Program Report
JICA Knowledge Co-Creation Program
Improvement of Maternal Health（including Remote Medical Care for Maternal and Child Health）(C)JFY2017January 1, 2018
Seto Inland Sea Regional Research Center Kagawa University
Shikoku branch Japan International Cooperation Agency
NPO e-HCIK “e-Health Care Innovation in Kagawa”
NPO BHN Association “Basic Human Needs”
Melody International Ltd.

Message
JICA and Kagawa University jointly held a program called "Improvement ofMaternal Health（including Remote Medical Care for Maternal and Child
Health）.” The program included 18 people from 11 countries for 4 weeks. I am
sincerely thankful that we could successfully achieved the program.
Currently, the perinatal mortality rate and the maternal mortality rate inJapan are the lowest in the world, and it’s drawing attention all over the world.
The reason is because the comprehensive perinatal medical centers were
established nationwide. In addition, general obstetrics departments inprovincial hospitals know the detailed condition of fetus and mother by using IT
so that high risk pregnant women are referred to second or third advanced
hospital.

In this program, “Improvement of maternal health" is the main topic, and"including remote medical care" is the subtopic.
We visited comprehensive perinatal medical centers in Tokyo and Chiba
prefectures, and we added studies on maternal facility “Net Yurikago =Cradle”
in Tono city, Iwate prefecture, and perinatal electric medical record “IHATOV”
which is working in all area of Iwate Prefecture.
" IHATOV " got great attention from all over the Japan at the time of Great East
Earthquake because it was very useful for health management of pregnant
women. As this triggered, the deregulation about telemedicine is advanced,
and the cloud-type electronic medical record network had spread all over Japan.
In Kagawa Prefecture, participants learned perinatal care, remote medicalcare, etc. by lectures. They visited University hospital, medical and elderly carefacilities in neighboring, and facilities in Shodosima island. Furthermore, They
learned about the Olive nurse in the activity under the law of comprehensive
special zone system.

I sincerely pray that this program will be useful for improving perinatal care ineach participating countries.
Telemedicine research group
Seto Inland Sea Regional Research Center
Kagawa University
Specially Appointed Professor
Dr. Hara Kazuhiro（Director of this program）

Contents

1. Program outline
2. Program contents
3. Program itinerary
4. Program(1) October 11th(2) October 12th(3) October 13th(4) October 16th(5) October 17th(6) October 18th(7) October 20th(8) October 23rd(9) October 24th(10) October 25th(11) October 26th(12) October 27th(13) October 30th(14) October 31st
(15) November 1st(16) November 2nd

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1. Program outline
Seto Inland Sea regional Research Center in Kagawa University and JICA Shikoku branch, Japan
International Cooperation Agency, held the 24 days program to improve maternal health incooperated with NPO e-HICK, NPO BHN and Melody International Ltd.. The program included
government and local government officials (11 countries, 18 people) from countries suffering
maternal and neonatal mortality rate.
Participants received intensive training program, and they were able to achieve a training
purpose. Each person prepared “Action plan” to improve maternal health and are well prepared
upon returning to their country.
It is difficult to improve maternal health by only attending this program, so we would like tokeep in touch and support as much as possible.

PeriodOctober 10th, 2017～November 2nd, 2017
Country Afghanistan (1), Bangladesh(2), East Timor(2), Fiji(2), Kenya(2), Kiribati(1),Laos(2), Maldives(2), Myanmar(2), Samoa(1),Uganda(1)

AFGHANISTANJAPANMYANMARBANGLADESHLAOSUGANDAKENYAKIRIBATIMALDIVES
TIMOR-LESTE

SAMOA
FIJI

SOUTH AFRICA

Dr. Bogosi Mogale attended and supported the programs. He is keen to improve maternal care indeveloping countries. He is from South Africa and he is Health Attache, South African Embassy to Belgium,
Luxembourg and the Mission to the European Union EU.

1

2. Program contents
At first, participants learned policies and political measures of the government concerning"Improvement of maternal health" in mainly Tokyo, and they visited urban hospitals(obstetrics) with well-equipped facilities.
Next, participant visited the local government and hospitals in mountains area “Tono city,
Iwate prefecture” in the Tohoku region, and they learned how municipals operate medical
function for citizens where access to hospitals is very difficult especially during snow season.
Lastly, participants moved to Kagawa prefecture where is proactively promoting perinatal
care and remote medical care. In there, they reported Inception report to introduce own
country’s problem and situation, and they received lectures at university, prefecture andvisited Kagawa prefecture government, Kagawa University hospital, local hospitals and so on.
Based on these training, the participants made the action plan of their own countries andthey gave presentation the action plan.

October
10th

～

16th

17th ～ 19th

Tokyo & Chiba
Pref.
・JICA lecture
・Government lecture
・Visit hospitals inurban area
・Visit a hospital in
the suburbs
etc.
ん

Iwate Pref.
・Visit Iwate
perinatal
information
system
etc.
11

20th

Nov.
～

2th

Kagawa Pref.
・Visit local
government
・Presentation of
inception report
・University lectures
・Visit University
hospital
・K－MIX lecture

・Visit local hospitals
・Visit hospitals in island
・Remote lectures fromover sea
・Presentation of action
plan
etc.

In order to get attendance of teachers and students,
we held the presentation session of the Inception Report at Kagawa University.

Iwate
Tokyo
KagawaHandouts and files

2

3．Program itinerary
Type: L: Lectuer, P: Practice, V: Visit
Date

Type Contents

Lecturer/Site

Briefing
10/10
Tue

L

Program orientation

JICA Tokyo
Mr. Hatano
Mr. Ueno

JICA's cooperation for the improvement of
Ms. Nagaimaternal, newborn and child healthP

Self introduction of participants/parties
concerned

L

The global expansion of the perinatalmanagement system and mobile CTG
developed in Kagawa prefecture

JICA Shikoku
Coordinator, Seto Inland Sea
Regional Research Center,
Kagawa Univ.
JICA HQ (Health Group, Human
Development Dept.)

Prof. Hara

Specially appointed professor &PhD
Seto Inland Sea Regional
Research Center, Kagawa Univ.

Ms. Nakane

Min. of Health, Labor andWelfare

Lunch
L
10/11
Wed

Features of maternal and child healthpolicies in Japan

Break
L

Initiatives of the Min. of Internal Affairs
and Communications concerning ICT
Ms. Katayanagi
utilization in medical care and other fields

Information Applications
Promotion Office, Min. ofInternal Affairs andCommunications

Break
L

L

Digital mother & child health handbook

Mr. Nishiguchi
Mr.Maruyama

NTT DoCoMo
Hakuhodo

Welcome Party

Mr. Hatano

JICA Shikoku

Telemedicine in Japan

Mr. Tofukuji

Japanese Telemedicine andTelecare Association

Break
L

10/12
Thu

Quality improvement: An
experience/experiment in neonatal clinical Dr. Mori
practice in Japan

National Center for Child Healthand Development

Lunch
Move by bus
V

Japanese Red Cross Medical Center

Dr. Kido

Japanese Red Cross Medical
CenterV

Move by bus
Aiiku Clinic / Aiiku Hospital

Dr. Nakabayashi

Aiiku HospitalMove by bus

Move by bus
Lunch

Kamogawa Ocean Park

Move by bus
10/13FriV

Kameda Medical Center

Dr. Suzuki

Perinatal Center, Kameda
Medical Center

Move by bus via UMIHOTARU parking area
Move to JICA
Move by train
10/14
Sat
10/15
Sun

V

Hato bus tour half-day Tokyo
Holiday3

L IT introduction in Healthcare Sector Mr. Takahashi

FUJITSU LIMITED

Break
10/16
Mon

10/17
Tue

L

Overview of nursing education
RN, PHN Kamei
system in Japan
Leave JICA for Tokyo station (Lunchin train)
Move from Tokyo to Tono by
Shinkansen & Bus

Efforts in using ICT for prenatal
V physical examinations at Tono citymaternity home
Lunch Tono Kaze no Oka
P Courtesy call to Tono mayor

St. Luke's International Univ.

Mr. Kikuchi

Health and Welfare Division, Tono city

Mr. Kikuchi

Health and Welfare Division, Tono city

Mr. Kikuchi

Health and Welfare Division, Tono city

V Tono city disaster prevention center Mr. Kikuchi

Health and Welfare Division, Tono cityV

Tono city maternity home

Move Tono city → Rikuzentakata
city
Observation at reconstruction site inV
Rikuzentakata
10/18
Wed

Lunch

Ogata

Perinatal medical information
system during major disaster inV
Iwate prefecture
Miracle of "Ihatov"

10/19
Thu

Dr. Ogasawara

Vice director, Iwate Prefectural Ofunato
HospitalMr. Hamada

GovernorMove from Tono to Takamatsu via
Osaka
Bus / Airplane / Bus
Walk to Kagawa prefectural
government
Kagawa prefectural government
P Courtesy call to the governor
Move

21F→12F

P Maternal and child health in Kagawa Ms. Yamaji

Health and Welfare dept., Kagawa prefecture

Move
Lunch
10/20
Fri

L Introduction of the campus

Ms. Tamura

L Outline of e-HCIK

Ms. Kondo

Research Cooperating Group, Kagawa
University
e-HCIKP Inception report presentation 1

Mr. Hatano

JICA Shikoku

BreakMaternal and Child Health Handbook
L
Prof. Nakamura
for no one left behind
Vaccination management from the
L perspective maternal and child
Mr. Kani
healthWalk to hotel
10/21
Sat
10/22
Sun

Nursing and Rehabilitation, Konan Women's
Univ.
TECHNO ASKA CO., LTD.

Holiday
Holiday4Move by bus to Univ.
L

Greeting

Director Yokomise

L

Introducing Japan, Kagawa and Faculty ofProf. Wada
Medicine, Kagawa university

Kagawa Univ. Hospital
Medicine, Kagawa Univ.

Break

10/23
Mon

L

"Saving Mothers" : An insight into theSouth African maternal mortality
management challenge.

Dr.Bogosi Mogale

Health Attache: South African
Embassy to Belgium,
Luxembourg and the Mission to
the European Union

Prof. Yokoi

Kagawa Univ. HospitalProf. Kusaka

Pediatrics, Kagawa Univ.
HospitalMr. Hatano

JICA Shikoku

Lunch
L

(T) Outline of K-MIX
Break

L

(T) Neonate management
Break

P

Inception report presentation 2
Move by bus to hotel*Transfer luggage to Daiwa Roynet Hotel
Takamatsu
Move by bus to STNet

L

STNet Powerico overview
Move by bus

Mr. Torano

STNet, Inc.

L(T)Maternity management

Prof. Sasaki

School of Nursing, Medicine,
Kagawa Univ.

Lunch
10/24
Tue

L

Latest ultrasound diagnosis of fetus

Prof. Hata

Perinatology and Gynecology,
Kagawa Univ.

L

Fetal heartrate monitoring

Associate Prof. Tanaka

Perinatology and Gynecology,
Kagawa Univ.

V

Kagawa Univ. Hospital Maternal and Child
Prof. Hata
Health Center

Kagawa Univ. Hospital Maternaland Child Health Center

Break
L

Use of Kagawa Medical Information
Prof. Minamino
eXchange plus (K-MIX+) in ANAFIE Registry

Medicine, Kagawa Univ.

Move by bus
Move by bus

V

RARE SUGARS: NATURAL ZERO CALORIESWEETENERS IN RELATION TO
Dr.Akram Hossain
OBESITY AND DIABETES TO CHANGE OUR
LIFE STYLE

Kagawa Univ.
Matsunani Chemical Ind. Co.,Ltd.

Move by bus
10/25
Wed

V

Home care support by Nagai group
Lunch

Head NurseMs.Fukuda

Social Welfare Corporation
Keiseikai

Dr. Ohara

Director, National Health
Insurance SUE Hospital

Mr. Urata

Yushin-Brewer Co., Ltd.

Move by bus
V

Outline of olive nurse
National Health Insurance SUE HospitalMove by bus

V

Yushin-Brewer Co. Ltd.
Move by bus

5Move by bus
V

Move by boat

Mr. Kishimoto

Marine Center, Seto Inland Sea
Regional Research Center,
Kagawa Univ.

Move by bus
V
10/26
Mon

Olive Garden

MiyakeMove by bus
V

Shodoshima central hospital

Dr. Hayashi

Shodoshima Central HospitalMove by bus

V

Marukin Soy Sause Museum

MasudaMove by bus
Dr. Hayashi

Vice Director, Shodoshima
Central Hospital

Photo taking

Mr. Ueno

Seto Inland Sea Regional
Research Center, Kagawa Univ.

L

Greeting

President. Kakehi

President, Kagawa Univ.

L

Introduction of Seto Inland Sea Regional
Research Center

Prof. Tada

Director, Seto Inland Sea
Regional Research Center,
Kagawa Univ.

L(T) Prevention of lifestyle disease by raresugar

Prof. Tokuda

Vice president, Kagawa Univ.

Prof. Noda

Kagawa Univ.

Mr. Ueno

Seto Inland Sea Regional
Research Center, Kagawa Univ.

Dr. Tsuyuki

Obstetrics & Gynecologist,
Kagawa Preventive Medicine
Institution

Mr. Ueno

Seto Inland Sea Regional
Research Center, Kagawa Univ.

V

Uchinomi Clinic
Move by bus

Break
P
10/27
Fri

International Relations-Exchange with studentsLunch

P

Discussion in 3 groupsMove by bus

V

Brest and Uterus cancer screening
Kagawa Preventive Medicine Institution
Move by bus
Exchange party with parties concernedMove by bus

10/28
Sat
10/29
Sun

V

Ritsurin Garden

Ritsurin garden

Holiday6

Walk to Kagawa Univ.
L

Fetus at Near and Far

L

Remote L：Perinatal Telemedicine in
Okushiri island

Prof. Takeuchi

Dr. Tatsumi

Seto Inland Sea Regional
Research Center
Graduate Sch., Sapporo Medical
Univ.

Dr. Shinmi

Sch. Of Medicine, Sapporo
Medical Univ.

Dr. Odagiri

Naze Tokusyukai Hospital

Break
L

Remote L：The efforts to maintain anddevelop the perinatal care system inAmami islands ～with "Yui Sprit"～
Lunch

10/30
Mon

L

(T)Development & spread of care systemfor pregnant and parturient women

Ms. OgataCEO, Melody International Ltd.

L

V-CUBE and telemedicine

Mr. OhoMedical & Healthcare group, Vcube, Inc.

Break
L

Remote Lecture “Perinatal Telemedicine in
Dr. Supatra Sirichotiyakul
Remote area in Chiang Mai Province”

Obstetrics & Gynecologist,
Chiang Mai Univ., Thailand

Break
L

Remote Lecture：(T) For remote carefrom Hong Kong

Dr. Ihara

President, Japanese Medical
Association of Europe

Break
L

(T) Application and demonstration of droneMr. Ono

CEO, KAMOMEYA Inc.

Move

P

Demonstration of Japanese fencing"Kendo"Ms. Sakai

Kagawa Univ.

Mr. Takagi

CFO, Melody International Ltd.

Mr. Takagi

CFO, Melody International Ltd.

Mr. Hatano

JICA Shikoku

Mr. Hatano

JICA Shikoku

Mr. Hatano

JICA Shikoku

Mr. Hatano

JICA Shikoku

Walk to Hotel
Walk to Univ.
P
10/31
Tue

Action plan creation (in group)
Lunch

P

Action plan creation (individual)
Walk to hotel
Walk to Univ.

P
11/1
Wed

Action plan presentation
Lunch

P

Action plan presentation
Walk to hotel
Move by bus to Univ.

P
11/2
Thu

Evaluation meeting

Break
L

Closing ceremony
Farewell party （Lunch）
Move by bus to Takamatsu Airport
Takamatsu to Tokyo

7

4．Program(1) October 11th
① Self introduction of participants/parties concerned: Prof. Hara, BHN② Lecture： The global expansion of the perinatal management system and mobile
CTG developed in Kagawa prefecture（Prof. Hara, Specially appointed professor & PhD, Seto Inland Sea Regional ResearchCenter, Kagawa Univ. ）③ Lecture： Features of maternal and child health policies in Japan（ Ms. Nakane, Expert, Maternal and Child Health Division, Child and Family Policy
Bureau, Min. of Health, Labour and Welfare ）④ Lecture： Initiatives of the Min. of Internal Affairs and Communications concerning
ICT utilization in medical care and other fields（Ms. Katayanagi, Information Applications Promotion Office, Min.of Internal
Affairs and Communications）⑤ Lecture： Digital mother & child health handbook（ Mr. Nishiguchi , NTT DoCoMo/ Mr.Maruyama, Hakuhodo ）⑥ Welcome Party

Self introduction of participants

Self introduction of participants

Lecture: Prof. Hara,
Kagawa University

Lecture: Ms. Nakane,
Min. of Health, Labor and Welfare8Lecture: Ms. Katayanagi,
Min. of Internal Affairs andCommunications

Congratulatory speech: Ms. Pimm from
Laos

Lecture: NTT DoCoMo/Hakuhodo,
Digital mother & child health handbook

Welcome dinner(2) October 12th
① Greeting：Mr. Hori, Deputy Director Health Service Division Health Service BureauMin. of Health, Labour and Welfare② Lecture： Telemedicine in Japan（Prof. Tofukuji, Takasaki University of Health and Welfare, secretary‐general ）③ Lecture： Quality improvement: An experience/experiment in neonatal clinical practicein Japan（ Dr. Mori, National Center for Child Health and Development ）④ Visit and Lecture： Japanese Red Cross Medical Center , Hiroo, Tokyo（Dr. Kido, Director, OB/GYN 2nd Dept /Ms. Nakane, General manager, Education plan/
Ms. Imoto, assistant director, nursing Dept）⑤ Visit and Lecture： Aiiku Clinic / Aiiku Hospital （Hiroo、Tamachi）（Dr. Nakabayashi, Director /Ms. Kato, Head nurse）

9

Greeting from Mr. Hori, Deputy Director
Health Service Division Health Service
Bureau Min. of Health, Labour andWelfareLecture: Prof. Tofukuji, Japanese
Telemedicine and Telecare Association

Lecture: Dr. Mori, National Center forChild Health and Development

Group photograph with Dr. Kido,
Japanese Red Cross Medical Center

Dr. Nakabayashi, Aiiku Hospital10(3) October 13th
Visit and Lecture：Kameda Medical Center（Kamogawa City, Chiba Prefecture）（Dr. Kameda、Director, Kameda Clinic: Dr. Suzuki, Director, OB/GYN Dept. ）Visit：On the way to Kameda Medical Center, visit Tokyo and local cities to understandJapanese life and culture

UMIHOTARU parking area, on the way
to Kameda Medical Center

Lunch: Boso Peninsula, roadside rest area

In front of Kameda Medical Center with the history of 350 years

11Lecture: Kameda Medical Center

Dr. Suzuki and Mr. Wacher, introducing
about Kameda Medical Center

Visit: Kameda Medical Center

View from Kameda Medical Center(4) October 16th
① Lecture： IT introduction in Healthcare Sector of FUJITSU LIMITED（ Mr. Takahashi, Senior Director, Global business supervisory department）② Lecture： Overview of nursing education system in Japan（ RN, PHN Kamei , St. Luke's International Univ. ）Lecture: Mr. Takahashi, FUJITSU
LIMITED

Lecture: Nursing education system inJapan, RN, PHN Kamei

12(5) October 17th
① Visit and Lecture：Efforts in using ICT for prenatal physical examinations at Tono citymaternity home
（Mr. Kikuchi, Health and Welfare Division, Tono city）② Courtesy call on Tono mayor, Mr. Honda③ Visit and Lecture： Remote checkup for pregnant women at Tono city maternity home
④ Visit and Lecture： Tono city disaster prevention center

Commemorative photo with Tono mayor

Visit: Tono city maternity
home ”Net cradle”

Visit: Tono city maternity home ”Net
cradle”13

Courtesy call on Tono mayor

Courtesy call on Tono mayor

Explanation from Ms. Kikuchi, midwife

Lecture: Tono city disaster prevention
centerVisit: Tono city disaster prevention center

Explanation about the Great East Japan
Earthquake14(6) October 18th
① Visit： Observation at reconstruction site in Rikuzentakata② Lecture： Perinatal medical information system during major disaster in Iwate
prefecture Miracle of "Ihatov"（Dr. Ogasawara, OB‐GYN , Vice director, Iwate Prefectural Ofunato Hospital ）③ Lecture：Demonstration experiment in medical care zone of Kesen area
（Mr. Kitamura, HealthCare Relations Co., Ltd.）④ Lecture：“Mirai Kanaenet” ICT projects of medical, healthcare, and care in Ofunato
City, Rikuzentakata City, and Sumita Town
（Dr. Ito, Director, Iwate Prefectural Ofunato Hospital, Mirai Kanae Institution Project）⑤ Visit and Lecture：Iwate Prefectural Ofunato Hospital

In front of "miracle pine" in Rikuzentakata

Lecture: Dr. Ogasawara

Participants listen to the lecture

15

Lecture: Dr. Ogasawara

Lecture: Dr. Ito

Explanation from Dr. Ogasawara

Visit: Iwate Prefectural Ofunato Hospital(7) October 20th
① Courtesy call on the deputy governor of Kagawa Prefecture, Mr. Nishihara② Lecture: Maternal and child health in Kagawa（ Ms. Kawase, Health and Welfare dept., Childcare support section, Kagawa
prefecture ）③ Inception report presentation Part I④ Lecture: Maternal and Child Health Handbook for no one left behind（ Prof. Nakamura, Nursing and Rehabilitation, Konan Women's Univ. ）⑤ Lecture: Vaccination management from the perspective maternal and child health（ Mr. Kani, TECHNO ASKA CO., LTD. ）16

Courtesy call on the deputy governor of Kagawa Prefecture

Courtesy call on the governor of Kagawa
Prefecture

Lecture: Maternal and child health in
Kagawa Prefecture

Lecture: Maternal and child health in
Kagawa Prefecture

Inception report presentation

17

Inception report presentation

Lecture: Prof. Nakamura

Group photograph with Prof. Nakamura

Lecture: Mr. Kani

(8) October 23rd
① Greeting： Director Yokomise, Kagawa Univ. Hospital② Lecture： Introducing Japan, Kagawa and Faculty of Medicine, Kagawa University（Prof. Wada, Deptartment of Chemistry for Medicine, Kagawa University ）③ Lecture： "Saving Mothers" : An insight into the South African maternal mortality
management challenge.
（ Dr. Mogale, Health Attache: South African Embassy to Belgium, Luxembourg andthe Mission to the European Union ）④ Lecture： Outline of K-MIX ( Kagawa Medical Internet eXchange )（ Prof. Yokoi, Deptartment of Medical Informatics, Kagawa Univ. Hospital ）⑤ Lecture： Neonate management in Japan（ Prof. Kusaka, Pediatrics, Kagawa Univ. Hospital ）⑥ Visit： Medical skills laboratory⑥ Inception report presentation Part II18

Greeting from Director Yokomise,
Kagawa Univ. Hospital

Greeting from Director Yokomise,
Kagawa Univ. Hospital

Lecture: Prof. Wada

Lecture: Dr. Mogale

Lecture: Dr. Mogale

Lecture: Prof. Yokoi

19

Lecture: Prof. Kusaka

Visit: Medical skills laboratory

Visit: Medical skills laboratory

Inception report presentation

Inception report presentation

Inception report presentation

20

Inception report presentation

Inception report presentation(9) October 24th
① Lecture: STNet Powerico overview （Management of information security）（ Mr. Okubo, STNet, Inc. ）② Lecture: Maternity management in Japan（ Prof. Sasaki, School of Nursing, Medicine, Kagawa Univ. ）③ Lecture: Latest ultrasound diagnosis of fetus（ Prof. Hata, Perinatology and Gynecology, Kagawa Univ. ）④ Lecture: Fetal heartrate monitoring（ Associate Prof. Tanaka, Perinatology and Gynecology, Kagawa Univ. ）⑤ Visit and Lecture： Kagawa Univ. Hospital Maternal and Child Health Center（Associate Prof. Mori, Perinatology and Gynecology, Kagawa Univ. ）⑥ Lecture: Use of Kagawa Medical Information eXchange plus (K-MIX+)
in ANAFIE Registry（ Prof. Minamino, Department of CardioRenal and CerebroVascular
Medicine,Kagawa Univ. ）Lecture: STNet

Lecture: Prof. Sasaki

21

Lecture: Prof. Hata

Lecture: Associate Prof. Tanaka

Visit: Kagawa Univ. Hospital

Visit: Kagawa Univ. Hospital

Visit: Kagawa Univ. Hospital

Lecture: Prof. Mimamino22

(10) October 25th
① Visit and Lecture: Matsunani Chemical Ind. Co., Ltd. (Rare sweet sugar)（Prof. Akram Hossain, Matsunani Chemical Ind. Co., Ltd. ）② Visit and Lecture: Special nursing home Kiyama（ Collaboration in medical treatment, nursing ）（ Ms. Fukuda, Social Welfare Corporation Keiseikai ）③ Visit and Lecture: National Health Insurance SUE Hospital （Olive nurse）（ Dr. Ohara, Director, National Health Insurance SUE Hospital ）④ Visit：Yushin-Brewer Co. Ltd.（improving Atopic Dermatitis）（ Mr. Urata, Yushin-Brewer Co. Ltd. ）Visit and Lecture: Matsunani Chemical
Ind. Co., Ltd.

Visit and Lecture: Special nursing home
KiyamaVisit Special nursing home Kiyama

Group photograph at Special nursing
home Kiyama

23

Visit and Lecture: SUE Hospital

Lecture: Dr. Ohara

Commemorative photo with Dr. Ohara, Director of SUE Hospital.

Visit and Lecture: Yushin-Brewer Co. Ltd.

Commemorative photo at YushinBrewer Co. Ltd.

24

(11) October 26th
① Visit and Experience：Move to Shodoshima island, boarding research vessels of
Seto Inland Sea Regional Research Center, Kagawa Univ.
Observe the life of the Megi island, Ogi island and Oshima island from the vessel.
（Mr. Kishimoto, Marine Center Chief, Seto Inland Sea Regional Research Center,
Kagawa Univ.）② Visit：Shodoshima Olive Park
③ Visit and Lecture： Shodoshima central hospital and Uchinomi Clinic（Dr. Hayashi, Senior assistant director, Shodoshima central hospital ）④ Lecture：Tele-mobile ECG duranta (Mr. Okaniwa, ImageONE Co., Ltd.)⑤ Visit： Marukin Soy Sause Museum

Heading to Shodoshima island, boarding research vessels Calanus III owned by
Seto Inland Sea Regional Research Center, Kagawa Univ.

25

Greeting from Dr. Hayashi,
Shodoshima central hospital

Demonstration of “duranta”

Visit and Lecture: Shodoshima central
hospital

Visit Marukin Soy Sause Museum

Visit Uchinomi Clinic

Remote medical examination in
Uchinomi Clinic

26

(12) October 27th
① Greeting：Prof. Kakehi, President, Kagawa Univ.
② Greeting：Prof. Tada, Director, Seto Inland Sea Regional Research Center, Kagawa Univ.
③ Lecture：Prevention of lifestyle disease by rare sugar（Prof. Tokuda, Vice president, Kagawa Univ.）④ Lecture： International Relations -Exchange with students（ Prof. Noda, International Office, Kagawa Univ.）⑤ Practice：Mutual information exchange with trainees（Mr. Ueno, Coordinator, Seto Inland Sea Regional Research Center, Kagawa Univ.）⑥ Visit：Brest and Uterus cancer screening（Kagawa Preventive Medicine Institution）⑦ Exchange party with parties concerned

Commemorative photo with Prof. Kakehi, President of Kagawa Univ.

Greeting from Pro. Kakehi,
President, Kagawa Univ.

Greeting from Prof. Tada, Director,
Seto Inland Sea Regional ResearchCenter, Kagawa Univ.

27

Greeting from Prof. Honjo, General
Manager, Seto Inland Sea Regional
Research Center, Kagawa Univ.

Lecture: Prof. Tokuda, Vice president,
Kagawa Univ.

Class of Prof. Noda

Mutual information exchange withparticipants

Lecture: Dr. Tsuyuki

Exchange party with parties concerned28

(13) October 30th
① Lecture：Fetus at Near and Far（Development of Mobile CTG）
（ Prof. Takeuchi , Seto Inland Sea Regional Research Center ）② Remote L：Perinatal Telemedicine in Okushiri island（Lecture from Sapporo）（ Dr. Tatsumi and Dr. Shimmi, Graduate Sch., Sapporo Medical Univ. Sch. Of
Medicine, Sapporo Medical Univ. ）③ Remote L： The efforts to maintain and develop the perinatal care system in Amami
islands ～with "Yui Sprit"～ （Lecture from Amami islands）（ Dr. Odagiri , Naze Tokusyukai Hospital ）④ Lecture： Development & spread of care system for pregnant and parturient women（ Ms. Ogata, CEO, Melody International Ltd. ）⑤ Lecture： V-CUBE and telemedicine（ Mr. Oho, Medical & Healthcare group, V-cube, Inc. ）⑥ Remote L： Perinatal Telemedicine in Remote area in Chiang Mai Province（ Lecture from Chiang Mai, Thailand）（ Dr. Supatra Sirichotiyakul Obstetrics & Gynecologist, Chiang Mai Univ.,
Thailand ）⑦ Remote L： For remote care from Hong Kong and London（ Lecture from Hong Kong and London）（ Dr. Ihara, President, Japanese Medical Association of Europe
Dr. Shiono, London Iryo Centre,）⑧ Lecture： Application and demonstration of drone（ Mr. Ono, CEO, KAMOMEYA Inc. ）⑨ Practice： Demonstration of Japanese fencing "Kendo"（ Ms. Sakai, Kagawa Univ. ）Lecture: Prof. Takeuchi

Remote Lecture from Hokkaido, Dr.
Tatsumi and Dr. Shimmi

29Remote Lecture from Amami ilands, Dr.
Odagiri

Lecture: Ms. Ogata, CEO, Melody
International Ltd.

Remote Lecture from Thailand,
Dr. Supatra

Remote Lecture from Hong Kong,
Dr. Ihara, from London, Dr. Shiono

Application of drone: Lecture and
Demonstration

Cultural exchange and experience
with Kendo club of Kagawa Univ.

30

Cultural exchange and experience with
Kendo club of Kagawa Univ.

Commemorative photo with Kendoclub of Kagawa Univ.

(14) October 31st
① Action plan creation (in group)（Adviser: Mr. Tomomi Takagi, CFO , Melody International Ltd. ）② Action plan creation (individual)

Introduction of how to create action
plan: Adviser Mr. Takagi

Discussion in each group

Presentation of the discussion resultin the group

Presentation of the discussion resultin the group31

Introduction of advisers of the Action plan

Action plan creation (individual)(15) November 1st
Action plan presentation

Action plan presentation

Action plan presentation

Action plan presentation

Action plan presentation32

(16) November 2nd① Evaluation meeting② General comment③ The diploma conferment④ Farewell lunch party

Evaluation meeting: Prof. Hara

Evaluation meeting: participants

General comment: Prof. Hara

General comment: evaluator

General comment:
Mr. Hoshino, JICA Shikoku
acting branch manager

The diploma conferment

33

The diploma conferment

The diploma conferment

representative express their gratitude

Final group photograph of this program34

Farewell lunch party

On their way home35