Human resource development for solving the health related problems in rural areas in both Japan and in developing countries.

Human resource development for solving the health related problems in rural areas in both Japan and in developing countries.

Organization type: 
nonprofit/ngo/citizen sector
$10,000 - $50,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

We would like to improve the inequality in access to health care in the rural areas in both Japan and developing countries and by doing so vitalize the community.
So far, there has been no established career pathway to pursue our career as health workers in both Japan and developing countries. SANTE will constantly provide medical personnel to Japanese rural hospitals and rural global health project sites in developing countries by connecting the Japanese hospitals and project sites in developing countries. By doing so, we will aim to solve the problem of the lack of medical personnel and improve the access to health care. We will also aim to vitalize the community through such improvement and primary health care projects in our project sites.

About Project

Solution: What is the proposed solution? Please be specific!

There are programs such as JOCV sending young Japanese to developing countries, but there are no programs for doctors, no trainers in the field, and little sustainability. Programs sending doctors to rural areas and programs providing the chance to work in the field of global health in developing countries exist alone, but there has been no programs aiming at providing both chances at the same time. Therefore, if one decided to work in rural areas in Japan, it became difficult for him to pursue his future career abroad, and in the other way round, if he decided to work outside of Japan, there was very little chance for him to find a job back in Japan. The innovation of our initiative is that we provide programs in which health workers interested in both community medicine and global health can experience both careers cyclically and by doing so provide the field in and outside Japan consistently with health care personnel.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

“Development and provision of health care personnel” SANTE will provide training programmes for the young health workers (mainly doctors at the time being, other health workers in the future) in Japan, with three years training in Japanese rural hospitals/clinics and one year training in hospital/health care project sites in developing countries. We will also support the future career building of young health care workers in the field of community health(in Japan) and global health(in developing countries). We will refer/send personnel to our partner hospitals interested in the contribution to global health activities. Through this project, we aim to cultivate potential health care workers, formerly hesitating to work in Japanese rural areas and developing countries, because of the lax of established career pathways, and provide the health facilities/health care projects in rural areas in and outside Japan with constant health care personnel. Our program will be the leading case of established career pathway for the health workers interested in working in both Japanese rural areas and developing countries, and will encourage them to work in these fields in the near future. In so doing, the access to health care services will improve and rural vitalization through health care will be expected.
About You
About You
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About Your Organization
Organization Name


Organization Phone


Organization Address

5F Avaco Bldg, 2-3-18, Nishiwaseda, Shinjukuku,Tokyo

Organization Country
Country where this project is creating social impact
How long has your organization been operating?

Less than a year

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What stage is your project in?

Operating for less than a year

Tell us about the community that you engage? eg. economic conditions, political structures, norms and values, demographic trends, history, and experience with engagement efforts.

Target1: Young health workers (doctors, nurses, etc.) interested in working in the field of both community health and global health
Target2: Rural hospitals (Japanese rural hospitals interested in global health and suffering from lack of health care personnel)
Target3: People in and outside Japan, who cannot receive the benefit of health care services

To solve the health related problems in developing countries, the health care crisis in Japanese rural areas, and the problem of the lack of established career pathways for the young health worker wishing to work in the field of global health, at the same time, SANTE’s activity designed for the upper mentioned three communities as targets.

Share the story of the founder and what inspired the founder to start this project

“I want to work in places where I can feel they really need me!”The feeling I had deep inside my heart since I first decided to become a doctor grew bigger and bigger as I came across suffering children in Asia and Africa, the countries I visited as a bag packer as a university student.
After I became a doctor, I learnt community medicine in Nagano prefecture, thinking that I would like to work in rural areas, where there are fewer doctors and more needs. Through the work, I strongly felt the similarity of community health and global health in that we have to think about how to provide the very best medical service for the people living there within the restriction of limited medical resources. I also found that there are not a few doctors and nurses thinking that they want to contribute to the improvement of global health, but at the same time being at a loss since they do not know how to build their career from there standing point of community health. The problem was that there were no established career pathways to jump from the field of community health to global health. How can they develop their skills and find jobs in developing countries? “If there was an organization which could support them, we can provide the people in developing countries with better health care services and the number of doctors/nurses working in rural areas in Japan should also increase.” This is why we decide to start this project.

Social Impact
Please describe how your project has been successful and how that success is measured

In year 2012, as a pilot project, we are planning to provide two trainees (doctors or nurses) engaged in internship in rural hospitals with global health training sessions in Japan and in the field in Zambia (Africa). From year 2013, we will start a four years training program with three years domestic training and one year training abroad for four trainees. By year 2020, we will be starting this four years’ program for 20 new trainees per year. Our trainees will make the most of their four years experience and will be expected to participate actively in places in and outside Japan where there is lack of health workers. In this way, we will cultivate doctors and nurses who can participate actively in the fields of community health and global health, and contribute to making a better society in which people living in rural areas who previously could not get access to necessary health care services can receive such services and live healthier lives.

How many people have been impacted by your project?


How many people could be impacted by your project in the next three years?

More than 10,000

Winning entries present a strong plan for how they will achieve growth. Identify your six-month milestone for growing your impact

1. Needs research and recruitment of trainees
2. Research in our Zambian field and working out the training program in Zambia
3. Negotiation with Japanese rural hospitals

Task 1

We will carry out a survey on what kind of training the young health workers want, and provide career seminars for cultivation and recruitment.

Task 2

Visit the Zambian project sight and rural hospitals (Oct, 2011) and discuss the necessary training and implementation system with our local partners.

Task 3

Negotiate with partner hospitals on the detailed content of our four years’ program, and find new hospitals interested in the contribution to global health service provision.

Identify your 12-month impact milestone

We will send our staff as Zambian representative, accept our trainee for short term training in Zambia, and start contract negotiation with domestic rural hospitals.

Task 1

Our executive director will become Zambian representative from Apr, 2012 and start negotiation with local communities/hospitals in Zambia for preparation of short term training sessions.

Task 2

Start negotiation with domestic rural hospitals for the referral of doctors and nurses, in order to start our training program from Apr, 2013.

Task 3

Conduct short term training sessions for SANTE staff to check if the training is effective for skill/knowledge development necessary in the field of global health.

How will your project evolve over the next three years?

SANTE will increase the number of domestic partner hospitals, so that more young health workers can participate in the global/community health training courses provide in partnership with these partner hospitals. At the same time, we will start global health projects in the developing countries with our partner hospitals especially interested in contributing to the improvement of global health. By so doing, we will aim to establish a cyclical career plan in which our trainees can contribute to both community and global health by working for these partner hospitals after our four years training program.

What barriers might hinder the success of your project and how do you plan to overcome them?

1. Finance
Our project assumes that our main source of income will be the “referral fee” we receive from our partner hospitals when we refer health workers to the hospitals. We calculate that this income is almost sufficient to manage our project, but we are thinking of setting complimentary original profit making projects such as training courses specializing in skill and knowledge development in the field of community/global health.

2. Partnership in and outside Japan
For the success of our project, partnership with domestic hospitals, NGOs and international organization with project sights in developing countries is indispensible. We are ready to enhance our network and partnership through continuous negation with our partners/stakeholders and through PR activities utilizing internet resources and social network services.

3. Knowhow for human resources development
The present situation is that there is little opportunity for health workers to gain the basic skills/knowledge necessary for working in the field of community/global health. Therefore, SANTE will consult existing organizations providing training in other fields, and build up our original training course (such as e-learning and training camps) applied especially for the situation of health workers.

Tell us about your partnerships

SANTE has a wide range of partnership with hospitals, educators in the field of medicine, NPO/NGOs, health workers engaged in community/global health and so on. Especially in this project, we are in close cooperation with Saku Sougou Hospital in Nagano prefecture with the mission to contribute to global health, and TICO, a non profit organization in Tokushima prefecture with fields in Zambia and Cambodia. Saku Sougou hospital will be our first partner hospital to refer our trainee, and we are discussing the content of an attractive four years program. TICO will provide us with the global health project field in Central province, Zambia. Since they have been carrying out their project in Zambia for more than 15 years, they have a strong network with important stake holders, and they will assist us in carrying out our own project.

Explain your selections

We currently receive financial aid from individuals who strongly sympathize to our mission of contributing to the improvement of health through human resource development in the field of community/and global health. We also apply to aid funds for the expansion of our project. Once our referral/training program starts, we plan to manage our project with the income gained by such programs.

How do you plan to strengthen your project in the next three years?

In the coming three years, we will first concentrate on the qualitative development of our project. That is; continuous update and improvement of our training programs provided by our domestic partner hospital (Saku Sougou Hospital), setting more training options in our Zambian field, and considering better ways to select our trainees. Once our Saku-TICO program gets off the ground, we will move on to quantitative development. We will increase the number of domestic partner hospitals and at the same time look for other overseas partners to increase the number of fields in the developing countries. The trainees will have more options, which should attract more and more health workers interested in the field of community/global health, and will further enhance the project.

Which barriers to health and well-being does your innovation address?
Please select up to three in order of relevancy to your project.


Limited human capital (trained physicians, nurses, etc.)


Lack of physical access to care/lack of facilities


Lack of access to targeted health information and education

Please describe how your innovation specifically tackles the barriers listed above.

In the past, many competent health workers have chosen to work in big cities and famous rural hospitals for the pursuit of better working conditions and careers. These include the people who used to dream of working in the developing countries. By connecting the rural communities in Japan and in developing countries, and by providing the health workers with more attractive working condition, SANTE aims to solve the problem of the lack of health workers in both regions. With qualitative and quantitative development of our project, the access to health services will improve for people living in rural areas in both Japan and developing countries.

How are you growing the impact of your organization or initiative?
Please select up to three potential pathways in order of relevancy to you.


Enhanced existing impact through addition of complementary services



Grown geographic reach: Multi-country

Please describe which of your growth activities are current or planned for the immediate future.

The goal for our project is to solve the health related problems in the rural areas not only in Japan but also in the developing countries, by human resource development and referral of health care personnel to domestic rural hospitals. Therefore, we will first put emphasis on the improvement of our training programs in Saku Sougou Hospital and in Zambia for effective human resource development. By building up more attractive programs, we can attract more trainees to our program, and this will in turn contribute to the improvement of the health situation in Japanese rural areas and in the rural communities in developing countries.

Do you collaborate with any of the following: (Check all that apply)


If yes, how have these collaborations helped your innovation to succeed?

By connecting our domestic partner hospitals with NGOs and other organizations carrying out global health projects in developing countries, we can achieve the innovation of developing health related human resources which can contribute to both community and global health at the same time, and this cannot be achieved by hospitals and NGOs alone. Also, it is extremely difficult to start up a project in the developing countries without no former connection or network, but by collaborating with NGOs and other organizations which have been operating in certain regions for a long period of time, we can learn their knowhow for project operation, and quickly expand our network.