教員紹介

松井 三明 准教授

専門・研究テーマ・キーワード
母性保健、保健医療の質
担当課程
博士前期課程専任教員博士後期課程専任教員

取得学位・資格

MD, MSc, PhD

ResearchGate/LinkedInアカウント

mmatsui@nagasaki-u.ac.jp

経歴

I have been working in the field of maternal health. Pregnancy and childbirth are mostly physiological processes. In some cases, however, there are pathological aspects as well. Both physiology and pathology must be taken into account when considering maternal health. Unfortunately, only pathological phenomenon is focused on, as exemplified in the saying that “Every pregnancy is a risk”. Therefore, there is a huge misuse of medical interventions observed, both in developing and industrialized countries. We should strive to find an optimal point in between the two, keeping in mind that that point is variable. There is no “magic bullet” in the field of public health. We must think together how we can change this world.

教育活動

I am in charge of the two following modules

  • “Reproductive Health and Gender”Objective: to obtain necessary knowledge in order to control maternal morbidity and mortality and gender issues in developing countries.
  • “Program and Project Management”Objective: to obtain necessary knowledge and skill to manage public health program/projects in developing countries.

研究活動

  • “The impact of the improvement of the quality of care in maternity on maternal and neonatal health in health centers in Cambodia.”Outline – Evidence-based maternity and neonatal care is not well provided at health facilities in many developing countries, therefore the quality of care is substandard. However, international societies put immense pressure on the promotion of facility-based delivery regardless of the quality of care. We carry out an evaluation of maternal and neonatal conditions during labor and the postpartum period and observe the changes after an intervention, which aims to improve the quality of care during maternity.
  • “Factors of chronic malnutrition among children under 2 years old in rural Cambodia.”Outline – Approximately one out of four children aged 24 months demonstrated being “underweight” (weight for age < -2 s.d.) in rural Cambodia. This rate progressively increased with the age of the children. This study employs a prospective design to observe the changes of weight related to age and its associated factors in rural Cambodia.

現在の主な研究活動地域

Cambodia (capital – Phnom Penh, rural – Prey Veng province)

最近の5つの出版物

  1. Suto M, Takehara K, Misago C, Matsui M. Prevalence of perineal lacerations in women giving birth at midwife-led birth centers in Japan: A retrospective descriptive study. J midwife women health. in press(2015)
  2. Noguchi M, Matsui M, Osanai Y, Horikoshi Y, Takehara K, Misago C. Women-friendly childbirth experience Cambodia. J Int Health 29(4): 81.(2014)
  3. Matsui M, Sokhan U, Keth LS, Tung R.Equity gap in utilisation of emergency obstetric care service in Cambodia, from 2007 to 2009. Trop Med Int Health. 18(suppl 1): 187.(2013)
  4. Iwamoto A, Matsui M, Okabayashi H. Review of maternal, neonatal and child health integrated services in the southern four provinces in Lao PDR. Trop Med Int Health. 18(suppl 1): 186.(2013)
  5. Honda A, Randaoharison PG, Matsui M. Affordability of emergency obstetric and neonatal care at public hospitals in Madagascar. Reprod Health Matters. 19: 10-20.(2011)

メッセージ

開発途上国での妊娠,出産を安全にすること,また産む女性,生まれてくる子ども,そして家族にとってより良いものにしていくことを研究課題としています。
妊娠と出産は生理学的な事象ですが,時に合併症を伴います。よって正常から異常までの広い範囲に対応することが必要です。これらの対応とは,単に医学的なものだけではなく,次世代へ生をつなげようとする人々への、さらには社会に対しての関わりであり,そこに携わるひとりひとりの姿勢,ありようが問われるものです。
公衆衛生に関わるということは,すなわちクリアカットには割り切れない「社会的存在」としての人間の課題に取り組むことであり,この点に学問のおもしろさがあるのです。

PAGE TOP