters on additional surveys and meeting, it is
> > > > necessary to clearly to write who and what and why.)
> > > > > 
> > > > > Please do not hesitate to contact me if you have any questions or
> > > > opinions.
> > > > > 
> > > > > Best regards,
> > > > > Mayu
> > > > > 
> > > > > ****************************************************
> > > > > Mayuko Taniguchi
> > > > > 
> > > > > Agricultural Management Advisor of Japan Consultant Nomura Reserch 
> > > > > Institute,Ltd.
> > > > > 
> > > > > Otemachi Financial City Grand Cube,1-9-2 Otemachi, Chiyoda-ku, 
> > > > > Tokyo
> > > > ,Japan 100-0004
> > > > > 
> > > > > TEL:+81-90-7230-0686
> > > > > Mailto:[email-masked]
> > > > > ****************************************************
> > > > > PLEASE READ:This e-mail is confidential and intended for the named 
> > > > > recipient only. If you are not an intended recipient, please 
> > > > > notify the sender and delete this e-mail.
> > > > 
> > > > 
> > > 
> > 
> > 
> > 
> 
> 
> ****************************************************
> Mayuko Taniguchi
> 
> Agricultural Management Advisor of Japan
> Consultant
> Nomura Reserch Institute,Ltd.
> 
> Otemachi Financial City Grand Cube,1-9-2 Otemachi, Chiyoda-ku, Tokyo ,Japan 100-0004
> 
> TEL:+81-90-7230-0686
> Mailto:[email-masked]
> ****************************************************
> PLEASE READ:This e-mail is confidential and intended for the named
> recipient only. If you are not an intended recipient, please notify
> the sender and delete this e-mail.