Evidence map›Paper›PMID 40537049›Full record

ArticleJournal of global health2025

From handbooks to platforms: Japan's maternal and child health services in the digital era.

Naruaki Imoto, Masaru Hayashi

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Naruaki ImotoAdvanced Research Institute for Health Science, Bunkyo Ward, Juntendo University, Tokyo, Japan.
Masaru HayashiDepartment of Obstetrics and Gynaecology, Tokai University School of Medicine, Isehara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organization promotes universal health coverage and advocates digital initiatives. Japan has followed suit by pursuing the maternal and child health (MCH) system digitalisation. For decades, Japan has utilised a paper-based MCH handbook, credited with helping to maintain low perinatal mortality rates. However, such paper-based systems - both in Japan and abroad - often struggle with fragmented oversight, limited updates, and difficulty adapting to new technologies, thus fuelling demands for digital transformation. In this commentary, we describe Japan's ongoing transition to digital MCH services and the complexities of modernising a long-established paper handbook, including the need to maintain user confidence, ensure data security, and reconcile diverse stakeholder interests. Japan's experiences, reflecting both advantages and challenges, offer a cautionary yet instructive model for countries that digitise paper-based MCH frameworks.

Indexed as

Child Health ServicesDigital TechnologyMaternal-Child Health ServicesFemaleHumansJapan

Identifiers

PMID40537049
PMCPMC12178589

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.