Abstract
When a large-scale natural disaster occurs in Japan, the type of support provided is decided based on the demands of the affected prefecture. Moreover, it is necessary for local governments and regions to reach out to mothers and children who cannot contact the governments for the request of support. In particular, it is necessary to pay attention to pregnant and nursing women and infants with sufficient preparation for their obstetric medical needs. The legal basis for providing support such as establishing evacuation sites for pregnant and nursing women is necessary. In recent major disasters, various groups from all over the areas of Japan have provided appropriate support. Cross-sectoral coordination between organizations as well as with the government is essential from the perspective of providing support for maternal and child care.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- DMAT:
-
Disaster medical assistance team
- DPAT:
-
Disaster psychiatric assistance team
- DRM:
-
Disaster-risk management
- DRR:
-
Disaster-risk reduction
- FAO:
-
Food Aid Organization
- GEJE:
-
Great East Japan Earthquake
- GHAE:
-
Great Hanshin-Awaji Earthquake
- HFA:
-
Hyogo framework for action
- ISDR:
-
International strategy for disaster reduction
- JGSDF:
-
Japan ground self-defense force
- MDG:
-
Millennium development goal
- PPDML:
-
Pediatric and perinatal disaster medical liaison
- WHO:
-
World Health Organization
References
United Nation (2015) Global assessment report on disaster risk reduction. https://www.preventionweb.net/english/hyogo/gar/2015/en/home/GAR_pocket/Pocket%20GAR_3.html. Accessed 8 Feb 2021
Ministry of Foreign Affairs of Japan (2015) The 3rd world congress on disaster prevention. https://www.mofa.go.jp/ic/gic/page3e_000305.html. Accessed 8 Feb 2021
Disaster Management Division, Cabinet Office (2016) Disaster management in Japan (in Japanese). www.bousai.go.jp/kaigirep/hakusho/pdf/H28_gaiyou.pdf. Accessed 8 Feb 2021
Disaster Management Division, Cabinet Office (2016) Disaster management structure in Japan (in Japanese). http://www.bousai.go.jp/shiryou/taisaku/soshiki2/soshiki2.html. Accessed 8 Feb 2021
Watanabe N, Yoshida H (2016) What can we commit for disaster risk reduction of perinatal care system as an obstetrician? J Yamanashi Soc Obstet Gynecol 6(2):2–9 (in Japanese)
National Committee on Perinatal Care System, Ministry of Health, Labour and Welfare (2016) Medical care in case of disasters (in Japanese). www.mhlw.go.jp/stf/shingi/other-isei.html?tid=292852. Accessed 8 Feb 2021
Sugawara J (2012) Emergency perinatal medical system and its measures. In: Unno N (ed) Working paper of Health and Labor Sciences Research Grants 2011 “Research on improvement of regional perinatal medical system and adequate allocation of medical resources” (in Japanese)
Arimoto H, Furuya S, Yamashita K, Tanaka K, Maruyama T, Takeuchi M, Wada K, Ogita K, Misaki M, Fuke A, Rinka H (2019) Disaster medical management of pediatric and perinatal disaster medical liaison (PPDML) for children and pregnant women in Osaka, Japan. Prehospital Disaster Med 34:s121–s122. https://doi.org/10.1017/S1049023X19002619. Accessed 8 Feb 2021
Unno N (2012) Human support for obstetric and gynecologic medicine in affected areas. In: Unno N (ed) Health and Labor Sciences Research Grants in 2011 “Research on improvement of regional perinatal medical system and adequate allocation of medical resources” (in Japanese)
Ogasawara T (2012) Obstetric and gynecologic diseases that increases after heavy disaster: discussion from Great East Japan Earthquake, 2011. In: Unno N (ed) Health and labor sciences research grants in 2011 “Research on improvement of regional perinatal medical system and adequate allocation of medical resources” (in Japanese)
Yoshida H (2013) Maternal and child health required in times of disaster—From research on the impacts of the Great East Japan Earthquake on maternal and child health. Report of the Grants-in-Aid for Scientific Research, no. 24790626 (in Japanese)
Yoshida H, Ikeda Y, Ota H, Fujioka Y (2011) Impacts of support for pregnant and nursing women and infants on reconstruction from the earthquake: issues and the future found through maternal checkups and neonatal visiting activities. Jpn J Disaster Med 16(3):356 (in Japanese)
Yoshida H (2011) The prenatal and postpartum care support project in Tsunami-affected areas in Japan: final report submitted to AmeriCares. Tokyo (in Japanese)
Yoshida H (2013) Maternal and child health in times of disaster: roles of midwives to protect pregnant and nursing women: (9) Perinatal outcome at the time of Great East Japan Earthquake. Jpn J Midwives 67(9):324–327 (in Japanese)
Tashiro A, Sakisaka K, Okamoto E, Yoshida H (2018) Differences in infant and child mortality before and after the Great East Japan Earthquake and Tsunami: a large population-based ecological study. BMJ Open 8:e022737. https://doi.org/10.1136/bmjopen-2018-022737
Hyogo Prefectural Society of Obstetrics and Gynecology (1996) Epidemiological study report on the impacts of stress by Great Hanshin Earthquake on pregnant and nursing women and fetuses (in Japanese)
Harris C, Smyth I (2001) The reproductive health of refugees: lessons beyond ICPD. Gender Dev 9(2):10–21. https://doi.org/10.1080/13552070127742. Accessed 8 Feb 2021
McGinn T, Casey S, Purdin S, Marsh M (2004) Reproductive health for conflict-affected people: policies, research and programs. Humanit Pract Netw Pap 45:1–36
McGinn T (2000) Reproductive health of war-affected populations: what do we know? Int Family Plan Perspect 26(4):174–180
The Sphere Handbook (2018) https://spherestandards.org/wp-content/uploads/Sphere-Handbook-2018-EN.pdf. Accessed 8 Feb 2021
HAP Standard (2010) http://www.hapinternational.org/projects/standard/hap-2010-standard.aspx. Accessed 8 Feb 2021
Oxfam Japan. http://oxfam.jp/2013/04/post_397.html. Accessed 8 Feb 2021
Yoshida H (2012) Earthquakes and children: maternal and child health required after Great East Japan Earthquake. Child Sci 8:87–91 (in Japanese)
Disaster Management Division, Cabinet Office (2012) Looking back on Hanshin-Awaji Great Earthquake (in Japanese). http://www.bousai.go.jp/kohou/oshirase/h14/pdf/sankousiryo1-2.pdf. Accessed 8 Feb 2021
National Diet Library (2011) Overview of the Great East Japan Earthquake and policy issues 1. Natl Diet Libr Issue Brief No. 708 (in Japanese). http://www.ndl.go.jp/jp/diet/publication/issue/pdf/0708.pdf. Accessed 8 Feb 2021
National Diet Library (2011) Overview of the Great East Japan Earthquake and policy issues 2. Natl Diet Libr Issue Brief No. 712 (in Japanese). www.ndl.go.jp/jp/data/publication/issue/pdf/0712.pdf. Accessed 8 Feb 2021
FAO and WHO (2008) Enterobacter sakazaki (Cronobacter spp.) in powdered follow-up formulae. http://apps.who.int/iris/bitstream/10665/44032/1/9789241563796_eng.pdf?ua=1. Accessed 8 Feb 2021
Ministry of Health, Labour and Welfare (2009) Guidelines for treating safety formula (in Japanese). http://www.mhlw.go.jp/topics/bukyoku/iyaku/syoku-anzen/qa/dl/070604-1b.pdf. Accessed 8 Feb 2021
Nakane N (2015) Support for mothers and infants in evacuees. Firef 656(8):110–112 (in Japanese)
IFE Core group (2008) Infant nutrition in disaster area (in Japanese). http://www.jalc-net.jp/dl/OpsG_Japanese_Screen.pdf. Accessed 8 Feb 2021
Association of Japan Lactation Consultants (2011) Milk feeding in the time of disaster (in Japanese). http://www.jalc-net.jp/hisai/liquid_milk.pdf. Accessed 8 Feb 2021
Tokyo Metropolitan Government (2014) Guidelines for supporting mothers and children in disaster (in Japanese). http://www.fukushihoken.metro.tokyo.jp/kodomo/shussan/nyuyoji/saitai_guideline.html. Accessed 8 Feb 2021
Tokyo Metropolitan Government (2013) Guidelines for shelter management (for municipalities), pp 132–135 (in Japanese)
Ministry of Health, Labour and Welfare (2016) Rule of disaster psychiatric assistance teams (DPAT) (in Japanese). http://www.mhlw.go.jp/seisakunitsuite/bunya/hukushi_kaigo/shougaishahukushi/kokoro/ptsd/dpat_130410.html. Accessed 8 Feb 2021
Nakane N (2015) Disaster preparedness. In: Japanese Nursing Association (ed) The role of midwife, pp 263–275 (in Japanese)
Acknowledgements
This study was supported by the following research grants:
1. Health and Labor Sciences Research Grants (Research on Health Security Control) “Research on the Development of a Regional Collaborative Disaster Prevention System Including the Operation of Welfare Shelters for Those Who Require Assistance in Times of Disaster with the Central Focus on Pregnant and Nursing Women and Infants” (Research representative: Honami Yoshida, 2013–2015).
2. Grants-in-Aid for Scientific Research “Maternal and Child Health Required in Times of Disaster - from Research on the Impacts of the GEJE on Maternal and Child Health” (Research representative: Honami Yoshida, 2012–2014).
The author thanks Dr. Kentaro Hayashi and others who provided help at the Primary Care for All Team (PCAT), PCOT project members that include Dr. Hiroshi Ota, Dr. Yumie Ikeda, Dr. Keiko Otsuka, Ms. Yukari Endo, and Mw. Shoko So, who have contributed to developing training for rescuing pregnant and nursing women in times of disaster; and Dr. Yosuke Fujioka and Dr. Shinji Tsunawaki who have worked to address the needs of pregnant women from the inception of the PCAT. The author also thanks Mw. Naoko Nakane for her dedicated education in this field.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Yoshida, H. (2021). Support System of Maternal and Child Care on Great East Japan Earthquake. In: Lessons Learned from the Great East Japan Earthquake. SpringerBriefs in Population Studies(). Springer, Singapore. https://doi.org/10.1007/978-981-10-4391-8_2
Download citation
DOI: https://doi.org/10.1007/978-981-10-4391-8_2
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-4390-1
Online ISBN: 978-981-10-4391-8
eBook Packages: HistoryHistory (R0)