Subject: [jica-cis/caucasus]Healthcare/Georgia
From: Mayuko Taniguchi <[email-masked]>
To: Maia Nikoleishvili <[email-masked]>, Avtandil Talakvadze <[email-masked]>, Zaza Bokhua <[email-masked]>, "[email-masked]" <[email-masked]>, "[email-masked]" <[email-masked]>, Archil Machavariani <[email-masked]>, Davit Goginashvili <[email-masked]>, [email-masked]
Date: Mon, 19 Nov 2018 04:59:50 +0000

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]
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