What if a Japanese mom raised her child in Tanzania?

Atsuko Dōchin

Ikumi Toga
Dentsu Inc.
Worldwide, a staggering 800 women lose their lives every single day due to pregnancy or childbirth. To improve this situation, JOICFP, an international NGO supporting women, and Dentsu Inc. Gal Labo, which handles women's communication, have jointly launched the "MOM meets MOM Project" as part of the White Ribbon Campaign to protect mothers and newborns globally. Saraya's skincare brand, Lactoferrin Lab, provides full sponsorship support.
By raising awareness among Japanese mothers about the realities faced by pregnant women, new mothers, and mothers worldwide, we aim to foster mutual empathy and expand the circle of support. In this series, project member and author Ikumi Togasaki reflects on the state of maternal and child health in Tanzania, which she visited for an inspection in June. She explores the challenges and future possibilities for mothers in Japan and around the world.
Part 1 features a conversation between the author and model Atsuko Douchin, who visited Tanzania together as ambassadors for the MOM meets MOM project. What realities did they witness for pregnant women and new mothers in Tanzania? And what challenges in Japanese childbirth and childcare become apparent precisely because their perspectives have broadened?
Ms. Douchin, herself a mother of five, and the author, who oversees the project's overall communications, discuss mothers from their respective perspectives.

◆Is Childbirth an Event? Or Part of Daily Life?
Tozaki: This was your first visit to Tanzania, Ms. Douchin. What made you want to meet Tanzanian mothers?
Douchin: I'd been attending JOICFP study sessions and hearing about Tanzania, our support destination, so I'd always wanted to see it with my own eyes someday.
Tozaki: When did you first encounter JOICFP?
Douchin: Five years ago. I attended a study session right after returning to work following the birth of my twins during my third pregnancy, and it was shocking. I wondered why the environment could be so different just because of the country.
Tozaki: While Japan now has advanced medical care and childbirth isn't generally feared, it's shocking that globally, about 800 people die every day due to pregnancy or childbirth, isn't it?
Douchin: Having experienced a good delivery myself with twins, thanks to medical support, I wanted to see how mothers in Tanzania were faring.
Tozaki: At Milky House (a new maternal and child health facility built in Tanzania with Saraya's support funds), you met many newborn babies and mothers. What was your impression?
Douchin: They were incredibly resilient. It felt like giving birth was just part of daily life. Not like, "Wow, the baby's here!"... but just giving birth normally and being there normally.
Tozaki: In Japan, childbirth is a major event—relatives and friends come to see and take photos. But in Tanzania, mothers give birth alone and go home the same day, right? Like that girl who said her stomach hurt earlier—two hours later, she'd given birth and was heading home.
Douchin: That was surprising. You didn't hear any loud cries or anything?
Tozaki: It just happened. Maybe childbirth is just an everyday thing there. In Japan too, maybe after the fourth or fifth child, the "Wow!" feeling fades (laughs).
Douchin: That could be it. My fifth was a home birth. Around 1 AM, when it looked like she was about to deliver, the midwife asked, "Should I wake the kids?" and I said, "No, let them sleep" (laughs). If the kids were sleepy and fussing or excited and running around, it would be distracting...
Tozaki: That's cool (laughs).

◆Japan with too many choices. Tanzania with no choices.
Tozaki: Was the fifth child your first home birth? What made you decide?
Douchin: Since I have twins, the fifth was my fourth birth. I'd studied birth science myself and had a sense of my own birth patterns, so I thought, if possible, I'd like to give birth at home.
Tozaki: You understand your own birth patterns!?
Douchin: Like, "Contractions will get serious around this time." I seem to be pretty insensitive to pain. By the time I think "Maybe it's starting to hurt?", the baby's already coming out. I figured if I waited until I thought "Ouch!" to go to the hospital, it might be too late. Since you never know when contractions will start, I thought it would be safer if I was home and the midwife could come to me, just in case they started when no one was there. Plus, moving with four younger kids is tough.
Tozaki: Just getting four kids into a taxi is a big deal (laughs).
Douchin: Honestly, by the time I thought "Ouch!", I couldn't move anymore. The midwife rushed over in about 15 minutes, and I gave birth right there. If I'd tried to go to the hospital then, I might have ended up giving birth in the ambulance.
Tozaki: For a work video, we got help from a certain midwifery clinic. It had this homey atmosphere, not like a hospital. Later, I saw a delivery room at a clinic, and it felt like an operating room. The difference was shocking.
Douchin: It comes down to which is more relaxing, right? Some people feel safer in a hospital with doctors and equipment, while others relax more at home. In my case, I went for prenatal checkups at the hospital and ultimately got the OK from my OB/GYN, so I chose a home birth.
Tozaki: You have choices about where to give birth, but having medical backup is definitely reassuring. Both Japan and Tanzania can face difficult situations, but Japan has systems in place to handle emergencies. In Tanzania, though, there might not be ways to save you in a critical moment.
Douchin:In that sense, Japan has well-developed medical systems. But precisely because they're so developed, choosing can be difficult too. Things like labor-inducing drugs or C-sections – of course some people need them, but it's often hard to know if they're truly necessary.
Tozaki: There's a lot of debate about labor-inducing drugs too, right? Because medical care is so advanced in Japan, the options are diverse, and what you choose can make a huge difference. It would be great if everyone could choose something they feel comfortable with.

◆Raising an only child vs. raising many children. Which is harder?
Tozaki: When comparing Tanzanian moms and Japanese moms, the difference is that Tanzania has a high birth rate while Japan's population is rapidly declining. The total fertility rate (average number of children per woman) in Tanzania is about 5.2. In Japan, it's about 1.4. And here you are, Ms. Douchin, a mom of five. Did you always want to have so many children?
Douchin: Not at all! (laughs) At first, I thought one child would be fine.
Tozaki: Was having twins a big factor?
Dōchin: Since the twins were my third and fourth children, going from two to four kids all at once definitely had an impact (laughs). Actually, I have four siblings myself. When I heard my mom was having her third child, it turned out to be twins.
Tozaki: Same pattern! Going from two to four is suddenly double, so that must have been intense (laughs).
Douchin: All I remember from that time is just being desperate (lol). But as the number of kids grew, my perspective changed. With two kids, just the two of us could manage, but as the number increased, we couldn't handle it without help. We'd ask for help from anyone, even strangers, if we could get it (lol). Because things stopped working, our social circle actually expanded more and more.
Tozaki: Wow! That's interesting.
Douchin: We ended up relying on neighbors we barely knew before. From there, we became friends with strangers, opportunities opened up, and we gradually connected more deeply with the local community.
Tozaki: I never thought of it that way. I always assumed raising more kids just made parenting harder. Maybe in a smaller community, there's pressure to handle everything within that tight circle.
Dōchin: Exactly. You feel like you have to solve everything within that small space.
Tozaki: Having things open up around you seems like it would help spread the stress around (laughs).
Dōchin: That might be true (laughs). Realizing you don't have to shoulder everything yourself is such a relief. Also, as the number of children grew and my world expanded, I started caring more about that world too. With five kids, knowing the world they'll live in will continue long after I'm gone makes me want to help make it a little better.
Tozaki: They're the ones who'll be left behind, after all.
Douchin: And it's not just about my kids here now. When I think about them becoming parents and having children of their own, I worry about what the Earth will be like three or four generations from now. So I want to do what I can, even if it's just a little bit at a time, to help keep the Earth in its current state.
Tozaki: It's interesting how the world keeps expanding the more children you have. When you're struggling with raising your first child, it's hard to see it that way.
Douchin: Maybe it's because it's a manageable amount that you think that way. Or maybe it was only after I thought "This is absolutely impossible!" that I could let go.
Tozaki: Was having the twins a big part of when you started feeling more open?
Douchin: Yeah, that was totally different. I used to worry that asking for help would be a bother, or feel guilty like I was a "bad mother" for asking others to watch my kids. Even when someone offered, "I'll watch them," I found it hard to actually say "please do." But after having four kids, I could say "please" and communication increased. I learned so much from others.

◆Raising Children Alone in Japan. Raising Children Together in Tanzania.
Douchin: Having four kids, then five, meant getting so much help that I started wanting to help other moms around me. I really started feeling a stronger connection with my community.
Tozaki: Japan used to have more children too. I think that links to having stronger community ties back then. As the birthrate declines, spending per child increases, but families become more closed off, horizontal connections diminish, and nuclear families become the norm.
Douchin: Children who receive help from strangers when they're young grow up feeling it's natural to offer a helping hand themselves. But when kids become adults thinking "It's wrong to cause trouble for others" and "Troublesome children are bad," that feels a bit sad.
Tozaki:It makes you wonder if being a "goody-two-shoes" is really the best path. Constantly suppressing your emotions to be the perfect child might be convenient when they're young, but it could also mean something is building up inside them somewhere. And it feels like adults are the ones pushing children to act that way.
Douchin: Exactly. Of course, constantly causing trouble isn't good either. But I think the experience of being helped by a stranger when you're little teaches you something that will definitely be important when you become an adult.
Tozaki: Nowadays , with all the crime prevention talk, there's this atmosphere where you're told not to talk to strangers if they approach you. It's closed off, isn't it?
Douchin: It's like we're becoming more and more isolated, avoiding eye contact with strangers.
Tozaki: Exactly. That's another difference from Tanzania.
Douchin: In Tanzania, communication was still overflowing, right? It felt like the children were "everyone's children. "
Tozaki: When we walked around the village, there were so many kids, but you couldn't tell whose child was whose (laughs).
Douchin: It felt like they weren't connected at all.
Tozaki: Even when taking photos of the families we interviewed, kids from other houses would sneak into the family photos without anyone noticing (laughs).
Douchin: But I'm sure old Japan had that kind of thing too, right? It's just becoming less and less common.
Tozaki: As things develop, they close off. Why did they close off?
Douchin: I think it's because somewhere along the line, people started feeling like causing inconvenience to others meant you were neglecting your parenting duties. There 's a lot of social pressure like that, I feel. Of course, I'm not saying you should go out of your way to cause trouble, but raising new people isn't just the job of moms and dads. It would be great if we could all share the sense that, as members of society, we're raising the next generation together.
Tozaki: If a child gets a little noisy, people around don't step in to help; they just think, "What's wrong with those parents?" or "They're bad at discipline." It's sad that things end with that wall still there, when someone could have just stepped in to help.
Dōchin: As cities develop, maybe adult society and children's society get separated.
Tozaki: Adult society?
Douchin: It's like children have to squeeze into this established adult society to live.
Totsuki: I see.
Douchin: Like parks banning ball games, or debates about daycares being noisy when they open. There are all kinds of restrictions. But aren't those just based on adult convenience?
Tozaki: That's true.
Douchin: And kids have to live within that.
Tozaki:It feels like a pretty adult-centric society. So where are kids supposed to be able to just be themselves?
Douchin: Tanzanian children were so full of life, weren't they? I thought their innocent smiles, free from restrictions, were truly adorable. Conversely, children in the city face so many limitations. I wish they could regain that kind of innocent smile.
Tozaki: An environment where children can't thrive freely is also a difficult environment for raising children. Without societal acceptance, pressure keeps building on mothers, making it harder for them to feel positive about pregnancy and childbirth. It's such a waste, especially in a country with such well-developed medical care.

◆No matter where you're born, a mother's love is universal.
Tozaki: Did your feelings about children or parenting change after going to Tanzania?
Douchin: After returning, I realized anew that mothers are the same everywhere. The way they look at their children, the love they feel as mothers—I sensed that women share the same feelings. That's precisely why we all want to make things better. It's not about differences in country or environment; I think we can change many things by using "a mother's feelings" as our common ground.
Tozaki: That's incredible—mothers' feelings as a common ground. If we can connect the whole world through that, it could become an immense force. It could change the world. Thinking about the mothers who gave birth to all 7.2 billion people on this planet, I'm overwhelmed by that power. I think thinking about mothers is thinking about the world itself.

[First Observation]
Comparing the realities of mothers in Tanzania and Japan, it almost seems like material wealth and spiritual wealth are inversely proportional. Tanzania, with its vast land, rich nature, and high fertility, yet where the risks to life are ever-present. Japan, on the other hand, with its limited land, fewer places for children to be, and while safer, facing not just a declining birthrate but also a serious sexless society problem. How can mothers around the world be empowered to bring life into the world with a positive outlook? We'll explore this through this series.




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Author

Atsuko Dōchin
Born in Nara Prefecture in 1978. She is a mother of five children while also working as a model. Since 2010, she has actively participated in the White Ribbon Campaign of the international cooperation NGO JOICFP. In June 2015, she visited Tanzania, one of the organization's support destinations. Utilizing her qualification as a Birth Science Advisor, she also gave lectures on Birth Science to expectant mothers and new moms locally. Her publications include "The Art of Nurturing: A Parenting Theory for Mastering Emotional Dependence."

Ikumi Toga
Dentsu Inc.
Creative direction and copywriting form the core of my work, which also encompasses branding, business development support from a creative perspective, communication development, product development, and project management. Served as Representative of Dentsu Inc. Gal Lab from 2016 to 2020.


