IV-7 . “Non Communicable Disease Prevention in the Kingdom of Bhutan: The Development of Teaching Material for an Intervention Trial and Evaluation” (H30-R1 FY2018-2019)

  • Project Leader : Imanaka Yuichi (Kyoto University, Graduate School of Medicine)
  • Collaborators : Segawa Hiromi (Kyoto University, Graduate School of Medicine)
  • : Sakamoto Ryota (Kyoto University, Center for Southeast Asian Studies)
  • : Sonia Pilar Suguimoto Watanabe (Kyoto University, Faculty of Medicine)
  • : Chencho Dorji (KGUMSB, Public Health Department)
  • : Sither Dorji (KGUMSB, Faculty of Medicine)
  • : Pemba Yangchen (Ministry of Health in Bhutan, Public Health Department)
  • : Kunzang Dorji (KGUMSB, Public Health Department)
  • : Ugyen Wandhi (KGUMSB, Public Health Department)
  • : Chimi Dema (Ministry of Health in Bhutan, RangaytungBasic Health Unit)
  • : Yankha Dorji (Ministry of Health in Bhutan, Phuntholing Hospital)
  • : Sonam Zangmo (Ministry of Health in Bhutan, Gelephu Hospital)

Outline of Research

The following analysis is performed using four types of large-scale data held by the Bhutan government (2017 population census data, 2014 NCD STEPS survey data, 2015 GNH survey data, and 2017 Living standard survey data). First, a search is conducted for factors that affect domestic disparities in health and happiness through multivariate analysis. Second, multivariate analysis is conducted to find out how much health is contributing to subjective happiness and subjective view of health, and what kind of background factors are related. Finally, using health-related disease surveys, a comparison is made of differences in knowledge and perceptions of health risks due to excessive salt intake of residents with estimated actual salt intake. A multivariate analysis is used to search for differences in social and cultural background factors.


It is clear that health is important to happiness. However, it is not clear how much we should invest to protect health, what kind of behavioral change is necessary to do so, and how that behavioral change process affects happiness. The purpose of this study is to analyze the values of happiness, the prevention of life-style related diseases, and the associated quantitative social costs in Bhutan, in order to contribute to the happiness and health of people. In the Kingdom of Bhutan, Gross National Happiness (GNH) is the unique political philosophy of the nation. The GNH policy consists of four pillars: “Sustainable and equitable socio-economic development,” “environmental conservation,” “preservation and promotion of culture,” and “good governance.” The prevention of noncommunicable diseases with limited resources based on the ideal concept of GNH has implications for health policy not only in developing countries, but also in developed countries.

Non-communicable disease prevention is closely related to long-term care prevention and reduction of medical expenses. However, although many developing countries are combating infectious diseases, developing maternal and child health policies, and so on, measures to prevent noncommunicable diseases are just beginning to be implemented, and evaluation indicators have not been established. After examining regional differences, cultural backgrounds, and how lifestyles contribute to happiness, we will consider how non-communicable disease measures affect happiness. This will provide a unique perspective and contribution to health policy.


In the department of medical record, in JDWNRH

In front of Tashiccho Dzong