Birth Cohort Study in Mongolia-Towards Solving Global Problems in the Maternal and Child Health

• Project/Area Number: 26305020
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Partial Multi-year Fund
• Section: 海外学術
• Research Field: Epidemiology and preventive medicine
• Research Institution: National Center for Child Health and Development
• Principal Investigator: MORI Rintaro 国立研究開発法人国立成育医療研究センター, 政策科学研究部, 部長 (70506097)
• Co-Investigator(Kenkyū-buntansha): 大田 えりか 国立研究開発法人国立成育医療研究センター, その他部局等, 室長 (40625216) ; 竹原 健二 国立研究開発法人国立成育医療研究センター, その他部局等, 研究員 (50531571)
• Research Collaborator: DAGVADORJ Amarjargal 国立研究開発法人国立成育医療研究センター, 政策科学研究部, 研究員 ; NARANTUYA Sumya モンゴル国ボルガン県保健局, 局長
• Project Period (FY): 2014-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥16,120,000 (Direct Cost: ¥12,400,000、Indirect Cost: ¥3,720,000); Fiscal Year 2016: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000); Fiscal Year 2015: ¥6,890,000 (Direct Cost: ¥5,300,000、Indirect Cost: ¥1,590,000); Fiscal Year 2014: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
• Keywords: 途上国 / モンゴル / 出生コホート / 子どもの発達 / 持続可能な開発目標 / 国際保健 / コホート研究 / 母子保健 / 医療・福祉 / 社会医学 / グローバルヘルス / 発育・発達 / 子どもの健康 / 運動 / RCT

Outline of Final Research Achievements

We conducted the second follow-up survey in birth cohort study to describe prior health issues in maternal and child health, not only to reduce mortality, but also to target non-communicable disease, quality of life, and child development through the birth cohort study in Mongolia. We obtained data from 1076 women and their children via structured interview, self-administrated questionnaire, anthropometric measurements, and transcription of medical record at the health facilities.
The findings of this study showed that the prevention of childhood obesity and respiratory tract infection influenced by second hand smoke, and the promotion to help children develop good lifestyle habits is needed to improve their quality of life as new challenges in Mongolia. We also revealed that the provision of MCH handbook leads to an increased number of antenatal care visits, especially among wealthy pregnant women, and early detection of complication during pregnancy.

Research Products

• [Int'l Joint Research] モンゴル国ボルガン県(モンゴル)
• [Int'l Joint Research] 保健省/ボルガン県保健局/モンゴル国立母子医療センター(モンゴル)
• [Journal Article] Cluster randomised controlled trial showed that maternal and child health handbook was effective for child cognitive development in Mongolia. (2017)
  • Author(s): Dagvadorj A, Nakayama T, Inoue E, Sumya N, Mori R.
  • Journal Title: Acta paediatrica Volume: 印刷中 Issue: 8 Pages: 1360-1361
  • DOI: 10.1111/apa.13864
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Maternal and Child Health in Mongolia at 3 Years After Childbirth: A Population-Based Cross-Sectional Descriptive Study. (2016)
  • Author(s): Takehara, K., Dagvadorj, A., Hikita, N., Sumya, N., Ganhuyag, S., Bavuusuren, B., Mori, R.
  • Journal Title: Maternal Child Health Journal Volume: 20(5) Issue: 5 Pages: 1072-1081
  • DOI: 10.1007/s10995-015-1893-9
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Hospitalization risk factors for children's lower respiratory tract infection: A population-based, cross-sectional study in Mongolia. (2016)
  • Author(s): 3.Dagvadorj, A., Ota, E., Shahrook, S., Baljinnyam Olkhanud, P., Takehara, K., Hikita, N., Nakayama, T.
  • Journal Title: Scientific Report Volume: 6 Issue: 1 Pages: 24615-24615
  • DOI: 10.1038/srep24615
  • NAID: 120005822795
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] The Maternal and Child Health (MCH) Handbook in Mongolia: A Cluster-Randomized, Controlled Trial. (2015)
  • Author(s): Mori, R., Yonemoto, N., Noma, H., Ochirbat, T., Barber, E., Soyolgerel, G., Lkhagvasuren, O.
  • Journal Title: PLoS One Volume: 10(4) Issue: 4 Pages: e0119772-e0119772
  • DOI: 10.1371/journal.pone.0119772
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] An hour-specific transcutaneous bilirubin nomogram for Mongolian neonates (2015)
  • Author(s): Akahira-Azuma M, Yonemoto N, Mori R, Hosokawa S, Matsushita T, Sukhbat K, Nansal G, Bavuusuren B, Shonkhuuz E
  • Journal Title: European Journal Pediatrics Volume: - Issue: 10 Pages: 1299-1304
  • DOI: 10.1007/s00431-015-2536-2
  • Peer Reviewed / Open Access
• [Journal Article] The quick and easy Mongolian Rapid Baby Scale shows good concurrent validity and sensitivity (2014)
  • Author(s): Dagvadorj A, Takehara K, Bavuusuren B, Morisaki N, Gochoo S, and Mori R
  • Journal Title: Acta Paediatrica Volume: 104(3) Issue: 3 Pages: e94-e99
  • DOI: 10.1111/apa.12884
  • Peer Reviewed
• [Journal Article] Strategies of testing for syphilis during pregnancy (2014)
  • Author(s): Shahrook S, Mori R, Ochirbat T, and Gomi H
  • Journal Title: Cochrane Database System Review Volume: -
  • Peer Reviewed / Open Access
• [Presentation] モンゴル・ウランバートルのBayongol地区における母子手帳の活用の評価結果について (2016)
  • Author(s): Gochoo Soyolgere
  • Organizer: 第10回母子手帳国際会議
  • Place of Presentation: JICA 地球広場
  • Year and Date: 2016-11-25
  • Invited
• [Presentation] モンゴル/エンパワメントツールとしての母子手帳 (2016)
  • Author(s): 森 臨太郎
  • Organizer: 第10回母子手帳国際会議
  • Place of Presentation: 国連大学 ウタント国際会議場
  • Year and Date: 2016-11-23
  • Invited
• [Presentation] Maternal and Child Health Handbook influence on Child Cognitive Development in Mongolia (2016)
  • Author(s): Dagvadorj Amarjargal
  • Organizer: The 6th Congress of the European Academy of Paediatric Societiies- EAPS 2016
  • Place of Presentation: スイス・ジュネーブ
  • Year and Date: 2016-10-22
  • Int'l Joint Research