Kishokai Medical Corporation & Nyamata District Hospital

Kishokai Med. Corporation & ADEPR Nyamata Hospital are build a beautiful partnership by implementing a project of trainingg medical staff in Gynecology and Obstetric from Japan. The loadmap of the project will be Transfer of techniques and know how to local staff, through OJT. Improved quality of perinatal care services by introduction of JPNS. Improved maternal and neonatal healthcare services.

Overview of Nyamata Hospital and Kishokai Project

Rationale

Building on the success that Rwanda has made by achieving the MDGs indicators (MDGs 4&5), it has fully committed to implement the next UNSDGs while building on the investments made in those previous goals.

Implementing the current global SDGs agenda requires a shift from a focus on reducing mortality to ensuring that women, newborns and children not only survive, but also thrive and realize their full potential. As the Government aligns with this new agenda, sustained, quality integrated effective interventions for health promotion, prevention and treatment, implemented at every level of the health care system will be necessary for
tangible success.Through the Rwanda Maternal Newborn Child Health (MNCH) strategic Plan 2018 2024, Rwanda has proposed that health care services should be people centered and sustainable. Therefore, the emphasis is to ensure that health care is delivered to all women with quality, equity and dignity.

In addition, it is imperative that health providers and stakeholders in Rwanda start realizing that women should be empowered to take responsibility of their health especially during the pregnancy period and beyond. This will reduce the burden to health systems hence creating more time for quality perinatal care services.
However, this can not be accomplished without addressing the social determinants of health for women and newborns; and ensuring a workforce and health services that are of the highest quality. Ensure the involvement of the private sector as well by using available digital tools (ICT implication).

                           

                                                                        LONG TERM VISION

1. HRH development

Transfer of techniques and know how to local staff, through OJT.

2. Nyamata as a base for JPNS

Improved quality of perinatal care services by introduction of JPNS.

3. Reduced MMR and INMR  SDGs

Improved maternal and neonatal healthcare services.
 

What Kishokai accomplished so far

In 2019, a preliminary MoU was signed between Kishokai and Nyamata Hospital and it was meant to guide all medical cooperation activities. Under this MoU, a phase 1 project activities have been introduced and Kishokai intended to provide technical support to local medical staff through OJT, they can learn about the benefits of
Japanese style perinatal care and delivery high standard primary care to clients from Bugesera as well as Kigali city.

Besides, during this phase, Kishokai under support of Nyamata Hospital have conducted a market research which helped to understand the local perspective and provide glimpse on feasibility of hospital business and customer’s awareness about Japanese healthcare services. Although the planned activities couldn’t be implemented as planned due to covid 19, such as:

Dispatching medical doctors and a midwives to Nyamata Hospital monthly/bimonthly for a short period: and/or Accepting local medical staff in Japan for a short term training program. But, jointly ADEPR/ Nyamata Hospital and Kishokai has provided medical guidance (lectures and hands on training) to the medical team to upgrade their skills to be able to deliver the required services, The trainings were conducted in the form of telemedicine.
Local staff has acquired knowledge, transferred from their counterparts Japanese and the aim was to let them appreciate the merits of Japanese style perinatal care services.

Introduction of medical technology / devices

Through remote trainings, Kishokai has managed to transfer the know how, technology and medical skills necessary for building the base for sustainable Japanese style perinatal care services and identif y some local issues Through the i ntroduc tion of Incubator, portable fetal monitors Atome ), and remote labor monitoring through iCTG (Melody) between Mayange Health center and Nyamata Hospital
An online guidance were conducted on how to use the devices. 2 Doctors, 4 Midwives, 3 nurses and 2 engineers were trained. Currently, Kishokai is doing follow to ensure smooth and effective usage of the devices and benefits to improve the quality health care at Nyamata Hospital.

Engage various stakeholders for future business cooperation

In order to make this project understood by the local stakeholders, various meetings were held between Kishokai and MoH /RBC, Embassy of Rwanda to Japan, RDB, RSSB, Bugesera District as well as ADEPR (the owner of the Hospital). The objective was to explore  the feasibility of business and legal framework.

Besides, Kishokai has also conducted a feasibility study survey to understand the customers needs in Rwanda, the acceptability of Japanese perinatal care services and gaps in the current health care services.

Verification of business scheme under service contract from a legal point of view. Evaluation of the market from a business perspective as well as business feasibility and profitability evaluation.