Activities Overseas

Consultation meeting on an evidence review - for developing an integrated intervention package for non-communicable diseases (NCDs) prevention and control in schools in Africa

We organized consultation meeting with WHO HQ and school health experts from ESACIPAC ( Prof Njenga) and WACIPAC ( Dr. Irene) for an evidence review - for developing an integrated intervention package for non-communicable diseases (NCDs) prevention and control in schools in Africa, Tokyo, Japan, 9th March. In this meeting, we shared findings of systematic review and gray literature reviews in Kenya and Ghana which were conducted by cooperation with WACIPAC in Kenya (Prof.Njega)and ESACIPAC in Ghana(Dr.Irene). Thanks to support by Dr. Makino who is working in WHO HQ, we could fruitful discussion for future implementation and researches on NCDs prevention and control in schools in Africa.

Latrine Handing Over

Date: September 5th, 2016
Place: Agiro Primary School, Lianda Primary School and Kuge Primary School at Mbita, Kenya
Patricipants: Rie Takeuchi (Nagasaki University), Takeshi Akiyama (Nagano College of Nursing), Chikako Katsuno (University of the Ryukyus)

Nagasaki University is running a school health project titled "Project for Supporting Health from School to Community" which is funded by JICA in Mbita sub county, Kenya.
The project has handed over V.I.P. latrines to 3 primary schools on 5th September, 2016. From Japan Consortium for Global School Health Research (JC-GSHR), Dr. Rie Takeuchi (JC-GHSR member), Dr. Takeshi Akiyama (JC-GHSR member), and Chikako Katsuno (JC-GHSR member) attended this event.

Based on the 3rd School Health Audit, the project constructed boy's latrines for Agiro Primary school and girl's latrines for Lianda Primary School and Kuge Primary school. Messages about health promotion is written on the walls. Children, teachers and parents looked so happy to see new latrines.

                             Girl's latrines at Kuge Primary                                                                                       Girl's latrines at Lianda Primary

                             Boy's latrines at Agiro Primary                                                                                        Handing Over at Kuge Primary

             Project Staff Mrs. Liz is explaining about the project                                              Project coordinator Mr. Kazama is telling the importance of latrines                


An intervention study to enable young people to act as change agents to reduce cardiovascular risk of their community in Sri Lanka

An intervention study to enable young people to act as change agents to reduce cardiovascular risk of their community in Sri Lanka
Date:August 8 (Mon) to 9 (Tue), 2016
Participants: Tetsuya Mizoue (National Center for Global Health and Medicine), Keisuke Kuwahara (Teikyo University Graduate School of Public Health)
In Sri Lanka, non-communicable diseases (NCDs) are growing concerns. Through the empowerment of children, our study group has addressed the prevention of NCDs not only for children themselves but also their parents and people in their community. In the second phase of the research projects, we conducted a randomized controlled trial to prevent mothers’ obesity through their children(Gunawardena et al., Int J Behav Nutr Phys Act, 2016;13:45).
In the third phase from 2016, we launched a new research to reduce cardiovascular risk among adults in the community through young people who are members of a community-based youth club/society. During our research visit in Sri Lanka, we joined in the training session for the youth who are responsible for the baseline survey. The lecturers were Mr Indrawansa (The Foundation for Health Promotion), Former Prof Samarasinghe (University of Colombo), and Dr Abeyratne (University of Colombo). Participants listened intently to the lectures and made a practice of measuring blood pressure, body height and weight, and waist and hip circumference.

(Explanation about procedures of measurements by a lecturer)

(Explanation about blood pressure measurement by a lecturer)

(Training for measurement of blood pressure)
On the next day of the training session, we visited a community for baseline survey with Mr Indrawansa, Dr Abeyratne, and Prof Gunawardena. The survey will continue for one month; after that, intervention will begin in the target communities. We hope that the young people will play a role as promotors of NCD prevention through the research project.

(Reception of participants)
(The interview)
(Explanation after the measurements)

Mizoue team meeting and JC-GSHR monthly meeting

Date: June 20th, 2016
Place: National Center for Global Health and Medicine
Participants: Tetsuya Mizoue(National Center for Global Health and Medicine)、Masamine jimba(The University of Tokyo)、Jun Kobayashi(University of the Ryukyus)、Sachi Tomokawa(Shinshu University)、Akihiro Nishio(Gifu University)、Megumi Sato(Nigata University)、Mika Kigawa(Toyama University)、Hasegawa(Osaka University)、Keisuke Kuwahara(Teikyo University)、Shamima Akter(National Center for Global Health and Medicine)、Ikeda Sumire(Nigata University)、Erika Yoshimoto(Nagasaki University)、Kazumasa Ueda(Shinshu University)、Sora Iwai(Shinshu University)、Chikako Katsuno(University of the Ryukyus)

 An annual Mizoue team meeting and a monthly Japanese Consortium for Global School Health Research meeting were held at National Center for Global Health and Medicine on June 20. The objectives of these meeting were that to share the progress of each working group and to discuss about the future activities. Board members of the consortium participated in the meetings.

 Firstly, progress on each project was presented by leaders of each group as part of the Mizoue meeting. Dr. Mizoue presented a school-based project in Sri Lanka. According to his presentation, the project aims to prevent the incidence of NCDs, especially by promoting community health through empowerment of youth activities. Dr. Tomokawa told about the Eco Health Education project in Lao PDR, Dr. Jimba mentioned his project in Thailand and Nepal which aim to describe the factors that could work positively and negatively for implementation of school health at policy levels. Furthermore, Dr. Nishio presented his Inclusive Education project for disabled children in South-East Asia and Dr. Kobayashi reported on the Muslim Education project in Niger and his research on Disaster countermeasure in the Philippines. It was great opportunity for us all not only to share the progress and also to understand each work well.

 Secondary, future plans for Asia-Pacific Academic Consortium for Public Health Conference and the 6th Asia SHN Training Course were also discussed and their contents were decided. In addition, the detailed working plan for collaborative projects with Ministry of Education, Culture, Sports, Science and Technology, was considered. 

 Finally, Dr. Tomokawa reported on the WHO School Health Technical Meeting (please refer to a previous report for more information: ‘Activity Report: WHO School Health Technical Meeting “Global Health Initiatives: Achieving Health and Education Outcomes”’) since she has finished working as an adviser at WHO. Through her presentation, the latest information on school health was shared among members.
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                                               Dr. Mizoue (right)                                                                               Listening to Mizoue team progress

                                       Teaching materials (Asakura team)                                                              Listening to Jimba team progress

                                            Discussion on APACPH

Study Meeting: Africa×NCD Systematic Review


Date: June 17th to June 18th, 2016.
Participant: Sachi Tomokawa(Shinsyu University), Akihiro Nishio(Gifu University), Takeshi Akiyama(Nagano College of Nursing), Kimihiro Miyake(Shinsyu University), Chikako Katsuno(University of the Ryukus)

 From 17th June to 18th June, we invited Ms. Kiyomi KIKUCHI as a teacher and hold the study meeting for Africa×NCD Systematic Review.
 After we learned basic knowledge of systematic review from Ms. Kikuchi, we exercised PICO. And then we started selecting articles actually. Now we have several topics, such as oral health, tobacco and nutrition and we will review for a half year about these topics. This study meeting was good opportunity to learn many things about systematic review.


                                   Ms. Kikuchi gave a lecture                                                                                               PICO exercise


           Thinking about what is Population, Intervention, Comparison and Outcome                                            Making search expression

Activity report about 5th Asia School Health and Nutrition Training Course

Date:November 26th to December 4th, 2015.
Place:Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Participant: Jun Kobayashi (University of the Ryukyus), Sachi Tomokawa (Shinshu University), Akihiro Nishio (Gifu University), Mitsuya Kodama(Yokohama City University) , Hanae Henzan (University of the Ryukyus) , Kethsana Kanyasan(University of the Ryukyus)

Hello everyone! My name is Mr. Kethsana Kanyasan I am a lecturer of the National University of Laos, in Lao PDR. Now I am taking doctoral program at first grade, of the Department of Global Health, School of Health Sciences, Faculty of Medicine, University of the Ruykyus, Okinawa, Japan, as an international student.

I got a very good chance to attend the 5th Asia School Health and Nutrition Training Course as a support staff. There were about 30 participants from 11 Asia countries (Bangladesh, Bhutan, Cambodia, Myanmar, Nepal, Laos, India, Pakistan, Papua New Guinee, Philippines and Thailand) in the training, and organizers provided lectures and workshops. They also shared information about implementation status of school health and nutrition activities, their challenges and good practices among participants from different countries. Furthermore, they organized an one-day field study to visit two model schools on school health and nutrition in Bangkok.

In lectures of the training, several topics related to school health and nutrition were presented by many experts from each country such as; nutritional education in school, school meals, oral health , NCD prevention in school health, deworming, and so on. At the end of this training the representative of each country presented their action plan on school health and nutrition. This activity reflected their understanding and knowledge obtained through this training.

In my opinion, this training was very good opportunity for all participants to learn and understand more about school health and nutrition so as to improve their knowledge and apply these experiences to their country. And, particularly, introduced some information during training, such as Focus Resources on Effective School Health (FRESH) and Systems Approach Better Education Results (SABER), was very effective for school health and nutrition implementation for many countries.

  • Opening Speech by Organizers

  • Lecture by Prof. Jun Kobayashi

  • Assoc. Prof. Tomokawa Sachi gives advices to participants

  • Field Visit at Prayapaserd Primary School

  • Field Visit at Banbangchak Primary School

  • Shareing acitivity experience by the participants from Cambodia

Activity Report: WHO School Health Technical Meeting “Global Health Initiatives: Achieving Health and Education Outcomes”

Date:November 23rd to 25th, 2015
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Participant: Masamine Jimba (The University of Tokyo), Jun Kobayashi (University of the Ryukyus), Sachi Tomokawa (Shinshu University, WHO HQ), Hanae Henzan (University of the Ryukyus), Kethsana Kanyasan (University of the Ryukyus)

On November 23 to 25, WHO School Health Technical Meeting “Global Health Initiatives: Achieving Health and Educational Outcomes” was held in Bangkok. From Japan Consortium for Global School Health Research (JC-GSHR), Professor Jun Kobayashi (the chair of JC-GSHR), Associate Professor Sachi Tomokawa (the secretary general), and Professor Masamine Jimba (board member), Hanae Henzan (JC-GHSR member ) attended this meeting. Professor Jimba gave a presentation titled “Evidence-based school health interventions for NCD prevention in low- and middle-income countries” on the first day, and Professor Kobayashi gave a presentation titled “Barriers to and opportunities for building institutional capacity to promote health in schools in low and middle income countries”. Associate Professor Tomokawa was in charge of organizing whole this meeting as a consultant on health promotion in WHO Headquarter.

More than 50 experts in school health from about 30 countries participated in this meeting, e.g. academic researcher, Governmental Health or Education officers, International NGO staffs. The meeting consisted of the following themes; lessons learnt from school health activities and how to scale up and maximize opportunities for school health (Day1), how to address the barriers and current situations of each country/region (Day2), responding to emerging health and educational issues (Day3). All participants could recognize the common school health issues in the world and could think of improved school health planning for each country’s/regional situation through the experts’ presentations and the round table discussion provided in each day of the 3-days meeting.

The meeting gave a great opportunity to acknowledge the outcomes of the school health activities for infectious disease control such as activities of deworming and WASH. It also gave a chance to consider importance of activities for NCD control in school health, school health intervention with eco-health education in the period of SDGs, better partnership between health and educational sector, and comprehensive school health system as well.


  • Group photo of the meeting

  • Presentation by experts (Chairman: Prof.Kobayashi)

  • Proffesor Jimba answering in the active Q&A session

  • Assoc. Prof. Tomokawa facilitating the round table discussion

  • Prof. Kobayashi on his presentation

  • Talks between Prof. Jimba, Prof. Kobayashi and Dr. KC, WHO health promotion coordinator


Activities report about ecohealth education research project in Lao PDR

Date: March 13-24, 2015
Takashi Asakura (Tokyo Gakugei University), Sachi Tomokawa (Shinsyu University)

During the period from 13th to 24th March, Prof. Takashi Asakura and Dr. Sachi Tomokawa, members of JC-GSHR, visited Lao PDR and carried out periodic activities of Ecohealth Education Project in Lao PDR, which has been implemented in collaboration with the faculty of education, National University of Laos (NOUL) and the Ministry of Education in Laos.
This time, we held a meeting to develop the draft curriculum and textbooks on Ecohealth Education in Laos. Then, we visited schools in which teachers had been already trained half a year ago by the project, and followed up health checkup activities. Furthermore, we organized training sessions for teachers in rural areas on health checkup activities (ex. body weight measurement, height measurement, eyesight test, hearing ability test) and conducted health checkup practices in schools for about two thousands children with assistance provided by staff of teacher training institute, 7 student volunteers from Japan and the faculty of education, NUOL. As a result of the visits, we confirmed that schools had organized their health checkup activities continuously and autonomously and that

  • Teacher’s training
    for health checkup

  • Health checkup in primary school

  • Recording sheet of health check up

  • Meeting for development
    of ecohealth text book

Kenya: Nagasaki University’s School Health Project in Mbita, Kenya

Date: Feb. 28-MAR.9, 2015
Takashi Asakura (Tokyo Gakugei University), Sachi Tomokawa (Shinsyu University)

From 28th February to 9th March 2015, Prof. Takashi ASAKURA and Dr. Sachi TOMOKAWA, members of JC-GSHR, were dispatched as short-term experts to the school health project in Mbita district, Nyanza Province of Kenya, named ‘Project for Supporting Health from School to Community’. This project is supported by JICA as “Grass-Roots Technical Cooperation Project” and has been implemented by the Institute of Tropical Medicine, Nagasaki University since September 2012.(
This time, we conducted a two-day training on health-checkup for primary school teachers from the targeted areas. In this training, teachers reviewed and evaluated the progress of action plans prepared by each school in last September, and then, they discussed and listed up possible activities to be organized by Child Health Club or in health education classes. Besides, we reviewed implemented activities by Child Health Club in each school and shared good practices and challenges. Furthermore, participants learned how to plan the health promotion activities in their own school-zone, and they made a plan to share with their colleagues their operational plan on health education activity and what they learned in the training as well as the know-how to create teaching materials which they practiced in the training. They experienced creating teaching materials only with simple stationary such as maker and drawing papers, and developed very unique and interesting materials. Health education classes with their handcrafted materials should be very interesting for school children.

Research Activity in Leyte, the Philippines

Date: Jan. 4 -8, 2015
Takeshi Akiyama (Nagano College of Nursing)

Dr. Takeshi Akiyama, a member of JC-GSHR, has stayed in Leyte Island to conduct a research on mental health promotion among students. This Research is titled as “Mental health promotion in schools of developing courtiers” and supported by the budget from Grant-in-Aid for Scientific Research and prof. Jun Kobayashi.

This project currently targets 4 schools, aiming to introduce the methodology of the effective mental health promotion among schools thorough sports activities. Further, this project also provided shoes and other sports equipment to encourages the students’ activity. During his stay in Leyte, Dr. Akiyama conducted the base-line study with the cooperation of researchers from University of the Philippines, Manila. The result of this project will serve for the improvement of students’ health in this area.