2023 Fiscal Year Final Research Report

Effects of the HDSS-based distribution of the safe-maternity kits on the maternal and child health activities

Research Project

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Project/Area Number	21K18401
Research Category	Grant-in-Aid for Challenging Research (Exploratory)
Allocation Type	Multi-year Fund
Review Section	Medium-sized Section 4:Geography, cultural anthropology, folklore, and related fields
Research Institution	Nagasaki University
Principal Investigator	Moji Kazuhiko 長崎大学, 熱帯医学・グローバルヘルス研究科, 教授 (80166321)
Co-Investigator(Kenkyū-buntansha)	金子聰長崎大学, 熱帯医学研究所, 教授 (00342907) 東城文柄東京外国語大学, 世界言語社会教育センター, 准教授 (90508392)
Project Period (FY)	2021-07-09 – 2024-03-31
Keywords	清潔な分娩 / ラオス / 分娩 / 新生児 / 妊産婦 / ママキット
Outline of Final Research Achievements	Home delivery is still practiced in Laos, and both maternal and neonatal mortality rates are high. International organizations no longer distribute clean delivery kits to pregnant women because of their position of encouraging facility deliveries. The survey revealed that delivery service providers understood the importance of clean delivery kits and wanted to distribute them, but pregnant women were less knowledgeable about and interested in clean delivery, leaving it up to the caregivers. Explanation of clean umbilical cord cutting at antenatal checkup ANC was inadequate. It was found that it is important to write more specifically in the Maternal and Child Health Handbook what to prepare, how to prepare, and what to prepare for childbirth, and to teach this at ANC, and that training for health center staff and village health volunteers is important.
Free Research Field	地理学、文化人類学、民俗学およびその関連分野
Academic Significance and Societal Importance of the Research Achievements	1980年代から90年代にかけて、自宅分娩が実際におこなわれている現状から、多くの国で清潔分娩キットclean delivery kitを女性が使用できるように普及を推進してきた。当時、世界保健機関WHOも基本的に清潔分娩キットの配布には協力的であった。しかし、その後、国際機関は施設分娩を積極的に奨励する立場をとり,清潔分娩キットの配布を積極的に進めない立場となった。施設で訓練を受けた医師・看護師・助産師が立会い清潔を保てた状態で分娩ができることが理想であるが、ラオスの僻地ではそのような状態にはなく、自宅分娩の場合も含めて清潔分娩キットの配布を再考すべきなのではないかと考えられた。