The Historical Research of Japanese Administrative Policy and Outcome of Maternal and Child Health Education

2.50
Hdl Handle:
http://hdl.handle.net/10755/335459
Category:
Full-text
Type:
Presentation
Title:
The Historical Research of Japanese Administrative Policy and Outcome of Maternal and Child Health Education
Author(s):
Kawahara, Yukari; Yumoto, Atsuko; Yarimizo, Kazuko; Tanaka, Sachiko; Ogawa, Keiko
Lead Author STTI Affiliation:
Non-member
Author Details:
Yukari Kawahara, PhD, RN, kawahara@redcross.ac.jp; Atsuko Yumoto, MA, CNM; Kazuko Yarimizo, BS; Sachiko Tanaka, PhD, RN; Keiko Ogawa, MA, CNM
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: The purpose of this study is to examine the history of maternal and infant health'in Japan by clarifying the'administrative policies of the Japanese government from 1917 to present and the effect of these policies on the health of mothers and children education. Methods: The historical research was conducted between August 1, 2012 and March 31, 2013. Sixteen semi-structured interviews were conducted with the past government officials responsible for health policies, related organizations, researchers, and specialists and relevant materials from respective institutions and libraries were examined. The research was approved by the ethics committees of the affiliated organizations. Results: The modernization of Japan's maternal and child health administration began from 1917, when the government cemented a policy based on scientific evidence and statistical research conducted by the Health Hygiene Investigation Committee. The'Japanese maternal and child health system, which involved issuing maternity record books, providing health guidance through mass examination and home visits, and forging links with welfare systems, was produced by modeling after those of Germany and later enhanced by'administrations in the period of U.S. occupation'with the exception of'the eugenic thought. Although'in 1955 the Japanese government presented a policy'that maternal and child health services by prefectural government'will be provided by municipal in future, it'failed to materialize due to issues related to human resources and technology; therefore, projects continued to be supported by non-government and community organizations. In mid 1970s, Japan was one of the nation which achieved the lowest rate of infant and maternal mortality in the world and'were starting to aware of the limitations of a public hygiene approach based on improving these indicators. Then, from 1994, as national focus shifted to'the aging population, and power became decentralized, and most'of maternal and child health service'were'provided by'municipal governments. Today, the maternal and child health service'requires'higher level'ability which must also consider psychosocial dimensions of mothers and children.'It'faces challenges such as enhancing the ability of'municipal public health nurses, establishing effective collaboration between prefectural and municipal public health nurses, promoting collaboration between national, local and municipal'governments, local residents, and non-government organizations, and cultivating citizenship. Conclusion: The'administrative policies,'outcomes and factors'related'to change'maternal and child health'in Japan are discussed. It contributed to achieve the lowest infant and maternal mortality in the past and'is needed to'tackle current'challenges'aging society with child birthrate falling'and decentralization.
Keywords:
Cultural diversity; Maternal and Child health; Public health
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Historical Research of Japanese Administrative Policy and Outcome of Maternal and Child Health Educationen
dc.contributor.authorKawahara, Yukarien
dc.contributor.authorYumoto, Atsukoen
dc.contributor.authorYarimizo, Kazukoen
dc.contributor.authorTanaka, Sachikoen
dc.contributor.authorOgawa, Keikoen
dc.contributor.departmentNon-memberen
dc.author.detailsYukari Kawahara, PhD, RN, kawahara@redcross.ac.jp; Atsuko Yumoto, MA, CNM; Kazuko Yarimizo, BS; Sachiko Tanaka, PhD, RN; Keiko Ogawa, MA, CNMen
dc.identifier.urihttp://hdl.handle.net/10755/335459-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: The purpose of this study is to examine the history of maternal and infant health'in Japan by clarifying the'administrative policies of the Japanese government from 1917 to present and the effect of these policies on the health of mothers and children education. Methods: The historical research was conducted between August 1, 2012 and March 31, 2013. Sixteen semi-structured interviews were conducted with the past government officials responsible for health policies, related organizations, researchers, and specialists and relevant materials from respective institutions and libraries were examined. The research was approved by the ethics committees of the affiliated organizations. Results: The modernization of Japan's maternal and child health administration began from 1917, when the government cemented a policy based on scientific evidence and statistical research conducted by the Health Hygiene Investigation Committee. The'Japanese maternal and child health system, which involved issuing maternity record books, providing health guidance through mass examination and home visits, and forging links with welfare systems, was produced by modeling after those of Germany and later enhanced by'administrations in the period of U.S. occupation'with the exception of'the eugenic thought. Although'in 1955 the Japanese government presented a policy'that maternal and child health services by prefectural government'will be provided by municipal in future, it'failed to materialize due to issues related to human resources and technology; therefore, projects continued to be supported by non-government and community organizations. In mid 1970s, Japan was one of the nation which achieved the lowest rate of infant and maternal mortality in the world and'were starting to aware of the limitations of a public hygiene approach based on improving these indicators. Then, from 1994, as national focus shifted to'the aging population, and power became decentralized, and most'of maternal and child health service'were'provided by'municipal governments. Today, the maternal and child health service'requires'higher level'ability which must also consider psychosocial dimensions of mothers and children.'It'faces challenges such as enhancing the ability of'municipal public health nurses, establishing effective collaboration between prefectural and municipal public health nurses, promoting collaboration between national, local and municipal'governments, local residents, and non-government organizations, and cultivating citizenship. Conclusion: The'administrative policies,'outcomes and factors'related'to change'maternal and child health'in Japan are discussed. It contributed to achieve the lowest infant and maternal mortality in the past and'is needed to'tackle current'challenges'aging society with child birthrate falling'and decentralization.en
dc.subjectCultural diversityen
dc.subjectMaternal and Child healthen
dc.subjectPublic healthen
dc.date.available2014-11-17T13:52:59Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:52:59Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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