Similarly, she explained the important role of independent midwives in maternal and child health in the absence of wide-scale medical resources. We were made aware that the role of midwives is necessary in the rural areas that may be without large healthcare facilities, such examples are Goto and Oshima Islands. She went on to detail Japan’s five actions of materiality and child health care program. Finally, she talked about the importance to know the needs of rural residents and the best way to serve their needs.