The purpose of this study was to reveal the current conditions of the nursing care system for elderly and determine the problems concerning the cross-culture care practice.
This study is a qualitative and descriptive research. We conducted a semistrustured interview study including six foreign sresidents in Okinawa who provided consent to participate in the study.
After recording verbatim and extracting the contents related to elderly nursing care, We coded these contents into each semantic unit to extract the themes by repeating the reorganization/integration while considering the similarity of the contents.
We extracted 126 codes as a narration related to nursing care and generated. 61 subcategories and 17 categories. Next,we extracted the following nine themes: 1） struggles overcoming the language barrier. 2） anxieties over symptom control or treatment of their illnesses. 3） a financial burden for receiving satisfactory medical treatment. 4） a sense of security with someone who understands their language, 5） affection by overcoming language barriers. 6） a cross-cultural environment in which they can choose their own living condition, 7） a sense of appreciation for care services that assist in achieving life stability. 8） adaptation to the cross-cultural life and attachment to Okinawa,and 9） life supported by religion, and the method of burial according to religion.
The prpbrems should be resolved through 1） care service restructuring with the involvement of the recipients. 2） utilizing their community where they can share cultural connection, 3） fostering an interculture environment, 4） supporting caregivers, and 5） supporting an ideal end-of-life care with religion.
The Japan International Cooperation Agency, Japan Anti-Tuberculosis Association and the Lusaka district health office conducted Community Mobilization for TB/HIV Care Project at three health centres in Lusaka, Zambia from 2012 to 2015. This study describes the assessment of the factors associated with high participation rates of tuberculosis (TB) treatment supporters (TSs) in patient support activities.
A cross-sectional study was conducted for the evaluation. Information about individual participation to the weekly patient support activities at the health centres between September 2014 and February 2015 was drawn from the health centres’ administrative records. Data were collected between February and March 2015 via a structured questionnaire administered to TSs working at the health centres. Descriptive, univariate and multiple logistic regression analyses were done to identify factors associated with high participation of TSs.
For the 74 respondents, the average monthly participation rate between September 2014 and February 2015 was 83.2%. The rate was tended to be over 80% for the TSs who had temporary work or no work, or were housewives, and those who had experience as a group leader. The TSs who did not complete primary education were positively associated with participating over 80% of the time compared to those who had a secondary or higher education.
The study provided information on the higher participation of TSs’ activities including their job, education status and leadership experiences. In recruiting TSs, priority should be given to those who have a temporary job or no work, or are housewives. Those who have lower education levels should not be excluded from the selection because they participated more often. Selecting an individual as a leader may facilitate the commitment of the person to the activities. These can be used in selection criteria of TSs in the similar setting.
In 2013, the Government of Japan issued “Japan Revitalization Strategy”, in which facilitation of overseas expansion of Japanese drugs, medical equipment, health services, and health system through Public Private Partnership (PPP) is included. In alignment with this strategy, ministries and agencies have initiated on various health project, one of which is “Project for global growth of medical technologies, systems and services through human resource development”funded by the Japan Ministry of Health, Labour, and Welfare from 2015. As an administrative organization of this project, National Center for Global Health and Medicine (NCGM) has organized 119 project for 4 years from 2015 to 2018. This report summarizes the experiences and the results of evaluation in terms of program management, expansion of introduced health technologies and the health impact. As the results, the overall project management was satisfactory from the viewpoints of varieties of project, the execution rates. Then, health technologies were adopted in the national guidelines or policies and 17 introduced medical products were purchased by local governments. When it comes to health impacts, 19646 health staffs were trained through this program for 4 years and 912334 persons were estimated as beneficiaries by 29 project in 2017. Based on data shown as above, the overall achievement of this program should be considered satisfactory. Since this program is unique among other PPP program in Japan as well as other countries as the program scheme to promote expansion of medical products through human resource development, the experiences should provide some insights about the ways to facilitate PPP in health sector. In order to extract the Tips of good practices for future activities, further analysis on each project is necessary.