The expanded partnership increases the Japan International Cooperation Agency’s commitment to $6.5 billion, which, when coupled with expected co-financing, creates a total investment pool of $14 billion. This effort includes a $30 million non-reimbursable Japan Resilience Initiative and a new risk-transfer instrument utilizing NEXI loan insurance to secure IDB lending.
Health and care systems form the primary focus, with Japan sharing its experience in managing aging populations to bolster the IDB Cares initiative. By integrating digital health tools—including telehealth and AI-driven records—the partners aim to bridge gaps in medical access. Simultaneously, a separate agreement with Japan’s Ministry of Land, Infrastructure, Transport and Tourism targets the construction of resilient urban systems, applying Japanese strategies for disaster preparedness to transport, water, and housing projects across the region.




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