Development of a bottom-up structure to promote health of pregnant women in rural Tanzania

• Project/Area Number: 26861940
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Lifelong developmental nursing
• Research Institution: St. Luke's International University
• Principal Investigator: SHIMPUKU Yoko 聖路加国際大学, 大学院看護学研究科, 助教 (00633421)
• Project Period (FY): 2014-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000); Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 国際研究者交流 / 助産学 / 国際協働 / 妊娠期教育 / アフリカ / タンザニア / アクションリサーチ / ボトムアップ

Outline of Final Research Achievements

The purpose of this research was to develop a bottom-up structure to expand an antenatal education program in order to promote health of pregnant women in rural Tanzania. Interviews with traditional birth attendants (TBAs) and focus group discussion with skilled birth attendants (SBAs) revealed that TBAs had been working to protect lives of women in segregated areas without adequate reimbursement, and they had lack of communication and cooperation with SBAs when referring women in emergency despite the fact that both TBAs and SBAs realized the importance of cooperation. It is inevitable to utilize TBAs in the bottom-up system and to address the needs of cooperation and training.

Research Products

• [Int'l Joint Research] Muhimbili University(タンザニア)
• [Int'l Joint Research] ムヒンビリ健康科学大学/ムヒンビリ国立病院/コログウェ県立病院(タンザニア)
• [Int'l Joint Research] ムヒンビリ健康科学大学(タンザニア)
• [Journal Article] A feasibility study of an educational program on obstetric danger signs among pregnant adolescents in Tanzania: A mixed-methods study (2018)
  • Author(s): Mwilike Beatrice、Shimoda Kana、Oka Miyuki、Leshabari Sebalda、Shimpuku Yoko、Horiuchi Shigeko
  • Journal Title: International Journal of Africa Nursing Sciences Volume: 8 Pages: 33-43
  • DOI: 10.1016/j.ijans.2018.02.004
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Midwives’ respect and disrespect of women during facility-based childbirth in urban Tanzania: a qualitative study (2018)
  • Author(s): Kana Shimoda, Shigeko Horiuchi, Sebalda Leshabari and Yoko Shimpuku
  • Journal Title: Reproductive Health Volume: 15:8 Issue: 1 Pages: 1-13
  • DOI: 10.1186/s12978-017-0447-6
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] タンザニアの医療施設における早期必須新生児ケア(EENC)のセミナー実践報告 (2018)
  • Author(s): 福冨理佳、五十嵐由美子、新福洋子、片岡弥恵子、堀内成子
  • Journal Title: 聖路加国際大学紀要 Volume: 4 Pages: 58-62
  • Open Access
• [Journal Article] タンザニアでフィールド研究を実施するために必要な準備: 文化的理解・倫理審査・安全対策 (2018)
  • Author(s): 新福洋子、下田佳奈、堀内成子
  • Journal Title: 聖路加国際大学紀要 Volume: 4 Pages: 33-37
  • NAID: 120006978201
  • Open Access
• [Journal Article] 世界的な新生児死亡の減少に向けて: Early Essential Newborn Care (2018)
  • Author(s): 新福洋子
  • Journal Title: 助産師 Volume: 72(1) Pages: 26-30
• [Journal Article] 世界見聞録第123回. タンザニアの妊産婦死亡を減らすために (2018)
  • Author(s): 新福洋子
  • Journal Title: 新医療 Volume: 45(4) Pages: 26-26
• [Journal Article] Developing the Japanese “HUG (Help-Understanding-Guidance) Your Baby” program (2017)
  • Author(s): 飯田 真理子、新福 洋子、谷本 公重、松永 真由美、堀内 成子
  • Journal Title: Journal of Japan Academy of Midwifery Volume: 31 Issue: 2 Pages: 187-194
  • DOI: 10.3418/jjam.JJAM-2017-0026
  • NAID: 130006267685
  • ISSN: 0917-6357, 1882-4307
  • Peer Reviewed / Open Access
• [Journal Article] Perceptional gaps among women, husbands and family members about intentions for birthplace: A cross-sectional study. (2017)
  • Author(s): Shimpuku, Y., Madeni, F., Horiuchi, S., Leshabari, S.
  • Journal Title: Revista Latino-Americana de Enfermagem Volume: 25 Issue: 0
  • DOI: 10.1590/1518-8345.1658.2840
  • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] Toward advanced nursing practice along with People-Centered Care Partnership Model for sustainable Universal Health Coverage and universal access to health. (2017)
  • Author(s): Kamei, T., Takahashi, K., Omori, J., Arimori, N., Hishinuma, M., Asahara K., Shimpuku, Y. Ohashi, K., Tashiro, J.
  • Journal Title: Revista Latino-Americana de Enfermagem Volume: 25 Issue: 0
  • DOI: 10.1590/1518-8345.1657.2839
  • Peer Reviewed / Open Access
• [Journal Article] Reciprocal learning effects between the JICA Collaborative Course and the International Cooperation Seminar in Tanzania (2017)
  • Author(s): Shimpuku, Y., Horiuchi, S., & Nagamatsu, Y.
  • Journal Title: 聖路加国際大学紀要 Volume: 3 Pages: 58-62
  • NAID: 120006978216
  • Open Access
• [Journal Article] Humanized childbirth awareness-raising program among Tanzanian midwives and nurses: A mixed-methods study. (2016)
  • Author(s): Horiuchi, S., Shimpuku, Y., Iida, M., Nagamatsu, Y., Eto, H., Leshabari, S.
  • Journal Title: International Journal of Africa Nursing Sciences Volume: 5 Pages: 9-16
  • DOI: 10.1016/j.ijans.2016.09.001
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] アジア・アフリカ・ラテンアメリカの看護教育：国際的な政策と現場のギャップを埋めるために タンザニアでの大学院生とのディスカッションを通して考える (2016)
  • Author(s): 新福洋子
  • Journal Title: 看護教育 Volume: 55(5) Pages: 394-398
• [Journal Article] Overcoming barriers to inclusive education: A reproductive health awareness programme for adolescents in rural Tanzania. (2016)
  • Author(s): Tohi, A., Horiuchi, S., Shimpuku, Y., Madeni, F., Leshabari S.
  • Journal Title: African Journal of Midwifery and Women's Health Volume: 10 Pages: 27-32
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] 日本の看護理論教育の展望. ―日米看護系大学院の動向から―. (2016)
  • Author(s): 新福洋子
  • Journal Title: 聖路加国際大学紀要 Volume: 2 Pages: 18-28
  • NAID: 120006978245
  • Peer Reviewed / Open Access
• [Journal Article] 国際的な政策と現場のギャップを埋めるために：タンザニアでの大学院生とのディスカッションを通して考える (2016)
  • Author(s): 新福洋子
  • Journal Title: 看護教育 Volume: 57 Pages: 394-398
• [Journal Article] Midwives’ intrapartum monitoring process and management resulting in emergency referrals in Tanzania: a qualitative study. (2015)
  • Author(s): Shimoda, K., Leshabari, S., Horiuchi S., Shimpuku, Y., Tashiro, J.
  • Journal Title: BMC Pregnancy & Childbirth Volume: 15 Issue: 1 Pages: 248-248
  • DOI: 10.1186/s12884-015-0691-0
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Global Collaboration Between Tanzania and Japan to Advance Midwifery Profession: A Case Report of A Partnership Model (2015)
  • Author(s): Shimpuku, Y., Horiuchi, S., Leshabari, C.S., Mkoka, D., Nagamatsu Y., Matsutani M., Eto, H., Oguro, M., Yaju, Y., Iida, M., Mbekenga, C., Mselle L., Mtawa, A.
  • Journal Title: Journal of Nursing Education and Practice Volume: 5 Issue: 11 Pages: 1-9
  • DOI: 10.5430/jnep.v5n11p1
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] 聖路加‐JICA大学連携から生まれる夢の実現の機会 (2015)
  • Author(s): 新福洋子
  • Journal Title: Re Volume: 10 Pages: 20-23
• [Journal Article] Career development expectations and challenges of midwives in urban Tanzania: a preliminary study (2015)
  • Author(s): Tanaka, N., Horiuchi, S., Shimpuku, Y., Leshabari S.
  • Journal Title: BMC Nursing Volume: 14 Issue: 1 Pages: 27-27
  • DOI: 10.1186/s12912-015-0081-y
  • Peer Reviewed
• [Journal Article] 東日本大震災における災害医療支援者の心理状況 (2015)
  • Author(s): 新福洋子, 原田奈穂子
  • Journal Title: 聖路加看護学会誌 Volume: 18 Pages: 14-21
  • NAID: 120006977495
  • Peer Reviewed
• [Journal Article] 大学院ウィメンズヘルス・助産学 国際協働論演習タンザニアへの展開 (2015)
  • Author(s): 新福洋子, 麓杏奈, 大場久美子, 川野嘉子, 新妻佑子, 岩井恵, 岡美雪, 長松康子, 堀内成子
  • Journal Title: 聖路加国際大学紀要 Volume: 1 Pages: 46-51
• [Journal Article] アジア・アフリカ・ラテンアメリカの看護教育：第一回タンザニア：「人を助ける看護」を実践するための看護教育 (2015)
  • Author(s): 下田佳奈, 新福洋子
  • Journal Title: 看護教育 Volume: 56 Pages: 348-352
• [Journal Article] JICAと聖路加のコラボレーション 新プログラムの紹介 国際保健の最前線で青年海外協力隊での活動と大学院での学びを同時に実現 (2015)
  • Author(s): 堀内成子, 新福洋子
  • Journal Title: 助産雑誌 Volume: 69 Pages: 134-136
  • NAID: 40020344984
• [Journal Article] 東日本大震災における医療系民間ボランティア団体現地派遣員の活動内容と活動期間と帰任後の心理状態 (2014)
  • Author(s): 原田奈穂子, 新福洋子, 重村淳
  • Journal Title: 日本保健医療行動科学学会雑誌 Volume: 29 Pages: 40-47
  • NAID: 40020167477
• [Journal Article] 2014年「第30回ICM3年毎大会」リポート エビデンス情報に基づいた助産ケアを拡大するグローバルなコラボレーシヨン (2014)
  • Author(s): 新福洋子
  • Journal Title: 看護 : 日本看護協会機関誌 Volume: 66 Pages: 104-107
• [Presentation] Exploring Breastfeeding care and Education Mothers with Low-birth-weight Baby Received for its improvement at Muhimbili National Hospital in Urban Tanzania (2018)
  • Author(s): Kyoko Tada, Yoko Shimpuku, Shigeko Horiuchi.
  • Organizer: the Tanzania National Nursing and Midwifery Scientific Conference
• [Presentation] 育児支援プログラム「HUG Your Baby」の有用性 -産後のアンケートとインタビューを通して- (2018)
  • Author(s): 柏原由梨恵、新福洋子、堀内成子
  • Organizer: 日本助産学会
• [Presentation] Early Essential Newborn Careのタンザニアへの展開 (2018)
  • Author(s): 新福洋子、福冨理佳、五十嵐由美子、山本詩子、片岡弥恵子、堀内成子
  • Organizer: 日本助産学会
• [Presentation] Evaluation of Nurses’ Perceptions of the Educational Program on Antenatal Counseling Program in Rural Tanzania. (2017)
  • Author(s): Oka, M., Horiuchi, S., Shimpuku, Y., Shishido, E. & Madeni, F.
  • Organizer: The 20th conference of the East Asian forum of Nursing Scholars
  • Place of Presentation: The Hong Kong Polytechnic University (Hong Kong)
  • Year and Date: 2017-03-09
  • Int'l Joint Research
• [Presentation] タンザニア農村部における妊娠期集団教育の出産準備度とアウトカムへの効果 (2017)
  • Author(s): 新福洋子、Frida Madeni、堀内成子、窪田和巳、Sebalda Leshabari.
  • Organizer: グローバルヘルス合同大会2017
• [Presentation] タンザニア・ムヒンビリ国立病院小児病棟での活動報告（聖路加国際大学＆ JICA ボランティア連携事業） (2017)
  • Author(s): 多田恭子、堀内成子、新福洋子
  • Organizer: グローバルヘルス合同大会2017
• [Presentation] タンザニア農村部の移動図書館を活用した思春期教育介入のパイロットテスト (2017)
  • Author(s): 手嶋文香、新福洋子、吉川真由、駒田茉莉子、安藤康伸、高濱宏至
  • Organizer: グローバルヘルス合同大会2017
• [Presentation] タンザニア農村部の伝統的産婆の活動実態から考察する妊産婦の健康を促進する地域体制の構築 (2016)
  • Author(s): 新福洋子、Frida Madeni、下田佳奈
  • Organizer: 第31回日本国際保健医療学会学術大会
  • Place of Presentation: 久留米シティプラザ（福岡）
  • Year and Date: 2016-12-03
  • Int'l Joint Research
• [Presentation] 聖路加-JICA 連携「大学院における高度専門職人養成:タンザニア連合共和国母子保健支援ボランティア連携事業」からの学びと課題 (2016)
  • Author(s): 新福洋子
  • Organizer: 国際開発学会第27回全国大会
  • Place of Presentation: 広島大学（広島）
  • Year and Date: 2016-11-26
  • Invited
• [Presentation] 国際的な母子保健人材育成を行うタンザニア短期・長期派遣教育プログラムの実践報告 (2016)
  • Author(s): 新福洋子、堀内成子
  • Organizer: 第57回日本母性衛生学会総会・学術集会
  • Place of Presentation: 品川プリンスホテル（東京）
  • Year and Date: 2016-10-14
• [Presentation] Evaluation of an Educational Program for Nurses about Birth Preparedness and Complication Readiness in Rural Tanzania (2016)
  • Author(s): Oka, M., Horiuchi, S., Shimpuku, Y., Madeni, F. & Leshabar, S.
  • Organizer: The 12th scientific conference of the East, Central and Southern Africa College of Nursing
  • Place of Presentation: Nairobi (Kenya)
  • Year and Date: 2016-09-05
  • Int'l Joint Research
• [Presentation] Make changes through midwifery leadership: Global collaboration between Tanzania and Japan (2016)
  • Author(s): Yoko Shimpuku
  • Organizer: 11th Biennial Conference of the Global Network of WHO Collaborating Centre for Nursing and Midwifery
  • Place of Presentation: Glasgow (Scotland)
  • Year and Date: 2016-07-27
  • Int'l Joint Research / Invited
• [Presentation] Why midwives make a difference to women and newborn health? (2016)
  • Author(s): Frances Day-Stirk, Address Malata, Jennifer Dohrn, Yoko Shimpuku, Lorena Binfa
  • Organizer: Global Network of WHOCC in Nursing and Midwifery Biennial Conference
  • Place of Presentation: Glasgow, Scotland
  • Year and Date: 2016-07-27
  • Int'l Joint Research / Invited
• [Presentation] 聖路加JICA 連携プログラム 「タンザニア連合共和国母子保健支援ボランティア連携事業」の実践報告 (2016)
  • Author(s): 新福洋子, 堀内成子
  • Organizer: 第30回日本助産学会学術集会
  • Place of Presentation: 京都
  • Year and Date: 2016-03-18
• [Presentation] 育児支援クラス“HUG Your Baby プレママ・パパクラス”の実践 (2016)
  • Author(s): 新福洋子, 飯田真理子, 麓杏奈, 仙波百合香, 永森久美子, 田中夢子, 堀内成子
  • Organizer: 第30回日本助産学会学術集会
  • Place of Presentation: 京都
  • Year and Date: 2016-03-18
• [Presentation] タンザニア農村部の思春期学生に対するリプロダクティブヘルス教育プログラム評価質問紙 改善のための認知インタビュー (2016)
  • Author(s): 川野嘉子, 新福洋子, 堀内成子
  • Organizer: 第30回日本助産学会学術集会
  • Place of Presentation: 京都
  • Year and Date: 2016-03-18
• [Presentation] Development of Japanese Hug Your Baby: Education Tool for New Parents to Understand Newborns. (2015)
  • Author(s): Shimpuku, Y., Tedder J., Matsunaga, M., Iida, M., Tanimoto., K.
  • Organizer: Ｔhe ICM Asia Pacific Regional Conference 2015
  • Place of Presentation: Yokohama, Japan
  • Year and Date: 2015-07-20
  • Int'l Joint Research
• [Presentation] Promoting Factors to Establish the Successful Inter-Professional Partnership Model After the Great East Japan Earthquake (2015)
  • Author(s): Kubota, K., Shimpuku, Y., Ochiai, K., Mizutani, M., Otsubo, Y.
  • Organizer: The ICN Conference 2015
  • Place of Presentation: Seoul, Korea
  • Year and Date: 2015-06-19 – 2015-06-23
• [Presentation] Understanding Discrepancies of Birth Preparedness among Pregnant Women, Husbands, and Their Families in Rural Tanzania (2015)
  • Author(s): Shimpuku, Y., Madeni, F., Horiuchi, S., Leshabari, S.
  • Organizer: The ICN Conference 2015
  • Place of Presentation: Seoul, Korea
  • Year and Date: 2015-06-19
  • Int'l Joint Research
• [Presentation] Promoting Factors to Establish The Successful Inter-Professional Partnership Model After The Great East Japan Earthquake (2015)
  • Author(s): Kubota, K., Shimpuku, Y., Ochiai, K., Mizutani, M., Otsubo, Y.
  • Organizer: The ICN Conference 2015
  • Place of Presentation: Seoul, Korea
  • Year and Date: 2015-06-19
  • Int'l Joint Research
• [Presentation] 大学院助産教育における国際協働の基礎 -タンザニアでの学びと今後の展開- (2015)
  • Author(s): 新福洋子, 堀内成子, 長松康子
  • Organizer: 日本助産学会第29回学術集会
  • Place of Presentation: 東京
  • Year and Date: 2015-03-28 – 2015-03-29
• [Presentation] Relief Work and Stress: A Descriptive Study with A Volunteer Population (2014)
  • Author(s): Harada, N, Shimpuku, Y., Shigemura J., Yasukata F.
  • Organizer: The 12th Asia Pacific Conference on Disaster Medicine
  • Place of Presentation: Tokyo
  • Year and Date: 2014-09-17 – 2014-09-19
• [Book] トライ！看護にTBL: チーム基盤型学習の基礎のキソ (2016)
  • Author(s): 五十嵐ゆかり, 飯田真理子, 新福洋子
  • Total Pages: 160
  • Publisher: 医学書院