REPORT ON THE STATUS OF THE JAPANESE GOVERNMENT GRANT AID

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					    REPORT ON THE STATUS OF THE JAPANESE GOVERNMENT GRANT AID
                             PROJECT

This article is published to update all interested parties on the current status of the
Japanese Grant Aid to the Uthungulu District (DC 28) in KwaZulu-Natal.

SUMMARY

A programme initiated during 1999 has seen the KwaZulu-Natal Department of Health
embark upon a process of applying for assistance from the Japanese Government
through the National Department of Health for support in the provision of improved
Health Care services in the Uthungulu District, through the construction of a Community
Health Centre in Nseleni and in the provision of medical equipment to 2 Regional
hospitals, 6 District hospitals and 44 clinics in DC 28, as well as in the provision of
technical assistance in the fields of equipment management and Health education.


BACKGROUND

   During 2000 a proposal was submitted via the National Department of Health to the
   Japan International Cooperation Agency (JICA) requesting consideration for
   assistance in the supply of medical equipment to hospitals in DC28 as well as the
   building and equipping of a new Community Health Centre at Nseleni. This was
   linked to a Japanese Grant Aid project where an amount of R 330 million is planned
   to be spent on the improvement of services ( mainly Health and Education ) in South
   Africa over a number of years. The Health care grant offered at the time amounted to
   R 90 million.

   CURRENT STATUS

   A feasibility study was undertaken by JICA based on a comprehensive business plan
   developed by the KwaZulu-Natal Department of Health. JICA were impressed with
   the very high quality of the business plan prepared by KwaZulu-Natal and their study
   supported the needs identified in the business plan. This resulted in the Japanese
   Government calling for tenders from companies to undertake the Basic Design
   Study.
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The tender was awarded to the joint venture of the firms International Total
Engineering Corporation (ITEC) and Yamashita Sekkei Inc.

On Wednesday, the 4th April 2001, the first meeting was held with representatives
from JICA and ITEC. At that meeting a comprehensive Basic Design Study Manual
was distributed and discussed.
Over the past 9 months a very detailed investigation was undertaken by ITEC and
Yamashita Sekkei under the leadership of the Project Manager Mr Yoji ISHIKAWA.

The Japanese Cabinet approved the grant aid during October 2001. The money will
be held in a Japanese bank and all payments will on our authority be released to the
consulting firm ITEC who in turn will pay for the goods delivered and work
undertaken.

An enormous amount of work has been done by the Consultant firm supported by
officials from the KwaZulu-Natal Department of Health over the last nine months
which has resulted in the following now being available:

•   A detailed plan of a Community Health Centre with 16 beds including all technical
    specifications and drawings. Following are an artist’s impression of what the
    Centre will look like.
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   •   Specifications of all equipment to be purchased for 2 Regional hospitals, 6 District
       hospitals and 44 clinics in DC 28

   •   Assistance will furthermore be given to technical assistance in the fields of
       equipment management and Health education as well.

The total grant of J¥ 1,047,000,000 Japanese Yen ( R 96 million) will be allocated for
the following services:

   •   Consultant fee
         o Detail design and supervision
         o Technical Assistance

   •   Contractor Fee
         o Equipment
         o Installation of equipment
         o Construction of Community Health Centre
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The signing of the Consultants Agreement on 22nd January 2002




At the above ceremony the Head of the KwaZulu-Natal Department of Health Professor RW Green-
Thompson signed the consultants agreement thereby appointing the joint venture of the firms
International Total Engineering Corporation (ITEC) and Yamashita Sekkei Inc. to finalise the project
under their guidance.

The community of Nseleni and officials of the City of Umhlatuze were updated at a meeting
held on 23rd January 2002 where they were informed of the status of the project. There was
great excitement and a huge level of appreciation to the Japanese Government for the
incredibly generous donation.
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Community meeting held in Nseleni on 23rd January 2002




  The entire project will be completed by March 2003 !! The key milestone
  dates are included in the attached project schedule.
                                    6


In order to gain insight into the placement of the Community Health Centre
at Nseleni the following site diagram is provided




The above diagram shows the piece of land that has been obtained at the
entrance to the Nseleni town.



The next diagram covers the basic design concept of the facility and
provides you with an idea of the services that will be provided.
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