International Activities

JICA training and dialogue programs

The Training and Dialogue Programs of the Japan International Cooperation Agency (JICA) were conducted from 2009 to 2013. The programs were implemented as part of the projects of the Official Development Assistance (ODA) of the Government of Japan based on a bilateral agreement between the two governments.

Title of training programs

The programs have been named "Lifestyle-Related Diseases (LSRD) Prevention in the Community Health Setting in the Pacific Region" and are composed of two phases. Phase I continued from 2009 to 2011, and Phase II is to be conducted from 2012 to 2014.


In the Oceania region, the sickness rate and the mortality rate by Non-Communicable Diseases (NCD) in recent years have been increasing remarkably. At the Oceania Conference of Health Ministers in 2005, the West-Pacific Regional Office for WHO (WPRO) proposed the introduction of countermeasures for NCD, and the program was facilitated as a prioritized regional assignment in each participating country. Although effective counter-measure activities for NCD need a comprehensive program, knowledge and techniques for the reform are insufficient in the present medical systems. In particular, many nurses in charge of regional medical facilities have not received managerial education; therefore, their managerial ability is limited or unsatisfactory.

Based on these factors, the training program can be used to improve nursing services with the understanding of nursing management and the leadership theory and methodology.


The course enables senior nurses who are responsible for providing community health services to enhance their capabilities to plan, implement and evaluate preventive measures against LSRD, and disseminate their new knowledge and skills to their colleagues.

Overall Goal

By improving knowledge and technology of regional nurse LSRD measures, the number of health services practiced in the region will continue to increase.


  • Nursing managers who work as community health nurses or health nurses
  • Community health nurses or health nurses who work as educational leaders in Pacific countries

Organization of the university

The International Exchange Committee of NUHW is responsible for the program. A variety of training courses are planned and conducted by the collaboration of the Departments of Health and Nutrition, Health and Sports, Nursing, and Health Informatics. More than 20 teachers and staff members are responsible for the programs.


The preparation phase aims at ensuring meaningful time for the training program in Japan and understanding LSRD conditions in the participant's countries. In addition, while the training program provides the participants with necessary techniques and knowledge to execute satisfactory counter-measure programs for LSRD in their own country, they are also required to design a comprehensive program they can implement when they go back to their home.

Training modules

The program consists of the following components:

Module Expected Module Output Subjects/Agendas Methodology
1 To be able to explain the current situation and problems of LSRD and the counter- measures possible for the participants' own countries and the Oceania region. 1. Country report presentation
2. Health assessment for the participants (prior to the training program) such as physical body, blood pressure, blood sugar level, serum lipid, and hemoglobin.
Lecture Observation Discussion
2 To understand several treatment programs for symptoms of LSRD and their effectiveness in Japan. 1.The present status and the prevention measures for LSRD in Japan
2. Treatment programs for the symptoms of LSRD and their effectiveness in Japan.
Lecture Observation
3 To learn the practical methodology of the lifestyle- related behavior intervention and the instructional methods in Japan. 1. Practical intervention methods for problematic lifestyles
2. Intervention methods for problematic lifestyles at each life stage.
Lecture Observation Exercise
4 To be able to make some practical program of LSRD prevention to be implemented in each country. To learn the method of planning and management for LSRD prevention using educational materials of their own making. 1. Practical and effective education materials
2.Monitoring system for regional LSRD3. Education program of LSRD prevention
Lecture Observation Discussion Exercise
5 To learn monitoring and evaluation methods. To review each country plan of LSRD prevention at the local government level. 1. Monitoring and evaluation
2. Summary of the training program (Preparation of plans for the prevention of LSRD in the participants' own countries)
3. Providing a presentation of action plans for the program participants of the Japanese side and other participants.
4. The presenter can obtain additional opinions or suggestions and then revise his/her ideas or plans.
Discussion Exercise Consultation Presentation

The participants are expected to share the resutls of the program with their stakeholders so that they can implement and monitor the action plan.

Physical exercise session (Module 3)
They learned why exercise is effective to prevent LSRD by lectures and how to teach exercises by practice.

Diet and nutrition session (Module 3)
They learned how much energy they need, how much energy they are eating, and what is balanced diet by lecture and practice of buffet-style.

Theory and practice to planning comprehensive programs for preventing LSRDs (Module 4-5).

Certifications presented from JICA and University.