令和元年度 子ども・子育て支援推進調査研究事業
英語版

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From pregnancy through tochild-rearing in Japan—Guideto necessary procedures andavailable services
にほん

にんしん

こそだ

ひつよう

日本での妊娠から子育てに必要な
てつづ

う

あんない

し

す

ん

安

！

あ

手続きと受けられるサービスのご案内

心

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ト
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出 さん
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母子健康保険̲ガイドブック̲p2-3̲仕上がりA5（w148 h210mm）

Parenting Chart for foreign residents
From pregnancy and delivery to entering elementary school
外国人住民のための子育てチャート 〜妊娠・出産から小学校入学まで〜

For
Sup

START
Am I
pregnant?
にんしん

妊娠したかも❶ Checkup at a
medical institution
いりょうきかん医療機関を

3 〜 5かげつじけんしん

3~5か月児健診⓰ Solid foods class
りにゅうしょくきょうしつ

離乳食教室にんぷけんしんうい受ける⓬ Healthcheckup foryour baby
at onemonth old

⓫ Newbornhome visit

❿ P
emb
the
Serv

しんせいじほうもん

大使

もらいに行く⓭ Homevisits to all
householdswith infantsにかげつにゅうじかてい

2か月

乳児家庭

予防接種

全戸訪問

よぼうせっしゅ

❹ P
of t
Lum

妊婦健診を

母子健康手帳をじゅしん⓮ Immunizations at twomonths old❸ Have a healthcheckup for
expectant mothers

ぼしけんこうてちょう

受診⓯ Health checkup
for your baby at three
to five months old❷ Go to collect
your Maternaland Child
Health Handbook

いっかげつけんしん

1か月健診

ぜんこほうもん新生児訪問

Start ofimmunizations

たいし

EMBASSY

よぼうせっしゅ⓱ Health checkup
for your baby in thelatter stage of infancy

予防接種
スタート

にゅうじこうきけんしん

乳児後期健診One year old
いっさい

1歳

⓲ Health checkup
for your child at
18 months old
いっさい6かげつじ

1歳6か月児けんしん

健診⓳ Dental healthcheckup for yourchild at two
years oldにさいじ

⓴ Health checkup
for your child atthree years old
3さいじ

2歳児

3歳児

歯科健診

健診

しかけんしん

けんしん

2

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■ Medical institution 医療機関 ■ Maternal and child health service 母子に関する事業 ■ Maternaland child health service determined by law 法律で決まっている母子保健事業 ■ Government office 役所■ Others (Embassies, Nursery Schools, Elementary Schools) その他(大使館・保育園・小学校）

For all enquiries, contact the Comprehensive
Support Center for Families with Children

はは
（りょう）
おやがっきゅう

うもん

訪問

eckup
d at
ld

しゅっさんいくじいちじきん

そうだん

こそだ

❺ Participate inparenting class❹ Procedures for receiptof the ChildbirthLump-Sum Allowance

を

born
visit

かくしゅ

さんか

母（両）親学級に参加てつづ

せだいほうかつしえん

各種ご相談は、「 子育て世代包括支援センター」へ。

❻ Home visit
by a healthcare
professional

出産育児一時金の手続き❿ Procedures atembassies andthe Immigration
Services Agency
たいしかんにゅうこくかんりきょく

大使館・入国管理局
てつづ

での手続き
EMBASSYにんぷほうもん

妊婦訪問❾ Care services
after childbirth
Support services
for before andafter childbirth
さんご

じぎょう

産後ケア事業

さんぜん・さんご❽ Register thebirth, apply forchild allowance,
etc.
しゅっしょうとどけ じどうてあて❼ Hospitalizationand delivery

出生届・児童手当
しんせいなどじぎょう

産前・産後サポート事業

申請等にゅういん・ぶんべん

入院・分娩

Immigration Bureau
入国管理局

GOAL
Entering
nursery schoolor kindergarten
ほいくえん

ようちえん

Health checkup
for your child atfive years old

Health checkup
for preschool

5さいじしゅうがくまえ

けんしん

けんしん

保育園・幼稚園

5歳児

入園

健診

にゅうえん

Entering
elementary
school
しょうがっこうにゅうがく

小学校入学

就学前
健診

参考資料：公益財団法人かながわ国際交流財団「外国人住民のための子育てチャート～妊娠・出産から小学校入学まで～」

3

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1.If you become pregnant

2.

妊娠したら

1 Checkup at a medical institution 医療機関受診
2 Notification of pregnancy and the Maternal and Child Health Handbook 妊娠届と母子健康手帳
If you think that you might be pregnant, go to a hospital with an obstetrics department as soon as possible.
After that, go to your local municipal office, submit your notification of pregnancy, and collect a Maternal andChild Health Handbook. Please have a discussion with a public health nurse or other staff member at thattime, and ask them anything, for example, about things you must do in preparation for your upcoming delivery,
about your health condition, or other concerns. You will receive information about various classes andprograms, as well as a coupon for a health checkup for expectant mothers (a checkup ticket for you to have ahealth checkup for expectant mothers at low cost).
Your Maternal and Child Health Handbook is a very important handbook that is used to record the health of
you and your child. You must always take it with you when you go for a health checkup, a checkup at a
medical institution, immunizations, or health guidance, and have it filled out as appropriate. In Japan,
handbooks are kept with great care until the child becomes an adult, and there are even households where amother will pass the handbook over to her child when the child gets married.

Va

8

3 Health checkup for expectant mothers [paid partly at one’s own expense]
妊婦健診【一部自己負担あり】

Once you have received your coupon for a health checkup for expectant mothers, go for health checkups
regularly at a hospital. In Japan, it is recommended that expectant mothers go for health checkups a total of
14 times. At health checkups, there will be tests and measurements to monitor your health and your baby’s
development and health, and you will receive advice and other information about nutritional requirements andlife while you are pregnant.

4 Childbirth Lump-Sum Allowance 出産育児一時金

10

In Japan, it costs around 400,000 to 600,000 yen for delivery, depending on the hospital. If you have healthinsurance, you will receive 420,000 yen as a childbirth lump-sum allowance, so please follow the proceduresin advance at the hospital enquiry desk where you plan to give birth.

5 Parenting class 母(両)親学級

FREE 無料

Mothers’ classes and parenting classes are held by local governments and medical institutions, so you should
participate. There will be a number of sessions, including practical training, covering introductions to services
provided by local governments for before and after childbirth, how to bathe your baby, nutritional requirements
during pregnancy and in child-rearing, oral care and other topics. You will be able to get a clear image about
delivery and nursing while you are learning. You may have different customs and ways of thinking, dependingon your home country, region, or religion, however, you should try to accept the nursing methods that arepracticed in Japan too, within your comfort zone.

6 Home visit by a healthcare professional 妊婦訪問

Yo

居住

9

FREE 無料

While you are pregnant, there are sure to be many things that cause concern, such as your condition andchanges in your body. Local government public health nurses and midwives pay home visits to offer
counselling about how to get proper nutrition, preparing for delivery and nursing, and the like, or things thatyou are not able to discuss when going for hospital visits, so you should actively make use of this service.

7 Preparing for delivery (hospitalization) 出産(入院)の準備
Labor pains or your water breaking can happen suddenly. You should prepare the things that you will need forwhen you are hospitalized, the time of delivery, post-delivery and when you leave the hospital, etc., well aheadof time, to leave near the entrance at home or in a place that your family knows about. There are also manythings prepared by the hospital that you will be admitted to, so check them in advance and get them in order.
Prepare with your partner or family to make it a good memory.
Things that you will absolutely need for procedures when admitted to hospital for delivery: Maternal and Child
Health Handbook, health insurance card, personal seal, patient registration card for the hospital you will be
admitted to, etc. If you struggle with Japanese, it is a good idea to have a translation app.
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2.From when your child is born until the age of one
お子さんが生まれてから1歳まで

Various procedures 諸手続き

8 Notifying local governments (municipal office or ward office)
自治体（市町村役場や区役所）に届けることWhen your child is born, there are procedures you must follow. There are many documents, so decide inadvance who will carry out the procedures and so on, so that you do not miss the submission deadlines.

●Register the birth 出生届

Once your child is born, you must submit documents at your local municipality to register the birth within 14
days, including the day of birth. At that time, take the form for notification of birth and certificate of birth (which
will be provided at the medical institution if you deliver at medical institution), Maternal and Child Health
Handbook, your passport, and your partner’s passport.

●Pediatrics expenses assistance 小児医療費助成

This system subsidizes the copayment of a child’s medical expenses. The age of eligibility differs according tolocal governments, however there are almost no medical payments required for your child until they graduate
from elementary school or the like. Take the health insurance card with your child’s name on it, certificate ofeligibility to receive medical expense subsidies for children, etc., and apply at your local municipality.

●Child allowance 児童手当

This allowance is granted to parent(s)/guardian(s) until the time their child graduates from junior high school(income caps, etc., apply). Please apply at your local municipality within 15 days from the day following the dayof birth of your child. Renew in June every year by submitting a present situation notification form.

10 Notifying embassies and the Immigration Services Agency 大使館・入国管理局に届けること
・Please apply to obtain citizenship and for a passport for your child at your country’s embassy (consulate) in Japan.
・Obtain residence status at the Immigration Services Agency within 30 days from the day of birth of your child.
Once permission for residence is obtained, after presenting your child’s actual passport, a residence card will
be issued.

Your local municipality’s maternal and child health services
居住地の自治体の母子保健サービス
9 Care services after childbirth / Support services for before and after childbirth
産後ケア事業／産前・産後サポート事業●Care services after childbirth [assistance available] 産後ケア事業【補助あり】

Consult with a public health nurse if you do not feel well post-delivery, if you’re feeling uneasy about the future
because you cannot get help with child-rearing from your family, or if you have any other concerns. You canseek care or counselling from a midwife, etc., at a hospital, midwifery center, specialist facility, or the like, withpublic expense assistance. Overnight stay, day visit, and home visit options are available.

●Support services for before and after childbirth [free] 産前・産後サポート事業【無料】
Local governments organize for trained maternal and child health promotion officers, support group members,senior citizens or other people with experience raising children to visit homes, and gatherings for people withchildren of around the same age, for women during pregnancy or when child-rearing. Discuss your daily
concerns and participate at gatherings to make friends.

11 13 Newborn home visit / Home visits to all households with infants
新生児訪問/乳児家庭全戸訪問

FREE 無料

Newborn home visits take place within 28 days from delivery, and a midwife will visit your home to check your(the mother’s) physical recovery condition, and measure your baby to check development. Also, the midwife
will give suggestions about breast feeding, bathing, and child-rearing, so if there is anything, for example, thatyou do not understand or might be worried about, you should ask.
Home visits to all households with infants take place by four months after delivery. All households with children
are visited by a public health nurse, promotion offer, or other staff member, who will provide necessary
information, and speak with you to make sure that you are not having any problems.

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12 15 17 Infant health checkups 乳児期の健診

FREE 無料

The health checkup for your baby at one month old takes place at the hospital where you delivered, to checkyour child’s development and health and your recovery condition. The health checkup for your baby at three tofive months old, and the health checkup for your baby in the latter stage of infancy take place at a local
government Comprehensive Support Center for Child-Rearing, public health center or medical institution.
These checkups are to check your child’s progress and development and are conducted with health guidance
and nutritional guidance, so please go for the checkup when you receive the notification from your local
government. Also, if there is anything that you do not fully understand about your child’s or your own
condition, or if you have any concerns, make a note of it, and discuss it when you go for the health checkup.

14 Immunizations [Regular immunizations are free. Refer to the list on page 8]
予防接種（定期接種は無料・8頁一覧表参照）

FREE 無料

Immunity obtained from a mother in the latter stage of pregnancy almost completely disappears six months
after delivery. In place of that immunity, immunizations are required to protect the baby. If a baby contracts aviral or bacterial infectious illness, the illness can increase in severity in a short time. Infectious illnesses areillnesses that can be prevented. From immunizations, antibodies are formed, and make it difficult for theillnesses to cause infection. In the unlikely event that your baby contracts an illness, it will pass in a mild form.
For immunizations, there are “regular immunizations” and “voluntary immunizations,” and including thevoluntary immunizations, are given in 15 or more sessions before the age of one, and then in around another10 sessions before the age of three.
Immunizations can be given from two months after delivery, and there are some immunizations that can begiven at the same time in a single session, so talk to your regular pediatrician and proceed systematically.

16 Solid foods class 離乳食教室

I
v
p
y
S
p
e
a
a
l
e

FREE 無料

Around five to six months after delivery, when your baby is able to sit with his or her neck steady, it is time tostart weaning, and solid foods classes take place. Weaning takes place while monitoring the condition of yourbaby’s body and mouth development, however during this period, not only firmness and amount, but the typeof nutrition that should be obtained also changes. There may be differences based on the culture of yourcountry of origin or religion, however in this class provides information that will serve as a useful reference.

T
o
b
c
c

3.From when your child is one year old until entering
elementary school １歳から小学校入学まで
Conducted by your local municipality
18 19 20 Health checkup 健康診査

FREE 無料

The health checkup for your child at 18 months old and health checkup for your child at three years old arecheckups that are required by Japanese law. The matters covered in the health checkups include pediatriccheckups, dental checkups and tooth-brushing guidance, health guidance, and nutritional guidance. In thedental health checkup for your child at two years old, in addition to a dental checkup, tooth-brushing guidance
and nutrition topics may be discussed, and so on.

22 Health checkup for your child at five years old 5歳児健診

FREE 無料

Your child’s development status is checked with a multidisciplinary approach, by a pediatrician, public healthnurse, nursery school teacher, and other specialists. Even if there is a problem with development, early
detection leads to the giving of support and rehabilitation for the healthy development of your child. There arealso instances where this is not implemented depending on the local government.

23 Health checkup for preschool 就学前健診

FREE 無料

This check is done by November of the year before your child is to enter elementary school. It is to confirm yourchild’s growth and development status.
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For expectant mothers of foreign nationalities
giving birth to and raising children in Japan
日本で出産、子育てをされる外国籍の妊産婦さんへ

Many maternal and childhealth services in Japan are free

Ambulance services
are also free

日本の母子保健サービスの多くは無料です

救急車も無料です

In Japan, most of the various health checkups, classes, andvisits are free, so you should actively make use of them. In
particular, infant health checkups are important to monitor
your child’s growth. Go for each and every one of the checks.
Some of the services require
payment (health checkup for
expectant mothers, care services
after childbirth, etc.), however there
are subsidies available from yourlocal municipality to reduce theexpense burden.

If your child becomes unwell all of a sudden, call an
ambulance by dialing 119. Ambulance services are
local government-run, and therefore free. If you arecalling from a mobile phone, have your address on
hand when you call.

Treatment is not given at the Comprehensive Support Center for
Families with Children (public health center)
子育て世代包括支援センター（保健センター）
では治療はしません
The Comprehensive Support Center for Families with Children (public health center) is a local government center thatoffers full support for parents and children, from the time of pregnancy through to child-rearing stages (until the time
before your child enters elementary school). Please discuss anything you would like to know regarding yourself or yourchild. Specialists will not only listen to your concerns but will also connect you with the necessary services that you
can make use of. However, delivery, immunizations and treatment for illness or injury take place at medical institutions.

If you are having
difficulty raising your child
育てにくさを感じたら
Along with your child’s growth comeissues such as, when your child will not
sit still for a moment and calm down, if
your child becomes completely absorbed
in something and becomes unaware ofeverything else around them, when they
have you wondering why other children
are reasonable and yet…. At times likethese, you should discuss the issue withsomeone such as a public health nurse
from the Comprehensive Support Center
for Families with Children (public healthcenter), or your regular pediatrician. At
health checkups you may be told thatyour child’s development is not the sameas that of other children, however while
receiving the necessary support,
understand the individuality of your childand focus on enhancing their strengths.

Don’t struggle
alone

Violence is prohibited
暴力は ですひとりで抱え込まないでBefore and after childbirth, hormoneb a l a n c e s c h a n g e s u d d e n l y, a n d
post-delivery, having to get up to change
diapers and breast-feed every two to threehours can lead to exhaustion mentally andphysically. This can lead to stress, andthere may be times when a mother will
strike her child. For partners too, being
unable to sleep because of a crying baby
added to the stress of work could lead tothem yelling angrily or hitting.
However, no matter the reason, assault or
causing injury is strictly prohibited! If
frustration builds, after checking yourchild’s safety, separate yourself from thechild momentary to compose yourself.
Otherwise you can call the Comprehensive
Support Center for Families with Children(public health center) and talk to someone
about how you are feeling.

When you do not go out often while yourchild is young, you can become prone togetting caught with concerns and worries
alone. Moreover, if the only other person
who can use your native language is yourpartner, you may become isolated.
Raise any concerns or worries aboutchild raising with someone from theComprehensive Support Center for
Families with Children (public healthcenter). If you are looking for a friend who
can speak your native language, or would
like information in your native language,
first, check prefectural governmentsinternational exchange associations orembassy websites using a smartphone orcomputer. There may
be a community listingor information that will
give you some relief.

企画・制作

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Immunizations
予防接種スケジュールの例

DPT-IPV
四種混合（DPT-IPV）①③

10-years and older
10歳〜

9-years
9歳

7-years
7歳

8-years
8歳

6-years
6歳

4-years
4歳

5-years
5歳

2-years
2歳

3-years
3歳

School Child
学童期

④

③

④
③

②

③

④
①

BCG
Measles andRubella(MR)麻しん・風しん(MR)①

Varicella
水痘（水ぼうそう）①

Japanese
Encephalitis
日本脳炎

Optional immunizations
任意接種

18-months and older
18か月〜

15-months and older
15か月〜

②

9-months and older
９か月〜①

12-months and older
12か月〜

Hepatitis B(HBV)
B型肝炎

7-months
７か月②

Late Infancy/Preschool Period
幼児期
8-months
８か月①

6-months
６か月②

4-months
４か月①

Streptococcus
pneumoniae
小児用肺炎球菌

5-months
５か月

Haemophilus Inuenzae
type b(Hib)
インフルエンザ菌b型（Hib）

Routine immunizations
定期接種

Infancy
乳児期
2-months
2か月

Vaccineワクチン

3-months
３か月

Type
種類

in the table below indicates an example of the recommended age for immunization. Please consult your regularphysician concerning the immunizations your child will receive and the schedule. The numbers (①, ②, etc.), indicate
the number of times the vaccine has been administered. (For example, ① means “1st time” and ② means “2nd time.”)
予防接種のスケジュールは、それぞれの予防接種の望ましい接種時期の例を示しています。実際に接種する予防接種とスケジュールについては、かかりつけ医などと相談しましょう。
丸囲み数字（①、②など）は、ワクチンの種類毎に接種の回数を示しています。

②
9-12 years of age (2nd term)
9〜12歳（2期）

②
①
②

③

④

Diphtheria andTetanus(DT)
二種混合（DT）

11-12 years of age (2nd term)
11〜12歳（2期）①

Diphtheria and Human
papilloma virus (HPV)
ヒトパピローマウイルス（HPV）

13-14 years of age
13〜14歳①②③

Rotavirus
ロタウイルスMonovalent
1価

①

②

Pentavalent
5価

①

②

③

Mumps
おたふくかぜ①(②)

From 13 years of age
13歳よりInuenza
インフルエンザ

Every year (in October, November, etc.)
毎年①、②（10月、11月など）①(*) The example schedule for voluntary vaccination is a recommendation by the Japan Pediatric Society.
(*) 任意接種のスケジュール例については、日本小児科学会が推奨するもの(*) For rotavirus, vaccination is either an orally administered attenuated human rotavirus vaccine (monovalent) or an orally administered attenuatedpentavalent rotavirus vaccine(*) ロタウイルスについては、経口弱毒生ヒトロタウイルスワクチン（1価）・５価経口弱毒生ロタウイルスワクチン（５価）のいずれかを接種(*) Vaccination schedule recommended by the Japan Pediatric Society(http://www.jpeds.or.jp/modules/general/index.php?content_id=9)※日本小児科学会が推奨する予防接種スケジュール（http://www.jpeds.or.jp/modules/general/index.php?content̲id=9）* For more information on immunizations, see the “immunizations” page on the National Institute of Infectious Diseases website(https://www.niid.go.jp/niid/ja/schedule.html).
※予防接種について詳しい情報はこちら
国立感染症研究所感染症疫学センター（http://www.nih.go.jp/niid/ja/schedule.html）

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