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December 3-4, 2018

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Kyoto University School of Public Health2018 Kyoto Global Conference for
Rising Public Health Researchers“Implementation Research andScience for Health for All”
December 3-4, 2018

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Kyoto University School of Public HealthMessage from the Vice-President of
Kyoto University
Masao Kitano, PhD
Executive Vice-President for Education,
Information Infrastructure, and Evaluation

It is my great pleasure to be able to welcome you all, distinguished guests, faculty and young
researchers who have travelled miles and miles to be here with us today. We are grateful to haveyou. I also thank the Graduate School of Medicine and School of Public Health for the honour of
opening this international conference that brings us together in this opportunity.
It is my fifth year in the position as a Vice-President of Kyoto University and I must admit that
I have seen such an impressive growth of the School of Public Health throughout these years.
I especially appreciate their vision in fostering young professionals with academic excellence
and international mindset, as reflected by their continuous effort in their fourth Kyoto Global
Conference for Rising Public Health Researchers (KGC) this year.
The Top Global University Project was launched in 2014, based on the Ministry of Education,
Culture, Sports, Science and Technology’s November 2013 National University Reform Plan.
This project aims to strengthen the international competitiveness of higher education in Japanby prioritizing support, for a period of 10 years, of universities conducting top level research andeducation, and those promoting internationalization and university reform through challenging,pioneering attempts.
Under this scheme, Kyoto University presented the “Japan Gateway: Kyoto University Top Global
Program (JGP)”. Through internationalization of undergraduate education, starting with theemployment of 100 international faculty members at the Institute of Liberal Arts and Sciences,and taking advantage of Kyoto University’s strengths in basic and applied research, with a numberof world-class researchers including awardees of the Nobel Prize and Fields Medal, JGP aims
to establish agreements with leading universities and implement international joint-educationand joint-degree programs to produce a new generation of world-class researchers and further
strengthen the international competitiveness of research and graduate education.
Aiming to be among the top 10 universities in the world, Kyoto University strives to increase theproportion of international co-authored papers and the promotion of joint research. In order to

012018 Kyoto Global Conference for Rising Public Health Researchers

do so we are encouraging the exchange of students, faculty and researchers by implementing,through the Super Global Courses, more international education programs, such as Joint/Double
Degree Programs and international conferences and workshops.
In 2014, Kyoto University launched four project units: Mathematics, Human Biosciences,
Chemistry and Chemical Engineering, and Social Sciences and Humanities. In 2015,
Environmental Studies and Public Health also participated. As we can see, from among the whole
university, two units out of six belong to the Graduate School of Medicine. I must congratulate theGraduate School of Medicine and thank them for their efforts and devotion in the advancement of
the university as well.
To fulfil the mission, the School of Public Health introduced the double degree program in 2014
and joined the JGP in 2015. Apart from joint degree programs, joint research and exchangeof researchers, this international conference is part of such efforts, inviting rising publichealth researchers from worldwide to exchange the know-how on the very important topic of“Implementation Research and Science for Health for All”. This topic is virtually important in all
fields, even for us engineers, we also emphasize the importance of application and translation oftheories into practice.
I hope this conference not only serves as a platform to connect and foster leading researchers inpublic health field, but also I hope that this opportunity would lead to a meaningful contribution to
the improvement of human health through the long-term and concrete joint research cooperation.
I am confident that this international conference, which is the effort of Kyoto University’s JGP, isanother big step for research and education of each and every one of the institutions joining us
here today.
In closing, I would like to thank you all for your presence and attention, and I wish our guests
from abroad will have a wonderful time in our university as well as in the city of Kyoto.
Thank you

Message from the Dean of Graduate
School of Medicine Kyoto University
Kazuhiro Iwai, MD, PhD
Dean, Graduate School of Medicine
Professor, Department of Molecular andCellular Physiology

As we have always been, Kyoto University Graduate School of Medicine takes
great pride in its ability to nurture a number of international prize winners, suchas the Nobel Prize in Physiology or Medicine, and the Albert Lasker Award. I also
would like to take this opportunity, on behalf of Graduate School of Medicine,
to congratulate the recent 2018 Nobel Prize in Physiology or Medicine winner,
Professor Tasuku Honjo, in his discovery leading to therapies proven to be strikingly
effective in the fight against cancer. This demonstrates a very good example of “theory
to application”, in which we are constantly striving to encourage, whether from basic
science, advanced medical care and treatment, to disease prevention and healthpromotion at the public health level.
While pursuing to expand top-level research, Kyoto University Graduate School of
Medicine also emphasizes the importance of developing human resource with highethical standards, a well-rounded transdisciplinary knowledge, and a rich crosscultural mindset. To further strengthen the aforementioned social mission, theGraduate School of Medicine participates in the "Kyoto University Japan Gateway
Initiative (JGP)" since 2014, having the Human Bioscience Subunit pioneering thedevelopment of international joint education and degree programs with world-classresearch institutions such as McGill University, Imperial College London, Pasteur
Institute, Bordeaux University, and others. The School of Public Health, having beenrecognized by Kyoto University in their efforts and success in launching the double
degree program with Chulalongkorn University and University of Malaya, also joined
the JGP in 2015.
Through these efforts, by encouraging active exchanges through joint researchand education with overseas researchers and students, and fostering a friendly but
competitive environment with the world's top researchers, we aim to cultivate talented

researchers with international competitiveness, who can contribute to medicine, andso aiming to further enhance the international reputation of the university.
The host of this conference, the Kyoto University School of Public Health, as the first
and to date the largest School of Public Health in Japan since its founding in 2000,
has been boasting remarkable achievements representing the New Public Healthmindset in Japan, such as over 2000 peer-reviewed papers and the acquisition ofover 20 billion yen in competitive funds. Their efforts in making their educationand degree programs international as well as interdisciplinary, with enthusiastic
participation in university-wide cross-disciplinary education programs, i.e. theintroduction of international double degree programs with multiple overseas
universities, are highly appreciated by the university.
This “Kyoto Global Conference for Rising Public Health Researchers” is part ofsuch efforts, bringing together young public health researchers from world classuniversities overseas. This is the fourth KGC, reflecting their continuous efforts,
commitment, and grit in nurturing young public health researchers. The theme of thisyear is “Implementation Research and Science for Health for All”. It is unfortunatethat much of the knowledge of proven effective innovations to save and improve lives
is lying dormant in the literature, having never been systematically translated into
routine, common practices or even policy at a national or global level. I very muchappreciate that the School of Public Health sees the importance of this and making it
a topic of discussion this year.
Finally, I am confident that this event will not only create a global network for publichealth researchers, but also develop a platform for long-term research cooperationand development of joint research projects.

2018 Kyoto Global Conference for Rising Public Health Researchers

02

Message from the Dean of Kyoto University
School of Public Health
Takeo Nakayama, MD, PhD
Dean, Kyoto University School of Public HealthProfessor, Department of Health Informatics

Welcome to the 2018 Kyoto Global Conference for Rising Public Health Researchers(KGC). I am delighted that this conference already counts the 4th KGC. The KGC
is supported by the Japan Gateway Kyoto University Top Global Program (JGP)
sponsored by the Ministry of Education, Culture, Sports, Science and Technology(MEXT), Japan. This program aims to reinforce international competitiveness of
Kyoto University by promoting collaborative research projects and globalization of
educational programs.
Through the support of JGP, we have several programs in place.
First is the double degree program (DDP). In 2014, we are among the first graduate
schools of Kyoto University to successfully pioneer the master’s double degree
program (DDP) with overseas universities, starting with Chulalongkorn University
and University of Malaya, expanding to National Taiwan University in 2017. Until
date, we have produced 7 DDP students, authoring 11 publications. Currently, there
are 8 students in the DDP. We are presently working to extend the DDP to Mahidol
University. The journey has been quite challenging for us all, from planning, toimplementation, to unravelling the program’s sustainability, but it has been a worthy
learning process.
Second is the Super Global Course (SGC), which provides the students with
opportunities to be jointly supervised by leading international researchers. Sixteen
students participated in 2016-2017 and have authored, until date, already 7
publications.
Although publications are not a requirement for degree completion in the DDP or the
SGC, but as you can see, these programs proved that, if the opportunity is provided
to these young passionate minds, they will realize and reach their full potential.
Third is the KGC, this conference. For the KGC, we had a major reform on theplanning and organization this year. Valuing the cooperation from all participating
institutions, we formed the “KGC steering committee” having young researchers

03

2018 Kyoto Global Conference for Rising Public Health Researchersof all institutions taking the lead in the discussions from theme voting to abstracts
selection. Over 170 abstracts were submitted this year as compared to roughly 60
abstracts we received last year. The evaluation process was much more systematicwith clear criterion and scoring. Apart from the 9 participating institutions, AsianDevelopment Bank, specifically the Health Sector Group, has also participated in theevaluation as a reviewer, in which we are very grateful for. In total, there were over 30
reviewers from 10 institutions.
The topic of discussion this year is “Implementation Research and Science for Healthfor All”. A key challenge faced by the Public/Global health community is how to getproven effective interventions off the shelves and implement them in the real world
to improve health and save lives. The 2018 KGC is devoted to raising awareness andunderstanding of implementation research and science for health for all. I very muchlook forward to learn the different approaches from leading institutions from bothdeveloped and developing countries, which is the strength of this interesting mix of
KGC participants.
We, Kyoto University School of Public Health, would like to be among the actors
contributing to the improvement of the health and well-being for all and we hope tobe able to promote the exchanges of research, experience and challenges throughthis KGC platform.
Kyoto is a city which features both classic and innovative components of Japanesesociety. It will surely be a very good place for you to stay and to be inspired.
I believe this conference will create lively discussion on these key global issues
among current and future leaders of public/global health, as well as build new
networks for innovative research, education and practical initiatives. I thank MEXT,
Kyoto University, Graduate School of Medicine, our School of Public Health team,and our partners who gather here today for all of the great efforts and cooperation.
Thank you2018 KGC Steering Committee
This year, we created a KGC Steering Committee consisting of members from participating institutions to encourage active
engagement in the scientific discussions among all partners, track progress, and oversee all aspects the planning andorganization of the KGC from conference theme setting, peer-reviewing the abstracts, to moderating the sessions. The KGCSteering Committee will also help redefine and strengthen the mission of KGC in empowering young and early career “Rising
Public Health Researchers”, taking the leadership on the decisions governance, strategy, as well as seeking opportunities toimprove and expand.

Chiang Mai University Faculty of Public Health

Chulalongkorn University College of Public Health Science

CUCPHS teamSenior Advisory Group

Aksara Thongprachum
Main Committee

Suwat Chariyalertsak
Senior Advisory Group

Kyoto University School of Public Health

Teeranee Techasrivichien
Main Committee

Masahiro Kihara
Senior Advisory Group

Wattasit Siriwong
Main Committee

London School of Hygiene and Tropical Medicine

Esther Kwong
Main Committee

John Cairns

Senior Advisory Group2018 Kyoto Global Conference for Rising Public Health Researchers04

Mahidol Universiy Faculty of Public HealthNational Taiwan University College of Public Health

Mathuros Tipayamongkholgul Chanuantong Tanasugarn
Main Committee

National University of Singapore Saw Swee Hock School of Public Health

Tan Mei Jin Melisa
Main Committee

Hsien-Ho Lin

Senior Advisory Group

Teo Yik Ying

Senior Advisory Group

Main Committee

Helena Legido-Quigley
Senior Advisory GroupNik Daliana Nik Farid

Megumi Rosenberg
Main Committee

2018 Kyoto Global Conference for Rising Public Health Researchers

Main Committee

Shou-Hsia Cheng
Senior Advisory Group

University of Malaya Faculty of Medicine, Department of Social & Preventive Medicine

WHO Kobe Centre

05

Chang-Fu Wu

Main Committee

Sanjay Rampal
Senior Advisory Group

2018 Kyoto Global Conference for Rising Public Health Researchers

Schedule

December 3 (Monday)
Opening session – Welcome addresses
9:00-9:10

Vice President
Masao Kitano

9:10-9:20

Dean, Graduate School of Medicine
Kazuhiro Iwai

9:20-9:30

Dean, Kyoto University School of Public Health
Takeo Nakayama

Keynote speeches
9:30-10:15

Implementation Science: Scaling Up of Proven Interventions to Real World Settings
Sarah Louise Barber
Director, WHO Kobe Centre

10:15-11:00

Mission of AMED: Global Data Sharing
Makoto Suematsu
Director, Japan Agency for Medical Research and Development (AMED)
Break 15 minutes

Session 1 – Health Economics and Policy
Moderators: Shou-Hsia Cheng (National Taiwan University) and Susumu Kunisawa (Kyoto University)
11:15-11:45

Budget Impact Analysis of a Stratified Treatment Cascade for Hepatitis C Direct Acting
Antiviral treatment in an Asian Middle-income Country Through the Use of Compulsory
and Voluntary Licensing Options
Amirah Azzeri: University of Malaya

11:45-12:15

A Dual Process Approach for National Personal Health Records System Implementation: New Perspective on Patient-Centered Care to Universal Health Coverage
Fu-Chung Wang: National Taiwan University
Lunch break 1.5 hours

2018 Kyoto Global Conference for Rising Public Health Researchers

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“Implementation Research and Science for Health for All”
December 3-4, 2018

Symposium Hall, 5th floor, International Science Innovation Building,
By Kyoto University School of Public health

Session 2 – Health Program Implementation
Moderators: Chanuantong Tanasugarn (Mahidol University) and Melisa Mei Jin Tan (National University of Singapore)
13:45-14:15

Lessons Learnt: The Journey of Translating the Global Agenda on
Non-Communicable Diseases into a National Strategic Plan in Malaysia
Arunah Chandran: University of Malaya

14:15-14:45

Lessons from the Implementation of a Mental Health Programme in Primary Health
Clinics in Rural Mexico
Georgina Miguel Esponda: London School of Hygiene and Tropical Medicine

Session 3 – Poster Presentation
14:45-16:00

Poster Presentation

Session 4 – Effectiveness of Educational Programs
Moderators: Maznah Dahlui (University of Malaya) and Wattasit Siriwong (Chulalongkorn University)
16:00-16:30

Empowering Community Health Volunteers by Implementing Prevention of HealthImpact from Smoke Haze Pollution in Rural District of Chiang Mai Province, Thailand
Warangkana Naksen: Chiang Mai University

16:30-17:00

Effects of Supportive Educative Nursing Program On Self-care Behaviors Among
Monks With Metabolic Syndrome in Bangkok Metropolitan Area
Sasawan Attaworakun: Mahidol University

17:00-17:30

Comprehensive Sexuality Education as a Strategy to Prevent Intimate Partner Violence
among Adolescents in Mexico City
Shelly Makleff: London School of Hygiene and Tropical Medicine

17:30-17:45

Special Presentation from High School Students of Takatsuki Jr. and Sr. High School,
Osaka

18:00~

07

Dinner reception at “La Tour”, Clock Tower, Kyoto University

2018 Kyoto Global Conference for Rising Public Health Researchers

2018 Kyoto Global Conference for Rising Public Health Researchers

Schedule

December 4 (Tuesday)
Session 5 – Effectiveness of Interventions
Moderators: Patou Musumari (Kyoto University) and Sanjay Rampal (University of Malaya)

9:30-10:00

Characteristics and Publication Status of Clinical Trials Supporting Immune Checkpoint Inhibitors and Other Newest Anticancer Drugs Recently Approved by the UnitedStates Food and Drug Administration: A Meta-Epidemiological Investigation
Kenji Omae: Kyoto University

10:00-10:30

Socioeconomic Status, Health and Health Services in an Asian Urban Low-Income
Setting, at Baseline and Post-Intervention
Liang En Ian Wee: National University of Singapore

10:30-11:00

The Promoting Physical Activity and Healthy Eating Behavior through LINE Application
for Improve Health Outcomes among Overweight Women in Community:
A Randomized Controlled Trial
Yuphaporn Hongchuvech: Chulalongkorn University

11:00-11:30

Effects of a Capacity Building Program on Health Literacy in Smoking Cessation for
Village Health Volunteers
Nichamon Lumrod: Mahidol University
Lunch break 1.5 hour

Session 6 – Poster Presentation
13:00-14:00

Poster Presentation
Voting for “Best Poster Presentation” award closes at 15:00

2018 Kyoto Global Conference for Rising Public Health Researchers

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“Implementation Research and Science for Health for All”
December 3-4, 2018

Symposium Hall, 5th floor, International Science Innovation Building,
By Kyoto University School of Public health

Session 7 – Towards Better Screening and Care
Moderators: Esther Kwong (London School of Hygiene and Tropical Medicine) and Aksara Thongprachum (Chiang Mai University)
14:00-14:30

Practice Test on the Applicability of Quality Indicators for Low-risk Labor Care:
A Cross Sectional Observational Study
Kayo Ueda: Kyoto University

14:30-15:00

Feasibility and Effectiveness of Electronic Partograph on Improving Birth Outcome: aProspective Crossover Design Study
Aminur Shaheen: Chulalongkorn University

15:00-15:30

Identifying Barriers and Facilitators/enablers of Private Sector Referral of Suspected
MDR-TB cases for Gene Xpert diagnostic testing in Hlaingtharya and Dagon (South)
Townships in Yangon
Phyo Thet Naing Win: National University of Singapore

15:30-16:00

Intervention Evaluation of TB Patient Counseling and Phone Reminders in Cameroon:a Before-and-After Study
Elias F. Onyoh: National Taiwan University
Break 15 minutes

Session 8 – Closing
16:15-17:00

Panel Discussion with the 2018 KGC Steering Committee

17:00-17:30

Best Poster Presentation Award Ceremony and Closing
KUSPH Dean Takeo Nakayama

092018 Kyoto Global Conference for Rising Public Health ResearchersKeynote Speech 1

Implementation Science: Scaling up of
Proven Interventions to Real World Settings
Sarah Louise Barber

Director
World Health Organization Centre for Health Development(WHO Kobe Centre) /JapanDr Sarah Louise Barber is a health economist and policy specialist, and holds doctorate and post-doctorate
qualifications from the University of California, Berkeley, USA, focusing on economic evaluation. Before
becoming Director of the WHO Kobe Centre, she worked on strategic policy issues with the World HealthOrganization, including as Senior Health Policy Advisor in the Office of the Regional Director for Africa, WHO
Representative to South Africa, Team Leader for Health Systems Development in China, and Health Policy
Advisor in Indonesia and Cambodia. Prior to working with WHO in China, she was managing evaluation
research at the University of California Berkeley’s Institute of Business and Economic Research, and the
National Institute of Public Health in Mexico.
In South Africa, China, Indonesia and Mexico, she developed programs of technical cooperation andresearch to advance reforms to achieve universal health coverage. Over the past 25 years, she has
published widely on diverse topics in health economics and policy analysis, including the role of the private
health care sector, conditional cash transfers, human resources, insurance and provider payment reforms,
quality of care assessments, policies for essential medicines, monitoring and evaluation, migration, and fiscal
policies.
A native English speaker, she enjoys learning languages and has studied Spanish, Khmer, Thai, andIndonesian.

ABSTRACTThe last few decades have seen great innovations in extending
care and treatment for many conditions globally. However,while we have research on clinical interventions, medicines, andvaccines, we are failing to convert these scientific findings topopulation level differences. One of the greatest challenges that
we are facing is implementing already proven and efficacious
solutions. This challenge is the very heart of the concept of“sustainable development” and universal health coverage.
In studying interventions, several analytical challenges
remain. First, even among basic health interventions, thecausal pathways from an activity, drug, or technology to ahealth outcome can be complex – and particularly for someof the health system interventions such as decentralizationfor example, causal pathways can be very complicated. It is
important, therefore, to map out a logical sequence between

interventions and outcomes, to identify the most important
structural constraints in the health system in addition toindividual behavioural factors that modify these relationships.
Secondly, most researchers are taught that objectivity andindependence are a critical part of doing research, andsometimes take pride in not having contact with implementing
agencies or governments. Implementation research, however,requires a different approach because good implementation
research is designed to match the implementation plan for
the intervention. This requires the involvement local decision
makers, local government, health workers, and communities inthe study design. Only by doing so can you fully understand thesteps and decisions by which a program was implemented, anddesign a good study. Third, behaviours of people, patients,
users of health services are critical in understanding impact.

2018 Kyoto Global Conference for Rising Public Health Researchers

10Keynote Speech 2

Mission of AMED : Global Data Sharing
Makoto Suematsu, MD, PhD

Founding President
Japan Agency for Medical Research andDevelopment (AMED)

Makoto Suematsu, MD, PhD is the Founding President of the Japan Agency for Medical Research andDevelopment (AMED) from April 2015. He graduated from Keio University School of Medicine in 1983. After
serving research assistant in Department of Internal Medicine, Keio University School of Medicine, he went
to Institute for Biomedical Engineering, University of California San Diego as a bioengineer from 1991. He
became Professor and Chair, Department of Biochemistry, Keio University School of Medicine in 2001, andserved as Dean of Keio University School of Medicine from October 2007 to March 2015. He was the leaderof Japan Agency for Science & Technology (JST) Exploring Research for Advanced Technology (ERATO),
Suematsu Gas Biology from 2010 to 2015. His research speciality is biochemistry and metabolomics.

ABSTRACTIn April 2015, AMED was started to fast-track medical
R&D and to improve a quality of life for people. Among adiversity of different medical researches, AMED has chosena field of rare and undiagnosed diseases to tackle with anumber of obstacles including rigid and inflexible funding
systems and “Balkanization” of mindsets among academia
and researchers. We launched “Initiative for Rare andUndiagnosed Diseases (IRUD)” as the first leading project.
It aims to spread a concept of sharing clinical data, and“microattribution” that should be recognized by all project
leaders. AMED has also joined in International Rare Disease
Consortium (IRDiRC) to share many experiences in rare

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2018 Kyoto Global Conference for Rising Public Health Researchers

disease researches which were accumulated over 40 years
in Japan. Solving Balkanization among different sectors
which participate in medical R&D gives a clue to fasttrack implementation of outcomes among all other fields of
medical researches. Furthermore, IRUD Exchange (Clinicaldata base providing pathogenic variant data linked withphenotype data) is now shared with Matchmaker Exchange
database to facilitate global data sharing to save raredisease patients over the world. I would present an overview
of our missions and introduce our novel projects including
IRUD.

Budget Impact Analysis of a Stratified Treatment Cascade for Hepatitis C Direct Acting Antiviral treatment
in an Asian Middle-income Country Through the Use of Compulsory and Voluntary Licensing Options
Amirah Azzeri

PhD candidate
University of Malaya / Malaysia

Amirah Azzeri is a PhD candidate at the University of Malaya. She obtained an MBBS from Universiti
Sains Islam Malaysia and a Master of Public Health from the University of Sydney. She was awarded theInternational Society for Pharmacoeconomics and Outcomes Research (ISPOR) Student Travel Grant toattend the ISPOR Asia Pacific 2018 at Tokyo, Japan. She was also awarded the Young Investigator Travelers
Award in the 50th Asia-Pacific Consortium for Public Health (APACPH) Conference at Kota Kinabalu,
Malaysia. She is currently pursuing a PhD in Health Economics and her research focuses on the economic
burden of Hepatitis C management in Malaysia. Her other areas of interest include health education disease
prevention and disease modeling.

ABSTRACT
Objective: A scaled-up treatment cascade with direct acting antiviral (DAA)
therapy is necessary to achieve global WHO targets for hepatitis C virus (HCV)
elimination in Malaysia. Recently, limited access to Sofosbuvir/Daclatasvir(SOF/DAC) is available through compulsory licensing, with future access to
Sofosbuvir/Velpatasvir (SOF/VEL) expected through voluntary licensing due
to recent agreements. Treatment with SOF/VEL is shorter and does not require
additional ribavirin except in decompensated cirrhosis but has higher drug
acquisition costs compared to SOF/DAC. It has been proposed that a stratified
treatment cascade might be the most cost-efficient approach for Malaysia
whereby all HCV patients are treated with SOF/DAC except for patients withcirrhosis who are treated with SOF/VEL. This study aimed to conduct a fiveyear budget impact analysis from the provider perspective of the proposed
stratified treatment cascade for HCV treatment in Malaysia.
Method: A disease progression model that was developed based on modelpredicted HCV epidemiology data in Malaysia was used for the analysis, where
all HCV patients in scenario A were treated with SOF/DAC for all diseasestages while in scenario B, SOF/DAC was used only for non-cirrhotic patientsand SOF/VEL was used for the cirrhotic patients. The model projections
estimated the annual numbers of patients in care and the numbers of patientsto be initiated on DAA treatment nationally. Healthcare costs associated with
DAA therapy and disease stage monitoring was included to estimate thedownstream cost implications. For scenario B, the estimated treatment uptake

of SOF/VEL for cirrhotic patients were 25%, 50%, 75%, 100% and 100%for 2018, 2019, 2020, 2021 and 2022 respectively. Healthcare costs were
estimated based on standard clinical pathways for DAA treatment describedin recent guidelines. All costs were reported in US dollars [conversion rate
US$1=RM4.09, the price year 2018]. Scenario analysis was conducted for 5%
and 10% reduction of SOF/VEL acquisition cost anticipated from competitivemarket pricing of generic DAA in Malaysia.
Results: The stratified treatment cascade with SOF/VEL in Scenario B was
found to be cost-saving compared to Scenario A. A substantial portion of
the cost reduction was due to the costs associated with DAA therapy which
resulted in USD 40 thousand (year 1) to USD 443 thousand (year 5) savings
annually, with cumulative savings of USD 1.1 million after 5 years. Cost
reductions for disease stage monitoring were seen in year three onwards
which resulted in cumulative savings of USD 1.1 thousand. Scenario analysis
estimated cumulative savings of USD 1.24 to USD 1.35 million when theacquisition cost of SOF/VEL was reduced.
Conclusion: A stratified treatment cascade with SOF/VEL was expected
to be cost saving and can results in a budget impact reduction on overall
healthcare expenditure in Malaysia compared to treatment with SOF/DAC.
The stratified treatment approach may reduce downstream costs of treating
advanced disease stages. The findings of this analysis may be useful to inform
healthcare policies for HCV treatment in Malaysia.

2018 Kyoto Global Conference for Rising Public Health Researchers

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A Dual Process Approach for National Personal Health Records System Implementation:
New Perspective on Patient-Centered Care to Universal Health Coverage
Fu Chung Wang

ABSTRACT

Fu-Chung Wang is the Deputy Director for Planning, Research and Marketing Affairs in National Health
Insurance Administration (NHIA). He has over 20 years of experience as a civil servant in Taiwan. As FuChung began his career with NHIA in 1995 and worked in several different departments, he played a pivotal
role in essential emerging technologies applied into universal health coverage issues including founding the“My Health Bank” and taking forward the “Medicloud” system.
Fu-Chung completed his Ph.D. and Master’s degree in Management Information System at National
Chengchi University. During his time in NHIA he served as an analytical worker in multi-discipline
management of technology. His research in the field of national health insurance is ongoing. Meanwhile, heis also working on the research area of e-health, e-government, data mining, big data and AI. Most recently,
Fu-Chung decided to expand his field of concentration by linking the health policy and become a student ofmaster’s program of EMHA of National Taiwan University now.
Fu-Chung suppose his personality is optimistic and always likes to help anyone as possible as he can.
Meanwhile, he really enjoys to learn ideas for extending imagination. To travel to Kyoto to participate in the
KGC conference would be a great chance of knowing and being friends with people from different countries.

Launched in 1995, the National Health Insurance (NHI) of Taiwan was established toprovide a uniform package for all Taiwan residents. To date, 99.77% of the populationis enrolled in the monopolistic system, which is globally renowned and has resulted in
an affordable health care to its population with good quality and high satisfaction rate.
As a single-payer, the National Health Insurance Administration (NHIA) developed
powerful information technology, IT-driven administrative system to provide highadministrative efficiency at low cost. However, the value of universal health coverage
is to offer patient-centered care through health promotion strategies.
For the purpose of empowering people to have a better self-care, the NHIA
implemented the National Personal Health Records (PHR) system “My Health Bank”
at the end of 2014 that enabled citizens to manage their own health data collectedfrom different care providers. Acting as a compass, PHR would empower and engage
patients to make decisions on their own health. Compared to the experiences ofdeveloping National PHR platform in other countries such as Australia, France andKorea, Taiwan’s NHIA proposed a dual process approach to achieve the goal ofindividual self-care and health management. Not only “My Health Bank” acted as adata-driven powerful tool for citizens, but also “MediCloud” as a cloud-based databaseaccessible by healthcare providers released in 2013 and expanded in 2015. The
new system incorporated information form query systems, including: prescriptions,
examination and test records and results, records of surgeries, dental treatment andsurgical records, drug allergy records, rehabilitation records, and hospital discharge

13

Master student
College of Public Health, National Taiwan University / Taiwan

2018 Kyoto Global Conference for Rising Public Health Researcherssummaries. All of the information was brought together on the same single platform.
Different from other countries to develop the patient-centered PHR system, Taiwan’s
NHIA provides similar data contents with different presentation to patients andhealthcare providers. An observational study by using the population based NHI
database is conducted in this article. The dual process approach is evaluated mainlyon the outcome to patients upon receiving health services and the effectiveness ofutilization change after the implementation.
The overall inquiry rate since the launch of “MediCloud” had increased to 82.4% but
only 3 percent of population opt-in “My Health Bank” at the same time. However, thepercentage of re-examination rate within 30 days of CT.MRI and ultrasonography
all have declined. The number of physician orders reduced 4.79 million (-3.8%),
the expenses reduction was around 40 million US dollars (-3.5%) and the potential
savings were estimated approximately 2-5% of the total examination expenditure of
the Taiwan NHI.
Today, the adoption of PHR is very limited; many PHR systems are still in pilot phase.
Taiwan’s NHIA has developed two powerful components that include “My Health Bank”
for universal health and “MediCloud” for targeted patients. By applying “Targeted
Universalism” theory, the dual process approach proves its feasibility both on thestrategies and intervention of general population as well as targeted interventions forpriority populations. This nationwide system offered greater opportunity for patientsand health care providers cooperating with each other to enhance health for all.

Lessons Learnt: The Journey of Translating the Global Agenda on
Non-Communicable Diseases into a National Strategic Plan in Malaysia
Arunah ChandranPhD candidate
University of Malaya / Malaysia

Dr.Arunah Chandran is a medical doctor with Ministry of Health Malaysia (MOH) who has experience in bothclinical and public health setting. She was the Programme Manager for the National Healthcare Statsitics
Initiative at Clinical Research Centre Malaysia before leaving to pursue her post graduate training in publichealth. She is now pursuing a doctoral degree in Epidemiology in the University of Malaya. Her interests
include Non-Communicable Diseases (NCD) and women’s health and her research involves cardiovascularrisks in women and their policy implications.

ABSTRACTIntroduction:Non-Communicable Diseases (NCDs) are a major cause of premature
mortality, mostly in low- and middle-income countries. Following the United Nations
High-level Meeting on the Prevention and Control of NCDs in 2011, the Global
Action Plan for the Prevention and Control of NCDs 2013-2020 was endorsed in2013 to provide a roadmap for member countries. Malaysia is a multi-ethnic upper
middle-income South East Asian country that is expected to experience an aging
population by year 2020. The National Health and Morbidity Survey 2015 also founda heavy burden of NCD risk factors; 17.5% of adult Malaysians were living withdiabetes, 30.3% with hypertension and 47.7% with hypercholesterolaemia.
Objective:The objective of this paper is to evaluate the development andimplementation of the national strategic plan on NCDs based on the global mandates
on prevention and control of NCDs.
Methodology:A situational analysis was carried out by triangulation of evidence
from;
1.Relevant published research which was retrieved from PubMed searches using
medical subject heading (MeSH) terms related to NCD policies in Malaysia;
2.Qualitative desk review on policy documents related to prevention and control of
NCDs in Malaysia from 2013 to 2018. The term ‘policy’ used in the present review
refers to key policy documents, strategic frameworks and written directives related to
NCDs; and3.In-depth interviews of key stakeholders within Ministry of Health (MOH) who wereinvolved in the development and implementation of the national strategic plan for

NCDs in Malaysia.
Results:There were limited published research on NCD policy development
and implementation in Malaysia. The commitment to tackle NCDs is reflected in
the Eleventh Malaysia Plan and MOH Strategic Plan. The National Strategic Plan
for NCD (NSP-NCD) 2010-2014 was the first national action plan that provided
an integrated framework as a response to NCDs in Malaysia, followed by NSPNCD 2016-2025. Within the NSP-NCD 2016-2025, there were seven specific
NCD policies that broadly address the WHO voluntary global targets on NCDs
and its risk factors. Implementation of NCD prevention and control policies andregulatory interventions was supported by a Cabinet-level Committee chaired by the
Deputy Prime Minister. Officers who were interviewed discussed roles, processes,
facilitating factors, challenges and solutions in development and implementationof the NSP-NCD. The key facilitating factors were strong political commitments,
support from the Minister of Health and MOH higher management. However, despite
the political commitment, implementation was challenged by lack of ‘buy-in’ fromagencies outside of health.
Conclusion:Strong political commitment, national ownership and a strong multisectoral approach are necessary for the implementation of NSP-NCD. The United
Nations Sustainable Development Goals provide a good basis to engage otherministries and agencies in addressing the social determinants of health. Lastly, achange in political climate can be utilised as an opportunity by policymakers tochampion for the NCD cause.

2018 Kyoto Global Conference for Rising Public Health Researchers

14Lessons from the Implementation of a Mental Health
Programme in Primary Health Clinics in Rural Mexico
Georgina Miguel Esponda

PhD Candidate
London School of Hygiene and Tropical
Medicine / UK

Georgina Miguel Esponda is a PhD Candidate at the London School of Hygiene and Tropical Medicine. Her research interests focus on theimplementation, monitoring and evaluation of programmes for mental health at the facility and community levels, as well as the influence ofsocial, cultural and contextual factors on mental health and mental health service delivery. Her PhD research is a collaboration with Partners
in Health Mexico and is looking at the implementation of a mental health programme at primary health care clinics.
She has an MSc in Global Mental Health from the London School of Hygiene and Tropical Medicine and the Institute of Psychiatry,
Psychology and Neuroscience at King's College London (2013) and a BA in Psychology from the Universidad Iberoamericana in Mexico
City (2011).
Georgina has worked on the evaluation of development projects in an NGO in Mexico. She has also worked as a research assistant at the
Mexican Institute of Psychiatry in a project looking at the impact of the deportation of parents on the mental health of their children. Whilst
studying for her PhD, Georgina has collaborated on a multi-programme evaluation project for the Mental Health Innovation Network. She
has taught undergraduate students, facilitated seminars for masters level students and written content for online modules. Recently she
designed and conducted a public engagement project which tackled mental health related stigma in the rural communities of Chiapas.

ABSTRACT
Background: The integration of mental health services into primary healthplatforms is considered a priority to adequately address the physical and mental
health needs of people suffering from mental disorders. Various guidelines andpackages of care have been developed and tested but most interventions fail tobecome part of routine care. There remain many unanswered questions around how
to implement best practices in complex health systems and contexts in order toensure their adoption and sustainability.
In Mexico, Compañeros en Salud/Partners in Health (CES/PIH), a nongovernmental organisation, provides mental health services through ten primarycare clinics in a remote area of the state of Chiapas through a partnership with thelocal health ministry of health. This programme has been successfully implemented
since 2012 despite high levels of poverty, poor infrastructure and limited resources.
The in-depth and comprehensive study of the factors that determine a successful
implementation can help gain a full understanding of key aspects that need to beaddressed in the planning and execution of a mental health care programme.
Aim: The current study aimed to assess two aspects of the CES/PIH mental healthprogramme: (1) the implementation of the programme through process indicators,and (2) the factors that hindered and enabled its implementation through aqualitative analysis guided by the Consolidated Framework for Implementation
Research (CFIR).
Methods: A mixed-methods case study methodology was used to assess the

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2018 Kyoto Global Conference for Rising Public Health Researchers

implementation of the mental health programme. Quantitative data was collected
and extracted through the organisation’s health information systems between
December, 2016 and December, 2017. All patients that received treatment forcommon mental disorders, mainly depression or anxiety, during this period of time
were included in the analysis. Descriptive statistics were used to describe process
indicators: dose and fidelity. Qualitative data, including observations, in-depth
interviews and focus groups, was analysed through framework analyses guided by
the CFIR.
Results: 486 patients visited the clinic for at least one mental health consultation.
Only 28% attended more than 60% of follow-up consultations. Guidelines fordiagnosis and treatment were followed in 63% of diagnoses but only in 28% of
allocated treatments. During follow-ups an average of 76% of patients received
a clinical assessment. An average of 56% of patients received pharmacologicaltreatment and 24% received some form of talking-based treatment. Climate andprocess for implementation were the two constructs highlighted as key for the
integration of mental health services in these primary care clinics. Resource andpatient related factors emerged as remaining challenges.
Implications: The current study provides an understanding of the factors thatenable and hinder the implementation of complex services within a resource
constrained setting, providing lessons for the future development and delivery ofservices in similar settings.

Empowering Community Health Volunteers by Implementing Prevention of HealthImpact from Smoke Haze Pollution in Rural District of Chiang Mai Province, Thailand
Warangkana Naksen

Lecturer
Faculty of Public HealthChiang Mai University / Thailand

Warangkana Naksen is a lecturer in the Faculty of Public Health at Chiang Mai University, Thailand. She
graduated from Chiang Mai University in 2015 with a PhD in Environmental Sciences and held postdoctoral
appointment at the Institute of Urban Environment, Chinese Academy of Sciences. Her current researchinterest is in the field of environment and human health focusing on pesticide and air pollution.

ABSTRACT
Background: Smoke Haze is an annual air pollution occurred in Northern
Thailand. The major cause is intensive open biomass burning in agriculturalareas and forest fire in this region during dry season. Since most residential
areas in this region are in basins surrounded with mountains, airborne
particulate matters generated from burning settled in these basins. Average
24-hour PM10 and PM2.5 levels are higher than the standards set by National
Ambient Air Quality and World Health organization and aroused to smokehaze episode. It is clear that air pollution is linked to increasing numbersof hospital visits and admissions because of certain respiratory conditions
including chronic obstructive pulmonary disease (COPD). However, reducing
these numbers especially in the low-resource setting is a very challenging
task. Mae Chaem, one of the most rural district in Chiang Mai Province ofThailand, has the highest number of hotspots from burning in the open areas
and a higher prevalence rate of COPD compared to the country’s rate. This
study aimed to empower community health volunteers in Mae Chaem Districtby building a knowledge and awareness of air pollution and its health effects
using evidence-based intervention.
Methods: Health volunteers (n=156) from 7 sub-districts in Mea Chaem
District were participated in this study during February 2017. The study’s
work was conducted in four steps. Step 1 was scoping the information fromliterature review and the previous study among 58 COPD patients who
received medical care at Debaratana Vejjanukula Hospital in Mea Chaem

District during February-July 2015. Step 2 was designing intervention tools
consisting of booklet, games and educational kits. Step 3 was performingintervention activity designed as a half-day camp with 3 bases according to
the topics which were 1) facts, situations and solutions about smoke hazepollution in Northern Thailand, 2) particulate matters and air pollutants and 3)
health effects and appropriate practices during smoke haze episode. In step4, pre- and post-tests approach and focus group with key stakeholders wereapplied for evaluating learning outcomes and impacts of this study.
Results: The intervention successfully increased test scores among healthvolunteers. Mean of post-test scores (11 out of 15) was significantly higher
than pre-test scores (10 out of 15). Participated health volunteers contributed
to the health education of smoke haze pollution, one volunteers delivered
the messages to other 3 residents (approximately) which assumed to havebetter knowledge and practices of reduction of exposure to smoke haze. The
expected impacts from the study were reducing number of hospital visits andadmissions of patients with respiratory diseases such as COPD and the costs
occurred from those hospital visits and admissions. However, subsequentintervention and improvement of evaluation approach were recommended toachieve the sustainable and scale-up intervention in the larger population.
Community health volunteer is a key person for preventing health impact fromsmoke haze pollution especially in rural district.

2018 Kyoto Global Conference for Rising Public Health Researchers

16Effects of Supportive Educative Nursing Program On Self-care Behaviors
Among Monks With Metabolic Syndrome in Bangkok Metropolitan Area
Sasawan Attaworakun

Master student
Community Nurse Practitioner, Faculty of Public Health
Mahidol University / Thailand

Miss Sasawan Attaworakun, a 2nd year master student from the Master Program of Nursing Science, major in
Community Nurse Practitioner, Faculty of Public Health, Mahidol University, Bangkok, Thailand. She obtaineda Bachelor degree in Nursing Science since 2014 from Kuakarun Faculty of Nursing, Navamindradhiraj
University. From 2014 – 2016, She worked at the General Surgery Ward (Nurse Practitioner) at the Facultyof Medicine Vajira Hospital, Navamindradhiraj University. Then she received a full scholarship from
Kuakarun Faculty of Nursing, Navamindradhiraj University to study a master’s degree program. Currently,
she is a lecturer in the Department of Public Health and Urbanology Nursing, Kuakarun Faculty of Nursing
Navamindradhiraj University. Her areas of interest include health promotion program, aging, urban health,chronic disease management and sustainable development.

ABSTRACT
Background: Similar to other parts of the world, the prevalence of
cardiovascular disease (CVD) in Thailand has been increasing. Metabolic
syndrome is considered a compilation of risk factors that predispose
individuals to the development of CVD. In Thailand, Buddhist monks haveplayed a significant role in Thai society. However, their 227 strict precepts orrules of conduct and their daily routine put them at higher risk for CVD than
the general population. Although lifestyle modifications, including increased
physical activities and dietary changes are considered effective efforts to
reduce risks of CVD, the effective intervention for the monks was limited.
Objective: To examine the effects of a supportive educative nursing programon self-care behaviors among monks with metabolic syndrome in the Bangkok
Metropolitan Area.
Method: This quasi-experimental research, 2 group pretest-posttest design
was conducted to examine effects of the 6-week supportive educative nursing
program among 60 monks, who were 30 years and over, had at least 3 ofthe 5 risk factors of metabolic syndrome (AHA/NHLBI, 2005) and lived inselected temples in the Bangkok Metropolitan Area. The experimental group(n=30) received a 6-week program, consisting of (1) health screening andrisk assessment; health education and skill training in diet control, physicalactivity and risk factors regarding metabolic syndrome; (2) meditation training(SKT); (3) weekly follow up telephone, 3-day food record, and manual; (4)group support; and (5) evaluation of self-care. The comparison group (n=30)

172018 Kyoto Global Conference for Rising Public Health Researchers

received regular services from the primary health care center. Data werecollected by the researcher using a questionnaire and blood chemistry test
before and after the intervention.
Results: A final total of 54 subjects supplied data for analysis. According
to the t-test analysis, after 6 weeks, the experimental group had significantly
higher mean scores of self-care behavior than before and those of thecomparison group (p-value <0.05). They also had significantly less meanscores of body weight, waist circumference, blood pressure, fastingblood sugar and LDL cholesterol than before the intervention (p-value<0.05). However, no significant differences were found of body weight,
waist circumference, blood pressure, fasting blood sugar, LDL cholesterol,
HDL cholesterol and triglyceride levels between the experimental and thecomparison groups before and after the intervention (p-value >0.05).
Conclusion: The findings supported that the program could improve selfcare behaviors among monks with metabolic syndrome. A community nurse
practitioner should apply the supportive educative nursing program topromote and monitor self-care among monks with other chronic diseases inother communities. A further study should examine the retention of self-carebehavior and the long term effects of the program on clinical outcomes. Healthpromotion services from the primary care center should be strengthened andspecified for monks to maintain their health and well-being.

Comprehensive Sexuality Education as a Strategy to Prevent
Intimate Partner Violence among Adolescents in Mexico City
Shelly Makleff

PhD candidate
Department of Public Health and Policy
London School of Hygiene and Tropical Medicine / UK

Shelly Makleff focuses on collaborative evaluation and research addressing sexual and reproductive health programming, particularly in
Latin America. She completed a Bachelor of Science from Stanford University (1998) and a Masters in Public Health from the Mailman
School of Public Health at Columbia University (2005), and is currently a PhD candidate at the London School of Hygiene and Tropical
Medicine (LSHTM) in the department of Public Health and Policy.
Shelly’s research at the LSHTM explores methods and approaches suitable for the evaluation of social interventions in low- and middleincome countries. It builds on extensive fieldwork in a Mexico City school as part of an evaluation of a comprehensive sexuality education(CSE) program. The mixed methods study in Mexico aims to learn how the CSE intervention may contribute to intimate partner violence
prevention and to more equitable relationships among 14- to 17-year-old students.
Outside of the LSHTM, Shelly has conducted qualitative research examining women’s experiences of abortion-related stigma and theirperspectives about abortion quality of care in Kenya and India. She has also collaborated on studies about abortion stigma in Mexico andColombia and the effects of an mHealth intervention in Bolivia. Shelly has worked for nearly 15 years as an evaluator focused on sexual andreproductive health programming.

ABSTRACT
Background: Intimate partner violence (IPV) prevention is a global priority, andsome studies suggest that comprehensive sexuality education (CSE) has potential
to contribute to IPV prevention efforts and related improvements in health outcomes.
Many of the elements considered central to IPV prevention, such as a gendertransformative approach, are included in international standards for CSE and could
either be incorporated or are already commonly found in CSE programs. There isevidence that CSE incorporating gender and power dynamics as topics is associatedwith lower rates of unintended pregnancy and sexually transmitted infections. While
it is likely that CSE can also contribute to a broad range of health outcomes including
IPV prevention, few CSE evaluations have measured violence-related outcomes.
Methods: The London School of Hygiene and Tropical Medicine (LSHTM),International Planned Parenthood Federation/Western Hemisphere Region (IPPF/WHR),
and Fundación Mexicana para la Planeación Familiar (Mexfam) collaborated to evaluate
Mexfam’s school-based CSE intervention in Mexico City. The study, conducted from2017-2018, examines how CSE may contribute to the prevention of IPV among 14- to
17-year-old students. We used a longitudinal quasi-experimental design to examine
the hypotheses identified in the program theory of change. Data collection methods
included a pre-post survey, observation of CSE, in-depth interviews and focus groups
with intervention participants, and focus groups with teachers and health educators.
Results: The findings suggest that CSE contributes to IPV prevention through fourmechanisms: (1) promoting communication about violence, relationships, and sexualand reproductive health; (2) encouraging preventative and protective behaviors within

relationships; (3) preparing participants to seek health information and services;and (4) contributing to shifts in the beliefs and behaviors of participants regarding
gender and sexuality. CSE participants engaged in concrete actions supporting IPV
prevention, for example sharing information learned in CSE about violence with peers,family and partners; recognizing subtle forms of violence in their own relationships
and communicating with partners about these; intervening in cases of violence aroundthem; leaving violent relationships; and seeking services and support to address
violence in their own relationships.
Critical reflection was a key element of the CSE course that supported change among
participants. Participatory activities encourage participants to question harmful gendernorms, resulting for example in increased acceptance of sexual diversity and in young
people reconceptualizing jealousy and possessive behaviors as unwanted, rather thanas a sign of love or caring.
Program and policy implications: The findings of this applied research have been
rapidly used to inform policy and practice. The election of a new Mexican government
in July 2018 created a unique moment for Mexfam to use the research findings to
advocate for CSE as a violence prevention strategy nationally. This presentation
will also share programmatic recommendations currently being put into practiceby Mexfam. We hope these will prove relevant for prevention programs in different
contexts. This promising and relatively short-term intervention should be tested
elsewhere to examine whether or not it can have an impact on beliefs and practices
related to intimate partner violence in other settings.

2018 Kyoto Global Conference for Rising Public Health Researchers

18

Characteristics and Publication Status of Clinical Trials Supporting Immune
Checkpoint Inhibitors and Other Newest Anticancer Drugs Recently Approved by theUnited States Food and Drug Administration: A Meta-Epidemiological Investigation
Kenji Omae

PhD candidate
Department of Healthcare Epidemiology
School of Public Health, Graduate School of Medicine, Kyoto University / JapanI am a visiting researcher and PhD candidate at Department of Healthcare Epidemiology, School of Public Health in the Graduate Schoolof Medicine, Kyoto University, Japan. I am also a lecturer at Department of Innovative Research and Education for Clinicians and Trainees(DiRECT), Fukushima Medical University, Japan since 2016. After the completion of my surgical and urologic training at Nagoya Memorial
Hospital (2003-2010), I joined the Tokyo Women’s Medical University faculty as Assistant Professor in Department of Urology (2010-2015).
During this period, I conducted various clinical research on the surgical and medical treatment for urologic cancer, especially in dialysis
patients.
Currently, I devote seventy percent of my time to research/education and the remainder of my time is spent caring for patients. My areas ofactive research are on determining how best to quantify lower urinary tract symptoms in a community setting, evaluation of health related
quality of life, evidence synthesis in oncology, and preventing postoperative renal dysfunction in kidney cancer patients. Previously, I worked
on an official Japanese translation project of the TRIPOD Statement (statement for transparent reporting of multivariate predictive models
on individual prognosis and diagnosis). I am also a member of the Advisory Committee for Healthy Longevity Project in Sukagwa city,
Fukushima, Japan.

ABSTRACT
Background: The low trial publication rate for drugs approved by
the US Food and Drug Administration (FDA) and the discrepancies
between data submitted to the FDA and data found in publishedtrials remain concerning. We investigated the publication statusesof trials of recently approved anticancer drugs documented by the
FDA, especially immune checkpoint inhibitors (ICPis), to determine
the discrepancies between data submitted to the FDA and thosepublished.
Methods: We identified all ICPis approved between 2011 (the year
the first ICPi was approved by the FDA) and 2014 (selected to assurea follow-up of at least 3 years post-approval). We assessed theclinical trials for each drug indication and matched each trial withpublications in the literature. The primary outcome was the publication
status 2 years post-approval. We examined the association between
time to publication and drug type using a multilevel Cox regression
model, adjusted for clustering within drug indications and individual
covariates.

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2018 Kyoto Global Conference for Rising Public Health Researchers

Results: Between 2011 and 2014, 36 anticancer drugs including 3
ICPis were newly approved by the FDA. Of 19 trials investigating the
3 ICPis, 11 (58%) were published within 2 years post-approval. We
randomly selected 10 of the 33 remaining anticancer drugs; 68 of 101
trials investigating these drugs (67%) were published. Overall, thepublication rate was 66% at 2 years post-approval with a median time
to publication of 2.3 years. There was no significant difference in timeto trial publication between ICPis and other anticancer drugs (adjusted
hazard ratio [HR], 1.1; 95% confidence interval [CI], 0.8–1.7; P = 0.55);
however, non-ICPIs investigated specifically in randomized phase 2
or 3 trials were significantly more likely to be published earlier than
ICPis (adjusted HR, 7.4; 95% CI, 1.8–29.5; P = 0.005).
Conclusions: One in three trials of the newest anticancer drugs
remained unpublished 2 years after FDA approval. The ICPi
publication rate was similar to that of other anticancer drugs. Further
efforts and continuous monitoring are necessary to enhance timely
and full publication of clinical trial results.

Socioeconomic Status, Health and Health Services in an AsianUrban Low-income Setting, at Baseline and Post-intervention
Wee Liang En Ian

Master student
Saw Swee Hock School of Public Health, National University ofSingapore / Singapore

Wee Liang En is a final year Masters in Public Health student at the Saw Swee Hock School of Public Health,National University of Singapore, and a trainee infectious disease physician at the Singapore General
Hospital, Singapore. His interests include health services research, access to care amongst disadvantaged
populations, and hospital-to-home transitions.

ABSTRACT
Purpose: The interplay between the socioeconomic status (SES) of individuals and theneighborhoods they live in affects individual health. Singapore, a highly-urbanised, multiethnic Asian society, can serve as a microcosm to study how health services can be better
delivered to disadvantaged urban populations. In Singapore, ≥85% reside in owneroccupied public housing; <3% stay in public rental flats, which are reserved for the lowerincome who cannot afford their own homes. We were interested in evaluating trends in healthbehaviours in a low-income rental-flat community, and how preventive health programs canbe implemented in these low-income communities.
Methods: We observed trends in health screening adherence and health behaviors amongst
residents (aged≥40 years) (n=1081) of a multi-ethnic public rental-flat community in
Singapore from 2008-2013; comparing against residents staying in owner-occupied flatswithin the same precinct. At baseline, we evaluated the prevalence of chronic diseases(hypertension) and access to health services (screening for cardiovascular disease andcancer); and among those aged ≥60 years, mental health issues (i.e. cognitive impairment
and depression). We then conducted access-enhanced, community-based interventions inthese communities from 2015-2017, to see if any health disparities could be addressed.
Results: 478 rental-flat residents and 505 owner-occupied flat residents participated from2008-2013. In the rental-flat community, hypertension screening rates improved from
18.3% (24/131) in 2008-2009, to 61.2% (52/85) in 2010-2011 and 44.2% (34/77) in 20122013(p<0.001). For diabetes, rates improved from 26.2% (43/164)→47.0% (54/115)→49.5%(45/91) (p<0.001). For dyslipidemia screening, rates improved from 18.2% (31/170)→39.6%(38/96)→47.5% (38/80) (p<0.001). For cervical cancer screening, rates improved from
2.6% (2/76)→30.8% (16/52)→20.5% (9/44) (p=0.002). Colorectal cancer screening

rates also increased (4.4%→8.5%→11.6%, p=0.033). Compared against the owneroccupied community (n=505), screening rates largely remained stagnant (hypertension:
52.2%→75.0%→54.5%, p=0.059; diabetes: 66.0%→56.5%→66.7%, p=0.434; dyslipidemia:
53.1%→50.0%→57.1%, p=0.818; colorectal cancer: 17.0%→22.7%→23.8%, p=0.315;
cervical cancer: 43.2%→43.8%→39.4%, p=0.914). Only in breast cancer screening wasthere an increasing trend: 10.0%→34.3% →24.5% (p=0.008). In the rental-flat community,
unhealthy behaviours increased from 2008-2014, with higher proportions of overweight(30.4%→24.8%→52.1%, p=0.005), higher smoking (11.7%→36.9%→32.5%, p<0.001) andhigher drinking rates (1.4%→0.7%→8.1%, p=0.001). This shift was also reflected in theowner-occupied community, with higher percentages of overweight and higher drinking rates.
In the rental flat population, at baseline, having pre-existing comorbidities and betterknowledge of cardiovascular health was associated with participation in cardiovasculardisease screening. For participation in an access-enhanced, door-to-door screening
intervention for cardiovascular disease, in the rental flat population, those who were socially
isolated, of majority (Chinese) ethnicity, who had secondary education and above, and who
were on financial support had greater odds of participation in the screening intervention;
whereas in the owner-occupied population, having stayed in the neighborhood>10 years andbeing socially isolated were associated with participation in the screening intervention.
Conclusions: In the rental-flat community, baseline screening rates improved from 20082013, compared to owner-occupied flat residents, where screening rates stagnated. However,unhealthy behaviours increased in both communities. An access-enhanced, door-to-door
screening intervention for cardiovascular disease was effective in reaching out to those who
were socially isolated, in both rental and owner-occupied flat populations.

2018 Kyoto Global Conference for Rising Public Health Researchers

20

The Promoting Physical Activity and Healthy Eating Behavior through LINE Application for Improve
Health Outcomes among Overweight Women in Community: A Randomized Controlled Trial
Yuphaporn Hongchuvech

PhD candidate
Public Health program at College of Public Health Sciences (CPHS)
Chulalongkorn University / Thailand

Yuphaporn Hongchuvech is a registered nurse, professional level. She worked as public health nurse since1991. She graduated Bachelor of Nursing Science from Sukhothai Thammathirat Open University (STOU),
Nonthaburi Province, Thailand, Master of Science (Public Health) Program in Health Education and Health
Promotion, Faculty of Public Health from Mahidol University, Thailand. Now I am a Ph.D. candidate in
Doctor of Philosophy in Public Health program at College of Public Health Sciences (CPHS), Chulalongkorn
University, Thailand.
Current working as a public health nurse related to maintain the public’s health by providing healthservices and information to the patients, family, and community. My work serves patients by visiting homes;
determining patient and family; developing health care plan; providing nursing service and treatment;
referring patient to hospital etc. My research focuses on overweight women and health outcomes.

ABSTRACT
Background: One of the important problem issues in the global is overweight
and obesity that affected more than a billion adults. Several studies revealed that
overweight and obese boost the relative risk of many NCDs. The factors havecontributed to the growing obesity epidemic, including excess caloric intake andinadequate amounts of physical activity. Smartphone and applications have been
applied to behavioral change through delivering convenient tailored intervention.
Objective: to evaluate the effect of the promoting physical activity and healthy eating
behavior by using LINE Application for improves health outcomes among overweight
women in community.
Methods: A randomized controlled trial was designed to conduct 100 overweight
women with mean BMI 27.78 kg/m² and a mean age of 53.02 years. Overweight
women were recruited from community by posters and flyers. The participants wererandomly assigned to the intervention group and control group (50 per group). Theintervention group received the health promotion program to increase physical activity
and healthy eating behavior. The interventions were included large group education,
small group coaching and free call via LINE application that set up for chatting,sending-receiving, sharing text, photo, video, health information. Notes and Albums
on LINE group were created to keep important information and all photos related
physical activity and healthy eating behavior which participants can access anytime

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and anywhere. Questionnaires and physical examination assessments were undertaken
at baseline and 24 weeks. The control group received the weight loss advice and usual
care from healthcare providers. Randomized controlled trial results were analyzed
utilizing the Pearson’s chi-squared test and independent t-test for group differences
in baseline characteristics. Paired t-test used for compared differences within group.
Intention-to-treat used to analyze the effectiveness of this program.
Results: After 6 months, the results showed the participants in the intervention group
had a decreased of mean difference in systolic (mean -10.520), diastolic (mean-7.84)
blood pressure, blood glucose (mean -11.62), body fat percentage (mean -5.54),
sitting time (mean -109.20) and had an increase of mean difference in physicalactivity MET-min/week (mean 136.3). There were statistically significant differences
between groups. On the other hand, there were no statistically significant differencesin weight and BMI between groups.
Conclusions: LINE application intervention was effective innovative way to deliver
the health promotion program to change health behaviors. Healthcare providers canuse online app for communicating, sharing and providing health information. This app
is a tool to motivate, encourage, and reminder the participants to increase the physicalactivity and healthy eating behavior due to improve health outcomes.

Effects of a Capacity Building Program on Health Literacy
in Smoking Cessation for Village Health Volunteers
Nichamon Lumrod

Master student
Community Nurse Practitioner, Faculty of Public Health
Mahidol University / Thailand

Nichamon Lumrod is a student in the Master Program of Community Nurse Practitioner, Faculty of Public
Health, Mahidol University. She graduated with a Bachelor of Science in Nursing from Boromarajonani
College of Nursing Changwat Nonthaburi and started working at Boromarajonani College of Nursing
Changwat Nonthaburi, She is a lecturer in the Department of Community Health Nursing, Boromarajonani
College of Nursing Changwat Nonthaburi. Her current research is focused on development health literacy
program, smoking cessation and a capacity building for village health volunteers.

ABSTRACT
Smoking has adverse effects on health. During the shortageof health personnel, village health volunteers are important
workforce in helping people to quit smoking. Therefore they
are required to acquire knowledge, methods, and skills
related to smoking cessation. This quasi-experimental study
aimed to examine the effects of capacity building programon health literacy in smoking cessation for village healthvolunteers. Participants were the village health volunteers
in a semi-urban area in Thailand. The experimental group(n=29) received 2 sessions of training and coaching insmoking cessation while the comparison group (n=30)
received the education materials on how to help people
to quit. Participants were then followed-up for their healthliteracy after the training and at 2 weeks after training. Data
were collected by self-administered questionnaires. And

analyzed by using Repeated Measure ANOVA, Independentt-test
The results of this study indicated that the experimentalgroup had a significantly higher mean score of health literacy
in smoking cessation when compared to the comparisongroup (p-value < .001) after the experiment and at the 2weeks follow-up. When compared with in the experimentalgroup, health literacy in smoking cessation after theexperiment and the follow-up period had a significantly
higher mean score than that before the experiment (p-value< .001).
Finding suggested that the a capacity building programon health literacy in smoking cessation for village healthvolunteers could be applied to promote smoking cessationin community working.

2018 Kyoto Global Conference for Rising Public Health Researchers

22

Practice Test on the Applicability of Quality Indicators for
Low-risk Labor Care: a Cross Sectional Observational Study
Kayo Ueda

PhD candidate
Department of Health Informatics
School of Public Health, Graduate School of Medicine, Kyoto University / Japan

Kayo Ueda is a PhD candidate in the Department of Health Informatics, School of Public Health at Kyoto
University, Japan. She obtained her dual bachelor degree in the Course of Nursing, Division of Health
Science from Osaka University. She completed her master degree in Public Health at Kyoto University. She
worked as a midwife at general hospitals.
Her current research interests include development of quality indicator and quality improvement. The
research is focused on obstetrics and low-risk labor care.

ABSTRACT
Background: Low-risk labor seldom results in adverse outcome such as
death and complication of mothers or infants. For quality improvement, it isimportant to monitor the process itself. However, previous quality indicators(QIs) monitored childbirth without clear distinction between high and low risk,
focusing on adverse outcomes and indicators, and hardly including patients’point of view. Using a modified Delphi method with the multidisciplinary panel
comprising clinicians and non-clinician mothers, we developed a QI set for
low-risk labor care based on selected clinical practice guidelines in 2012 andupdated in 2015. The goal of quality improvement is to co-create quality of thecare by both patients (mothers) and clinicians. These QIs for low-risk laborcare need be tested in a real clinical setting.
Objectives: To examine applicability of QIs for low-risk labor and of datacollection in a practical test in Japan.
Design: This study design was a cross sectional study by retrospective
record review.
Setting: Two hospitals with a perinatal medical center in Japan.
Participants: Participants were recruited from mothers and infants thatwere diagnosed as low-risk labor with no special high-risk factors during thesecond trimester and who admitted for labor and delivery between 1 April

23

2018 Kyoto Global Conference for Rising Public Health Researchers

2015 and 31 March 2016.
Main outcome measure: Adherence to each 35 QIs in providing care foreach participant. We assessed applicability according to the three criteria:
improvement potential (percentage of an indicator score per an indicatorwas <90%), feasibility (percentage of participants with missing data per anindicator was ≤25%) and reliability (kappa coefficient for intra-rater and interrater reliability).
Results: Among 388 eligible participants, 347 mothers and infants wererecruited.
Two indicators were satisfied by more than 90% of all participants, showing
limited potentials for improvement. Six indicators with more than 25%
missing data were considered to have some problems of feasibility. In intrarater reliability, 22 indicators had kappa scores (k) >0.6 (good). However,the scores had k <0.4 (poor) for seven indicators. In inter-rater reliability, 19
indicators had k >0.6 (good). However, five indicators had k <0.4 (poor).
Conclusions: The practice test showed that the QI set for low-risk labor care
could be, with some cautions, applicable for wider fields of low-risk laborcare.

Feasibility and Effectiveness of Electronic Partograph on Improving
Birth Outcome: a Prospective Crossover Design Study
Aminur Rahman

PhD candidate
College of Public Health Sciences (CPHS)
Chulalongkorn University / Thailand

Dr. Aminur Rahman is a Medical graduate from Bangladesh and completed his master’s in disease control
from Institute of Tropical Medicine, Antwerp, Belgium. Currently he is undertaking his PhD on Adolescentpregnancy and exclusive breastfeeding from Chulalongkorn university. Dr. Aminur Rahman is working morethan 10 years in the field of Maternal Child health, Reproductive Health, e-health and health system. He
has also experienced in proposal development, fund raising and publish paper in international peer review
journal.

ABSTRACT
Background and Methods: The partograph, has been endorsed by World HealthOrganization (WHO) since 1994 and presents an algorithm for assessing maternal
and foetal conditions and labor progression. Monitoring labour with a partographcan reduce adverse pregnancy outcomes such as prolonged labor, emergency
C-sections birth asphyxia and stillbirths. However, partograph usage is still very low,
particularly in developing country context. In Bangladesh the reported partographuser rate varies from 1.4%-33%. Recently, an electronic version of the partographwith the provision of online data entry and user aid for emergency clinical support
has successfully been tested in different settings. With this proven evidence, thisstudy tested the feasibility and effectiveness of implementing an e-partograph, forthe first time, in Bangladesh
We followed a prospective crossover design. Two secondary level referral hospitals,
Jessore and Kushtia District Hospital (DH) were the study sites. Both the hospitals
were exposed to e-partograph in two different phases where Kushtia DH was
randomly allocated to start e-partograph during phase one. Pregnant womenattended for facility delivery were the study participants. Nurse midwives fromstudy health facilities were trained on using both types of partograph and standard
labour management guideline. In total 1,012 delivery cases were observed fromeach hospital, 506 in each phase. Data analysis was done using SPSS 23 statisticalsoftware. Discrete variables were expressed as percentages and presented as
frequency tables and cross tabulations Chi square tests were employed to the test of

association between proportions of respondents. Potential confounding factors were
adjusted using binary logistic regression. Ethical approval was taken from icddr,b.
Finding: In total 2918 deliveries were conducted at Jessore DH and 2312 at
Kushtia DH during one-year study period. The trend of cesarean deliveries was
downwards in both the study sites; 43% to 37% in Jessore and from 36% to 25%
in Kushtia Hospital. There was a significant reduction of prolonged labour and Birthasphyxia with e-partograph use. In Kushtia DH, the prolonged labour rate was 42%
during phase 1 with the paper version which came down to 29% during phase-2
with the e-partograph use. The similar result was observed in Jessore DH where
the prolonged labour rate was reduced to 7% with e-partograph from the reported
30% prolonged labour with paper partograph. The incidence of birth asphyxia was<1% during both the phases. The e-partograph user rate was higher than the paper
partograph during both phases (phase 1: 3.07, CI: 1.83-5.14, p < .001 and in phase
2: 21.76 CI: 8.56-55.34, p < .001) after adjusting for maternal age, parity, gestationalage, religion, mother’s education, husband’s education, and fetal sex
Conclusion: The partograph user rate has significantly improved with the epartograph and was associated with an overall reduction of cesarean births.
e-partograph was found more effective to reduce prolonged labour and birthasphyxia while comparing to paper partograph. Whilst the positive impact ofe-partograph has now been proven, the best way to implement it at scale in thehealth care system now has to be determined.

2018 Kyoto Global Conference for Rising Public Health Researchers

24

Identifying Barriers and Facilitators/Enablers of Private Sector Referral of Suspected MDR-TB
Cases for Gene Xpert Diagnostic Testing in Hlaingtharya and Dagon (South) Townships in Yangon
Phyo Thet Naing Win

Technical Officer
USAID funded Challenge TB project in FHI 360
National University of Singapore / Singapore

Phyo Thet Naing Win is a medical doctor by training and well-trained public health professional with 5
years of working experience in technical sectors of HIV/TB and reproductive health in Myanmar. He has
just completed MPH degree from NUS and is currently working as a technical officer for the USAID funded
Challenge TB project in FHI 360. His primary research interests include programmatic evaluations, healthsystem interventions and infectious disease epidemiology.

ABSTRACT
Background: Significant number of missing TB and multidrug resistant
TB cases threaten the progress of TB control and public health safety in
Myanmar. Primary care general practitioners serve as the first contact forsuspected TB and MDR-TB cases in the community. Despite the collaborative
efforts of NGOs and GPs with National tuberculosis program in enhancing
case detection and referrals, significant gaps remain in tuberculosis
patients taking Gene Xpert, a molecular test which can detect rifampicin
resistance gene from the patients’ sputum. Hence in this study, we exploredthe challenges and barriers of patients, GPs, NGO staff related to uptake ofGene Xpert diagnostic services and using the results to inform the programinterventions.
Methodology: We used qualitative research tools, 17 In-depth interviews
to patients and their family, primary care GPs, their clinic staff, and the staff
from an NGO – triangulating the data from the perspectives of different
stakeholders. Participants were purposively chosen from the registries of
GPs allowing maximum variations in the sample. The interviews were audiorecorded, and later transcribed to Burmese and translated back into English.
Qualitative data were managed with NVivo 12 and thematic analysis wasapplied using deductive-inductive approach.
Finding: We identified 5 major themes that governs the uptake of theservices. Complex and complicated referral services, lack of one-stop

25

2018 Kyoto Global Conference for Rising Public Health Researchersservices and multiple referrals to distant locations fatigued the patients,
and also put the extra financial burden to those with low earning. We also
noted that self-stigmatization discourages them at personal level. Since
GPs are primary contact point for the patients’ MDR TB care journey, we
found that relationship, trust of GPs are catalysts in successful referrals.
From GPs’ perspectives, there is no incentives, and only ethical and moral
responsibilities of a medical doctor is the enabling factor for them to follow
national TB program referral guidelines. Besides, frequent policy changes andlack of proper tracking system for referred patients were also noted as barriers
for successful referral. Nevertheless, even when complicated diagnostic
procedures exist, we identified certain facilitators – emotional support fromthe family, free services and some amount of financial support from NGO, andthe roles of sputum transporters ease their burden in service uptake.
Conclusion: Despite the fact that patients were given proper emotional
support and healthcare services, the Gene Xpert uptake will remain limited
without a good coverage or decentralized gene Xpert machines.
Recommendation: A good tracking system of referred patient, targetedbehavioral change messages to patients/family, creating incentives for GPs,leveraging the role of sputum transporters, and scaling up the Gene Xpert
machines, will improve the case finding in the long run.

Intervention Evaluation of TB Patient Counseling andPhone Reminders in Cameroon: a Before-and-after Study
Elias F. Onyoh

Postdoctoral Fellow
College of Public Health, National Taiwan University / Taiwan

Elias F. Onyoh is a global health physician and a TB/HIV specialist from Cameroon. Dr. Onyoh is currently
a postdoctoral fellow at the National Taiwan University College of Public Health. He obtained his medical
degree from the Ahmadu Bello University, Nigeria; and completed his master’s degree in molecular medicine
from the University of Khartoum, Sudan and a second master’s in public health, majoring in global healthfrom the Thammasat University, Thailand. He recently received his Ph.D. in Epidemiology from the National
Taiwan University.
Elias was the medical director of the Tuberculosis and HIV/AIDS Care and Prevention Program in Cameroon.
His research interests include tuberculosis, sexually transmitted infections (with a special interest in HIV/
AIDS), palliative care, global health, geographic information system, and colorectal cancer screening.
His current research looks at the predictors of patient’s delay in initiating TB treatment after diagnosis, andthe possible measures that could be implemented to mitigate pre-treatment loss to follow-up of smearpositive pulmonary tuberculosis patients.

ABSTRACTSETTING: Thirty-nine tuberculosis diagnosis and treatment units (DTUs) in
the North West and South West Regions of Cameroon.
OBJECTIVE: To evaluate the impact of counselling patients and phone
reminders on the incidence of TB pre-treatment loss to follow-up (PLTFU,
which represents the situation whereby patients get diagnosed but are nottreated promptly) using a before-and-after study design.
METHODS: A quasi-experimental study that included a total of 2160
bacteriologically confirmed pulmonary tuberculosis (PTB) cases from two
different cohorts (retrospective and prospective). A post hoc analysis was
conducted to evaluate whether patient counseling and phone reminders
delivered in the prospective study would have had an impact on TB pretreatment loss to follow-up using a before-and-after study design.
RESULTS: Among the 2160 bacteriologically confirmed PTB cases, 57.8%(1249 out of 2160) were males with a total population mean age of 39.2 years(SD ±12.0). Proportion of those diagnosed by Xpert® MTB/RIF (37.9%)
was lower compared to those diagnosed by microscopy. The control group(retrospective cohort) had a PLTFU of 17.5% (95% CI: 15.3–19.8) while theintervention group’s PLTFU was 10.6% (95% CI: 8.9–12.6).
Logistic regression analyses conducted showed a statistically significant
decrease in PLTFU in the intervention group (prospective cohort) in both
univariable analysis (crude odds ratio: 0.56, 95% CI: 0.44–0.72) andmultivariable analysis (adjusted odds ratio [aOR]: 0.61, 95% CI: 0.47–0.79);
with a 79% increase in odds of PLTFU among those diagnosed by Xpert
compared with those diagnosed by microscopy, (aOR: 1.79, 95% CI: 1.22–
2.63). Equally significant were travel time and travel distance; with a travel
time of >30 min versus ≤30.0 min from home to DTU showed an increase inodds of PLTFU, aOR: 1.81, 95% CI: 1.38–2.38. Travel distance >30 km versus≤30 km from home to DTU showed an increased odds of PLTFU, aOR: 1.81,
95% CI: 1.37–2.38.
CONCLUSION: The implementation of counselling of TB patients and phone
call reminders as interventions may have a positive effect on the incidenceof PLTFU in TB patients from the North West and South West Regions of
Cameroon.

2018 Kyoto Global Conference for Rising Public Health Researchers

26

2018 Kyoto Global Conference for Rising Public Health Researchers

Poster Presentation
University
Chiang Mai University Facultyof Public Health

Chulalongkorn University College of Public Health Science

No.

Presenter Name

1 Warangkana Naksen

Empowering Community Health Volunteers by Implementing Prevention of Health Impact from Smoke Haze Pollution in Rural District of
Chiang Mai Province, Thailand

2 Aminur Shaheen

Feasibility and Effectiveness of Electronic Partograph on Improving
Birth Outcome: A Prospective Crossover Design Study

3 Ekarat Sombatsawat

Pesticides Application, Acetylcholinesterase Monitoring and Health
Effect of Farmers

4 Monthalee NooseisaiStress, Mindfulness, Blood Sugar and Quality of Life among Older
Female Patients with Uncontrolled Type 2 Diabetes Mellitus in Public
Health Centers, Bangkok, Thailand

6 Pongsaya Panicharoen

Long-Chain Polyunsaturated Fatty Acid (LC-PUFA) in Breast Milk ofCentral Thai Mothers

7 Saowanee Sematong

Health Risk Assessment of DIETARY Exposure to Benzene from Human Milk in Central Region of Thailand

8 Somchai Issaravanich

Factors Influencing the Change of Whey Protein in Breast Milk Dueto the Transportation

9 Suphasuta Doungraksa

Systematic Reviews on Smartphone Addiction and Mental Health in
Adolescences

10 Yuphaporn Hongchuvech

The Promoting Physical Activity and Healthy Eating Behavior
through LINE Application for Improve Health Outcomes among Overweight Women in Community: A Randomized Controlled Trial

11 Chih-Chi Yang

Kyoto University School of
Public HealthLondon School of Hygiene andTropical Medicine

27

Poster Title

Prediabetic people knows well about "diabetes" but not "prediabetes"-A qualitative study in Taiwan

12 Chu-Yun Peng

A Qualitative Study of Shift Work Related Dietary Intake, Physical
Activity and Sleep Quality as Potential Risk Factors of Overweight/
Obesity Shift Worker in Taiwan

13 Jin Miyazawa

A Qualitative Research on Stigma among People Living with HIV in
Japan: Interview Survey to the Parties

14 Kayo Ueda

Practice Test on the Applicability of Quality Indicators for Low-riskLabor Care: A Cross Sectional Observational Study

15 Kenji Omae

Characteristics and Publication Status of Clinical Trials Supporting
Immune Checkpoint Inhibitors and Other Newest Anticancer Drugs
Recently Approved by the United States Food and Drug Administration: A Meta-Epidemiological Investigation

16 Manako Konda

Survey of Physical Activity in French and Japanese University Students

17 Mayumi Nishimura

Computerization of Good End of Life Experience with Dementia from
Bereaved Families‘ Perspectives in Japan: A Qualitative Study

18 Esther Kwong

The Use of Patient Reported Outcome Measures (PROMs) for Evaluating Emergency Admissions
Lessons from the Implementation of a Mental Health Programme in

19 Georgina Miguel Esponda Primary Health Clinics in Rural Mexico
20 Shelly Makleff

2018 Kyoto Global Conference for Rising Public Health Researchers

Preventing Intimate Partner Violence among Young People: The Roleof Comprehensive Sexuality Education (CSE)“Interdisciplinary Approarch and Collaboration for Health for All”

December 3-4, 2018

University

No.

Presenter Name

26 Vallerut Pobkeeree

Effect of Brief Advice and foot reflexology for smoking cessation
among daily smokers in Thailand
Effects of a Capacity Building Program on Health Literacy in Smoking Cessation for Village Health Volunteers
Effects of Supportive Educative Nursing Program On Self-care Behaviors Among Monks With Metabolic Syndrome in Bangkok Metropolitan Area
Effects of An Organophosphate/Carbamate Exposure Prevention
Program on Pesticide Protective Behaviors, Serum Cholinesterase
and SDPTG Aging Index Among Thai Rice Farmers in KamphaengPhet ProvinceCommunity based intervention to Control Tobacco Applying Ecological Model and Ottawa Charter in the South of Thailand
Participatory Action Research of Public Health Students at Rural
Health Community

27

tions and Tumor Mutational Burden

21 Mondha Kengganpanich
22 Nichamon Lumrod
Mahidol University Faculty of
Public Health

23 Sasawan Attaworakun
24 Siripan Naknoi
25 Tharadol Kengganpanich

National Taiwan University College of Public Health

Amy Jan, Vivian Lin, Peter Landscape on the Association between Lung Cancer Driver MutaLian

28 Elias F. Onyoh
29 Fu-Chung Wang
30 Yi-Ting Hsieh
31 Ke Xin EH

National University of Singa-pore Saw Swee Hock School of
Public Health

University of Malaya Faculty of

Medicine, Department of Social& Preventive Medicine

Poster Title

32 Liang En Ian Wee
33 Phyo Thet Naing Win
34 Amirah Azzeri
35 Arunah Chandran
36

Intervention Evaluation of TB Patient Counseling and Phone Reminders in Cameroon: a Before-and-After Study
A Dual Process Approach for National Personal Health Records System Implementation: New Perspective on Patient-Centered Care to
Universal Health Coverage
Assessing the Impact of Polychlorinated Biphenyls Exposure on a
Birth Cohort in the Vicinity of Industrial Areas in Central Taiwan
Hospital Utilization and Implementation Costs of Transitional Care
Programs in Singapore
The Impact of Area Socioeconomic Status on Health and Health Services in an Asian Low-income Setting, at Baseline and Post-intervention
Identifying Barriers and Facilitators/Enablers of Private Sector Referral of Presumptive Multidrug-resistant Tuberculosis Cases for Gene
Xpert Diagnostic Testing in Hlaingtarya and Dagon (South) Townships in Yangon
Budget Impact Analysis of a Stratified Treatment Cascade for Hepatitis C Direct Acting Antiviral treatment in an Asian Middle-income
Country Through the Use of Compulsory and Voluntary Licensing
Options
Lessons Learnt: The Journey of Translating the Global Agenda on
Non-Communicable Diseases into a National Strategic Plan in Malaysia

Tengku Amatullah M T Social Support and Depression among Rural Community-Dwelling
Mohd

National University Health System

37 Pami Shrestha

University of Tokyo

38 Sabera Sultana

Older Adults: Is there Room for Social Support Intervention?

Coping with the Increasing Chronic Care Needs in Singapore: Evaluation of Implementation Fidelity of the Right-Site Care Program
Inequalities in Access to Essential Maternal Health Services in Bangladesh

2018 Kyoto Global Conference for Rising Public Health Researchers

28

2018 Kyoto Global Conference for Rising Public Health Researchers

Post-conference workshops
December 5 (Wednesday)

9:00-12:00“Introduction to Meta-Analysis and Network Meta-Analysis”
by Professor Toshi A. Furukawa
Professor and Chair, Department of Health Promotion and Human Behavior
Professor, Department of Clinical Epidemiology
Kyoto University School of Public HealthSee page 31 for more details

13:00-14:30“Improving People’s Lives with Innovation and Technology”
by Toshihiro Nakamura
Co-founder & CEO of Kopernik
See page 32 for more details
This course is co-sponsored by the Department of Global Health andSocio-epidemiology, Kyoto University School of Public Health

15:00-17:00“Mentorship: How to Give It, How to Get It, and Why It Matters. Improve Your Mentoring
Skills to Increase Career Success and Satisfaction.”by Professor Mitchell Feldman
Professor of Medicine
Chief, Division of General Internal Medicine
Associate Vice Provost, Faculty Mentoring
University of California San Francisco
See page 33 for more details

29

2018 Kyoto Global Conference for Rising Public Health Researchers

December 6 (Thursday)

9:0012:00“Improving Your Presentation Skills – How to Tell Stories That Stick”
by Professor Ian Roberts
Professor of Epidemiology & Public Health
Co-director of the Clinical Trials Unit
London School of Hygiene & Tropical Medicine
Limitation: 8 participants per session
See page 34 for more details
This course is sponsored by the Kyoto University Clinical Biostatistics Course

13.0016.00“How to Write a Good Research Paper
and Get Published. Tips from an Editor
in Chief”
By Professor Mitchell Feldman
Professor of Medicine
Chief, Division of General Internal
Medicine
Associate Vice Provost, Faculty
Mentoring
University of California San Francisco
See page 35 for more details

17.00

9:0012:00

13.00“Improving Your Presentation Skills – How
to Tell Stories That Stick”
by Professor Ian Roberts
Professor of Epidemiology & Public Health
Co-director of the Clinical Trials Unit
London School of Hygiene & Tropical
Medicine
Limitation: 8 participants per session
See page 34 for more details
This course is sponsored by the Kyoto
University Clinical Biostatistics Course

14:0017:00

2018 Kyoto Global Conference for Rising Public Health Researchers

30

Introduction to Meta-Analysis and Network MetaAnalysis
Professor Toshi A. Furukawa, MD, PhD
Kyoto University School of Public Health
Date: December 5, 2018

Time: 09:00am – 12:00pm

Venue: Large Seminar Room, First floor, Science Frontier Building, Medical campus, Kyoto University(Building no. 16 on the map: http://bit.ly/1hIbR2j)

Professor Toshi A. Furukawa is Professor of Departmentsof Health Promotion and Human Behavior, and of Clinical
Epidemiology at Kyoto University Graduate School of
Medicine / School of Public Health, since 2010. Prof
Furukawa’s major areas of interest and expertise include
clinical epidemiology, evidence synthesis, and clinicalpsycho-pharmacology and cognitive-behavior therapy. He
is author and co-author of over 350 peer-reviewed articles,
including:⃝ C ipriani A*, Furukawa TA*, Salanti G*, et al (2018)
Comparative efficacy and acceptability of 21
antidepressant drugs for the acute treatment of adults
with major depressive disorder: a systematic review andnetwork meta-analysis. Lancet, 391, 1357-1366. (*: cofirst authors)⃝ Nikolakopoulou A, Mavridis D, Furukawa TA, et al (2018)
Living network meta-analysis compared with pairwise
meta-analysis in comparative effectiveness research:empirical study. BMJ, 360, k585.
⃝ F urukawa TA, Efthimiou O, Weitz ES, et al (2018)
Cognitive-Behavioral Analysis System of Psychotherapy,

312018 Kyoto Global Conference for Rising Public Health Researchersdrug, or their combination for persistent depressive
disorder: Personalizing the treatment choice using
individual participant data network metaregression.
Psychotherapy and Psychosomatics, 87, 140-153.
⃝ P ompoli A, Furukawa TA†, Efthimiou O et al (2018)
Dismantling cognitive-behaviour therapy for panic
disorder: a systematic review and component network
meta-analysis. Psychological Medicine, 48, 1945-1953.
(†: corresponding author)
After this three-hour workshop, the participants will be able
to:
1.Understand the basic principles of meta-analysis
2.Understand the basic principles of network meta-analysis
3.Understand how to frame the research question in network
meta-analysis

This course is co-sponsored by the Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health

Improving People’s Lives with Innovation andTechnology
Mr. Toshi Nakamura

Co-Founder & CEO, Kopernik
Date: December 5, 2018

Time: 13:00pm – 14:30pm

Venue: Seminar room A, Second floor, G-building, Medical campus, Kyoto University(Building no. 18 on the map:

Toshi Nakamura is co-founder and CEO of Kopernik, anIndonesia-based organization that finds what works to
reduce poverty. Toshi, together with Ewa, co-founded
Kopernik in 2010 with a vision to make international
development more effective. Before starting Kopernik, Toshi
dealt with governance reform, peace building processes,monitoring and evaluation, and post-disaster reconstruction
at the United Nations (UN) in Timor-Leste, Indonesia, Sierra
Leone, the United States and Switzerland. Prior to joining
the UN, Toshi was a management consultant for McKinsey
and Company in Tokyo. He is a graduate of Kyoto University’
Law Faculty, holds MSc Comparative Politics from theLondon School of Economics and Political Science, and is a
Guest Professor at Osaka University's Center for the Studyof Co*Design. Toshi was selected as a World Economic
Forum (WEF) Young Global Leader in 2012, and was amember of the WEF Global Agenda Council on Sustainable
Development 2014-2016.

http://bit.ly/1hIbR2j)

After this 1.5 hour session, the participants will be able to:1.Understand key challenges that people face in developing
countries
2.U nderstand some examples of simple and innovative
solutions to tackle those challenges

2018 Kyoto Global Conference for Rising Public Health Researchers

32

Mentorship: How to give it, how to get it, and why itmatters
Improve your mentoring skills to increase career success and satisfaction

Prof. Mitchell D. Feldman, MD, MPhil, FACP
University of California, San Francisco
Date: December 5, 2018

Time: 15:00pm – 17:00pm

Venue: Seminar room A, Second floor, G-building, Medical campus, Kyoto University(Building no. 18 on the map:

http://bit.ly/1hIbR2j)

Dr. Feldman is Professor of Medicine, Chief of the Divisionof General Internal Medicine and the Associate Vice
Provost and Director of the Clinical Translational Science
Mentor Training Program at the University of California, San
Francisco. He trained in medical anthropology at Johns
Hopkins University and at Cambridge University and inInternal Medicine at UCSF. He has been a visiting professor
and has lectured widely on mentoring at major universities
across the US and in Japan and China. His researchand others have shown that mentoring is key to a moreproductive and successful career in research, teaching andclinical care. In this workshop, Dr. Feldman will discuss what
are the key competencies of outstanding mentorship that
support career success and satisfaction. Participants willuse case studies to learn the fundamentals of how to find
and work more effectively with a mentor; how to promotealignment in mentoring; and how to respond to mentoring
challenges.

33

2018 Kyoto Global Conference for Rising Public Health Researchers

At the end of this workshop, participants will learn thefundamental skills of outstanding mentors and mentees andhow to apply them to their mentoring relationships. They willfind that improving your mentoring skills, as a mentee and/or
as a mentor, is both fun and rewarding.

This course is sponsored by the Kyoto University Clinical Biostatistics Course

Improving Your Presentation Skills - How to Tell
Stories that Stick
Professor Ian Roberts, MB BCh FRCP FPH
London School of Hygiene and Tropical Medicine
Date: December 6, 2018

Morning session: 09:00am - 12.00pm (limit to 8 participants)

Venue for morning session: Large Seminar Room, First floor, Science Frontier Building, Medical campus,
Kyoto University (Building no. 16 on the map: http://bit.ly/1hIbR2j)
Afternoon session: 14:00pm – 17:00pm (limit to 8 participants)

Venue for afternoon session: Seminar room 335, Third floor, G-building, Medical campus, Kyoto
University(Building no. 18 on the map:

http://bit.ly/1hIbR2j)

Both sessions are identical, register for one session only!

Ian Roberts is Professor of Epidemiology at the London
School of Hygiene & Tropical Medicine. He trained as apaediatrician in the UK and then in epidemiology at the
University of Auckland, New Zealand and McGill University,
Canada. He is a clinical academic who works collaboratively
with health professionals world-wide to conduct large multicentre clinical trials aimed at improving patient outcomes inlife threatening emergencies. He works with others to build
global research partnerships to answer questions together
that could not be answered by anyone working alone. He
has played lead roles in several large trials including the
CRASH trials and the Woman trial. As a researcher andteacher he has a long standing interest in improving his andother’s presentation skills which he believes should be acore competence of any researcher.

At the end of this workshop participants will have thepotential to make their presentations more interesting,engaging and memorable.

2018 Kyoto Global Conference for Rising Public Health Researchers

34

How to Write a Good Research Paper and Get
Published
Tips from an Editor in ChiefProf. Mitchell D. Feldman, MD, MPhil, FACP
University of California, San Francisco
Date:

Time:

December 6, 2018

13:00pm – 16:00pm

Venue: Seminar room A, Second floor, G-building, Medical campus, Kyoto University(Building no. 18 on the map:

http://bit.ly/1hIbR2j)

Dr. Feldman is Professor of Medicine, Chief of the Divisionof General Internal Medicine and the Associate Vice Provost
at the University of California, San Francisco. He trained
in medical anthropology at Johns Hopkins University andat Cambridge University and in Internal Medicine at the
University of California, San Francisco. He is the immediate
past Editor in Chief of the Journal of General Internal
Medicine (JGIM), the #1 general medicine journal according
to Google Scholar. Dr. Feldman has authored more than 100
research papers, numerous book chapters and is editor of awidely used text. In this interactive session, participants will
have the opportunity to learn the essential components ofa good research paper from the perspective of an editor inchief and learn how reviewers and editors assess the quality
and importance of their work. Dr. Feldman will offer tips on
how to construct and improve your research paper, how tochoose a journal, and the common problems with papers
that lead to rejection.

35

2018 Kyoto Global Conference for Rising Public Health Researchers

At the end of this workshop, participants will learn tips
on how to write a successful research paper and get it
published. They will have the opportunity to review abstracts
from real papers submitted to JGIM and learn why somewere successful and others rejected.

Kyoto City Map

Lo
N

n Lin

e

Imadegawa St.

Eiza

Imadegawa
Sta.

Kyoto University
Main gate▲

Demachiyanagi
Kyoto University
Sta.

（Kyodai seimon-mae）

Kamogawa RiverInternational Science
Innovation Building

Konoe St.

Marutamachi
Sta.

Marutamachi St.

Nijo St.

Kyoto Old
Imperial Palace

Kyoto
Shiyakusho-mae
Sta.

Karasuma Oike
Sta.

Oike St.

Kyoto University
Hosupital

Resol Kyoto Kawaramachi

Sanjo St.

■

Shijo St.

■
■

Shijo
Sta.

Kawaramachi
Sta.

Unizo Shijo Karasuma

Sotetsu Fressainn Shijo
Gojo
Sta.
Karasuma Line

Gojo St.

Shichijo St.
OsakaSanjo Sta.

Higashiyama Tozai Line
Sta.
Gion-Shijo
Sta.
Yasaka Shrine

Ac
Kiyomizu-Gojo
Sta.
Subway Line

Keihan LineApa Villa Hotel

Shichijo
Sta.

Hankyu Line

JR Tokaido Line

Nagoya■JR Kyoto
Station■Horikawa
St.

Kamogawa River

Karasuma
Sta.

Jingu-marutamachi
Sta.
Heian Jingu
ShrineIbis Styles Kyoto

KarasumaSt.

Kawaramachi Kawabata Higashioji
St.
St.
St.

2018 Kyoto Global Conference for Rising Public Health Researchers

36

Main Campus Map

Local Map
N

Marikouji Higashi Oji
St.
St.

Demachiyanagi
Sta.

Seifuso Villa

Hyakumanben（Kyodai seimon-mae）

Keihan Line

Kamogawa River

Kawabata
St.

Kyoto seika
High School
s
Kyu-

hira

Faculty of Medicine
Bldg. G
kawa

St.

▲

International Science
Innovation Building

Kyoto University
Higashi-Ichijo St.

Science Frontier Laboratory

w a y Faculty of Medicine
One
Kyoto University

Clock Tower
Centennial Hall

Konoe Dori

Jingu-marutamachi
Sta.

International Science
Innovation Building

GroundKyoto University
Hospital

Konoe St.
Kasagakami St.

Main Gate/
Information Center

Kumano Shrine（Kumano Jinja mae）

Marutamachi St.

AccessMain Railway station

Route

Terminal

Kyoto Station-JR-Kintetsu-Subway

City Bus #206
bound for Kitaoji bus terminal via Higashiyama St.

Kyodai seimon-mae

KYOTO UNIVERSITY hospital loop bus (Hachijo Gate)

Kyoto University

Hankyu Railway
Kawaramachi Station

City Bus #201 bound for Gion, Hyakumanben
City Bus #31 bound for Kumano, Iwakura

Kyodai seimon-mae

Karasuma Subway line
Marutamachi Station

City Bus #202 bound for Kumano jinja, Gion
City Bus #204 bound for Higashi Tenno-cho, Kinrin Shako-mae

Keihan Railway
Jingu-marutamachi Station

10 minutes walk north-east from No.5 exit

37

2018 Kyoto Global Conference for Rising Public Health Researchers

Kumano jinjya-mae(and change to above bus lines)

MEMO

2018 Kyoto Global Conference for Rising Public Health Researchers

38

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Tro
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Kyoto University School of Public Health - SGU Organizaing
ResearchCommittee(by academic title and alphabetical order)

ygie
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a

Professor Masahiro Kihara
Professor Takeo Nakayama
Professor Yuichi Imanaka
Associate Professor Yoshimitsu Takahashi
Assistant Professor Satoe Okabayashi
Assistant Professor Teeranee Techasrivichien
Assistant Professor Yusuke Ogawa
Yukiko Tateyana, Chief Assistant, KUSPH International Office

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Ko
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Ky
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Fo

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si t

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Chian
g Mai Univer sit y
Na t ional Tai w a n U ni v e r s i t yMPractice

Asian Development Bank - Health Sector GroupDr. Eduardo Banzon
Dr. Pura Angela Co
Chiang Mai University Faculty of Public HealthProfessor Suwat Chariyalertsak
Dr. Aksara Thongprachum
Chulalongkorn University College of Public Health Science
Associate Professor Wattasit Siriwong
CUCPHS teamKyoto University School of Public HealthProfessor Koji Kawakami
Professor Masahiro Kihara
Professor Shinji Kosugi
Professor Takeo Nakayama
Professor Toshi A. Furukawa
Professor Tosiya Sato
Professor Yuichi Imanaka
Associate Professor Kazunari Satomura
Associate Professor Kouji Harada
Associate Professor Miho Iwakuma
Junior Associate Professor S.Pilar Suguimoto
Assistant Professor Patou Musumari
Assistant Professor Teeranee Techasrivichien
Assistant Professor Yusuke Ogawa
KUSPH teamLondon School of Hygiene and Tropical Medicine
Professor John Cairns
Dr. Esther Kwong
Mahidol Universiy Faculty of Public Health
Associate Professor Mathuros Tipayamongkholgul
MUPH teamNational Taiwan University College of Public HealthProfessor Chang-Fu Wu
Associate Professor Hsien-Ho Lin
NTUCPH TeamNational University of Singapore Saw Swee Hock School of Public Health
Tan Mei Jin Melisa
NUS-SSHSPH Team
University of Malaya Faculty of Medicine, Department of Social & Preventive Medicine
Dr. Nik Daliana Nik Farid
UMSPM team
WHO Centre for Health Development (WHO Kobe Centre)
Dr. Megumi Rosenberg
WHO Kobe Centre Teamingof ap olon g Ma r e
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Reviewers (by academic title and alphabetical order)

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Kyoto University School of Public He

Top Global University Project / Japan Gateway Kyoto University Top Global ProgramNo participation fee / English only
Inquiry,
075-753-4350
075-753-4359
Teeranee Techasrivichien
techasrivichien.teeranee.2a@kyoto-u.ac.jp