平成 29 年度

地域保健総合推進事業「グローバルヘルスの保健所機能強化への活用方法確立および開発途上国に対する日本の衛生行政経験の伝達可能性の模索」
報

告書

平成 30 年 3 月
日本公衆衛生協会
分担事業者

長谷川

麻衣子

（長崎県五島保健所

所長）

⋡ᰴ
ߪߓ߼ߦ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖                  ੐ᬺ᭎ⷐ ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

੐ᬺߩ૏⟎ߠߌ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

ಽᜂ੐ᬺ⠪࡮੐ᬺදജ⠪࡮ഥ⸒⠪࡮ࠝࡉࠩ࡯ࡃ࡯৻̖̖̖̖̖̖̖̖̖̖̖ⷩ

ႎ๔ᦠߩᗐቯ⺒⠪̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

↪⺆ߩቯ⟵̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

੐ᬺႎ๔ ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

੹ᐕᐲߩข⚵ߺ᭎ⷐߣ⚿ᨐ✚᜝̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖ฦ⺖㗴ߦ㑐ߔࠆขࠅ⚵ߺ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖# ␠ળߩࠣࡠ࡯ࡃ࡞ൻߦࠃࠅ଻ஜᚲᬺോ਄ߩ⿠߈ߡ޿ࠆ⺖㗴ߦᔅⷐߥኻᔕߩᬌ⸛ࡢ࡯
ࠠࡦࠣࠣ࡞࡯ࡊ㧔9)㧕̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

㧔㧝㧕 ขࠅ⚵ߺႎ๔̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

㧔㧞㧕 ⾗ᢱ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖
ᣢሽߩෳ⠨⾗Ḯ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

Ԙ ฦ࿾ߩක≮ㅢ⸶ᵷ㆜ታᣉ࿅૕৻̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖ⷩԙ ⚿ᩭߦ߆߆ࠆⴕ᡽ᢥᦠ߿⾗ᢱߩ޽ࠆ⥄ᴦ૕࡮ᯏ㑐࡮ႎ๔ᦠ৻̖̖̖̖̖̖̖ⷩ$ ࿾ၞ଻ஜ⃻႐ߦ߅ߌࠆࡊࡠࠫࠚࠢ࠻࡮ࠨࠗࠢ࡞࡮ࡑࡀ࡯ࠫࡔࡦ࠻㧔2%/㧕ᚻᴺᵴ↪ߩน⢻ᕈ 9) ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

㧔㧝㧕 ขࠅ⚵ߺႎ๔̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

㧔㧞㧕 ⾗ᢱ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖Ԙ ⾗ᢱ㧝 ⺖㗴ಽᨆߣࡊࡠࠫࠚࠢ࠻ࡑࡀ࡯ࠫࡔࡦ࠻ᚻᴺ̖̖̖̖̖̖̖̖̖̖̖ԙ ⾗ᢱ㧞 2%/ ᚻᴺ⎇ୃ㘑᥊ ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖Ԛ ⾗ᢱ㧟㨪 2%/ ࡢ࡯࡚ࠢࠪ࠶ࡊ⚿ᨐ ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖ԛ ⾗ᢱ  2%/ ᚻᴺ⎇ୃࠕࡦࠤ࡯࠻⚿ᨐ㧔ᾢᧄ㧕̖̖̖̖̖̖̖̖̖̖̖̖̖̖Ԝ ⾗ᢱ  2%/ ᚻᴺ⎇ୃࠕࡦࠤ࡯࠻⚿ᨐ㧔㐳ፒ㧕̖̖̖̖̖̖̖̖̖̖̖̖̖̖ԝ ⾗ᢱ  2%/ ᚻᴺ⎇ୃ⾗ᢱ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

ਔ㗔ၞᮮᢿੱ᧚⢒ᚑᣇᴺߩᬌ⸛ 9)̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

㧔㧝㧕 ขࠅ⚵ߺႎ๔̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

㧔㧞㧕 ᣣᧄߩ౏ⴐⴡ↢ⴕ᡽ߦ㑐ߔࠆ⧷⺆⺑᣿⾗ᢱ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖Ԙ ᄌ⽩ߔࠆ਎⇇ߩߥ߆ߢᨐߚߔ࿾ᣇⴕ᡽ߩ⽿ോߣ∉ቇ㧔ࠬ࡜ࠗ࠼㧕̖̖̖̖̖̖ԙ ห਄㧔⸃⺑㧕̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

ߘߩઁߩ⾗ᢱ̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖!

 ੐ᬺ⃰ᵴേ⸥㍳̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖̖

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࣮ࣂࣝ࡬ࣝࢫ㡿ᇦ࡛ࡢ⤒㦂࡛ᇵࢃࢀࡓどⅬࡸࢿࢵࢺ࣮࣡ࢡࡀά࠿ࡉࢀࡓࡇ࡜ࡣゝ࠺ࡲ࡛ࡶ࠶ࡾࡲࡏࢇࠋ  ᪥ᮏ࡟࠾ࡅࡿ⏕άࡢ୰࡛እᅜே࡛࠶ࡿࡇ࡜ࡀ೺ᗣ᱁ᕪࢆ⏕ࡌࡉࡏ࡞࠸ࡼ࠺࡟ࠊᚲせ࡞ᆅᇦಖ೺ᑐ⟇ࡀ඘ศ⾜ࢃࢀࡿᚲせࡀ࠶ࡾࡲࡍࠋࡲࡓࠊᛴ㏿࡟㐍ࡴ♫఍ࡢ㧗㱋໬࡟᪥ᮏࡢ♫఍ಖ㞀ไᗘ࡝࠺ᑐᛂࡍࡿ࠿࡟ࡘ࠸࡚ࡣୡ⏺ࡀὀ┠ࡋ࡚࠸ࡿ࡜ࡇࢁ࡛ࡍࡀࠊ♫఍ಖ㞀ไᗘࡢࡦ࡜
ࡘࡢᰕ࡛࠶ࡿ་⒪࣭බ⾗⾨⏕ศ㔝࡟࠾ࡅࡿᑐ⟇ࡣ㒔ᕷ㒊ࠊ࿘㎶㒊ࠊ㞳ᓥ࣭࡬ࡁᆅ㒊࡛␗࡞ࡿࡇ࡜࠿ࡽࡶࠊᆅᇦࣞ࣋ࣝࡢලయⓗ࡞ㄢ㢟ࡸᑐ⟇ࡸ㐙⾜ୖࡢヨ⾜㘒ㄗࡀⓎಙࡉࢀࡿࡇ࡜ࡣࠊࡇ
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‫‮‬ὸ㻌 ㈨அ㡰ኳᇽ኱Ꮫᅜ㝿ᩍ㣴Ꮫ㒊㢳ၥ఍㛗Ᏹ⏣ ⱥ඾

඲ᅜಖ೺ᡤ㛗఍2  ሗ࿌᭩ࡢ᝿ᐃㄞ⪅ᆅᇦಖ೺ศ㔝࣭ᅜ㝿ಖ೺ศ㔝ࡢᐇົ⪅࣭⟶⌮⪅ ⏝ㄒࡢᐃ⩏㸦ᆅᇦಖ೺࣭ᅜ㝿ಖ೺ࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㸧ᆅᇦಖ೺࡜ࡣᆅᇦఫẸࡢ೺ᗣࡢಖᣢ࣭ቑ㐍࡟㛵ࡍࡿࡇ࡜࡛ࠊ᪥ᮏ࡛ࡣ୍⯡⾨⏕⾜ᨻయ⣔ࡢ୰ࠊಖ೺ᡤ࣭ᕷ⏫ᮧࡀྛศ㔝ࡢᆅᇦಖ೺ᑐ⟇ࢆᢸࡗ࡚࠸ࡿࡇ࡜࠿ࡽࠊᮏ஦ᴗ࡟࠾࠸࡚ࡣࠊ୺࡟ಖ೺
ᡤ࣭ᕷ⏫ᮧ࡟࠾ࡅࡿᆅᇦಖ೺άືࢆᑐ㇟࡜ࡋ࡚࠸ࡿࠋ    ᅜ㝿ಖ೺࡜ࢢ࣮ࣟࣂࣝ࡬ࣝࢫ࡟ࡘ࠸࡚ࡣࠊᮏ஦ᴗ࡛ࡣ࡯ࡰྠ⩏ㄒ࡜ࡋ࡚౑⏝ࡋ࡚࠾ࡾࠊேࠎࡢ
೺ᗣࡢಖᣢ࣭ቑ㐍ࡢࡓࡵࠊከᅜ㛫ࡢ஺ὶ࣭༠ຊ➼࡟ࡼࡿᅜቃࢆ㉺࠼ࡓಖ೺άືࢆᑐ㇟࡜ࡋ࡚࠸
ࡿࠋ
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3
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஦ᴗሗ࿌
1. ௒ᖺᗘࡢྲྀࡾ⤌ࡳᴫせ࡜⤖ᯝ⥲ᣓせ᪨ ᆅᇦಖ೺࡜ࢢ࣮ࣟࣂࣝ࡬ࣝࢫ㡿ᇦࡢ▱ぢ࣭ேᮦࡢά⏝ࡢྍ⬟ᛶ࡟ࡘ࠸࡚ࠊ๓ᖺᗘࡢ⤖ᯝࢆᇶ࡟ල
య⟇ࢆ᳨ウࡋࡓࠋಖ೺ᡤᶵ⬟ᙉ໬࡜ࡋ࡚ࠊಖ೺ᡤᴗົ࡟࠾ࡅࡿゝㄒၥ㢟࡟ࡼࡿᑐᛂࡢᅔ㞴ࡉࢆ㍍ῶࡍࡿ
ࡓࡵࠊእᅜㄒᑐᛂࡢ⾜ᨻᩥ᭩ࡢసᡂ࡜ඹ᭷໬ࠊࡲࡓእᅜேᑐᛂࡢᅔ㞴ࡉࢆ㍍ῶࡋᑐᛂࡢ㉁ࢆᖹ‽໬ࡍࡿࡓࡵࠊಖ೺ᡤ࡟࠾ࡅࡿ┦ㄯᑐᛂࣁࣥࢻࣈࢵࢡసᡂ࡜◊ಟ࡟ࡼࡿேᮦ⫱ᡂࡀඃඛⓗ࡞ྲྀࡾ⤌ࡳ࡜⪃࠼ࡽࢀࡓࠋࢢ࣮ࣟࣂࣝ࡬ࣝࢫ㡿ᇦ࡛ά⏝ࡉࢀ࡚࠸ࡿ஦ᴗ❧᱌࣭ホ౯ᡭἲ࡛࠶ࡿࣉࣟࢪ࢙ࢡࢺ࣭ࢧ࢖ࢡ࣭࣐ࣝࢿ
࣮ࢪ࣓ࣥࢺࢩࢫࢸ࣒㸦PCM㸧ᡭἲ࡟ࡘ࠸࡚ᆅᇦಖ೺㡿ᇦ࡛ࡢά⏝ࢆ᳨ウࡋᮇᚅࡉࢀࡿຠᯝࢆ♧ࡋࡓࠋ୧㡿ᇦᶓ᩿ⓗ࡞ேᮦ⫱ᡂ᪉ἲ࡟ࡘ࠸࡚ࡣ㛤Ⓨ㏵ୖᅜ࡜ᅜෆ⾨⏕⾜ᨻࢆඹ࡟⤒㦂ࡋࡓಖ೺་⒪ᑓ㛛⫋࡟ᑐࡍࡿ㉁ⓗㄪᰝࢆᐇ᪋ࡋࠊ᪥ᮏᅜෆ࡛ࡢேᮦά⏝࡟㛵ࡍࡿㄢ㢟ࢆᩚ⌮ࡋࡓࠋA. ┠ⓗ ᖹᡂ 28 ᖺᗘ஦ᴗ࡟࠾࠸࡚ࠊࢢ࣮ࣟࣂࣝ࡬ࣝࢫ࡜ᆅᇦಖ೺ࡢ஺ὶࡣ཮᪉ࡢᶵ⬟ᙉ໬࡟᭷⏝࡛࠶ࡿࡇ࡜ࢆ♧ࡋࠊ୧㡿ᇦࡢ஺ὶࢆྍ⬟࡟ࡍࡿ࢟ࣕࣜ࢔ࣃࢫ➼ࡢ௙⤌ࡳࡣ୙༑ศ࡛࠶ࡿࡇ࡜ࠊಖ೺ᡤᴗົ࡟࠾ࡅ
ࡿእᅜே➼ᑐᛂ࡟࠾ࡅࡿㄢ㢟ࡣᑡ࡞࠿ࡽࡎ࠶ࡾࠊࡇࢀࡽࡢㄢ㢟࡟ࡘ࠸࡚᭦࡞ࡿ᳨ウࡀᚲせ࡛࠶ࡿࡇ࡜ࢆ
ᣦ᦬ࡋࡓࠋࡇࢀࡽࡢ⤖ᯝࢆ㋃ࡲ࠼ࠊ௒ᖺᗘࡢ஦ᴗ┠ⓗࡣḟࡢ㸱ࡘ࡜ࡋࡓࠋ
㸦㸯㸧♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼ
ࡾಖ೺ᡤᴗົୖࡢ㉳ࡁ࡚࠸ࡿㄢ㢟࡟ᚲせ࡞ᑐᛂࡢ᳨ウࠊ㸦㸰㸧ࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㡿ᇦ࡛᭷ຠᛶࡀㄆࡵࡽ
ࢀ࡚࠸ࡿᡭἲ࡟ࡘ࠸࡚ࠊᆅᇦಖ೺㡿ᇦ࡬ࡢᛂ⏝ࢆ᳨ウࡍࡿࡇ࡜ࠊ
㸦㸱㸧୧㡿ᇦࡢ஺ὶࢆಁ㐍ࡍࡿࡓࡵࠊᶓ
᩿ⓗ࡞ேᮦ⫱ᡂࣉࣟࢢ᳨࣒ࣛウ➼ࠊලయⓗ࡞ᐇ㊶᪉ἲࢆᥦ᱌ࡍࡿࡇ࡜ࠋ
B. ᪉ἲ㸦㸯㸧᫖ᖺᗘ஦ᴗᐇ᪋ࡢ࢔ࣥࢣ࣮ࢺㄪᰝࠕಖ೺ᡤ࡟࠾ࡅࡿᆅᇦಖ೺ᴗົ࡬ࡢᅜ㝿໬ᙳ㡪ㄪᰝࠖ⤖ᯝࡼࡾࠊಖ೺ᡤ᪥ᖖᴗົ࡬ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼࡿᙳ㡪ࡸㄢ㢟ࢆ⤒㦂ࡋࡓಖ೺ᡤࡣᅇ⟅୰ 6 ๭࡟ୖࡾࠊศ㔝ࡣ⤖᰾ࡀࠊㄢ㢟࡜࡞ࡗࡓせᅉࡣゝㄒࡀ᭱ከ࡛ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ᪉ἲࡸ᪥ᮏࡢἲࡸไᗘࡢ⌮ゎࢆᚓࡿࡢ࡟ⱞປࡋ࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗࡓࠋ௒ᖺᗘࡣࠊグ㏙ᅇ⟅ࡢศᯒ࡜ᑐᛂࡢࡓࡵࡢ᪤Ꮡ㈨※ᢕᥱࡸࢶ࣮
ࣝ㛤Ⓨࡢ᳨ウࢆ⾜ࡗࡓࠋ㸦㸰㸧ᆅᇦಖ೺஦ᴗࡢィ⏬❧᱌࣭ホ౯ࡢ඘ᐇࡢࡓࡵࠊJICA ࡟ࡼࡿᅜ㝿㛤Ⓨ᥼ຓ஦ᴗ࡛ά⏝ࡋ࡚࠸ࡿ
PCM ᡭἲࡢ㐺⏝ࢆ᳨ウࡍࡿࡓࡵࠊ㏆ᖺ㔜せᛶࡀቑࡋ࡚࠸ࡿࢸ࣮࣐ࢆ㢟ᮦ࡟᪥ᮏࡢᆅᇦಖ೺⌧ሙ࡛ാࡃ⫋ဨ࡟ᑐࡋࠊPCM ◊ಟ࡜஦ᚋ࢔ࣥࢣ࣮ࢺㄪᰝࢆᐇ᪋ࡋࡓࠋ◊ಟࢸ࣮࣐ࡣࠊࡑࢀࡒࢀࠕ⅏ᐖ᫬ࡢබ⾗⾨⏕
ᑐᛂ࡟ࡘ࠸࡚ࠖ࡜ࠕఫࡳ័ࢀࡓᆅᇦ࡛᭱ᚋࡲ࡛ࡍࡈࡏࡿࡓࡵࡢၥ㢟Ⅼ࣭ㄢ㢟ࠖ࡜ࡋࠊᖹᡂ 29 ᖺ 9 ᭶࡟⇃ᮏ┴ᚚ⯪ಖ೺ᡤࠊᖹᡂ 30 ᖺ 1 ᭶࡟㛗ᓮ┴஬ᓥಖ೺ᡤ࡛ᐇ᪋ࡋࡓࠋࡲࡓࠊㄢ㢟ศᯒࡢᡭἲࢆẚ㍑ࡋࠊ
PCM ࡢ≉ᚩ࣭฼Ⅼ࣭ḞⅬࢆᩚ⌮ࠊ⌧᫬Ⅼ࡛ࡢබ⾗⾨⏕⾜ᨻ࡛ࡢ PCM ά⏝஦౛཰㞟ࢆ⾜ࡗࡓࠋ㸦㸱㸧୧㡿ᇦᶓ᩿ⓗ࡞ேᮦ⫱ᡂ᪉ἲ᫖ᖺᗘ࡟ᘬࡁ⥆ࡁࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫศ㔝࡟࠾࠸࡚᪥ᮏேࡀᇵࡗ࡚ࡁࡓ⤒㦂ࢆᅜෆࡢබ⾗⾨⏕⾜ᨻ࡟ᛂ⏝ࡍࡿࡇ࡜ࠊࡲࡓ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻ⤒㦂ࡢ࡞࠿࡛㛤Ⓨ㏵ୖᅜ࡟ά⏝࡛ࡁࡿྍ⬟ᛶࢆ᫂ࡽ࠿࡟ࡍࡿࡇ
࡜ࢆ┠ⓗ࡟ࠊ㛤Ⓨ㏵ୖᅜ࠾ࡼࡧ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻศ㔝୧᪉࡛ࡢ⤒㦂ࢆᣢࡘಖ೺་⒪ศ㔝ࡢᑓ㛛⫋ࢆᑐ㇟࡜ࡋ࡚㉁ⓗㄪᰝࢆ⾜ࡗࡓࠋ 

C. ⤖ᯝ
㸦㸯㸧ಖ೺ᡤᴗົୖࡢㄢ㢟࡜ᚲせ࡞ᑐᛂ࢔ࣥࢣ࣮ࢺㄪᰝグ㏙ᅇ⟅࠿ࡽᢳฟࡋࡓㄢ㢟ࡣᚋ㏙ࡢྲྀࡾ⤌ࡳሗ࿌࡟♧ࡍࠋࡇࢀࡽㄢ㢟ࡼࡾࠊᑐᛂࡢඃ
ඛᛶ࣭ᐇ⌧ᛶࡢ㧗࠸ㄢ㢟࡜ࡑࡢᑐᛂ⟇ࡣḟࡢ࡜࠾ࡾ࡛࠶ࡿձಖ೺ᡤᴗົ࡟࠾ࡅࡿゝㄒၥ㢟࡟ࡼࡿᑐᛂࡢ
ᅔ㞴ࡉࢆ㍍ῶࡍࡿࠋࡑࡢࡓࡵࡢ᪉⟇࡜ࡋ࡚ࠊ⾜ᨻᑐᛂᩥ᭩ࡢ᪥ᮏㄒ౛ࢆసᡂࡋࠊⱥㄒ⩻ヂࢆసᡂࡢᚋࠊ
௚ゝㄒ࡬㡰ḟ⩻ヂࡋࠊ඲ᅜಖ೺ᡤࡀධᡭ࡛ࡁࡿ௙⤌ࡳ࡟ࡍࡿࠋղእᅜேᑐᛂࡢᅔ㞴ࡉࢆ㍍ῶࡋࠊᑐᛂࡢ㉁ࢆᖹ‽໬ࡍࡿᚲせࡀ࠶ࡿࠋゝㄒ࣭᐀ᩍ࣭ᩥ໬ࡸᅾ␃㈨᱁࣭㔠㖹ၥ㢟➼ࠊእᅜேᑐᛂ࡟࠾ࡅࡿᇶᮏⓗ࡞▱㆑ࡸ⪃࠼᪉ࡢ⩦ᚓࢆಁ㐍ࡍࡿࡓࡵࠊ
ࠕಖ೺ᡤࡢࡓࡵࡢእᅜே┦ㄯ࣐ࢽࣗ࢔ࣝ㸦௬㸧ࠖࢆẁ㝵ⓗ࡟సᡂࡋ◊ಟᐇ᪋ࡋࠊேᮦ⫱ᡂࢆᅗࡿࠋ࣐ࢽࣗ࢔ࣝෆᐜࡢ㦵Ꮚࢆࠊᖺᗘෆ࡟సᡂணᐃ࡛࠶ࡿࠋࡲࡓࠊ᪤Ꮡࡢཧ⪃㈨※ࡢᩚ⌮࡜ࡋ࡚ࠊྛᆅࡢ་⒪㏻ヂὴ㐵ᐇ᪋ᅋయࢆᩚ⌮ࡋࣜࢫࢺ໬ࡋࡓࠋ
㸦㸰㸧PCM ᡭἲࡢά⏝◊ಟ఍ཧຍ⪅ࡣ⇃ᮏ┴࡛ࡣ┴⫋ဨ࡜◊✲⌜་ᖌ 2 ྡྵࡴ⥲ᩘ 18 ྡ࡛ከ⫋✀㸦་ᖌࠊಖ೺ᖌࠊ⸆๣ᖌࠊ
᳨ᰝᢏᖌࠊ⋇་ᖌࠊ⟶⌮ᰤ㣴ኈࠊ஦ົ⫋㸧ࠊ㛗ᓮ┴࡛ࡣ┴࣭ᕷ⫋ဨ⥲ᩘ 13 ྡ࡛ಖ೺ᖌ࣭⟶⌮ᰤ㣴ኈࡢཧຍࢆᚓࡓࠋ7 ᫬㛫ࡢ◊ಟ᫬㛫ෆ࡛ศᯒࡋࣉࣟࢪ࢙ࢡࢺᴫせ⾲ࡢసᡂࡲ࡛⮳ࡗࡓࠋ஦ᚋ࢔ࣥࢣ࣮ࢺㄪᰝࡢ
⤖ᯝࠊࠕᬑẁࡢᴗົ࡛ PCM ᡭἲࡢά⏝ࡀྍ⬟ࠖ࡜ࡢᅇ⟅ࡣࡑࢀࡒࢀ 72㸣,62㸣࡛ࠊά⏝࡟ᚲせ࡞ࡇ࡜ࡣࠊ
◊ಟ(78㸣,78㸣)ࠊୖྖࡢ⌮ゎ㸦67㸣,23㸣㸧࡛࠶ࡗࡓࠋグ㍕ᅇ⟅࡛ࡣࠊᆅᇦಖ೺ᚑ஦⪅ࡀ஦ᴗ❧᱌࣭ホ౯࡟ᅔ㞴ࡉࢆᢪ࠼࡚࠸ࡿ⌧≧ࡀ࠺࠿ࡀ࠼ࡓࠋ
㸦㸱㸧ಖ೺ᖌ 13 ྡࠊ⮫ᗋ᳨ᰝᢏᖌ 1 ྡࠊィ 14 ྡࡢㄪᰝࢆᐇ᪋ࡋࡓࠋ
ࠕ᪥ᮏ࡟⏕࠿ࡏࡿᾏእ⤒㦂ࠖ࡜ࡋ࡚ࠊእᅜேᑐᛂࠊ␗ᩥ໬࡜ከᵝ࡞౯್ほ࡟ᑐࡍࡿ⌮ゎࠊ༴ᶵ⟶⌮⬟ຊ࡞࡝ࡀᣲࡆࡽࢀࡓࠋ
ࠕ᪥ᮏ࡛ࡢᴗົࠖ
࡛ࡣࠊ஦ົᴗົࡀከࡃಖ೺་⒪⫋࡜ࡋ࡚ࡢᑓ㛛ᛶࢆⓎ᥹ࡋ࡟ࡃ࠸ࠊಖ೺ᖌࡀᆅᇦ࡟ࡣ࠸ࡿ᫬㛫ࡀ▷࠸ࠊࡑࡢࡓࡵ࡟ᆅᇦࡢᐇ᝟࡟ᛂࡌ࡚ᴗົࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁ࡚࠸ࡿ࠿☜ಙࢆࡶ࡚࡞࠸ࠊ࡞࡝ࡢࢪ࣐ࣞࣥࡀ⪺࠿ࢀࡓࠋ᪥ᮏࡢ⾨⏕⾜ᨻ࠿ࡽ㟷ᖺᾏእ༠ຊ㝲࡟ཧຍࡍࡿሙྜࠊ⫋ሙࡢ⌮ゎࡀ㔜せࠊ≉࡟⌮ゎࡢ࠶ࡿୖྖ࣭
ྠ൉ࡀ࠸࡞࠸ሙྜ࡟ࡣ㏥⫋ࢆ㑅ᢥࡏࡊࡿࢆ࠼࡞࠸ࠊᅾ⡠ཧຍࡢྲྀࡾᢅ࠸ࡀ⮬἞య࡟ࡼࡾ኱ࡁࡃ␗࡞ࡿ➼ࡀᣦ᦬ࡉࢀࡓࠋ
D. ⪃ᐹ㸦㸯㸧ᮏᖺᗘࡣࠊඃඛㄢ㢟ࡢ㑅ᢥ࡜ᑐᛂ⟇ࡢᥦ᱌ࡲ࡛ࡀᡂᯝ࡜࡞ࡗࡓࠋ௒ᚋࠊᨭ᥼ࢶ࣮ࣝࡢసᡂࡀᚲせ࡛࠶ࡿ࡜࡜ࡶ࡟ࠊᘬࡁ⥆ࡁಖ೺ᡤᴗົ࡟࠾ࡅࡿ♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟㉳ᅉࡍࡿㄢ㢟ࡢᢕᥱ࡟ດࡵࠊᑐ⟇ࢆ᳨ウ࣭ᥦ᱌ࡍࡿࡇ࡜ࡀồࡵࡽࢀࡿࠋ
㸦㸰㸧⾜ᨻࡢ஦ᴗᒎ㛤࡟࠾࠸࡚ࠕPDCA ࢧ࢖ࢡࣝࢆࡲࢃࡍࠖࡣ௨๓ࡼࡾᙉㄪࡉࢀ࡚࠸ࡿࡇ࡜࡛࠶ࡿࡀࠊ
ࡑࡢࡇ࡜ࡀㄆ㆑ࡉࢀ࡚࠸ࡓ࡜ࡋ࡚ࡶࠊ࣐ࢡࣟⓗ࡞᪋⟇ࡢୗࠊከᵝ࡞ᆅᇦᛶ࡟ᛂࡌࡓ஦ᴗᒎ㛤ࡀᚲせ࡞ᆅᇦಖ೺ࡢ⌧ሙ࡟࠾࠸࡚ࠊୖ఩ィ⏬࡟๎ࡾࠕ౛ᖺ㏻ࡾࠖࡢ஦ᴗࢆ㐍ࡵࡿ࡜ࠊၥ㢟ࡸ┠ⓗࡀⓗ☜࡛࡞࠸≧ἣ࡟࡞ࡿࡇ࡜ࡀ㉳ࡇࡾࡀࡕ࡛࠶ࡿࠋࡑࡢࡼ࠺࡞≧ἣࢆᅇ㑊ࡍࡿࡓࡵ࡟ࠊၥ㢟࠿ࡽ⪃࠼ࡿ PCM ᡭἲࢆ⏝࠸ࡿࡇ࡜ࡣࠊᆅᇦࡢㄢ㢟࡜ࡑࡢཎᅉࢆศᯒࡋ┠ⓗࢆ᫂☜໬ࡍࡿࡇ࡜ࡀᮇᚅ࡛ࡁࡿࠋࡲࡓࠊ஦ᴗ໬ࡲ࡛ࡢࣉ
ࣟࢭࢫࡸ஦ᴗィ⏬ࢆどぬⓗ࡟♧ࡍࡓࡵࠊ⫋ሙෆ࡛どぬⓗ࡟ඹ᭷ࡍࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢶ࣮ࣝ࡟࡞ࡾࠊ
≉࡟ࠊୖྖࡸୖ఩⤌⧊࡬ࡢㄝ᫂ࠊᚋ௵࡬ࡢᘬࡁ⥅ࡂ࡟ᙺ❧ࡘࡇ࡜ࡀᮇᚅ࡛ࡁࡿࠋࡲࡓࠊಖ೺ᡤࡢከ⫋✀ࡀᡤᒓࡋᆅᇦ㈨※࡜ࡢࡘ࡞ࡀࡾࡀ࠶ࡿ࡜࠸࠺≉ᛶࡣࠊⓗ☜࡞ேဨᵓᡂ࡛ࠕཧຍᆺࠖࡢᡭἲࢆຠᯝⓗ࡟㐠Ⴀࡍࡿ⣲ᆅࡀ࠶ࡾࠊPCM ࡢά⏝࡛ࡼࡾ⌧ሙࡢࢽ࣮ࢬ࡟ྜࡗࡓ஦ᴗィ⏬ࠊ㛵ಀ⪅㛫ࡢ┠ⓗ࣭┠ᶆࢆඹ᭷ࡋࡓ஦ᴗ㐙⾜ࡀᮇᚅ࡛ࡁࡿࠋ୍᪉࡛ࠊά⏝࡟࠾࠸࡚ࡣୖྖࡢ⌮ゎࡀᚲせ࡜ࡢ࢔ࣥࢣ࣮ࢺㄪᰝ⤖ᯝࡼࡾࠊ᪂ࡓ࡞ᡭἲࢆᰂ㌾࡟ྲྀࡾධࢀࡿࡇ࡜ࡀ࡛ࡁࡿ⫋ሙ⎔ቃ࡙ࡃࡾࡀᚲせ࡛࠶ࡿࠋࡲࡓࠊ◊ಟ᪉ἲࡀ☜❧ࡋ࡚ ࠸ࡿࡓࡵࠊேᮦ⫱ᡂࡢ୧㡿ᇦඹ㏻ࣉࣟࢢ࣒ࣛࡢ୍せ⣲࡟࡞ࡾᚓࡿࠋ
㸦㸱㸧㛤Ⓨ㏵ୖᅜ࡛ࡢάື࠿ࡽᅜෆ࡛ࡣᚓࡀࡓ࠸⬟ຊࡀ㔊ᡂࡉࢀࡿ୍᪉ࠊᅜෆࡢᴗົ࡛ࡣᆅᇦ࡜ࡢ┤᥋
ࡢ᥋ゐࡀᑡ࡞ࡃ࡞ࡗ࡚࠸ࡿࡇ࡜ࠊᾏእ࡟ࡣ⫋ሙ⎔ቃ࠿ࡽᐜ᫆࡟ࡣฟ࡚⾜ࡁࡀࡓ࠸ࡇ࡜ࡀ♧ࡉࢀࡓࠋᅜෆ
࡜㛤Ⓨ㏵ୖᅜ࡜࡛ࢩ࣮࣒ࣞࢫ࡟ᴗົࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡿᑓ㛛⫋ࡢᚲせᛶ࡜ព⩏ࢆ᫂☜࡟ᥦ♧ࡍࡿࡇ࡜ࡀ࡛ࡁ࡞࠸㝈ࡾࠊᅜෆ࡛ࡢࢢ࣮ࣟࣂࣝ࣊ࣝࢫேᮦࡢά⏝ࡣ㝈ᐃⓗ࠿ࡘ≉Ṧ࡞ศ㔝࡟࡜࡝ࡲࡿ࡜ᛮࢃࢀࡿࠋ
ᾏእ࡬ὴ㐵ࠊࡲࡓᾏእ⤒㦂⪅ࢆཷࡅධࢀ࡚࠸ࡿ㛵ಀ⪅࡟⪺ࡁྲྀࡾࡢ⠊ᅖࢆᗈࡆࠊࡑࡢព⩏ࡢ᭷↓ࢆ☜ㄆࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࠋE. ⤖ㄽ♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼࡾ㉳ࡁ࡚࠸ࡿಖ೺ᡤᴗົୖࡢㄢ㢟ࢆᢕᥱࡋᑐᛂ⟇ࢆ᳨ウࡋࡓࠋ᪤Ꮡࡢཧ⪃㈨※ࡢᩚ⌮࡜ࡋ࡚ࠊྛᆅࡢ་⒪㏻ヂὴ㐵ᐇ᪋ᅋయࢆᩚ⌮ࡋࣜࢫࢺ໬ࡋࡓࠋPCM ᡭἲࢆ⌧ᅾࡢᆅᇦಖ೺㡿ᇦ࡛ࡢά⏝࡟ࡼࡾᮇᚅࡉࢀࡿຠᯝࢆ♧ࡋࡓࠋF. ௒ᚋࡢィ⏬
ಖ೺ᡤᴗົ࡟࠾࠸࡚ࠊゝㄒၥ㢟➼ࢆྵࡴእᅜே࡞ࡽ࡛ࡣࡢᑐᛂࡢᅔ㞴ࡉࢆ㍍ῶࡋᑐᛂࡢ㉁ࡢᖹ‽໬ࢆ㐍ࡵࡿࡓࡵࠊ᪤Ꮡ㈨※ࡢᩚ⌮ࡸࢶ࣮ࣝసᡂ࡜ඹ᭷ࠊ
ࠕಖ೺ᡤࡢࡓࡵࡢእᅜே┦ㄯ࣐ࢽࣗ࢔ࣝ㸦௬㸧ࠖࡢసᡂ࡟ྲྀࡾ⤌ࡴࠋ୧㡿ᇦᶓ᩿ⓗ࡞࢟ࣕࣜ࢔ࣃࢫࡢᐇ㊶౛ࡢ཰㞟ࡸᥦ᱌ࢆ⾜࠺ࠋ
G. Ⓨ⾲
᪥ᮏබ⾗⾨⏕㞧ㄅ➨ 64 ᕳ➨ 10 ྕ 122 㡫,2017 ᖺ 10 ᭶;➨ 76 ᅇ᪥ᮏබ⾗⾨⏕Ꮫ఍⥲఍ࢩ࣏ࣥࢪ࣒࢘
ྠୖㄅ ➨ 64 ᕳ➨ 10 ྕ 670 㡫,2017 ᖺ 10 ᭶;ಖ೺ᡤ࡟࠾ࡅࡿᆅᇦಖ೺ᴗົ࡬ࡢࢢ࣮ࣟࣂࣝ໬ࡢᙳ㡪ㄪᰝ 

2. ྛㄢ㢟࡟㛵ࡍࡿྲྀࡾ⤌ࡳA) ♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼࡾಖ೺ᡤᴗົୖࡢ㉳ࡁ࡚࠸ࡿㄢ㢟࡟ᚲせ࡞ᑐᛂࡢ᳨ウ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ㸦WG㸧
WG ࣓ࣥࣂ࣮ ▮㔝㸦࣮ࣜࢲ࣮㸧ࠊᮧୖࠊΏ㑔ࠊ㛗㇂ᕝ

㸦1㸧ྲྀࡾ⤌ࡳሗ࿌
I㸧ᙜ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࡢ⫼ᬒ࣭┠ⓗ ᖹᡂ 28 ᖺᗘ࡟ᐇ᪋ࡋࡓᙜ◊✲⌜࢔ࣥࢣ࣮ࢺࠕಖ೺ᡤ࡟࠾ࡅࡿᆅᇦಖ೺ᴗົ࡬ࡢᅜ㝿໬ᙳ㡪ㄪᰝࠖ㸦௨ୗࠊᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ㸧࠙ᙜࢭࢡࢩࣙࣥࡢᮎᑿ࡟ᥖ㍕ࠚࡢ⤖ᯝࡼࡾࠊࢢ࣮ࣟࣂࣝ໬࡟ࡼࡿಖ೺ண㜵ࠊ⏕ά⾨⏕ࠊ೺ᗣ࡙ࡃࡾ➼ࡢಖ೺ᡤ᪥ᖖᴗົ࡬ࡢᙳ㡪ࡸㄢ㢟ࢆ⤒㦂ࡋࡓಖ೺ᡤࡣᅇ⟅୰ 6 ๭ᙉ࡛࠶ࡾࠊศ
㔝࡜ࡋ࡚ࡣ⤖᰾ᑐ⟇ࡀ᭱ከࠊㄢ㢟࡜࡞ࡗࡓせᅉࡣゝㄒࡀ᭱ከ࡛ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ᪉ἲࡸ᪥ᮏࡢἲࡸ
ไᗘࡢ⌮ゎࢆᚓࡿࡇ࡜࡟ⱞປࡋ࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗࡓࠋ
ࡑࡇ࡛௒ᖺᗘࡣࠊಖ೺ᡤࡢᢪ࠼ࡿㄢ㢟ࡢヲ⣽ศᯒࢆࡋࡓୖ࡛ࠊᐇົ࡟ᙺ❧ࡘ᪤Ꮡࡢ᝟ሗࡸࢶ࣮ࣝ➼ࡢᢕᥱࠊࡲࡓ᪂ࡓ࡞ࢶ࣮ࣝ➼ࡢ㛤Ⓨࡸ㏣ຍㄪᰝࡢ᳨ウࢆ⾜ࡗࡓࠋII㸧௒ᖺᗘࡢ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࡢάື ᖹᡂ 29 ᖺ 6 ᭶ 25 ᪥㸦᪥㸧➨㸯ᅇ⌜఍㆟ᚋࠊ6㹼10 ᭶࡟࠿ࡅ࡚ࠊᖹᡂ 28 ᖺᗘᐇ᪋࢔ࣥࢣ࣮ࢺࡢ⮬⏤グ㍕ᅇ⟅ࢆศᯒࡋࠊㄪᰝ⤖ᯝ࠿ࡽඃඛㄢ㢟ࢆỴࡵࠊࡑࡢᑐᛂ࡟㈨ࡍࡿ᝟ሗ཰㞟ࢆࡋࡓࠋࡇࡢసᴗࢆ㐍ࡵ
ࡿࡓࡵ 8 ᭶ 20 ᪥࡟࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ࡛఍㆟ࢆᣢࡕࠊෆᐜࢆ 11 ᭶ 1 ᪥࡟➨ 76 ᅇ᪥ᮏබ⾗⾨⏕Ꮫ఍࡟࠾࠸࡚ࠕಖ೺ᡤ࡟࠾ࡅࡿᆅᇦಖ೺ᴗົ࡬ࡢࢢ࣮ࣟࣂࣝ໬ࡢᙳ㡪ㄪᰝࠖ࡜ࡋ࡚࣏ࢫࢱ࣮Ⓨ⾲ࡋࡓࠋ10 ᭶࠿ࡽࡣእᅜฟ⏕⤖᰾ࡢ⌧≧ᢕᥱࡸᑐ⟇᳨ウࢆ┠ⓗ࡟ࠊ᪥ᮏ་⒪◊✲㛤Ⓨᶵᵓ㸦AMED㸧ᖹᡂ 29 ᖺᗘࠕ᪂⯆࣭෌⯆ឤᰁ⑕࡟ᑐࡍࡿ㠉᪂ⓗ་⸆ရ➼㛤Ⓨ᥎㐍◊✲஦ᴗ㸸⤖᰾ప⶝ᘏ໬࡟ྥࡅࡓᅜෆࡢ⤖᰾ᑐ⟇࡟㈨ࡍࡿ◊✲ࠖ࡟༠ຊࡍࡿࡇ࡜࡜࡞ࡗࡓࠋ12 ᭶ 3 ᪥㸦᪥㸧➨ 2 ᅇ⌜఍㆟࡟࠾࠸࡚ࡣࠊ⤒㐣ሗ࿌ࢆ⾜࠸ࠊḟᖺᗘࡢ᪉ྥᛶ࡟ࡘ࠸࡚ヰࡋྜ࠸ࡢሙࢆᣢࡗࡓࠋ
III㸧᪉ἲ 

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺࡣࠊ඲ᅜ 480 ࠿ᡤ㸦┴ᆺ 364 ࠿ᡤࠊᕷᆺ 93 ࠿ᡤࠊ༊ᆺ 23 ࠿ᡤ㸧ࡢಖ೺ᡤࢆ
ᑐ㇟࡜ࡋࠊ295 ࠿ᡤ㸦┴ᆺ 229 ࠿ᡤࠊᕷᆺ 55 ࠿ᡤࠊ༊ᆺ 11 ࠿ᡤ㸧࠿ࡽᅇ⟅ࢆᚓࠊᅇ཰⋡ࡣ 61.5%࡛࠶
ࡗࡓࠋ
ࡑࡢ୰࡛ࠊ
ࠕၥ 2㸸㈗ಖ೺ᡤ࡛ࡣᖹᡂ 26 ᖺ 4 ᭶㹼ࡇࢀࡲ࡛࡟ࠊ௨ୗࡢࡼ࠺࡞஦౛㸦ͤ㸧࡟㛵୚࣭⤒㦂ࡋࡓࡇ࡜ࡀ࠶ࡾࡲࡍ࠿㸽[ ͤ஦౛ࡢᐃ⩏㸸ಖ೺ᡤࡀ⾜࠺ྛ✀ࡢᆅᇦಖ೺ศ㔝㸦೺ᗣ༴ᶵ⟶⌮ྵࡴ㸧ࡢᴗົ࡟࠾࠸࡚ࠊᑐ㇟⪅ࡲࡓࡣ㛵ಀ⪅ࡀእᅜேࠊࡲࡓࡣእᅜ࡜ࡢ ᮶ࡀ࠶ࡿ᪥ᮏே࡛࠶ࡗࡓࡓࡵ࡟ࠊ㏻ᖖࡢ
ᑐᛂࡢ᫬࡜ࡣ␗࡞ࡿఱࡽ࠿ࡢㄢ㢟ࡀ⏕ࡌࠊᴗົ㐙⾜࡟ᙳ㡪ࡀ࠶ࡗࡓ஦౛㸧] ࡢ㉁ၥ࡟ᑐࡋࠊヱᙜ஦౛ࢆ㛵୚࣭⤒㦂ࡋࡓಖ೺ᡤࡣ 188 ࠿ᡤ㸦┴ᆺ 137 ࠿ᡤࠊᕷᆺ 43 ࠿ᡤࠊ༊ᆺ 8 ࠿ᡤ㸧࡛࠶ࡗࡓࠋၥ 3 ࡟࡚☜ㄆࡋࡓ㛵୚࣭⤒㦂஦౛ࡢヱᙜศ㔝ࢆࠊᨵࡵ࡚ 9 ศ㔝 [ 1.⤖᰾ࠊ2.࢚࢖ࢬ࣭ᛶឤᰁ⑕ࠊ3.ࡑࡢ௚ࡢឤᰁ⑕ࠊ
4.ẕᏊಖ೺㸦ண㜵᥋✀ྵࡴ㸧࣭ඣ❺⚟♴ࠊ5.⢭⚄ಖ೺ࠊ6.㞴⑓ࠊ7.㣗ရ⾨⏕࣭.⏕ά⾨⏕ࠊ8. ࡑࡢ௚ࠊ9. ከゝㄒᑐᛂ㸦1㹼8 ࡢඹ㏻㡯┠㸧 ] ࡟኱ูࡋࠊࡑࢀࡒࢀࡢ⮬⏤グ㍕㒊ศࡢグ㍕ෆᐜࢆ᳨ウࡋࡓࠋࡲࡎࠊ඲
యࡢഴྥ࡜ࡋ࡚஦౛ᩘࢆ☜ㄆࡋࡓࠋ୍࠿ᡤࡢಖ೺ᡤ࠿ࡽࡢ」ᩘᅇ⟅ࡢሙྜࡣಶࠎࡢ஦౛࡜ࡋ࡚࢝࢘ࣥࢺ
ࡋࡓࠋࡑࡢᚋࠊKH Coder ࢯࣇࢺࢆ⏝࠸ࡓ⤖ᯝࢆཧ⪃࡟ࢸ࢟ࢫࢺ࣐࢖ࣥࢽࣥࢢࢆᐇ᪋ࡋࡓࠋ᭱ࡶ⮬⏤グ㍕ࡢከ࠿ࡗࡓ 1.⤖᰾ࡢศ㔝࡛ࡣ 20 ᅇ௨ୖࠊࡑࡢ௚ࡢศ㔝࡛ࡣ 10 ᅇ௨ୖฟ⌧ࡋࡓ㢖ฟㄒࢆࠊ୍ぴ⾲࡟ࡲ࡜ࡵࡓࠋグ㏙ෆᐜࢆࠊKJ ἲ࡛ࢢ࣮ࣝࣉ໬ࢆ⾜ࡗࡓ࠺࠼࡛㞟ィࡋࠊྛศ㔝࠿ࡽ௦⾲ⓗ஦౛㸦௚ᆅᇦ࡛ࡶ ㉳ࡁ࠺ࡿ஦౛㸧ࢆᢳฟࡋࡓࠋ
ࡲࡓࠊ
ࠕၥ 5㸸ᅇ⟅ࡢ⿵㊊᝟ሗࠊ㛵㐃ࡍࡿㄢ㢟ࠊᨭ᥼᪉⟇ࡢᥦゝ➼ࠊ⮬⏤࡟ࡈグධࡃࡔࡉ࠸ࠖ࡟࠾ࡅࡿ
グ㍕ෆᐜࡣࠊ๓㏙ࡢ 9 ศ㔝ࡈ࡜࡟せⅬࢆᢳฟࡋࠊၥ 3 ࡢ᳨ウ⤖ᯝࡶྵࡵࡓࠕ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂࠖ࡜ࠕᨭ᥼᪉⟇ࡢᥦゝࠖ࡟ศ㢮ࡋࠊ⾲࡟♧ࡋࡓࠋࡉࡽ࡟ࠊࡑࢀࡒࢀࡢᨭ᥼᪉⟇࡟㛵ࡍࡿ⌧≧ࢆࠊ◊✲⌜࡜ࡋ࡚᝟ሗ཰㞟࡛ࡁࡓ㒊ศࡣࠕ◊✲⌜ࡢ᳨ウ⤖ᯝࠖ࡜ࡋ࡚ྜࢃࡏ࡚⾲࡟♧ࡋࡓࠋ
IV㸧⤖ᯝ
1.

 

⤖᰾

⾲ 1 ⤖᰾ศ㔝ࡢ㢖ฟㄒ

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ⤖᰾

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ᢳฟㄒ

ࡢヱᙜ஦౛ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ
೺ᡤࡣ 157 ࠿ᡤ㸦┴ᆺ 116 ࠿ᡤࠊᕷᆺ 35 ࠿ᡤࠊ༊ᆺ 6 ࠿ᡤ㸧࡛ࠊ⤒㦂࠶ࡾ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡢ 83.5%ࢆ༨ࡵ
ࡓࠋ⮬⏤グ㍕࡜ࡋ࡚⤖᰾ࡣィ 246 ௳ࡢᅇ⟅ࡀ࠶ࡾࠊグ㍕ࡢ୰࡟ 20 ᅇ௨ୖฟ⌧ࡋࡓ༢ㄒࡣ⾲㸯ࡢ㏻ࡾ࡛࠶ࡗࡓࠋ ⤖᰾ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 2࡟♧ࡍࠋ⤖᰾䞉⫵⤖᰾
἞⒪
ཷデ䞉デ䜛
ᝈ⪅
ᖐᅜ
ฟ㌟
೺デ
㏻ヂ
୰ᅜ
ᅔ㞴䞉ⱞ៖
᪥ᮏㄒ
䝣䜱䝸䝢䞁
Ⓨ⑓䞉Ⓨ⑕
୙᫂
ㄝ᫂
ᚲせ
⌮ゎ

ᢳฟㄒ
␃Ꮫ䞉␃Ꮫ⏕
ධ㝔
་⒪
እᅜ
ᑐᛂ
ゝㄒ䞉ゝⴥ
ᢏ⬟ᐇ⩦⏕
᥋ゐ⪅೺デ
᭹⸆
⤒㐣
ᮏே
䝧䝖䝘䝮
ᑵປ
ᨭ᥼
デ᩿
᮶᪥

ฟ⌧ᅇᩘ
䠄ᅇ䠅
38
37
36
34
34
34
33
32
31
30
30
29
28
27
27
27

ᢳฟㄒ
ឤᰁ
᳨デ
㐃⤡
◊ಟ䞉◊ಟ⏕
䝛䝟䞊䝹఍ヰ䞉䝁䝭䝳䝙䜿䞊䝅䝵䞁
ㄪᩚ
⤊஢
ධᅜ
ಖ೺ᡤ
⤒㐣ほᐹ
ᶵ㛵
㻰㻻㼀㻿
⟶⌮
᪥ᮏㄒᏛᰯ

ฟ⌧ᅇᩘ
䠄ᅇ䠅
26
26
26
25
25
24
24
23
23
23
23

22
22
20
20

 ⾲ 2 ⤖᰾ศ㔝ࡢ௦⾲ⓗ஦౛࡜᳨ウ⤖ᯝ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝ೺デࡢᚲせᛶ

- እᅜேᢏ⬟ᐇ⩦ ࣭ධᅜ๓࣭┤ᚋ೺デࡢᐇ⌧ྍ⬟ᛶࢆ᳨ウ-᮶᪥๓᳨デࡀᮍᐇ᪋࡛࠶ࡿࠋ

⏕ࠊ᪥ᮏㄒᩍ⫱ᶵ㛵-ẕᅜ᳨࡛デࢆཷࡅ␗ᖖ࡞ࡋ࡜ุ᩿

⏕ᚐ࡞࡝ࠊ⤖᰾㧗ࡲ ࣭ཌ⏕ປാ┬࡟࡚ࠊ௚ᅜࢩࢫࢸ࣒ࡢ᝟ሗ

ࡋࡓ஦౛ࡀ࠶ࡗࡓࠋ

ࢇᘏᅜ࠿ࡽࡢ㛗ᮇ⁫ࡍࡿᚲせ࠶ࡾࠋ
㞟➼ࡢືࡁࡀ࠶ࡿࡼ࠺ࠋ

ᅾ⪅࡟ᑐࡋࠊධᅜ᫬ ࣭௒ᚋࡣձእົ┬࣭ἲົ┬࣭⥲ົ┬࡜ࡢ㸦๓ࡲࡓࡣᚋ㸧೺デ஺΅ࠊղண⟬ᥐ⨨ࠊճྛᅜ࡟࠾ࡅࡿ೺デࡢ⩏ົ௜ࡅ࡜㉁ࡢᢸ

ᐇ᪋་⒪ᶵ㛵ࡢㄆᐃࠊ➼ࡀᚲせࠋ

ಖࡀᚲせ- ධᅜ᫬ၨⓎࢶ࣮ࣝࡢసᡂᬑཬ
ᢏ⬟ᐇ⩦⏕࣭᪥ᮏㄒᩍ⫱ᶵ㛵- ⤖᰾ᑐ⟇᝟ሗࡢ ࣭᪥ᮏㄒᩍ⫱ᶵ㛵ࢆṇࡋࡃᢕᥱࡍࡿᚲせ-ᢏ⬟ᐇ⩦⏕ࡀධ⫋᫬೺デ࡟࡚⤖᰾ᥦ౪࡞࡝ࠊእᅜேᢏ

࡜デ᩿ࡉࢀࡓࠋ

⬟ᐇ⩦⏕ཷධ┘⌮ᅋ ࣭᪥ᮏㄒᩍ⫱᣺⯆༠఍ࠊ඲ᅜ᪥ᮏㄒᏛᰯ

ᢏ⬟ᐇ⩦⏕ࡢሙྜࠊ⤖᰾Ⓩ㘓ಖ೺యࡸ᪥ᮏㄒᩍ⫱ᶵ㛵㐃ྜ఍࡟ࣜࢫࢺ࠶ࡾࠊ࡝ࡕࡽ࠿࡟ࡣຍ┕ᡤ࡜ᮏேࡢ⏕άᆅᇦࡀ␗࡞ࡗ࡚࠾

࡜ࡢᖹ᫬࠿ࡽࡢ㐃ᦠࡋ࡚࠸ࡿᏛᰯࡀከ࠸ࡀ₃ࢀࡶ࠶ࡿࠋᮾி

ࡾࠊⓏ㘓┤ᚋࡢ㎿㏿࡞㠃᥋ࡀ࡛ࡁࡢ㔜せᛶ㒔ࡣ᪥ᮏㄒᩍ⫱᣺⯆༠఍ࡢࣜࢫࢺࢆᇶ

࡞࠸ሙྜࡀ࠶ࡿࠋ- ᢏ⬟ᐇ⩦࡛㛤Ⓨ࡟Ꮫᰯࣜࢫࢺࢆసᡂࡋ࡚࠸ࡿࠋ

ᢏ⬟ᐇ⩦⏕ࢆ㞠࠺஦ᴗᡤ஦ᴗ⪅ࡢ

㏵ୖᅜ࠿ࡽ᮶᪥ࡋ࡚ ࣭ࠕἲົ኱⮧ࡢ࿌♧ࢆཷࡅࡓ᪥ᮏㄒᩍ⫱ព㆑࡟ᕪࡀ࠶ࡿࠋ

࠸ࡿ◊ಟ⏕ࡢᚅ㐝ࡸ

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-

 

ࡀ࠶ࡿࠋ

ᶵ㛵➼୍ࠖぴࡀ⥙⨶ࡍࡿࡀྡ⛠ࡢࡳ࡛ఫ--እᅜே◊ಟཷධࡣᅜࡢไᗘ࡟ᇶ࡙

⚟฼ཌ⏕ࢆྥୖࡉࡏ

ᡤ࣭㐃⤡ඛ➼࡞ࡋࠋ᪥ᮏㄒᩍ⫱ᶵ㛵ࡢ⤫ࡃࡓࡵࠊឤᰁ⑕ண㜵ၨⓎ஦ᴗࡣ⤌ࡿᚲせᗫྜࡀⴭࡋࡃࠊ᭶࡟」ᩘᅇ᭦᪂ࡉࢀ࡚࠸

⧊୺⟶ㄢ➼࡜ࡢ㐃ᦠࡀ㞴ࡋ࠸ࠋࡿࡇ࡜ࡶ࠶ࡾࠋ

᪥ᮏㄒᏛᰯࡣᏛᰯᏳ඲ಖ೺ἲࡢᑐ

࣭ᢏ⬟ᐇ⩦⏕ࡢཷධ┘⌮ᅋయࡸ௻ᴗࠊࡲ

㇟࡜࡞ࡗ࡚࠸࡞࠸ࡓࡵࠊධᏛ᫬ࡢ

ࡓὴ㐵஦ᴗᡤࢆᢕᥱࡍࡿᚲせࡀ࠶ࡿࠋᅋ

೺デࡀ⩏ົ௜ࡅࡽࢀ࡚࠸࡞࠸ࠋ

య┘⌮ᆺࡢཷධᅋయࡣ኱ᡭᩘࣨᡤ࠶ࡿ
ࡀࠊᴗ⏺ᅋయ➼ࡀ࠶ࡿ࠿ࡣ୙᫂ࠋ
࣭ᖹᡂ 29 ᖺ 11 ᭶௨㝆ࡣࠊᅋయ⟶⌮ᆺᢏ⬟ᐇ⩦⏕ཷධᶵ㛵ࡣἲົ┬ࡢチྍไ࡜࡞ࡾᅋయ୍ぴ࡟࡚ᢕᥱࡀྍ⬟ࠋ࣭ᖹᡂ 19 ᖺ 8 ᭶᪋⾜ࡢ᪥ᮏㄒᩍ⫱᣺⯆༠఍ࡢࠕ᪥ᮏㄒᩍ⫱ᶵ㛵ࡢ㐠Ⴀ࡟㛵ࡍࡿᇶ‽࡛ࠖࡣࠊࠕධᏛᚋ࡛ࡁࡿࡔࡅ᪩ᮇ࡟ࡑ
ࡢ೺ᗣデ᩿ࢆ⾜࠺ࡶࡢ࡜ࡋࠊ1 ᖺ⤒㐣ᚋࠊ෌ᗘ೺ᗣデ᩿ࢆ⾜࠺ࡼ࠺ດࡵࡿࡶࡢ࡜
ࡍࡿࠖ࡜ࡢグ㍕ࡀ࠶ࡾࠊᖹᡂ 28 ᖺ 7 ᭶⟇ᐃࡢἲົ┬ධᅜ⟶⌮ᒁࡢࠕ᪥ᮏㄒᩍ⫱ᶵ㛵ࡢ࿌♧ᇶ‽ࠖ࡟ࡶྠࡌグ㍕ࡀ࠶ࡿࠋᖹᡂ 29 ᖺ 10 ᭶௨㝆࡟᪂つ࡟㛤タࡉࢀࡿ᪥ᮏㄒᩍ⫱ᶵ㛵ࡢ㐺᱁ᛶ࡟ࡘ࠸࡚ࡣࠊ
ྠᇶ‽࡟ࡢࡗ࡜ࡾุ᩿ࡉࢀ࡚࠸ࡿࠋ
http://www.moj.go.jp/nyuukoku
kanri/kouhou/nyuukokukanri07_00044.
html㸧
࣭ᢏ⬟ᐇ⩦⏕ࡢධᅜᚋㅮ⩦ᮇ㛫㸦2 ࣨ᭶㸧ࡣ㞠⏝㛵ಀࡀ࡞ࡃࠊࡑࡢ᫬ᮇࡢධᅜᚋ೺
デ➼࡛ࠕ⤖᰾␲࠸ࠖ࡟࡞ࢀࡤᒆฟࡉࢀࡎ
࡟ᖐᅜ࡜࡞ࡗ࡚࠸ࡿࢣ࣮ࢫࡶ࠶ࡾࠊᖹ᫬
࠿ࡽಖ೺ᡤࡀᅋయ┘⌮ᆺᢏ⬟ᐇ⩦⏕ཷධᶵ㛵࡜㛵ಀࢆᵓ⠏ࡋ࡚࠾ࡃࡇ࡜ࡀ㔜
せࠋ

DOTS
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-

- ከゝㄒࡢ᭹⸆≧ἣ ࣭ᮾ ி 㒔 ➼ ୍ 㒊 ⮬ ἞ య ࡟ ࠾ ࠸ ࡚ ࡣ ࠊእᅜே⤖᰾ᝈ⪅࡬ࡢ DOTS ࡢㄝ

㸦DOTS㸧☜ㄆࢩ

DOTS ࢩ࣮ࢺࡢከゝㄒ∧ࢆసᡂࠊ౑⏝᫂ࡀᅔ㞴࡛࠶ࡿࠋ

࣮ࢺࡢᩚഛ

୰ࠋ

ᮏே࡟࠺ࡲࡃఏࢃࡽࡎࠊ་ᖌࡢᣦ

࣭⤖᰾ࠊDOTS ᨭ᥼࡟ࡘ࠸࡚⤖᰾◊✲ᡤ

♧㏻ࡾ᭹⸆ࡀ࡛ࡁ࡚࠸࡞࠿ࡗࡓࠋ

సᡂࡢ㈨ᩱࡀ࠶ࡾࡑࡕࡽࡶ኱࠸࡟ά⏝ᮏேࡣᖖ࡟ࠕศ࠿ࡾࡲࡋࡓࠖ࡜⟅࡛ࡁࡿࠋ࠼࡚࠸ࡓࡀ⮬ᕫ୰᩿ࡋ࡚࠸ࡓࠋ
-እᅜேࡢ㏻㝔ᡭẁࡢ☜ಖࡀㄢ㢟࡛
࠶ࡿࠋ

 

-

LTBI ࡢ㔜せᛶࡀఏࢃࡽ࡞࠸ሙྜ
ࡀ࠶ࡿࠋ-᪥ᮏㄒᏛᰯᩍᖌࡸᝈ⪅ᐙ᪘࡜㐃ᦠ
ࡋࡓ DOTS ࡞࡝ᕤኵࢆࡋ࡚࠸ࡿࠋ

ᅜእ⟶⌮ࡢ㞴ࡋࡉ- ᅜྠኈࡢ᝟ሗᥦ౪ ࣭἞⒪୰ࡲࡓࡣⓏ㘓୰ᝈ⪅ࡢᖐᅜ࡟࠾

-ᝈ⪅ࡀ↓᩿ᖐᅜࡋࡓ஦౛ࡀ࠶ࡿࠋ

࡞࡝ࠊཌ⏕ປാ┬ࡢࡅࡿẕᅜ࡬ࡢ㐺ษ࡞ᶫΏࡋࡀᚲせ࡛࠶◊ಟ⤊஢࡟ࡼࡾ἞⒪㏵୰࡛ᖐᅜࡍ

ᙺ๭ࢆ෌☜ㄆࡍࡿ

ࡿࠋࡿሙྜࡀ࠶ࡿࠋ

ᚲせᛶ

࣭European Respiratory Society/ World

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␃Ꮫඛ࡛ࡢ἞⒪⥅⥆ࡢࡓࡵ⤂௓≧

Health Organization Tuberculosisࢆᣢࡕฟᅜࡋࡓࡀࠊ⤖᰾἞⒪୰࡛

Consilium (ERS/WHO TB Consilium)࠶ࡿࡇ࡜ࢆ⌮⏤࡟ධᅜࢆᣄྰࡉࢀ

ࡢ࢙࢘ࣈࢧ࢖ࢺ

ࡓ஦౛ࡀ࠶ࡗࡓࠋ

(https://www.tbconsilium.org/)࡟࠶ࡿ⤖ᖐᅜᚋࡢ἞⒪⥅⥆ࡢࡓࡵࠊ⤂௓≧᰾ᝈ⪅⤂௓ࢩࢫࢸ࣒ࢆ⏝࠸ࡓࠊᅜእ࡬

సᡂࠊ἞⒪ඛࡢㄪᩚ࡞࡝ᑐᛂࡋࡓࠋ

ࡢᝈ⪅⤂௓ࡀྍ⬟࡛࠶ࡿࠋࡓࡔࠊID ྲྀᖐᅜᚋࡢ᭹⸆☜ㄆ⥅⥆ࡀ㞴ࡋ࠸ࠋᚓࡸⱥㄒ⬟ຊࡀᚲせ࡛࠶ࡾࡸࡸࣁ࣮ࢻ

἞⒪୰ࡢ୍᫬ᖐᅜࡢ㝿ࠊẕᅜࡢ⑓ࣝࡀ㧗࠸ࠋ㝔࡛ࡣ␗ᖖ࡞ࡋ࡜ゝࢃࢀ἞⒪୰᩿࣭ᝈ⪅࡟㐺ษ࡞ᣦ♧࣭ຓゝࢆࡍࡿࡓࡵ࡟

࡜࡞ࡗࡓࠋẕᅜࡢ⤖᰾་⒪యไࡸࣇ࢛࣮ࣟయไࠊ

ᖐᅜᚋ⟶⌮࡛ࠊឤᰁ⑕ἲࡢ㐺⏝ࡀไᗘ➼࡟ࡘ࠸࡚᝟ሗࡀᚲせࠋ㞴ࡋࡃࠊ⡿ᅜ࡞࡝⮬ᅜࡀప⶝ᘏᅜ

࣭⤖᰾ᑐ⟇ࡀୡ⏺࡛᏶඲࡟ᶆ‽໬࡛ࡁࡢሙྜࠊࡲࡓࡣ㧗⶝ᘏᅜࡢሙྜ࡞

࡚࠸࡞࠸ࡢࡣࠊᅜ࡟ࡼࡗ࡚ࡣᅜෆࡢᆅ

࡝ࡶࠊᑐᛂࡀ␗࡞ࡿሙྜࡀ࠶ࡿࠋ

ᇦ࡟ࡼࡗ࡚⤖᰾ᑐ⟇యไࡀ኱ࡁࡃ␗࡞

ᅜእ⁫ᅾᝈ⪅࡬ࡢㄪᰝࡀ㞴ࡋ࠸ࠋࡿࡓࡵࠋ⟶⌮೺デ୰ࡢᖐᅜ࡛㐃⤡ࡀ㏵⤯࠼࡚ࡋࡲࡗࡓࠋ

-⯟✵ᶵࡢ᥋ゐ⪅೺デ࡛ࡣᦚ஌⪅ࡢಶே᝟ሗ࡬ࡢᶒ㝈ࡀᙅ࠸ࠋ♫఍ⓗ⫼ᬒ- ከ๣⪏ᛶ⤖᰾ᝈ⪅࣭እᅜே࡟ࡼࡗ࡚ᩥ໬ࡸ⪃࠼᪉ࡀ␗࡞

-⏕ά㈝➼㔠㖹ⓗ࡞ၥ㢟ࡀ࠶ࡾᏳᐃ

࡬ࡢ἞⒪ࡢሙྜࠊᅾ

ࡿࡇ࡜ࢆ⌮ゎࡋࠊᑛ㔜ࡍࡿጼໃࡀ㔜せࠋࡋࡓ᭹⸆ࡀ㞴ࡋ࠸ࠋ␃ᘏ㛗࡞࡝ྖἲࡢᨭ

᐀ᩍࡸ㣗஦ࠊ≀஦ࡢỴࡵ᪉㸦౛㸸࢖ࢫ୙ἲ⁫ᅾ࡛↓ಖ㝤ࡢሙྜࠊධ㝔່᥼ࡶᚲせ࣒ࣛᩍ㸧ࠊ㈝⏝➼ࠊእᅜே࡛࠶ࢀࡤẼ࡟

࿌ࡢ་⒪㈝୍᪦⮬㈝ᡶ࠸ࡀㄢ㢟࡛- ධᅜ⟶⌮ᒁ࡜ࡢ㐃ࡍࡿഴྥࡢ࠶ࡿ஦᯶࡟ࡘ࠸࡚ࠊணࡵࣜ

࠶ࡿࠋ

ᦠࡢᚲせᛶ

ࢫࢺ࢔ࢵࣉࡋࠊᝈ⪅࣭ᐙ᪘ࡸ㛵ಀ⪅࡟᪥ᮏࡢಖ೺་⒪ࢩࢫࢸ࣒ࡢ⌮ゎࡀ- ඲ᅜಖ೺ᡤ㛗఍࡟୎ᑀ࡟ㄝ᫂ࡍࡿࠋ

㞴ࡋ࠸ࠋᑐࡋࠊ඲ᅜ୍ᚊࡢㄪ

࣭ᅾ␃㈨᱁࡞ࡋࡢእᅜேᝈ⪅ࡢሙྜࡣධᅜ⟶⌮ᒁ࡜ࡢၥ㢟ࡀ࠶ࡾ἞⒪⥅ᰝ࡛ࡣ࡞ࡃࠊ⤖᰾ㄢᑐᛂ᪉ἲ➼ࢆ౛♧ࡍࡿᚲせࡀ࠶ࡿࠋ⥆ࡀ㞴ࡋ࠸஦౛ࡀ࠶ࡿࠋ

㢟ࡢ኱ࡁ࠸ಖ೺ᡤྥ

⸆๣⪏ᛶ౛࡛⑓≧ᝏ໬ࡀุ᫂ࡋࠊ

ࡅࡢㄪᰝࡢせᮃᖐᅜᘏ㛗࡟㛵ࡍࡿㄪᩚࢆᚲせ࡜ࡍ- እᅜே⤖᰾ᑐᛂ஦ࡿ஦౛ࡀ࠶ࡿࠋ

౛㞟ࡢసᡂ࡜ඹ᭷

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-

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 

-

ᝈ⪅ᮏேࡀ⣙᮰࡟࣮ࣝࢬ࡛᭩㢮ࡀ࡞࠿࡞࠿ᥞࢃ࡞࠸ࡇ࡜ࡀከ࠸ࠋ

-ࣅࢨࡢ㛵ಀ࡛ẕᅜ࡜᪥ᮏࢆ⾜ࡗࡓࡾ᮶ࡓࡾࡍࡿ஦౛ࡀ࠶ࡿࠋ

-୙ἲ⁫ᅾ࡟ᑐࡍࡿᅜእ㏥ཤࢆᛧࢀ
⪺ࡁྲྀࡾ࡬ࡢ༠ຊࡀᚓࡽࢀ࡞࠸ࠋ

-ᆅᇦఫẸ࠿ࡽࡢⱞ᝟ࡣࠊእᅜேࡢ
᪥ᮏ࡜ẕᅜࡢᩥ໬័⩦ࡢ㐪࠸࡬ࡢ⌮ゎ୙㊊ࡸࠊᆅᇦࢥ࣑ࣗࢽࢸ࢕࡟
ᑐࡍࡿ㓄៖୙㊊➼࠿ࡽ⏕ࡌࡿࡇ࡜ࡀከ࠸ࠋ-࢖ࢫ࣒ࣛᩍᚐዪᛶ࡬ࡢࣞࣥࢺࢤࣥ
᳨ᰝࡣዪᛶᨺᑕ⥺ᢏᖌࡢࡳ࡜ᣦᐃ
ࡉࢀࡿሙྜࡀ࠶ࡿࠋ

-࢖ࢫ࣒ࣛᩍࡢ࠾♳ࡾࡢ᫬㛫࡟㔜࡞ࡿሙྜ࡟ࡣ┦ㄯᐊࢆᥦ౪ࡍࡿ࡞࡝
┦ᡭࢆᑛ㔜ࡋࡓᑐᛂࢆࡋࡓࠋ

-᥇⾑ࢆᛧࡀࡾᣄྰࡉࢀࡓࠋ-すὒ་Ꮫ௨እ㸦Ẽຌࠊఏ⤫་⒪࡞
࡝㸧࡛἞ࡍࡇ࡜ࢆ୺ᙇࡉࢀࡓࠋ

ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞴ࡋࡉ- ⤖᰾ࡢ἞⒪ࠊឤᰁ⑕࣭ࣃࣥࣇࣞࢵࢺ㸦἞⒪࣭⒪㣴㸧ࠊၥデ⚊-ᮏேࡣゝⴥࡀ㏻ࡌ࡞࠸ࢫࢺࣞࢫࢆ

ἲୖࡢධ㝔່࿌ࡸᑵ

㸦ᣦࡉࡋࠊ㑅ᢥ⫥ᥦ♧㸧ࠊ⾜ᨻᩥ᭩㸦ධឤࡌ࡚࠸ࡿࠋ

ᴗไ㝈➼ࡢไᗘ࡟ࡘ

㝔່࿌ࠊᑵᴗไ㝈ࠊ೺デཷデ່࿌㸧➼-່࿌ධ㝔࡬ࡢ⌮ゎࡀ㞴ࡋ࠸ࠋ࠸࡚ゎㄝࡋࡓእᅜㄒ

ࡢእᅜㄒ᭩㢮ࡢᩚഛࡢྍ⬟ᛶࢆ᳨ウࡍ-⮬ᅜㄒࡀヰࡏ࡚ࡶㄞࡵ࡞࠸ሙྜࡀ

ᩥ᭩ࡀᚲせ

ࡿࠋ

࠶ࡿࠋ

- እᅜேᨭ᥼ᅋయ➼ࠊ ࣭ࠕ ᪂⯆෌⯆ឤᰁ⑕ᑐ⟇➼೺ᗣ༴ᶵ⟶ண⣙᪥࡟ᮍཷデ࡛ࡶពᛮ␯㏻ࡀฟ

⤖᰾἞⒪ࡀᚲせ࡞እ⌮᥎㐍஦ᴗ⌜㸦୰㔛⌜㸧
ࠖᖹᡂ 28 ᖺᗘ᮶ࡎࠊ⌮⏤ࡀ୙᫂ࡢ஦౛ࡀ࠶ࡗࡓࠋ ᅜேࡀẕᅜㄒ࡛Ẽ㍍

ሗ࿌᭩࡟཰㞟ࡉࢀ࡚࠸ࡿࡀࠊㄢ㢟ࡣձ࡟↓ᩱ࡛┦ㄯ࡛ࡁࡿ

ᑐᛂ᪥ᮏㄒཎᮏࡀ࡞࠿ࡗࡓࡾࠊղ⩻ヂࢩࢫࢸ࣒ࡢṇㄗࡸ㉁ࡀ୙࡛᫂࠶ࡗࡓࡾࠊճෆᐜ

-࡟ᆅᇦ≉ᛶࡀྵࡲࢀ࡚࠸ࡓࡾࠊ࡞࡝ࠋ

࣭ྛᩥ᭩ࡢ᪥ᮏㄒᶆ‽∧ࢆసᡂࡋࠊⱥㄒ
⩻ヂࢆసᡂࡋࠊࡑࡢᚋ௚ゝㄒ࡬ࡶ㡰ḟ⩻ヂࡋ࡚࠸ࡃࡇ࡜ࢆ᳨ウࠋ඲ᅜಖ೺ᡤ
㛗఍࢙࢘ࣈࢧ࢖ࢺ࡟ᥖ㍕ࡋࢲ࣮࢘ࣥࣟ
ࢻ࡛ࡁࡿࡼ࠺࡟ࡋ࡚ࡣ࡝࠺࠿ࠋ

࣭་⒪㏻ヂࡢ㟂せࡣ㧗࠸ࡀྛゝㄒ࣭ྛᆅᇦ࡛ᥞ࠼ࡿࡇ࡜ࡣᐇ⌧ᅔ㞴㸦ู㡯࡟ヲ⣽㸧ࠋ2.

࢚࢖ࢬ࣭ᛶឤᰁ⑕ 

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ࢚࢖ࢬ࣭ᛶឤᰁ⑕ࡢヱᙜ஦౛

⾲ 2 ࢚࢖ࢬ࣭ᛶឤᰁ⑕ศ㔝ࡢ㢖ฟㄒࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ 33 ࠿ᡤ㸦┴ᆺ 20 ࠿ᡤࠊᕷᆺ 8

ฟ⌧ᅇᩘ
䠄ᅇ䠅
40
20
13
12
12

ᢳฟㄒ

࠿ᡤࠊ༊ᆺ 5 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ⮬⏤グ㍕࡜ࡋ࡚࢚࢖ࢬ࣭ᛶឤᰁ
⑕ࡣィ 29 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋ㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ࡢ୰࡟ 10ᅇ௨ୖฟ⌧ࡋࡓ༢ㄒࡣ⾲㸱ࡢ㏻ࡾ࡛࠶ࡗࡓࠋ

᳨ᰝ
⤖ᯝ
ㄝ᫂
እᅜ
࿌▱

ฟ⌧ᅇᩘ
䠄ᅇ䠅
᪥ᮏㄒ
12
ⱞ៖䞉ᅔ㞴
12
ཷ᳨
11
㝧ᛶ
10
ᢳฟㄒ

 ࢚࢖ࢬ࣭ᛶឤᰁ⑕ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 4 ࡟♧ࡍࠋ ⾲ 4 ࢚࢖ࢬ࣭ᛶឤᰁ⑕ศ㔝ࡢ௦⾲ⓗ஦ᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝ- ᳨ᰝ࡟᮶ᡤࡋࡓእᅜேࡀⱥㄒࡶ᪥ᮏㄒ

- HIV ᳨ᰝ࡟㛵ࡍ࣭HIV ᳨ᰝ࡟㛵ࡋ࡚ࡣࠊண⣙࠿ࡽཷ᳨ࠊ

ࡶ㏻ࡌࡎࠊ⤖ᯝࢆ⪺ࡃ᮶ᡤࡢᚲせᛶࡀఏࡿከゝㄒ㈨ᩱ

⤖ᯝ࿌▱ࡲ࡛እᅜㄒࢆせࡍࡿࠋࢃࡽࡎࠊࡑࡢᚋ᮶ᡤࡋ࡞࠿ࡗࡓࠋ

- HIV ᳨ᰝ⤖ᯝ࿌࣭ఏ࠼ࡿ࡭ࡁࡇ࡜ࠊ⪺ࡃࡇ࡜ࢆ᪥ᮏㄒ࡜- ᳨ᰝ㝧ᛶࡢእᅜே࡟࿌▱ࡢ㝿ࠊពᛮ␯㏻▱᫬ࡢ㏻ヂྠᖍ

ⱥㄒ࡛ணࡵỴࡵ࡚࠾ࡃࡇ࡜ࡀᚲせࠋࡀ࠺ࡲࡃ࠸࠿ࡎࠊᝈ⪅ࡣ⤖ᯝࢆཷࡅධࢀ

ࡢᢎㅙ࣭ձࣃࣥࣇࣞࢵࢺࠊղ᳨ᰝࡢὶࢀࠊճ⤖௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂ౛࡜᳨ウ⤖ᯝ௦

ࡽࢀࡎ㏨ࡆ࡚ࡋࡲࡗࡓࠋ

ᯝࡢゎ㔘࡜ὶࢀࠊ➼࡟ࡘ࠸࡚ࡣእᅜㄒ᭩

- ᩆᛴእ᮶࡛ࡢእᅜேᑐᛂ࡛་⒪ᚑ஦⪅㢮ࡢᩚഛࡀᚲせࠋࡢ㔪่ࡋࡀⓎ⏕ࠊ⑓㝔ࡀ࢚࢖ࢬ᳨ᰝࢆせ࣭ྛᩥ᭩ࡢ᪥ᮏㄒᶆ‽∧ࢆసᡂࡋࠊⱥㄒ

ồࡶᮏேࡢྠពࢆᚓࡽࢀ࡞࠿ࡗࡓࠋ

⩻ヂࢆసᡂࡋࠊࡑࡢᚋ௚ゝㄒ࡬ࡶ㡰ḟ⩻- ከゝㄒ࡟ࡼࡿ᳨ᰝ๓ᚋࡢ࢝࢘ࣥࢭࣜࣥ

ヂࡋ࡚࠸ࡃࡇ࡜ࢆ᳨ウࠋ඲ᅜಖ೺ᡤ㛗఍ࢢࡀྍ⬟࡞ಖ೺ᡤࡶ࠶ࡿࠋ

࢙࢘ࣈࢧ࢖ࢺ࡟ᥖ㍕ࡋ࡚ࡣ࡝࠺࠿ࠋ

3.

⾲ 5 ࡑࡢ௚ࡢឤᰁ⑕ศ㔝ࡢ㢖ฟㄒࡑࡢ௚ࡢឤᰁ⑕㸦᪂⯆ឤᰁ⑕࣭㯞ࡋࢇ࣭㢼ࡋࢇ࣭ࡑࡢ௚㸧ᢳฟㄒ

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊࡑࡢ௚ࡢឤᰁ⑕ࡢヱᙜ஦౛ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ 45 ࠿ᡤ㸦┴ᆺ 26 ࠿ᡤࠊᕷᆺ 12 ࠿ᡤࠊ༊
ᆺ 7 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ⮬⏤グ㍕࡜ࡋ࡚᪂⯆ឤᰁ⑕࣭㯞ࡋࢇ࣭㢼ࡋࢇ࣭ࡑࡢ௚ࡣィ 48 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋ㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ࡢ୰࡟
10 ᅇ௨ୖฟ⌧ࡋࡓ༢ㄒࡣ⾲㸳ࡢ㏻ࡾ࡛࠶ࡗࡓࠋ ࡑࡢ௚ࡢឤᰁ⑕ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 6 ࡟♧ࡍࠋ ⾲ 6 ࡑࡢ௚ࡢឤᰁ⑕ศ㔝ࡢ௦⾲ⓗ஦౛࡜

ㄪᰝ
ឤᰁ
ᑐᛂ
Ⓨ⑕
᪑⾜
␿Ꮫ
᪥ᮏㄒ
㐃⤡

ฟ⌧ᅇᩘ
䠄ᅇ䠅
25
16
12
12
12
11
11
11

ᢳฟㄒ
་⒪
ᝈ⪅
㏻ヂ
ධ㝔
⌮ゎ

ฟ⌧ᅇᩘ
䠄ᅇ䠅
10
10
10
10
10

ᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝእᅜேࡣࠊ᪥ᮏᅜෆࡢឤᰁ⑕ᑐ⟇࡟ᑐࡍ- ឤᰁ⑕ᑐ⟇ࡢไᗘࠊධ

࣭ឤᰁ⑕ἲࡀ H30 ᖺ 1 ᭶ࡼࡾࡿ⌮ゎࡀஈࡋ࠸ࠋ

㝔່࿌ᩥ࡞࡝ከゝㄒࡢᨵṇ࡜࡞ࡾࠊ㢼ࡋࢇࡢᑐ⟇ࡀᙉእᅜே᪑⾜⪅ࡀ㯞ࡋࢇⓎ⑕ࡋࡓሙྜࠊẕㄝ᫂⏝㈨ᩱ࡜ከゝㄒࡢ໬ࡉࢀ࡚࠸ࡿࠋᅜࡢឤぬ࡛ࠊ᪥ᮏࡢᑐᛂࡢᚲせᛶࢆཷࡅၥデ⚊࣭௒ ᚋᮾி࢜ࣜࣥࣆࢵࢡ㛤ദධࢀ࡚ࡶࡽ࠼࡞࠸ࠋ- ᪑⾜⪅ࡢሙྜࠊ⁫ᅾᮇ࡟ྥࡅ࡚ࠊᾏእ࠿ࡽࡢேࡢฟධ

㯞ࡋࢇ᥋ゐ⪅ࡢ೺ᗣほᐹᑐ㇟ࡀᢏ⬟ᐇ㛫ࡀ㝈ᐃࡉࢀࡿࡓࡵࠊ

ࡾࡀቑ࠼ࠊMERS ࡞࡝ࡢ᪂⯆⩦⏕࡞࡝ࡢሙྜ㞴ࡋ࠸ࠋ⪺ࡁྲྀࡾ➼ึືᑐᛂࡀ

ឤᰁ⑕ࡸࠊ㯞ࡋࢇ࣭㢼ࡋࢇࠊ౵᪑⾜⪅ࡀデ᩿ࡉࢀࡓሙྜ࡟ࡣ㐃⤡ࡀࡘ෇⁥࡟࡛ࡁࡿࡼ࠺࡞ᨭくᛶ㧊⭷⅖⳦ឤᰁ⑕➼࡬ࡢᑐ࠿࡞࠸ሙྜࡀከ࠸ࠋ

᥼ࢩࢫࢸ࣒ࡀᚲせᛂࡢᙉ໬ࡀồࡵࡽࢀࡿࡔࢁ࠺ࠋ

௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂ
᳨ウ⤖ᯝ௦
-

-

-

-

 

-

ఫẸ⚊ࡢ࡞࠸እᅜே࡟ᑐࡋ࡚␿Ꮫㄪᰝࢆ⾜࠺㝿࡟ពᛮࡢ␯㏻ࡀ⾜࠼ࡎࠊ㠃఍ࡶ㞴ࡋ࠸ࠋ-⮬἞య㛫ࡢᑐᛂࡢᕪࡀㄢ㢟࡟࡞ࡿࡇ࡜
ࡀ࠶ࡿࠋ-඲ᅜಖ೺ᡤ㛗఍ࡢࢿࢵࢺ࣮࣡ࢡࡢ᭷㞴ࡉࢆ③ឤࡋࡓࠋ

-ࢡ࣮ࣝࢬ⯪࡛஌ᐈ࡟ 1ࠊ2 㢮ឤᰁ⑕ࡀⓎ⏕ࡋࡓሙྜ࡟ഛ࠼ࡓ㛵ಀᶵ㛵࡜ࡢカ⦎ࢆᐇ᪋ࡋ࡚࠸ࡿࠋ

4.

ẕᏊಖ೺㸦ண㜵᥋✀ྵࡴ㸧࣭ඣ❺⚟♴⾲ 7 ẕᏊಖ೺࣭ඣ❺⚟♴ศ㔝ࡢ㢖ฟㄒ

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊẕᏊಖ೺࠾ࡼࡧඣ
❺⚟♴ࡢヱᙜ஦౛ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ
51 ࠿ᡤ㸦┴ᆺ 22 ࠿ᡤࠊᕷᆺ 22 ࠿ᡤࠊ༊ᆺ 7 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ⮬⏤グ㍕࡜ࡋ࡚ẕᏊಖ೺࣭ඣ❺⚟♴ࡣ
ィ 105 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋ㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ࡢ୰࡟ 10 ᅇ௨ୖฟ⌧ࡋࡓ༢ㄒࡣ⾲ 7 ࡢ㏻ࡾ࡛࠶ࡗࡓࠋ ẕᏊಖ೺࣭ඣ❺⚟♴ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 8
࡟♧ࡍࠋ

ฟ⌧ᅇᩘ
䠄ᅇ䠅
ཷデ䞉デ䜛
55
እᅜ
34
ⱞ៖䞉ᅔ㞴
29
ฟ⏘
28
ஙᗂඣ
27
ᨭ᥼
25
ẕᏊ
25
☜ㄆ
20
ண㜵᥋✀
20
ᚲせ
19
೺ᗣ
18
ዷ፬
18
ᑐᛂ
16
㏻ヂ
16
ᢳฟㄒ

ᢳฟㄒ
་⒪
䝣䜱䝸䝢䞁
ఫẸ
ሙྜ
⏦ㄳ
デᰝ
ẕ
ゼၥ
ド᫂
≧ἣ
⌮ゎ
㐃⤡
⫱ඣ
ᶵ㛵

ฟ⌧ᅇᩘ
䠄ᅇ䠅
15
14
14
14
14
14
14
14
13
13
13
13
12
12

ᢳฟㄒ
ゝㄒ
᭩㢮
ㄝ᫂
┦ㄯ
ዷፎ
ᩥ໬
἞⒪
ᢕᥱ
ಖ೺
ᒃఫ
஺௜
୙᫂
ኵ፬
ಖㆤ

ฟ⌧ᅇᩘ
䠄ᅇ䠅
12
12
12
12
12
12
11
11
11
10
10
10
10
10

 ⾲ 8 ẕᏊಖ೺࣭ඣ❺⚟♴ศ㔝ࡢ௦⾲ⓗ஦౛࡜᳨ウ⤖ᯝ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝẕᏊ࣭ஙᗂඣ೺デእᅜ࡛ࡢண㜵᥋✀Ṕ࣭ஙඣ඲ᡞゼၥ࡟࠾࠸-ண㜵᥋✀ࡀᚲせ࡛ࡣ࡞࠸࡜࠸࠺୺ᙇࢆཷࡅࡿࠋ

ࢆ☜ㄆࡍࡿᡭẁ㸦ண

࡚㏻ヂࡀᚲせࠋ࣎ࢹ࢕-Ꮚ࡝ࡶࡢẕᅜ࡛ࡢண㜵᥋✀Ṕࡀ୙࡛᫂ᅔࡿࠋ

㜵᥋✀ᡭᖒ࣭ẕᏊᡭࣛࣥࢤ࣮ࢪ࡛ࡣ㝈⏺ࡀ-ஙᗂඣ೺ᗣデᰝࢆཷデࡋ࡞࠸ሙྜࡀ࠶ࡿࠋ

ᖒ࡞࡝㸧࠶ࡿࠋࡲࡓࠊᐙ᪘ࡀ༑

-㣕ࡧࡇࡳฟ⏘ࡢ஦౛ࡀ࠶ࡗࡓࠋ

ศ࡟㏻ヂࢆᢸ࠼࡞࠸ሙ

-⑓㝔ࢆ㑊ࡅ⮬Ꮿฟ⏘ࡢᕼᮃࡀ࠶ࡿ

ྜࡶ࠶ࡾࠊ㓄അ⪅➼ࡢ-እᅜ∧ࡢẕᏊ೺ᗣᡭᖒࡢ஺௜ࠊ᱌ෆ୍ぴࢆ⏝ពࡍ

㏻ヂ࡛ࡣ DV ➼ᐙᗞෆࡿ࡞࡝ࡢᑐᛂࢆࡋ࡚࠸ࡿࠋၥ㢟ࢆⓎぢࡋ࡟ࡃࡃ࡞

ஙᗂඣ೺デ࣭㉥ࡕࡷࢇゼၥ➼ẕᏊ஦ᴗ࡛ᕷࡢᢸᙜ

ࡿྍ⬟ᛶࡶ࠶ࡿࠋ

-ㄢ࡜㐃ᦠࡋ㏻ヂᑐᛂࢆࡋࡓࠋ
ඣ❺⹢ᚅ࣭DV࣭ඣ❺⹢ᚅࡸ DV ⿕ᐖ-ඣ❺⹢ᚅࡢ⪃࠼᪉ࡶ␗࡞ࡿሙྜࡀ࠶ࡾࠊಖㆤ᫬࡟

⪅࡬ࡢ᰿ᮏⓗᑐᛂࡣࠊࢺࣛࣈࣝ࡜࡞ࡗࡓࠋ

ࡑࢀࡒࢀࡢᅜ࡟࠾ࡅࡿ

⹢ᚅ┦ㄯࡀ࠶ࡗࡓሙྜ࡟ᕷ࡜㐃ᦠࡋ࡚ᑐᛂࡋࡓࠋ౯್ほ࡜ࡶ㛵ࢃࡗ࡚ࡃせಖㆤඣ❺㐃⤡༠㆟఍ࢆ㛤ദࡋࡓ஦౛ࡶ࠶ࡗࡓࠋ

ࡿࡓࡵ㞴ࡋ࠸ࠋ

-

 

-

DV ࡀ࠶ࡿࡶ᐀ᩍୖ㞳፧ฟ᮶ࡎࠊ୍ேぶ࡜ࡋ࡚ࡢ⚟♴ไᗘ➼ࡀ฼⏝ฟ᮶ࡎ⏕άᅔ❓࡟㝗ࡗࡓࠋ

୙ዷ἞⒪㈝ຓᡂไᗘ

࣭୙ዷ἞⒪㈝ຓᡂไᗘ

-እᅜ࡜ࡢ ᮶ࡀ࠶ࡿ᪉࡛ࠊᡤᚓㄢ⛯㢠ࡀ୙᫂ࠊ㐣ࡣࠊ᪥ᮏே⏦ㄳࡀ๓ᥦཤࡢຓᡂᒚṔࡀ㏣㊧࡛ࡁ࡞࠸ࠊ࡞࡝ࡢ⌮⏤࡛஺௜࡛࠶ࡾࠊእᅜ⡠ࡢሙྜࠊỴᐃࡲ࡛࡟᫬㛫ࢆせࡋࡓࠋᚲせ࡞᭩㢮ࡀྲྀᚓ࡛ࡁ
࡟ࡃ࠸ࠋ⏦ㄳࡢ᥼ຓࡀ
ᚲせ࠿ࠋ

♫఍ⓗ⫼ᬒ

- ಖ೺ᣦᑟࢆ௰௓ࡋ

࣭ఫᡤ୙ᐃ⪅ࠊ୙ἲ⁫-㞳ங㣗ࡢ㐍ࡵ᪉ࡢᣦᑟࡀ࡞ࡌࡲ࡞࠸ሙྜࡀ࠶ࡿࠋ

࡚ࡃࢀࡿᨭ᥼⪅ࡢᅾ⪅࡬ࡢᑐᛂࡀࠊᙼࡽ

-⫱ඣ࡟㛵ࡍࡿ౯್ほࡢ㐪࠸࡬ࡢᑐᛂࡀ㞴ࡋ࠸ࠋᚲせᛶࡢᏊ౪ࡢ೺ᗣࡸ⏕ά࡟-᐀ᩍୖࡢ⌮⏤࡛ඛኳ௦ㅰ␗ᖖ᳨ᰝࢆᣄྰࡉࢀࡓࠋ-ẕぶࡀ୙ἲ⁫ᅾࡢࡓࡵࠊᏊࡣ↓ᅜ⡠࡛೺ᗣಖ㝤ᮍ┤⤖ࡋ࡚࠸ࡿࠋ

ຍධࠊ⑓㝔ཷデࡀ࡛ࡁ࡞࠸ࠋ
-ࣃ࣮ࢺࢼ࣮௨እࡢ᪥ᮏே࡜ࡢ㛵ࢃࡾࡀ࡞࠸

5.

⢭⚄ಖ೺

⾲ 9 ⢭⚄ಖ೺ศ㔝ࡢ㢖ฟㄒ

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ⢭⚄ಖ೺ࡢヱᙜ஦

ฟ⌧ᅇᩘ
ᢳฟㄒ
䠄ᅇ䠅
౛ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ 49 ࠿ᡤ㸦┴ᆺ ⢭⚄56ධ㝔54
33 ࠿ᡤࠊᕷᆺ 11 ࠿ᡤࠊ༊ᆺ 5 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ
ᥐ⨨
35
34
 
⮬⏤グ㍕࡜ࡋ࡚⢭⚄ಖ೺ࡣィ 68 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋⱞ៖䞉ᅔ㞴་⒪31㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ࡢ୰࡟ 10 ᅇ௨ୖฟ⌧ࡋࡓ ㏻ሗ
30㏻ヂ
29༢ㄒࡣ⾲ 9 ࡢ㏻ࡾ࡛࠶ࡗࡓࠋ
ᑐᛂ
25
ಖ೺
23
⢭⚄ಖ೺ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 10 ࡟♧ࡍࠋ

ᢳฟㄒ
ಖㆤ
ᮏே
ᚲせ
⑓㝔
⚟♴
ᐙ᪘
デᐹ
἞⒪

ฟ⌧ᅇᩘ
䠄ᅇ䠅
21
19
16
16
16
15
15
13

ᢳฟㄒ
እᅜ
ཷデ
୰ᅜே
ྠព
⑌ᝈ
㏻䛨䜛
⌮ゎ
㏥㝔

ฟ⌧ᅇᩘ
䠄ᅇ䠅
12
12
12
12
11
11
11
10

 ⾲ 10 ⢭⚄ಖ೺ศ㔝ࡢ௦⾲ⓗ஦౛࡜᳨ウ⤖ᯝ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂ
-

-

-

-

ᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝ᪑⾜⪅ࡀᛂᛴධ㝔࡜࡞ࡿ㝿ࠊ72 ᫬㛫- እᅜேࡢ⢭⚄ಖ೺⚟♴࣭᪥ᮏㄒࢆヰࡏ࡞࠸㏻ሗ࣭せ࡜࠸࠺㝈ᗘ᫬㛫ෆ࡟㡿஦㤋࠿ࡽᾏእἲ 23 ᮲㏻ሗ౛࡟ᑐࡋࠊデデᐹᝈ⪅࡟ᑐࡋ࡚ࡣࠊձ㏻ヂ

ᅾఫࡢᐙ᪘࡟ධ㝔ྠពࢆᚓࡿㄪᰝࢆ

ᐹྍ⬟࡞་⒪ᶵ㛵ࡸయไ⪅ࡢ☜ಖࠊղⱥㄒ࡟័ࢀࡓ⢭ᐇ᪋ࡍࡿࡇ࡜ࡀ㞴ࡋ࠸ࠋࡢᩚഛ⚄⛉་ࠊճ⾜ᨻᩥ᭩ࡢከゝㄒ⮬യ௚ᐖࡢ࠾ࡑࢀ࡛⢭⚄ಖ೺⚟♴ἲ໬ࡢᚲせᛶࠋ

23 ᮲㏻ሗࠋ᪥ᮏㄒࡀヰࡏ࡞࠸ࡓࡵࠊ࣭⢭ ⚄ಖ೺⚟♴ἲ࡟ᇶ࡙ࡃ

㏻ヂ༠ຊ⪅࡜ⱥㄒࢆヰࡏࡿᣦᐃ་ࢆ

ධ㝔➼࡟ಀࡿ⾜ᨻᩥ᭩ࡸไᗘ

ㄪᩚࡋᑐᛂࡋࡓࠋ

ࡢࣃࣥࣇࣞࢵࢺࡢⱥ࣭୰࣭㡑࣭ẕᅜ኱౑㤋ࡀᙜ┴࡟࡞ࡃࠊᩥ᭩࡛ࡢࡸ

ࣇࣛࣥࢫ࣭ࢫ࣌࢖࣭ࣥࢱ࢞ࣟ

ࡾྲྀࡾࡸࠊฎ㐝ࡢ┦ㄯࢆࡍࡿࡢ࡟ⱞ៖

ࢢㄒ∧ࡣ㒔❧ᯇἑ⑓㝔ࡢ࣮࣍ࡋࡓࠋ࣒࣮࣌ࢪ࡟ᩚഛࡉࢀ࡚࠸ࡿࠋ

ᥐ⨨ධ㝔ࡋࡓࡀࠊ㏥㝔ᚋࡢ⏕ά㈝ࡸᒃ

࣭⢭ ⚄ಖ೺⚟♴ἲࡢ⌮ゎࡀఫඛࡀㄢ㢟࡜࡞ࡿࠋ

㞴ࡋ࠸ࠋ
 

-

ᥐ⨨ධ㝔ࡢ㏥㝔ᚋࡢᖐᅜ࡟㝿ࡋࠊẕᅜࡢ་⒪ࢩࢫࢸ࣒࡟㛵ࡍࡿ᝟ሗࡀ࡞ࡃ
ᑐᛂ࡟ⱞ៖ࡋࡓࠋ

-㏻㝔ࡀ୰᩿ࡋ࡚࠸ࡓࡓࡵࠊᕷࡢಖ೺ᖌ
࠾ࡼࡧ㏻ヂ⪅࡜ᙜᡤಖ೺ᖌ࡛ゼၥࡋࠊཷデࡀ෌㛤࡛ࡁࡿࡼ࠺࡟ᨭ᥼ࡋࡓࠋ

-་⒪ಖㆤධ㝔࡛᪥ᮏㄒࡀ㏻ࡌࡎᐙ᪘
ࡢ≧ἣࡀศ࠿ࡽ࡞࠸ሙྜࡢᕷ㛗ྠពࡢุ᩿࡟ⱞ៖ࡋࡓࠋ

-ධ㝔ࡢ㌟ࡢᅇࡾࡢ‽ഛࡸࠊᥐ⨨ධ㝔᫬- ᥐ⨨ධ㝔ࡢ㏻▱ᩥ࡞࡝ࠊ ࣭࢟ ࣮ࣃ࣮ࢯࣥ࡜࡞ࡿᨭ᥼ࡢᚲせ᭩㢮సᡂࢆࡋ࡚ࡶࡽ࠼ࡿ࣮࢟

ከゝㄒ∧ࡀᚲせ⪅ࡀ఍♫௨እ࡟࠸࡞࠸እᅜே

ࣃ࣮ࢯࣥࡀ୙ᅾ࡛࠶ࡿࠋ- ᥐ⨨ධ㝔ゎ㝖ᚋࠊࡲࡔධࡶከ࠸ࠋ㝔἞⒪ࡀᚲせ࡞ሙྜࡢ་⒪㈝ࡸධ㝔ᨭ᥼⪅ࡢᢸಖ-࣭ᅾ ␃㈨᱁࡞ࡋࡢእᅜேᝈ

೺ᗣಖ㝤ᮍຍධࡢࡓࡵࠊᥐ⨨ゎ㝖ᚋࡣ- ་⒪ಖㆤධ㝔࡟࠾ࡅࡿ἞⒪⥅⥆ࡀ㞴ࡋ࠸ᛂᛴධ㝔ᮇ㛫㸦72 ᫬㛫㸧 ⪅ࡢሙྜࡣᑐᛂ᪉ἲ➼ࢆ౛♧ࢆᘏ㛗࡛ࡁࡿ࡞࡝ࡢ≉౛ࡍࡿᚲせࡀ࠶ࡿࠋ

ᑐᛂ࣭ᥐ⨨ゎ㝖ᚋࡢࠊ㈝⏝㈇ᢸࢆ
ྵࡵࡓ་⒪ࡢ☜ಖࡀ㔜せࠋ6.

㞴⑓ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ⢭⚄ಖ೺ࡢヱᙜ஦౛ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ 19 ࠿ᡤ㸦┴ᆺ 15࠿ᡤࠊᕷᆺ 3 ࠿ᡤࠊ༊ᆺ 1 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ⮬⏤グ㍕࡜ࡋ࡚㞴⑓ࡣィ 18 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋ㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ࡢ୰࡟ 10 ᅇ௨ୖฟ⌧ࡋࡓ༢ㄒࡣࠊ㞴⑓ࠊ⏦ㄳࠊࡢ஧ࡘ࡛࠶ࡗࡓࠋ
㞴⑓ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 11 ࡟♧ࡍࠋ
 ⾲ 11 㞴⑓ศ㔝ࡢ௦⾲ⓗ஦౛࡜᳨ウ⤖ᯝ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂᨭ᥼᪉⟇ࡢᥦゝᣦᐃ㞴⑓་⒪⤥௜ࡢไᗘࡣࠊ⑓㝔㸦་ᖌ㸧ࡀ୍ᚊ࡟⏦ㄳࡍࡿࡼ࠺

- እᅜேࡶᑐ㇟࡜࡞ࡿᣦᐃ㞴⑓࡟ヰࢆࡍࡿࡢ࡛ࡣ࡞ࡃࠊᝈ⪅➼ࡢ≧ἣࢆ☜ㄆࡋ࡚ㄝ᫂ࡍࡿࡇ࡜ࡀ

≉ᐃ་⒪㈝⤥௜ไᗘࡣࠊไᗘࡢᮃࡲࡋ࠸ࠋᴫせࡸ⏦ㄳ᭩㢮➼ࡢㄝ᫂ᩥ᭩

-እᅜ⡠ࡢ㞴⑓ᝈ⪅ࡢ❆ཱྀᑐᛂࡢ⏦ㄳᡭ⥆ࡁ࡟ࡘ࠸࡚ㄢ㢟ࡀ࠶ࡿࠋࡀከゝㄒ࡛ᚲせ㸦ᅜࣞ࣋ࣝ㸧-⏦ㄳཷ௜᫬ࠊಖ೺ᡤ⫋ဨࡀ௦➹ࡋ࡚࠸ࡿሙྜࡶ࠶ࡿࠋ

-ᑠඣ៏ᛶ⑌ᝈ་⒪㈝⏦ㄳ஦ົࢆ⾜࠺㝿࡟ࠊゝㄒࡀ㏻ࡌࡎࠊᡭ⥆ࡁ-ㄝ᫂ࡀᅔ㞴࡛࠶ࡿࠋ
-ඣ࡟㞀ᐖࡀ࠶ࡾ⒪⫱ᶵ㛵ࡸ≉ูᨭ᥼࡬ࡢㄪᩚ࡟᫬㛫ࢆせࡋࡓࠋ

 

7.

㣗ရ⾨⏕࣭⏕ά⾨⏕
⾲ 12 㣗ရ⾨⏕࣭⏕ά⾨⏕ศ㔝ࡢ㢖ฟㄒ

ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ㣗ရ⾨⏕ࡢヱᙜ஦౛

ฟ⌧ᅇᩘ
䠄ᅇ䠅
㣗ရ
33
ᕷᆺ 9 ࠿ᡤࠊ༊ᆺ 1 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ⮬⏤グ㍕࡜ࡋ࡚㣗ရႠᴗ
27⾨⏕ࡣィ 51 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋ㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ ⏦ㄳ
26
᪥ᮏㄒ
26
ࡢ୰࡟ 10 ᅇ௨ୖฟ⌧ࡋࡓ༢ㄒࡣ⾲ 12 ࡢ㏻ࡾ࡛࠶ࡗࡓࠋ チྍ22⏕ά⾨⏕ࡣࠊᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣヱᙜ஦౛ ⾨⏕
ࡲࡓ⏕
21
18
ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ 12 ࠿ᡤ㸦┴ᆺ 9 ࠿ᡤࠊᕷ ⱞ៖䞉ᅔ㞴⌮ゎ18ࢆ⤒㦂ࡋࡓ࡜ᅇ⟅ࡋࡓಖ೺ᡤࡣ 42 ࠿ᡤ㸦┴ᆺ 32 ࠿ᡤࠊ

ᢳฟㄒ

ᢳฟㄒ
እᅜ
ㅮ⩦
ᣦᑟ
㈐௵
ㄝ᫂

ฟ⌧ᅇᩘ
䠄ᅇ䠅
15
11
10
10
10

ᆺ 2 ࠿ᡤࠊ༊ᆺ 1 ࠿ᡤ㸧࡛࠶ࡗࡓࠋ⮬⏤グ㍕࡜ࡋ࡚⏕ά⾨⏕ࡣィ 17 ௳ࡢᅇ⟅ࡀ࠶ࡗࡓࠋ㢖ฟㄒࡢ᳨⣴࡛ࡣࠊグ㍕ࡢ୰࡛᭱ࡶከࡃㄆࡵࡓ༢ㄒࡣࠕㄪᰝ㸦9 ᅇ㸧࡛ࠖ࠶ࡗࡓࠋ㣗ရ⾨⏕࣭⏕ά⾨⏕ศ㔝࡟࠾ࡅࡿ᳨ウ⤖ᯝࢆ⾲ 13 ࡟♧ࡍࠋ
⾲ 13 㣗ရ⾨⏕࣭⏕ά⾨⏕ศ㔝ࡢ௦⾲ⓗ஦౛࡜ᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝ㣗ရ⾨⏕ἲ⏦ㄳ⪅ࡀእᅜேࡢ஦౛ࡀቑຍࡋ- 㣗 ရ ⾨ ⏕ࡢ┘ ど࣭チ ྍ⏦ㄳ᫬ࡢ᥼ຓࡣ♫఍ಖ㞀࡚࠸ࡿࠋᣦᑟࡸチྍ࡟㛵ࡢ┤᥋ⓗ⠊ᅖ࡛ࡣ࡞࠸ࡓࡵ௚ศ

᪥ᮏࡢ㣗ရ⾨⏕࡟㛵ࡍࡿ▱㆑ࢆ༑ศ⌮ゎࡋࡍࡿከゝㄒࡢㄝ

㔝࡜ẚ࡭ඃඛ㡰఩ࡣప࠸࠿ࠋ

࡚ࡶࡽ࠺ᚲせࡀ࠶ࡿࠋ᫂ᩥ᭩࣭㣗 ရ⾨⏕㈐௵⪅ㅮ⩦఍ࡢእᅜ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂ
᳨ウ⤖ᯝ௦
-

-

-

㣗ရ⾨⏕㈐௵⪅ㄆᐃㅮ⩦఍ࡣࠕ᪥ᮏㄒࡀ⌮ㄒ໬ࠋゎ࡛ࡁࡿ᪉࡟㝈ࡾࡲࡍࠖࡢ᮲௳ࡀ࠶ࡿࠋ࣭ձ 㣗 ရ ⾨ ⏕ ࡢ ㅮ ⩦ ఍ ࢸ ࢟ ࢫከゝㄒࡢ஦ᴗ⪅ྥࡅ㣗ရ⾨⏕࣐ࢽࣗ࢔ࣝࠊ

ࢺࠊղࣃࣥࣇࣞࢵࢺ࡟ࡘ࠸࡚᪥

㣧㣗ᗑႠᴗチྍド࡞࡝ࢆసᡂࡋᑐᛂࡋࡓࠋ

ᮏㄒᶆ‽∧ࡢసᡂࡋࠊⱥㄒ⩻ヂ-⏦ㄳ᭩ࢆ௦➹ࡍࡿ࡞࡝ࡢᑐᛂࡶ࠶ࡿࠋ

➼࡟ࡘ࠸᳨࡚ウࠋ-㣧㣗ᗑ⯒ࡢᕠᅇࠊ❧ࡕධࡾ᳨ᰝ➼࡟࠾࠸࡚࣭༓ ௦⏣༊ಖ೺ᡤࡀ㣗ရ⾨⏕࣐ࡣࠊ᪥ᮏே⟶⌮⫋࡟ྠᖍࡋ࡚㡬ࡃ࡞࡝ᕤኵ

ࢽࣗ࢔ࣝ㸦ⱥ࣭୰࣭㡑࣭ࣄࣥࢹࢆࡋࡓࠋ࢕࣭ࢿࣃ࣮ࣝㄒ㸧ࢆసᡂࠋ--ᩥ໬ⓗ࡟㣗ရࡢゎ㔘ࡢ㐪࠸㸦౛㸸ࢼࣥࡣ᪥ᮏ࡛ࡣⳫᏊࠊ࢖ࣥࢻ࡛ࡣ୺㣗㸧ࡀ࠶ࡿࠋ--㣗୰ẘㄪᰝ࡟࠾࠸࡚ゝㄒࡀ㞀ቨ࡜࡞ࡾࠊ⪺እᅜே᪑⾜ᐈ࡬

ࡁྲྀࡾㄪᰝ࡟ᅔ㞴ࢆせࡋࡓࠋࡢ㣗୰ẘㄪᰝ⚊㣧㣗ᗑ࡟ᑐࡍࡿⱞ᝟⏦❧ேࡀእᅜேࡢ஦౛

ࡢഛ࠼ࡀᚲせࡶ࠶ࡗࡓࠋ-ᗫᲠ≀ࡢ୙㐺ṇฎ⌮࡜࡞ࡾࠊⅆ⅏ࡀⓎ⏕ࡋࡓ஦౛ࡀ࠶ࡗࡓࠋ

-እᅜே࡟ࡼࡿ⏘ᴗᗫᲠ≀ࡢ୙ἲᢞᲠ࡬ࡢᑐ
ᛂࡀ㞴ࡋ࠸ࠋ-࣭ᐃ ఫእᅜே࡟ࡼࡿᮍチྍẸἩẸἩࡸண⣙ࢧ࢖ࢺ Airbnb ࡟㛵ࢃࡿࢺࣛࣈ

ࡀቑ࠼࡚࠸ࡿࠋ

ࣝࡀከ࠸

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8.

ࡑࡢ௚
ࡑࡢ௚ࠊ་⒪Ᏻ඲ࠊ་⒪ಖ㝤ࠊ⫢⅖་⒪㈝ຓᡂࠊ⮬↛⅏ᐖࠊ⿕⇿⪅ᨭ᥼࡞࡝࡛ࠊィ 12 ௳ࡢ⮬⏤グ㍕

ࡀ࠶ࡗࡓࠋ⅏ᐖ᫬ᑐᛂ࡛ࡣࠊእᅜேྥࡅࡢ᝟ሗᥦ౪ࡢ࠶ࡾ᪉ࠊ་⒪ᩆㆤᡤࡢከゝㄒᑐᛂ໬࡞࡝ࡢ᳨ウࡢ
㔜せᛶࡀ࠶ࡆࡽࢀࡓࠋ
9.

ከゝㄒᑐᛂ㸦ඹ㏻㡯┠㸧
1㹼8 ࡢศ㔝࡟ࡲࡓࡀࡗ࡚ࠊከゝㄒᑐᛂ࡟㛵ࡍࡿグ㍕ࡀከࡃぢࡽࢀࡓࡓࡵࠊ⾲ 14 ࡟♧ࡍࠋ
 ⾲ 14 ከゝㄒᑐᛂ࡟㛵ࡍࡿ௦⾲ⓗ஦౛࡜᳨ウ⤖ᯝ௦⾲ⓗ஦౛࡜ㄢ㢟࣭ᑐᛂᨭ᥼᪉⟇ࡢᥦゝ◊✲⌜ࡢ᳨ウ⤖ᯝ፹య࡟ࡘ࠸࡚

ከゝㄒࡢᩥ᭩

࣭ゝㄒ࡟ಀࡿㄢ㢟ゎỴࡢࡓࡵࡢ᪉ἲࡸ

-࢖ࣥࢱ࣮ࢿࢵࢺ࠿ࡽ- ྛ✀ಖ೺ᴗົ࡟ಀࡿእᅜேᑐ

ࢶ࣮ࣝ➼ࢆᢕᥱࡍࡿᚲせᛶࡀ࠶ࡾࠊ◊✲௚ᗓ┴ࡸ⤖᰾◊✲ᡤᛂࣃࣥࣇࣞࢵࢺ

⌜ู࡛㏵㞟ィࡋ㸦VII㸬᪤Ꮡࡢཧ⪃㈨※సᡂࡢከゝㄒ㈨ᩱࢆ

- ྛᅜࡢ་⒪ࡸ἞⒪≧ἣࠊ┦ㄯ❆➼ࢆཧ↷㸧ࠊ௨ୗࡀุ᫂ࡋࡓࠋ

฼⏝ࡋ࡚࠸ࡿࠋ

ཱྀ➼ࢆ࠾▱ࡽࡏ࡛ࡁࡿ㈨ᩱ

࣭᪤ Ꮡ ࡢ እ ᅜㄒ ᩥ ᭩ ࣭ ㈨ᩱ ➼ ࡛ ࡣ ່㏻ᖖ౑⏝ࡋ࡚࠸ࡿᵝ- ከゝㄒ∧ࡢᵝᘧ㞟㸦᳨ᰝ౫㢗᭩

࿌࣭㏻▱➼ࡢ⾜ᨻᩥ᭩ࡀ㊊ࡾ࡞࠸ࡇ࡜ࡀ

ᘧ➼ࡀ౑࠼࡞࠸ࠋ

࡞࡝㸧

ศ࠿ࡗࡓࠋ

ከゝㄒᑐᛂࡢᣦࡉࡋ- ከゝㄒ㈨ᩱࡢ࢖ࣥࢱ࣮ࢿࢵࢺ࣭⤖ ᰾ ࡟ 㛵 ࡍࡿ ᝟ ሗ ࡣ ࡑࢀ ࡞ ࡾ ࡟ ࠶ᑐヰ⾲ࢆู㏵సᡂᩚ࡛ࡢඹ᭷໬ࡿࠋ⤖᰾◊✲ᡤࡸឡ▱┴ࡢ࢙࢘ࣈࢧ࢖ࢺഛࡋࡓࠋ- ௚ᡤࡢ஦౛ࡢ◊✲⌜ሗ࿌᭩࡟࡟᭱ࡶከࡃ㞟ࡵࡽࢀࠊ኱㜰ᗓࡢ࢙࢘ࣈࢧ

࠾ࡅࡿ᝟ሗᥦ౪ࢆ

࢖ࢺ࡟ࡣࣃࣥࣇࣞࢵࢺ㢮ࡀᥖ♧ࡉࢀ࡚- ಖ⟶ᡤᴗົእᅜேᑐᛂ஦౛㞟

࠸ࡿࠋ

ࡢฟ∧ࢆ

࣭ෆᐜࡢⱥㄒ∧ࢆᇶ‽࡟ࡍࢀࡤࠊ㏻ヂ

ICT ࡢά⏝ࢯࣇࢺ㸦Google Translator ➼㸧ࡢⱥㄒ- ࢫ࣐࣮ࢺࣇ࢛࣭ࣥ㟁ヰ➼ࢆ፹య௨እࡢゝㄒ࡬ࡢ㏻ヂ⢭ᗘࡣ㧗ࡃ฼⏝౯࡜ࡋࡓ஫࠸࡟㏻ヂྍ࡜࡞ࡿࡼ࠺

್࠶ࡾࠋ᪥ᮏㄒ࠿ࡽⱥㄒ௨እࡢゝㄒ࡬ࡢ࡞ࢿࢵࢺ࣮࣡ࢡࢩࢫࢸ࣒ࡢ㛤Ⓨ㏻ヂࡣไᗘ࡟ࡲࡔㄢ㢟࠶ࡾࠋ- ᑓ㛛་⒪⏝ㄒ࣭ᑓ㛛⏝ㄒࢆ㐺ษ࣭ᖹᡂ 28 ᖺᗘᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗ࡟⩻ヂฟ᮶ࡿ࢔ࣉࣜࢆᦚ㍕ࡋࡓࠕ᪂⯆෌⯆ឤᰁ⑕➼೺ᗣ༴ᶵ⟶⌮᥎㐍ࢱࣈࣞࢵࢺ➃ᮎᑟධ஦ᴗ⌜ࠖ㸦୰㔛⌜㸧ሗ࿌᭩࡟⾜ᨻᩥ᭩ࡣ--㞟ࡵࡽࢀ࡚࠸ࡿࠋㄢ㢟ࡣձᑐᛂ᪥ᮏㄒཎ
ᮏࡀ࡞࠸ࡇ࡜ࠊղ⩻ヂࡢṇㄗࡸ㉁ࡀ୙᫂
࡞ࡇ࡜ࠊճෆᐜ࡟ᆅᇦ≉ᛶࡀྵࡲࢀ࡚࠸
ࡿࡇ࡜ࠊ࡞࡝ࠋ

࣭᪥ᮏࡢಖ೺ᡤάື඲⯡ࢆ⤂௓ࡍࡿ㝿࡟ά⏝࡛ࡁࡿࡼ࠺ࠊᙜ◊✲⌜࡟࡚ಖ೺ᡤ
ᴗົ⤂௓ࡢⱥㄒ∧ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ㈨ᩱࢆసᡂࡋࡓ㸦඲ᅜಖ೺ᡤ㛗఍࢙࢘ࣈࢧ࢖ࢺ࡟ᥖ㍕ணᐃ㸧ࠋே࡟ࡘ࠸࡚࣭ᮾி㒔࡛ࡣࠊ⤖᰾࡟ಀࡿ་⒪㏻ヂὴ㏻ヂ⪅ࡢᡭ㓄

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-

-

㏻ヂὴ㐵ࡢ౫㢗ㄪᩚ- ஦๓Ⓩ㘓ไࡢࠊ་⒪ࡸಖ೺ᡤᴗ

㐵ࢆ≉ᐃ㠀Ⴀ฼άືἲேࢩ࢙࢔࡟౫㢗࡟᫬㛫ࢆせࡍࡿࠊࢱ࢖

ົ࡟ᑐᛂ࡛ࡁࡿᑓ㛛ᛶ࡜Ᏺ⛎⩏ྍ⬟㸦ண⟬ୖ௳ᩘ࡟ୖ㝈࠶ࡾ㸧ࠋ

࣒࣮ࣜ࡟㏻ヂ⪅ࡀ☜ົࢆഛ࠼ࡓ㏻ヂ⪅ࡢ☜ಖ

࣭་⒪㏻ヂࡀᬑཬࡋ࡞࠸⫼ᬒ࡟ࡣձ㌟

ಖ࡛ࡁ࡞࠸ࠋ

- ᪥ᮏᅾఫእᅜேࡢ㏻ヂⓏ㘓ὴศಖ㞀ࠊղ㈈※࣭㈝⏝㈇ᢸࢫ࣮࣒࢟ࠊճ

㏻ヂ☜ಖࡢண⟬ࡀ୙㐵ไᗘࡢ᳨ウ㉁ࡢಖ㞀㸦⤫୍㸧ࠊࡢไᗘࡀ࡞࠸ࡓࡵࠋ

㊊ࠊࡲࡓࡣ඲ࡃ↓࠸ࠋ - ⤖᰾ DOTS ᫬࡟㏻ヂྠ⾜---⌧ᅾࠊᅜ㝿⮫ᗋ་Ꮫ఍࡟࡚ㄆᐃ་⒪㏻ヂከᅜ⡠ᑐᛂࠊᕼᑡゝㄒ- ㏻ヂ⪅ࢆ㏿ࡸ࠿࡟ὴ㐵࡛ࡁࡿ⪅ไᗘࢆ᳨ウ୰ࠋᑐᛂࡀㄢ㢟࡛࠶ࡿࠋ

24 ᫬㛫ᑐᛂᆺࡢࢧ࣮ࣅࢫ

࣭ᙜ㠃ࡣ㈨ᩱࡢά⏝࣭ඹ᭷ࡸศ࠿ࡾࡸ

᪥ᮏࡢ⾜ᨻ⏝ㄒࢆ┦- እᅜேᑐᛂ࡟࠾ࡅࡿㅖၥ㢟㸦㏻ࡍ࠸ࡸࡉࡋ࠸᪥ᮏㄒࢆ⏝࠸ࡿ➼ࡢᕤኵᡭࡢᅜࡢゝⴥ࡟⨨ࡁヂࡢ☜ಖࠊ㛵ಀᅜ࡜ࡢㄪᩚ➼㸧࡟ࡼࡿᑐᛂࡀ⌧ᐇⓗࠋ᥮࠼ࡿ㞴ࡋࡉࡀ࠶ࡿࠋ ࡢἲ௧ୖࡢ㈐௵ࡢ᫂グ࣭ᆅᇦ࡟ࡼࡗ࡚ࡣᅜ㝿஺ὶ༠఍ࡀ་⒪ಖ೺ᡤ࡟እᅜㄒᑐᛂ

ಖ೺ᡤ⫋ဨࡢㄒᏛຊྥୖ

㏻ヂࡢ࣐ࢵࢳࣥࢢࢆ⾜ࡗ࡚࠸ࡿࠋ

ྍ⬟࡞⫋ဨࡀ࠸ࡿሙ- ◊ಟࠊe ࣮ࣛࢽࣥࢢࠊእᅜㄒࢸ

࣭ேཱྀᐦᗘࡀప࠸ᆅ᪉ࡸᕼᑡゝㄒ࡟࠾ྜࡶ࠶ࡿࠋ࢟ࢫࢺ㓄௜࡞࡝ࢆ㏻ࡌࡓಖ೺ᡤ

࠸࡚ᐇ⌧࡛ࡁࡿ࡜ࡋࡓࡽ㐲㝸㏻ヂ࠿ࠋ⫋ဨࡢㄒᏛຊࡢ⥔ᣢྥୖ࣭ᑗ᮶ⓗ࡟ࡣࠊ୍⯡♫ᅋἲே ඲ᅜ་⒪㏻ヂ⪅༠఍㸦NAMI)➼እ㒊ᅋయ࡜ࡢ࡜ࡢ㐃ᦠࡶ᭷ຠ࠿ࠋ

V㸧⪃ᐹ

 

㸯㸧ㄢ㢟㸸ከゝㄒᑐᛂx ࠸ࡎࢀࡢศ㔝࡟࠾࠸࡚ࡶࠊㄢ㢟ࡣゝㄒࡀ᭱ୖ఩࡛࠶ࡾࠊᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ31 ✀㢮ࡢゝㄒࡀලయⓗ࡟ᢕᥱ࡛ࡁࡓࠋᅇ⟅࡛᭱ࡶከ࠿ࡗࡓࡢࡣ୰ᅜㄒ࡛࠶ࡾࠊ௨ୗࢱ࢞ࣟࢢㄒࠊⱥㄒࠊ࣋ࢺ
ࢼ࣒ㄒࠊ࣏ࣝࢺ࢞ࣝㄒࠊࢿࣃ࣮ࣝㄒࠊ㡑ᅜㄒࠊ࢖ࣥࢻࢿࢩ࢔ㄒࠊࢫ࣌࢖ࣥㄒࠊࢱ࢖ㄒࠊࣄࣥࢹ࢕࣮
ㄒࠊࣅ࣐ࣝㄒࠊࢡ࣓࣮ࣝㄒࠊࣟࢩ࢔ㄒ࡜⥆࠸ࡓࠋ㏆ᖺ⁫ᅾ⪅ᩘࡢቑຍࡀⴭࡋ࠸࢔ࢪ࢔ㅖᅜࡢゝㄒࡢᑐᛂࡀୖ఩࡟ከࡃࠊఱࡽ࠿ࡢᑐ⟇ࡀᚲせ࡞ㄢ㢟࡜࠸࠼ࡿࠋ࡞࠾ⱥㄒ࡟ࡘ࠸࡚ࡣࠊ⫋ဨ➼࡟ࡼࡿᑐᛂ
࡛ฎ⌮࡛ࡁࠊㄢ㢟࡜ࡋ࡚ᣲࡆࡽࢀ࡚࠸࡞࠸ྍ⬟ᛶࡶ࠶ࡿࠋ
ࡲࡓࠊࡇࡇ࡛ὀពࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࡢࡣࠊẕᅜㄒ࡟ࡼࡿㄝ᫂㈨ᩱ➼ࡀ࠶ࡗ࡚ࡶ⌮ゎࡉࢀࡿ࡜ࡣ
㝈ࡽ࡞࠸ሙྜࡸࠊࡑࡶࡑࡶㄝ᫂ᩥ᭩ࡀ㞴ࡋ࠿ࡗࡓࡾࠊಶே≉ᛶ࡛⌮ゎຊ࡟ஈࡋ࠿ࡗࡓࡾࡍࡿሙྜࡶ
࠶ࡿࠋࡑࢀࡽࡢ౛࡜ࡋ࡚ࠊグ㏙ᅇ⟅ࡢ୰࡛ࠊẕᅜㄒ࡛ࡶㄞᏐࡀ࡛ࡁ࡞࠸஦౛ࡀ࠶ࡆࡽࢀ࡚࠸ࡓࠋࡲ
ࡓࠊ᪥㡭ࡢᴗົࡢ୰࡛ࡣእᅜே࡟㝈ࡽࡎ᪥ᮏே࡛࠶ࡗ࡚ࡶ⌮ゎࢆᚓࡿࡢ࡟㞴ࡋ࠸ࡇ࡜ࡣᑡ࡞ࡃ࡞࠸ࠋ

x⮬἞యࡸ㛵㐃ࡢᅋయࡸᏛ఍ࡀࠊከゝㄒᑐᛂࡢᩥ᭩ࢆసᡂࡋ࢙࢘ࣈࢧ࢖ࢺ࡛බ㛤ࡋ࡚࠾ࡾࠊ㝶᫬ά⏝ࡍࡿࡇ࡜ࡣྍ⬟࡛࠶ࡿࠋࡋ࠿ࡋࠊά⏝ࡍࡿ㝿࡟ࡣࠊձ᪥ᮏㄒཎᮏࡀ♧ࡉࢀ࡚࠸࡞࠿ࡗࡓࡾࠊղ⩻ヂࡀᚲࡎࡋࡶṇ☜࡛࡞࠿ࡗࡓࡾࠊճ㛤Ⓨࡋࡓᆅᇦ≉ᛶࡢグ㏙࡜࡞ࡗ࡚࠸ࡓࡾ➼ࠊὀពࢆᡶ࠺ᚲせࡀ࠶ࡾࠊ≉࡟࡞ࡌࡳࡢ࡞࠸ゝㄒࡢᩥ᭩࡟࠾࠸࡚ࡣせὀព࡜࠸࠼ࡼ࠺ࠋ ᨭ᥼᪉⟇ࡢᥦゝ➼࡛ࡶࠊከゝㄒᑐᛂࡢᩥ᭩ࡢసᡂࡀ᭱ࡶከ࠿ࡗࡓࠋࡉࡽ࡟᪤Ꮡࡢእᅜㄒᩥ᭩࣭㈨ᩱ➼࡛ࡣ່࿌࣭㏻▱➼ࡢ⾜ᨻᩥ᭩ࡀ㊊ࡾ࡞࠸ࡇ࡜ࡀศ࠿ࡗࡓࠋࡇࡢࡇ࡜࠿ࡽࠊಖ೺ᡤᴗົ࡜ࡋ࡚඲
ᅜඹ㏻࡟ᚲせ࡞ἲ㛵㐃ࡢ⾜ᨻᩥ᭩ࢆࠊࡲࡎ⤖᰾ᑐ⟇㛵ಀᩥ᭩࡟ࡘ࠸࡚ከゝㄒ࡟⩻ヂࡋࠊ඲ᅜಖ೺ᡤ
࡛ඹ᭷࡛ࡁࡿࢩࢫࢸ࣒ࢆᵓ⠏ࡍࡿࡇ࡜ࡀࠊ➨୍࡟ᚲせ࡛࠶ࡿࠋࡇࡇ࡛ࡣࠊᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗࠕ᪂⯆෌⯆ឤᰁ⑕➼೺ᗣ༴ᶵ⟶⌮᥎㐍஦ᴗ⌜ࠖ㸦ᖹᡂ 28 ᖺᗘ୰㔛⌜㸧ࡸࠊឡ▱┴ࡀ࢙࢘ࣈࢧ࢖ࢺ࡟࡚බ
㛤ࡋ࡚࠸ࡿࠕ་⒪ᶵ㛵➼እᅜேᑐᛂ࣐ࢽࣗ࢔ࣝࠖࡢឤᰁ⑕ᑐ⟇ἲ㛵㐃ࡢ⾜ᨻᩥ᭩ࡀ୍ࡘࡢཧ⪃࡜࡞

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ࡿࠋ
x

 ࡉࡽ࡟ࠊẕᅜㄒ࡟ヂࡍࡿࡔࡅ࡛࡞ࡃࠊࡸࡉࡋ࠸᪥ᮏㄒ࡟⨨ࡁ᥮࠼ࡿࡇ࡜ࡢ㔜せᛶࡶ࠶ࡿࠋ≉࡟බᩥ᭩㢮࡟౑⏝ࡉࢀࡿ༢ㄒࡣ㞴ࡋ࠸༢ㄒࡢഴྥࡀ࠶ࡾࠊࡸࡉࡋ࠸᪥ᖖⓗ࡞᪥ᮏㄒ࡟ኚ᥮ࡍࡿࡇ࡜࡛ఏ
ࢃࡿࡇ࡜ࡶ࠶ࡿࠋࡇࡢࡦ࡞ᆺࡢᩚഛࡶྠ᫬࡟⪃࠼ࡿᚲせࡀ࠶ࡿࠋx ㏻ヂ⪅ࢆ௓ࡋࡓᑐᛂࡶࠊᵝࠎ࡞࡛ࣞ࣋ࣝࡢᕤኵ࡛⌧ሙࡢᑐᛂࢆࡋ࡚࠸ࡿࡇ࡜ࡀࢃ࠿ࡗࡓࠋ୍␒ከ
࠸ࡢࡣᑐ㇟⪅࡟᪥ᮏㄒࡢࢃ࠿ࡿぶ᪘࣭཭ே࣭ྠ൉➼࡟ྠ⾜ࡋ࡚ࡶࡽ࠺ࡼ࠺࡟ಁࡋ࡚࠸ࡿ᪉ἲ࡛࠶ࡿࠋ
ࡲࡓࢱࣈࣞࢵࢺ㏻ヂࢆᑟධࡋ࡚࠸ࡿ⮬἞యࡶᑡᩘࡔࡀ࠶ࡗࡓࠋᮏ᮶ࡣ་⒪࡟⢭㏻ࡋࡓ㏻ヂ⪅ࡢ㓄ഛࡀ᭱ࡶᮃࡲࡋ࠸ࡀࠊேᮦ୙㊊ࡸண⟬໬ࡢ࠿࡭ࡀ࠶ࡿࠋࡲࡎࡣಖ೺⾨⏕⾜ᨻࡢሙ㠃࡬ࡢ㓄ഛࡣᆅᇦࡈ
࡜ࡢࢱࣈࣞࢵࢺࢆ௓ࡋࡓ㐲㝸㏻ヂࢆ⪃៖ࡍࡿࡇ࡜ࡀ⌧ᐇⓗ࡛࠶ࢁ࠺ࠋ

㸰㸧ศ㔝㸸⤖᰾x᪥ᮏㄒᩍ⫱ᶵ㛵⏕ᚐࠊᢏ⬟ᐇ⩦⏕ࡣ࢔ࢪ࢔ㅖᅜࡀከࡃࠊ࡜ࡾࡶ࡞࠾ࡉࡎ⤖᰾㧗⶝ᘏᅜ࠿ࡽࡢ᮶᪥⪅࡜࡞ࡿࠋ࢔ࣥࢣ࣮ࢺ஦౛࡛ࡶࠊᢏ⬟ᐇ⩦⏕ࡸࠊ᪥ᮏㄒᩍ⫱ᶵ㛵⏕ᚐ࣭␃Ꮫ⏕ࡢ⤖᰾ᑐᛂ࡛ࡢㄢ㢟グ㏙ࡀከ࠿ࡗࡓࠋձ ධᅜ᫬㸦๓ࡲࡓࡣᚋ㸧ࡢ೺デࡀ࡞࠸ࠊẕᅜ࡛ࡢ೺デ⤖ᯝࡀ࠶ࡿࡶࡢࡢධᅜᚋࡲࡶ࡞ࡃ⤖᰾ࢆⓎ⑕ࡋࡓࠊ➼ࡢㄢ㢟࡟ᑐࡋ࡚ࡣࠊಙ㢗ᛶࡢ࠶ࡿ೺デࡢᐇ᪋ࡀᚲせ࡛࠶ࡿࠋࡇࢀ࡟ࡘ࠸࡚ࡣཌ⏕ປാ┬࣭⤖᰾◊✲ᡤ᳨࡛ウࡢ➃⥴࡟ࡘ࠸ࡓ࡜ࡇࢁ࡛࠶ࡿࠋ⌧⾜ࡢ᪥ᮏㄒᩍ⫱ᶵ㛵࡟࠾࠸࡚ࡣࠊ᪥
ᮏㄒᩍ⫱᣺⯆༠఍ࡀࡑࡢ㐠Ⴀ࡟㛵ࡍࡿᇶ‽࡟࠾࠸࡚ࠊ
ࠕ⏕ᚐࡢධᏛᚋ࡛ࡁࡿࡔࡅ᪩ᮇ࡟ࡑࡢ೺ᗣ
デ᩿ࢆ⾜࠺ࡶࡢ࡜ࡋࠊ1 ᖺ⤒㐣ᚋࠊ෌ᗘ೺ᗣデ᩿ࢆ⾜࠺ࡼ࠺ດࡵࡿࡶࡢ࡜ࡍࡿࠋࠖ࡜ࡋ࡚࠸ࡿࡀࠊ
࡝ࡢࡃࡽ࠸ࡢᶵ㛵ࡀᐇ᪋ࡋ࡚࠸ࡿ࠿ࡣᐇែࡀࡘ࠿ࡵ࡚࠸࡞࠸ࠋղ ᢏ⬟ᐇ⩦⏕ࡢὴ㐵஦ᴗᡤࡸ᪥ᮏㄒᩍ⫱ᶵ㛵ࡢᏑᅾࢆṇࡋࡃᢕᥱࡋࠊ⤖᰾ᑐ⟇᝟ሗࡢᥦ౪࡞࡝᪥
ᖖ࠿ࡽࡢពᛮ␯㏻࣭㐃ᦠࢆᅗࡿᚲせࡀ࠶ࡿࠋ᪥ᮏㄒᩍ⫱ᶵ㛵ࡣࠊ඲ᩘᢕᥱ࡛ࡣ࡞࠸ࡶࡢࡢࠊ᪥
ᮏㄒᩍ⫱᣺⯆༠఍ࠊ඲ᅜ᪥ᮏㄒᏛᰯ㐃ྜ఍ࡢࣜࢫࢺࢆά⏝ࡍࡿࡇ࡜ࡀᥦ᱌࡛ࡁࡿࠋࡲࡓࠊᅋయ
⟶⌮ᆺᢏ⬟ᐇ⩦⏕ཷධᶵ㛵ࡣἲົ┬ࡢᅋయ୍ぴ࡟࡚ᢕᥱࡀྍ⬟࡛࠶ࡿࠋࡇࢀࡽࡢ᝟ሗ࠿ࡽ⟶㎄
ᆅᇦ࡟Ꮡᅾࡍࡿᅋయ⟶⌮ᆺᢏ⬟ᐇ⩦⏕ཷࡅධࢀᶵ㛵ࡸ᪥ᮏㄒᩍ⫱ᶵ㛵ࡢᏑᅾࢆྍ⬟࡞㝈ࡾᢕᥱࡋࠊ⤖᰾ᑐ⟇᝟ሗࡢᥦ౪࡞࡝᪥ᖖ࠿ࡽࡢពᛮ␯㏻࣭㐃ᦠࢆᅗࡿࡇ࡜ࡣࠊձ࡛グ㏙ࡢ᪥ᮏㄒᩍ⫱ᶵ㛵ࡀ೺デᐇ᪋ࢆಁࡍࡇ࡜࡟ࡶࡘ࡞ࡀࡿࡇ࡜ࡀᮇᚅࡉࢀࠊᚲせ࡛࠶ࡿࠋࡉࡽ࡟ࠊࣅࢨࡢᮇ㝈ࡸ୙ἲ⁫ᅾ࡞࡝ᅾ␃㈨᱁࡟㛵㐃ࡍࡿㄢ㢟ࡣࠊධᅜ⟶⌮ᒁ࡜ࡢ㐃ᦠࡶᚲせ࡛࠶ࡿࠋx἞⒪⥅⥆ࡸ᥋ゐ⪅೺デࡢᐇ᪋࡟࠾࠸࡚ࡶࠊゝㄒࡢၥ㢟ࡢ࡯࠿࡟ࠊฟධᅜࡢᢕᥱ࡞࡝࡟ⱞ៖ࡋ࡚࠸ࡿ
ᐇែࡀศ࠿ࡗࡓࠋձ἞⒪⥅⥆࡟ࡣࠊከゝㄒᑐᛂࡢㄝ᫂ࡀ୙ྍḞ࡛࠶ࡿࡔࡅ࡛࡞ࡃࠊ୰᩿࡜࡞ࡽ࡞࠸ࡼ࠺ࠊᅜෆ㌿ᒃࡸᖐᅜ᫬ࡢ᝟ሗࡢඹ᭷໬࡟ࡴࡅࡓఱࡽ࠿ࡢࢩࢫࢸ࣒ࡀᚲせ࡛࠶ࡿࠋ౛࠼ࡤᖐᅜࡢ㝿ࡣࠊ⌧≧࡛ࡣྛಖ೺ᡤ⊂⮬࡟ᑐᛂࡋ࡚࠸ࡿᡤ࡛࠶ࡾࠊᖐᅜඛࡢ⤖᰾࡟ಀࡿἲᚊࡸಖ೺་⒪యไࢆᢕᥱࡍࡿ
ࡇ࡜ࡀ㞴ࡋࡃࠊ⤂௓᪉ἲ࡟ᅔࡗ࡚࠸ࡿ⌧≧࡛࠶ࡿࠋᅜࢆ㊬ࡄሙྜࡣࠊERS/WHO Consilium ࡛ᝈ⪅⤂௓ࡣྍ⬟࡛ࡣ࠶ࡿࡀࠊID ྲྀᚓࡸⱥㄒ⬟ຊࡀồࡵࡽࢀࠊᡃࡀᅜࡢ⾜ᨻ⫋ဨ࡟ࡣᩜᒃࡀ㧗࠸࠿ࡶࡋࢀ࡞࠸ࠋղ἞⒪⥅⥆ࡸ᥋ゐ⪅೺デ࣭⟶⌮᳨デ࡞࡝㛗ᮇ࡟࠿࠿ࢃࡿࡇ࡜࠿ࡽࠊᵝࠎ࡞᐀ᩍⓗ࣭ᩥ໬ⓗ࡞ᑐᛂ࡟㱈㱒ࡀ⏕ࡌ࡚࠸ࡿᐇ᝟ࡀ࠶ࡗࡓࠋࡑࢀ࡟ᑐࡋ࡚ࡣࠊᑐᛂࡍࡿ⫋ဨഃࡀከᩥ໬⌮ゎࢆಁ㐍ࡍࡿ ࡓࡵࡢ࣐ࢽࣗ࢔ࣝ➼ࡢᩚഛࡀồࡵࡽࢀࡿࠋ
㸱㸧ศ㔝㸸ࡑࡢ௚
xẕᏊಖ೺࣭ඣ❺⚟♴ࡢศ㔝࡛ࡣࠊከゝㄒᑐᛂࡢㄢ㢟࡟ຍ࠼࡚ࠊᩥ໬ࡸ᐀ᩍⓗ࡞⩦័ࡢᕪ␗࡬ࡢᑐᛂ
࡟ⱞ៖ࡋ࡚࠸ࡿ⌧≧ࡀࢃ࠿ࡗࡓࠋලయⓗ࡟ࡣࠊձ㞳ங㣗ࡸ⫱ඣἲࡢ㐪࠸࡟ࡼࡾࠊಖ೺ᣦᑟࡢෆᐜࡀ
࡞ࡌࡲ࡞࠸ࠊղ᐀ᩍୖࡢ⌮⏤࡛ᚲせ࡞᳨ᰝࡢᣄྰࡸࠊDV ࡀ࠶ࡗ࡚ࡶ㞳፧ࡍࡿࡇ࡜ࡀ࡛ࡁ࡞࠸ࠊ⹢
ᚅࡢ࡜ࡽ࠼᪉ࡀ␗࡞ࡿࠊ࡞࡝ࡀ஦౛࡜ࡋ࡚ᣲࡆࡽࢀ࡚࠸ࡓࠋࡇࢀࡽ࡟ᑐࡋ࡚ࡣࠊࡲࡎࡣ᪥ᮏࡢ౯್
ᇶ‽࡛ࡣ࡞࠸ࡇ࡜ࢆᛕ㢌࡟⨨࠸࡚௓ධࡍࡿᚰᵓ࠼ࡀᚲせ࡜ᛮࢃࢀࡿࠋಖ೺⾨⏕⾜ᨻࡢ⫋ဨࡀࠊ⌧ሙ࡛እᅜே࡟᥋ࡍࡿ㝿ࡢὀពⅬࡸᑐฎἲ౛ࢆෆᐜ࡜ࡋࡓ┦ㄯ࣐ࢽࣗ࢔ࣝ➼ࡢ㛤Ⓨࡶ᭷ຠ࡜ᛮࢃࢀࡿࠋ

x⏕ά⾨⏕ࡢศ㔝࡛ࡣࠊእᅜே⤒Ⴀࡢ㣧㣗ᗑ࡟࠾ࡅࡿ㣗୰ẘⓎ⏕᫬ࡢᑐᛂࡸࠊᗫᲠ≀ࡢㄗࡗࡓฎ⌮࡟ࡼࡿⅆ⅏஦౛࡞࡝ࡀ࠶ࡆࡽࢀ࡚࠸ࡓࠋࡇࢀࡽࡢศ㔝࡟࠾࠸࡚ࡶࠊከゝㄒᑐᛂࡢᩥ᭩ࡢᩚഛࡀᚲせ࡛࠶ࡿࠋ

x㏆ᖺࡢ᮶᪥እᅜேほගᐈࡢቑຍ࡟ຍ࠼࡚ࠊ௒ᚋ 2020 ᖺࡢ࢜ࣜࣥࣆࢵࢡ࣭ࣃࣛࣜࣥࣆࢵࢡࡢ㛤ദ➼ࡀ࠶ࡿࡇ࡜࠿ࡽࠊᅾఫእᅜே࡟㝈ࡽࡎ▷ᮇ㛫ࡢ᮶᪥⪅ࡶᑐ㇟࡜ࡋࡓࠊ೺ᗣ༴ᶵ⟶⌮ࡢどⅬ࡛ࡢᵝࠎ࡞ᑐ⟇ࢆㅮࡌ࡚࠾ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋVI㸧௒ᚋࡢᒎ㛤 

௨ୖࢆ㋃ࡲ࠼ࠊࡇࢀ࠿ࡽࡢᒎ㛤࡜ࡋ࡚ࠊ௨ୗ 4 ࡘࢆᐇ᪋ࡋ࡚࠸ࡁࡓ࠸ࠋ
࠙1ࠚಖ೺ᡤࡀᑐ㇟ఫẸࡸࡑࡢᐙ᪘➼ᐄ࡟Ⓨ⾜ࡍࡿ⾜ᨻᩥ᭩ࡢከゝㄒ∧ᩚഛ᪥ᮏㄒࡢࡦ࡞ᆺࢆᐃࡵࠊ㏻ヂ⫋ࢆ௓ࡋ࡚௚ゝㄒ࡟⩻ヂࡋࠊ඲ᅜಖ೺ᡤ㛗఍➼ࡢ࢙࢘ࣈࢧ࢖ࢺ࡟࡚ඹ᭷
ࡋࠊ඲ᅜࡢಖ೺ᡤࡀࢲ࣮࢘ࣥࣟࢻ࣭ά⏝࡛ࡁࡿࡼ࠺࡟ࡍࡿࠋศ㔝ࡣࠊࡲࡎࡣᅇ⟅ᩘࡀ᭱ࡶከ࠿ࡗࡓ⤖᰾࡛ࠊゝㄒࡣࠊཎ๎ⓗ࡟ᅇ⟅ᩘࡀከ࠸㡰࡟ẁ㝵ⓗ࡟⩻ヂࡍࡿࠋ࡞࠾ࠊゝㄒ࡟ࡘ࠸࡚ࡣࢱ࢞ࣟࢢㄒࠊⱥㄒࠊ࣏ࣝࢺ࢞ࣝㄒࠊ㡑ᅜㄒ➼ࡣ᪤Ꮡࡢ㈨※ࡀ࠸ࡃࡘ࠿࠶ࡿࡓࡵ
㸦௨ୗࠊVII㸬᪤Ꮡࡢཧ⪃㈨※➼ࢆཧ↷㸧ࠊࡲࡎࡣ࣋ࢺࢼ࣒ㄒࠊࢿࣃ࣮ࣝㄒࠊ࢖ࣥࢻࢿࢩ࢔ㄒ➼ࠊ㟂せࡀ㧗࠸ࡶࡢࡢ⌧≧᪤Ꮡ㈨※ࡀ㠀ᖖ࡟㝈ࡽࢀ࡚࠸ࡿゝㄒࢆඃඛࡍࡿࡇ࡜ࢆ⪃࠼࡚࠸ࡿࠋࡲࡓࠊศ㔝࡟ࡘ࠸࡚ࡣ௚࡟⢭⚄ಖ೺ࠊẕᏊಖ೺ࠊ㣗ရ⾨⏕➼࡟ࡘ࠸࡚ࡶࠊ᪤Ꮡ㈨※ࡢᢕᥱ࣭ᩚ⌮ࢆࡍࡿࠋ
࠙2ࠚࠕಖ೺ᡤࡢࡓࡵࡢእᅜே┦ㄯ࣐ࢽࣗ࢔ࣝ㸦௬㸧ࠖࡢసᡂ࡜◊ಟࡢ௻⏬ᐇ᪋እᅜே࡛࠶ࡿࡀᨾࡢᑐᛂࡢᚰᚓࡸὀពࡍ࡭ࡁࡇ࡜ࠊࡲࡓලయⓗ࡞ᑐᛂ஦౛ࡸ᪤Ꮡ㈨※➼࡟ࡘ࠸࡚ࠊࡲ
࡜ࡵࡓࣁࣥࢻࣈࢵࢡࢆసᡂࡍࡿࠋෆᐜᵓᡂ࡜ࡋ࡚ࡣࠊゝㄒၥ㢟࡟ᑐࡋ࡚ࡢከゝㄒ⾜ᨻᩥ᭩ࡢᩚഛࠊ་⒪㏻ヂࡢ☜ಖࠊ㏻ヂయไ☜❧ࡢ࣏࢖ࣥࢺ➼ࠊ㈝⏝ၥ㢟࡟ᑐࡋ࡚ࡢ♫఍ಖ㝤ࡸᅾ␃㈨᱁࡟ࡼࡽࡎ࡟㐺ᛂྍ⬟࡞ไᗘ➼ࡢᩚ⌮ࠊᨭ᥼⎔ቃၥ㢟࡟ᑐࡋ࡚ࡢᅾ␃㈨᱁ࡢ✀㢮ࡢᩚ⌮ࡸࠊ⫋ሙ࣭ᐙ᪘࣭㠀Ⴀ฼ᅋయ࣭ᅾ᪥‫ۑ‬‫ۑ‬ே఍➼࡜ࡢ㛵ಀᵓ⠏ࠊ⏕ά⫼ᬒၥ㢟࡟ᑐࡋ࡚ࡢ᐀ᩍ࣭㣗஦࣭ఫᒃ࡛␃ពࡍ࡭ࡁⅬࠊᖐᅜၥ㢟࡟ᑐࡋ࡚ࡢྛᅜࡢ་⒪஦᝟ࡢᩚ⌮ࡸᶫΏࡋࡢ࣏࢖ࣥࢺ➼ࢆ⪃࠼࡚࠸ࡿࠋ࡞࠾ࠊ≉ᐃ㠀Ⴀ฼άືἲேࢩ࢙࢔ࡀⓎ⾜ࡍࡿࠕእᅜே་⒪┦ㄯࣁࣥࢻࣈࢵࢡ㹼HIV 㝧ᛶ⪅⒪㣴ᨭ᥼ࡢࡓࡵ࡟㹼ࠖࡣ༑ศ࡟ཧ⪃࡟ࡋࡓ࠸ࠋ
࠙3ࠚ᪥ᮏㄒᩍ⫱ᶵ㛵⏕ᚐࡸᢏ⬟ᐇ⩦⏕➼ࡢ⤖᰾ࣁ࢖ࣜࢫࢡࢢ࣮ࣝࣉ࡟ಀࡿㄢ㢟ࡢㄪᰝ࣭ᩚ⌮ᖹᡂ 29 ᖺᗘࠕ᪂⯆࣭෌⯆ឤᰁ⑕࡟ᑐࡍࡿ㠉᪂ⓗ་⸆ရ➼㛤Ⓨ᥎㐍◊✲஦ᴗࠖࡢ◊✲㛤Ⓨㄢ㢟ྡࠕ⤖᰾ప⶝ᘏ໬࡟ྥࡅࡓᅜෆࡢ⤖᰾ᑐ⟇࡟㈨ࡍࡿ◊✲ࠖ㸸ศᢸ◊✲ࠕࣁ࢖ࣜࢫࢡࢢ࣮ࣝࣉ࠾ࡼࡧࢹ࢖ࣥࢪࣕ
࣮ࢢ࣮ࣝࣉࡢ⤖᰾ᑐ⟇ᙉ໬ࠖ࡬ࡢ༠ຊ⥅⥆ࡋࠊಖ೺ᡤࡢ⤖᰾ᑐ⟇ᴗົ࡟㈨ࡍࡿ᝟ሗࢆᚓࡿࠋ ࠙4ࠚእᅜேࡀ㛵ಀࡍࡿ⢭⚄ಖ೺⚟♴ㄢ㢟ࡢᢕᥱ እᅜேᝈ⪅ࡢ⢭⚄ಖ೺⚟♴ἲ࡟ᇶ࡙ࡃ㏻ሗࡸ┦ㄯࢣ࣮ࢫ➼࡟ࡘ࠸࡚஦౛ࢆㄪᰝࡋࠊ⌧≧࡛ࡢᑐᛂ᪉ἲ
ࡸ௒ᚋࡢㄢ㢟࡟ࡘ࠸࡚᝟ሗ཰㞟࣭ᩚ⌮ࡍࡿࠋ
VII㸧ཧ⪃ᩥ⊩ 

࣭ᖹᡂ 29 ᖺᗘᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗࠕࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢಖ೺ᡤᶵ⬟ᙉ໬࡬ࡢά⏝᪉ἲ☜❧࠾ࡼࡧ㛤
Ⓨ㏵ୖᅜ࡟ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ྍ⬟ᛶࡢᶍ⣴஦ᴗࠖሗ࿌᭩㸪᪥ᮏබ⾗⾨⏕༠఍࣭እᅜே་⒪┦ㄯࣁࣥࢻࣈࢵࢡ㹼HIV 㝧ᛶ⪅⒪㣴ᨭ᥼ࡢࡓࡵ࡟㹼㸪ᖹᡂ 24 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵
ຓ㔠࢚࢖ࢬᑐ⟇◊✲஦ᴗ㸸እᅜேࡢ HIV ண㜵ᑐ⟇࡜ࡑࡢ௓ධຠᯝ࡟㛵ࡍࡿ◊✲⌜࣭་⒪ᶵ㛵➼እᅜேᑐᛂ࣐ࢽࣗ࢔ࣝ㸪ឡ▱┴ከᩥ໬ඹ⏕᥎㐍ᐊ㸦http://www.aichi-iryou-tsuyaku-system.com/manual/㸧࣭㈨ᩱ່࣭࿌㞟㸪බ┈㈈ᅋἲே⤖᰾ண㜵఍⤖᰾◊✲ᡤ㸦http://www.jata.or.jp/data.php㸧  +
            ࣓࣮࠙ࣝ㏉ಙࡢ࢔ࢻࣞࢫ㸸 ‫ۑۑۑۑ‬#MSKDRUMSࠚ㛗㇂ᕝ⌜ㄪᰝᅇ⟅⚊࠙)$; ࡛ࡢ㏉ಙࡢሙྜ஦ົᒁ㸦஭ୖ㸧㸦㸧‫ۑ‬㸫ࠚ‫ ڦ‬ヱᙜࡍࡿࡶࡢ࡟‫ࠊࢀ࠸ࢆ܇‬ᚲせ࡟ᛂࡌෆᐜࢆグ㍕ࡋ࡚ࡃࡔࡉ࠸‫ ۑ‬タၥ㸰௨㝆ࡣࠊᖹᡂ㸰㸴ᖺ㸲᭶㹼ࡇࢀࡲ࡛࡟ࠊ㈗ಖ೺ᡤࡀ㛵୚࣭⤒㦂ࡋࡓ஦౛ࢆㄪᰝᑐ㇟࡜ࡋ࡚࠸ࡲࡍタၥ㸯 ㈗ಖ೺ᡤྡ㸸          㸦グධ⪅ᚚẶྡ㸸       㸦ᙺ⫋ྡ㸸     㸧㸧㸦‫┴ ڧ‬ᆺ ‫ ڧ‬ᕷᆺ ‫ ڧ‬༊ᆺ㸧  ᡤ⟶ேཱྀ㸦⣙    ୓ே㸦ᅄᤞ஬ධ㸧㸧 㸦࡞࠾ࠊಖ೺ᡤ㛗ࡀ」ᩘࡢಖ೺ᡤࢆවົࡋ࡚࠸ࡿሙྜࠊࡑࢀࡒࢀࡢಖ೺ᡤࡈ࡜࡟ᅇ⟅ࡋ࡚ࡃࡔࡉ࠸㸧タၥ㸰 ㈗ಖ೺ᡤ࡛ࡣ௨ୗࡢࡼ࠺࡞஦౛㸦ͤ㸧࡟㛵୚࣭⤒㦂ࡋࡓࡇ࡜ࡀ࠶ࡾࡲࡍ࠿㸽ͤ ಖ೺ᡤࡀ⾜࠺ྛ✀ࡢᆅᇦಖ೺ศ㔝㸦೺ᗣ༴ᶵ⟶⌮ྵࡴ㸧ࡢᴗົ࡟࠾࠸࡚ࠊᑐ㇟⪅ࡲࡓࡣ㛵ಀ⪅ࡀእᅜே࡛
࠶ࡗࡓࡾࠊእᅜ࡜ࡢ ᮶ࡀ࠶ࡿ᪥ᮏே࡛࠶ࡗࡓࡓࡵ࡟ࠊ㏻ᖖࡢᑐᛂࡢ᫬࡜ࡣ␗࡞ࡿఱࡽ࠿ࡢㄢ㢟ࡀ⏕ࡌࠊᴗົ㐙⾜࡟ᙳ㡪ࡀ࠶ࡗࡓ஦౛

㸦༢࡟ࠕእᅜே࡟ᑐᛂࡋࡓࠖ➼ࡢ஦౛ࡣヱᙜࡏࡎࠊㄢ㢟ࡸᴗົ㐙⾜࡬ࡢᙳ㡪ࡀ࠶ࡗࡓሙྜࡀヱᙜ࡜࡞ࡾࡲࡍ㸧‫ ڧ‬ᙜಖ೺ᡤ࡛㛵୚࣭⤒㦂ࡋࡓ஦౛ࡀ࠶ࡿ㸦Ѝ タၥ㸱㹼タၥ㸳ࢆࡈᅇ⟅ࡃࡔࡉ࠸㸧‫ ڧ‬ᙜಖ೺ᡤ࡛㛵୚࣭⤒㦂ࡋࡓ஦౛ࡣ࡞࠸ࠊࢃ࠿ࡽ࡞࠸㸦Ѝ タၥ㸳ࢆࡈᅇ⟅ࡃࡔࡉ࠸㸧タၥ㸱 ㈗ಖ೺ᡤ࡛㛵୚࣭⤒㦂ࡋࡓ஦౛㸦ͤ㸧ࡣࠊ௨ୗࡢ࡝ࡢศ㔝࡟ヱᙜࡋࡲࡍ࠿㸽㸦」ᩘ㑅ᢥྍ㸧    ヱᙜࡍࡿࡶࡢࡀ࠶ࢀࡤ‫ࡢࢀࡒࢀࡑࠊࡋ܇‬ᴫせࢆୗࡢグ㍕ḍ࡟ࠊ⡆₩࡟ࡈグධ㢪࠸ࡲࡍࠋ
㸦ᅜ࣭㌟ศ㸦᪑⾜⪅ࠊ␃Ꮫ⏕࣭ᢏ⬟ᐇ⩦⏕࣭ᑵປ⪅➼㸧࡞࡝ࡶ⡆₩࡟࠾♧ࡋࡃࡔࡉ࠸ࠋ㸧  ‫⤖ڧ‬᰾ ‫ڧ‬㯞⑈࣭㢼⑈ ‫ڧ‬ᛶឤᰁ⑕  ‫ڧ‬᪂⯆ឤᰁ⑕  ‫ڧ‬௚ࡢឤᰁ⑕     ‫ڧ‬ẕᏊಖ೺ ‫ڧ‬⢭⚄ಖ೺ ‫ڧ  ࢬ࢖࢚ڧ‬㞴⑓ ‫ڧ‬ඣ❺⚟♴ ⹢ᚅྵ  ‫ڧ‬㧗㱋⪅ಖ೺‫ڧ‬㣗ရ⾨⏕  ‫⏕ڧ‬ά⾨⏕   ‫ڧ‬་⒪Ᏻ඲  ‫ڧ‬ཎᏊຊ⅏ᐖ
‫⅏↛⮬ڧ‬ᐖ‫ࡢࡑڧ‬௚㸯㸦       㸧  ‫ࡢࡑڧ‬௚㸰㸦          㸧  ‫ࡓࡋ܇‬㡯┠ࡢᴫせ㸦౛㸸⤖᰾἞⒪୰ࡢᝈ⪅㸦‫ۑۑ‬ᅜฟ㌟ࡢ␃Ꮫ⏕㸧ࡀ↓᩿ᖐᅜࡋࠊ἞⒪⤒㐣୙᫂࡜࡞ࡗࡓ㸧タၥ㸲 タၥ㸱‫ࡢ܇‬஦౛࡟࠾࠸࡚ࠊᆅᇦಖ೺ᴗົࡢ㐙⾜࡟ᙳ㡪ࡋࡓࡢࡣ࡝ࡢࡼ࠺࡞せ⣲࡛ࡍ࠿㸽㸦」ᩘ㑅ᢥྍ㸧  ‫ڧ‬ゝㄒ㸦    ㄒ㸧‫ڧ‬᪥ᮏࡢᩥ໬ ‫ڧ‬እᅜࡢᩥ໬ ‫ڧ‬᐀ᩍ ‫⫋ڧ‬ሙ࣭௙஦ ‫ڧ‬㔠㖹࣭⏕ά㈝   ‫ڧ‬་⒪㈝ ‫ڧ‬᪥ᮏࡢಖ೺་⒪㺚㺛㺡㺯 ་⒪㈝௨እ ‫ڧ‬እᅜࡢಖ೺་⒪㺚㺛㺡㺯‫ڧ‬ᐙ᪘࣭ぶᡉ ‫ڧ‬஺཭㛵ಀ ‫ڧ‬ᅾ␃㈨᱁ ‫ࡢࡑڧ‬௚㸦        㸧タၥ㸳 ᅇ⟅ࡢ⿵㊊᝟ሗࠊ㛵㐃ࡍࡿㄢ㢟ࠊᨭ᥼᪉⟇ࡢᥦゝ➼ࠊ⮬⏤࡟ࡈグධࡃࡔࡉ࠸ࠋ
㸦࡞࠸᫬ࡣ‫ࢳڧ‬࢙ࢵࢡ㸧‫ࡋ࡞࡟≉ڧ‬௨ୖ࡛ࡍࠋ ᭶  ᪥ Ỉ ࡲ࡛࡟࣓࣮ࣝࡲࡓࡣ )$; ࡛ࡈ㏉㏦ࡃࡔࡉ࠸ࠋࡈ༠ຊ࠸ࡓࡔࡁ࠶ࡾࡀ࡜࠺ࡈࡊ࠸
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㸦2㸧㈨ᩱ ᪤Ꮡࡢཧ⪃㈨※➼ ձྛᆅࡢ་⒪㏻ヂὴ㐵ᐇ᪋ᅋయ㸦୍⯡♫ᅋἲே඲ᅜ་⒪㏻ヂ⪅༠఍ࡼࡾᘬ⏝ࠋᖹᡂ 30 ᖺ 1 ᭶ 28 ᪥⌧ᅾ㸧㏻ヂὴ㐵ࢆᚲせ࡜ࡉࢀ࡚࠸ࡿ་⒪ᚑ஦⪅ࠊᝈ⪅࣭ࡈᐙ᪘ࡢⓙᵝࡣࠊ௨ୗࡢ㛵㐃ᅋయ࡟┤᥋࠾ၥ࠸ྜࢃࡏ
ୗࡉ࠸ࠋᮏࣜࢫࢺࡣ㏻ヂὴ㐵௨እࡢ┠ⓗ࡛฼⏝ࡍࡿࡇ࡜ࢆ⚗Ṇࡉࢀ࡚࠾ࡾࡲࡍࠋ࡞࠾ࠊ࠙ഛ⪃ࠚࡣྛᅋయࡢ⮬⏤グ㍕ࢆᥖ㍕ࡋ࡚࠾࠸ࡲࡍࠋࣜࢫࢺࡣ㝶᫬ᨵゞࡉࢀࡲࡍࡢ࡛ࠊ᭱᪂ࡢࡶࡢࡣ㸦♫㸧඲ᅜ་⒪㏻ヂ⪅༠఍ࡢ࣮࣒࣮࣍࣌ࢪࢆࡈ☜ㄆࡃࡔࡉ࠸ࠋ
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་⒪ᶵ㛵࣭ಖ೺ࢭࣥࢱ࣮࠿ࡽࡢ౫㢗࡟ᑐᛂ㸦ಶேࡢ᪉࠿ࡽࡢ౫㢗ࡣ࠾ཷࡅࡋ࡚࠸ࡲࡏࢇ㸧ࠋ࢙࠙࢘ࣈࢧ࢖ࢺࠚhttp://www.mief.or.jp/jp/partner_iryou.html
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Nara-MMISࡈ౫㢗ࢆ࠸ࡓࡔ࠸࡚ࡶ㏻ヂ⪅ࡢ㒔ྜ࡟ࡼࡾᡭ㓄࡛ࡁ࡞࠸ሙྜࡶ࠶ࡾ㸦 ࢼ ࣛ ࣑ ࢫ 㸧㸸ࡲࡍ㸦≉࡟ࢫ࣌࢖ࣥㄒ㸧

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䕿䠄኱㜰䠅
䕿䠄ឡ▱䠅
䕿䠄ឡ▱䠅 䕿䠄ឡ▱䠅 䕿䠄ឡ▱䠅䕿䠄ឡ▱䠅䕿䠄኱㜰䠅 䕿䠄኱㜰䠅 䕿䠄኱㜰䠅䜲䞁䝗䝛䝅䜰ㄒ 䕿䠄኱㜰䠅䕿䠄ᮾி䠅 䕿䠄ᮾி䠅 䕿䠄ᮾி䠅
䕿䠄⤖◊䠅
䕿䠄Ⲉᇛ䠅
䕿䠄኱㜰䠅 䕿䠄኱㜰䠅 䕿䠄኱㜰䠅
䝇䝨䜲䞁ㄒ
䕿䠄኱㜰䠅
䕿䠄ឡ▱䠅
䕿䠄ឡ▱䠅 䕿䠄ឡ▱䠅 䕿䠄ឡ▱䠅
䕿䠄ឡ▱䠅
䝻䝅䜰ㄒ
䕿䠄⤖◊䠅
䝠䞁䝕䜱ㄒ
䕿䠄⤖◊䠅
䝭䝱䞁䝬䞊ㄒ䕿䠄⤖◊䠅䝰䞁䝂䝹ㄒ䕿䠄኱㜰䠅 䕿䠄኱㜰䠅 䕿䠄኱㜰䠅
䕿䠄⤖◊䠅
䝍䜲ㄒ
䕿䠄኱㜰䠅
䕿䠄ᮾி䠅 䕿䠄ᮾி䠅 䕿䠄ᮾி䠅B) ᆅᇦಖ೺⌧ሙ࡟࠾ࡅࡿࣉࣟࢪ࢙ࢡࢺ࣭ࢧ࢖ࢡ࣭࣐ࣝࢿ࣮ࢪ࣓ࣥࢺ㸦3&0㸧ᡭἲά⏝ࡢྍ⬟ᛶ :*㸦1㸧 ྲྀࡾ⤌ࡳሗ࿌
WG ࣓ࣥࣂ࣮ ຄ㸦࣮ࣜࢲ࣮㸧ࠊすᮧࠊᮧୖࠊ㛗㇂ᕝI.

┠ⓗ㛤Ⓨ᥼ຓࣉࣟࢪ࢙ࢡࢺࡢィ⏬࣭ᐇ᪋࣭ホ౯࡜࠸࠺୍㐃ࡢࢧ࢖ࢡࣝࢆࠕࣉࣟࢪ࢙ࢡࢺ࣭ࢹ

ࢨ࢖࣭࣐ࣥࢺࣜࢵࢡࢫ㸦௨ୗࠊPDM ࠖ࡜࿧ࡤࢀࡿࣉࣟࢪ࢙ࢡࢺᴫせ⾲ࢆ⏝࠸࡚ຠᯝⓗ࣭ຠ⋡ⓗ࡞㐠Ⴀ⟶⌮ࢆ┠ᣦࡍࣉࣟࢪ࢙ࢡࢺ࣭ࢧ࢖ࢡ࣭࣐ࣝࢿ࣮ࢪ࣓ࣥࢺ㸦௨ୗࠊPCM ᡭἲࡣࠊJICA ࣉࣟࢪ࢙ࢡࢺࢆጞࡵ࡜ࡋࡓ᪥ᮏࡢᅜ㝿㛤Ⓨ᥼ຓ㡿ᇦ࡛ࠊྛᢏ⾡༠ຊ᱌௳ࡢ஦๓ㄪᰝࡸホ౯ㄪᰝ࡟ᗈࡃά⏝ࡉࢀ࡚࠸ࡿࠋࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㡿ᇦ࡛ࡶྠᵝ࡛࠶ࡾࠊ᭷ຠᛶࡀㄆࡵࡽ
ࢀ࡚࠸ࡿࡇࡢ PCM ᡭἲ࡟ࡘ࠸࡚ࠊ᪥ᮏࡢᆅᇦಖ೺㡿ᇦ࡬ࡢᛂ⏝ࢆ᳨ウࡍࡿࡇ࡜ࡀࠊᮏ◊✲ࡢ┠ⓗ࡛࠶ࡿࠋ
II.

᪉ἲ

1.

ᩥ⊩ㄪᰝ࡟ࡼࡾ PCM ᡭἲࢆྵࡴㄢ㢟ศᯒࡢᡭἲࢆẚ㍑ࡋࠊPCM ᡭἲࡢ≉ᚩ࣭฼Ⅼ࣭Ḟ
Ⅼࢆᩚ⌮ࠋཧ⪃࡟ࡋࡓᩥ⊩ࡣ௨ୗࡢ㏻ࡾࠋ‫ە‬㈈ᅋἲேᅜ㝿㛤Ⓨ㧗➼ᩍ⫱ᶵᵓ㸬PCM ᡭἲࡢ⌮ㄽ࡜ά⏝㸬PCM ㄞᮏ⦅㞟ጤဨ఍⦅ࠊ
ᮾி㸸㈈ᅋἲேᅜ㝿㛤Ⓨ㧗➼ᩍ⫱ᶵᵓ㸬2001‫ە‬ΎỈ◊㸬㛤Ⓨ᥼ຓ࡟࠾ࡅࡿ PCM ᡭἲࡢၥ㢟Ⅼ PCM ᡭἲࡢ㝈⏺࡜ືⓗၥ㢟ศᯒ࡟ࡼࡿ⿵᏶㸬ᅜ㝿 P2M Ꮫ఍◊✲Ⓨ⾲኱఍ண✏㞟 2006㸹᫓Ꮨ㸸220㸫229㸬
‫ە‬㛤Ⓨᩍ⫱࣭ᅜ㝿⌮ゎ༠ຊࣁࣥࢻࣈࢵࢡ㸬2 ❶㛤Ⓨᩍ⫱ࡢ㐍ࡵ᪉ 1 ⠇㛤Ⓨᩍ⫱ࡢᐇ㊶
PCM ᡭἲ
http://www.mofa.go.jp/mofaj/gaiko/oda/edu/kyouzai/handbook/html/h20104_2.html
㸦2018 ᖺ 1 ᭶ 19 ᪥࢔ࢡࢭࢫྍ⬟㸧‫ە‬Ώ㎶⣧୍㸬ᅜ㝿༠ຊ࡛ࡢࣉࣟࢪ࢙ࢡࢺ࣭࣐ࢿࢪ࣓ࣥࢺ̿ࣉࣟࢭࢫ࡜ࡣ̿㸬ᅜ㝿ᆅᇦᏛ◊✲㸬2010㸹➨ 13 ྕ㸸157-169‫ە‬ᑠᓥගὒ㸬
ࠕPCMࠖࡢ౑࠸᪉㸬ಖ೺፬㞧ㄅ㸬2003㸹Vol.39 No.11: 1035-1039‫ە‬ᑠᓥගὒࠊ✄ⴥὒᜨࠊᓥ㇂ᐩ⨾Ꮚ㸬PCM ᡭἲ࡛ࢽ࣮ࢬࢆ⪃࠼ࡿ㸬ಖ೺፬㞧ㄅ㸬1999㸹
Vo.55 No.10:815-822

2.

⌧᫬Ⅼ࡛ࡢබ⾗⾨⏕⾜ᨻ࡛ࡢ PCM ᡭἲά⏝஦౛ࢆ཰㞟࢖ࣥࢱ࣮ࢿࢵࢺ᳨⣴࡟ࡼࡾࠊPCM ᡭἲά⏝ࡢ஦౛ࢆ཰㞟ࡋࡓࠋࡲࡓ PCM ᡭἲά⏝⤒㦂ࡢ࠶ࡿἈ⦖┴࡟໅ົࡍࡿᅜྜྷ⚽ᶞ་ᖌ㸦ᖹᡂ 30 ᖺ 3 ᭶ 1 ᪥⌧ᅾඵ㔜ᒣಖ೺ᡤ㸧࡟࣓࣮ࣝཬࡧ㟁ヰ࡟࡚ࣄ࢔ࣜࣥࢢࢆ⾜ࡗࡓࠋᅜྜྷ་ᖌ࡟ࡣࠊPCM ᡭἲࢆά⏝ࡋࡓ஦ᴗィ⏬
࡟㛵ࢃࡗࡓࡇ࡜ࡢ࠶ࡿ୍㛵ಀ⪅࡜ࡋ࡚ࡢࡈពぢࢆ㡬࠸ࡓࠋࣄ࢔ࣜࣥࢢෆᐜࡣࠊ
‫ە‬೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010 ィ⏬࡛ࡢ PCM ᡭἲά⏝࡟ࡘ࠸࡚‫ࠕە‬೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010ࠖ௨እ࡛ࡶࠊἈ⦖┴࡛ PCM ᡭἲࢆά⏝ࡋࡓ஦ᴗ࡟ࡘ࠸

 

࡚
‫ە‬᪥ᮏ㸦Ἀ⦖┴㸧ࡢᆅᇦಖ೺⾜ᨻࡢ஦ᴗ࡟ PCM ᡭἲࢆ౑ࡗ࡚ࠊⰋ࠿ࡗࡓⅬ࡟ࡘ࠸࡚‫ە‬᪥ᮏ㸦Ἀ⦖┴㸧ࡢᆅᇦಖ೺⾜ᨻࡢ஦ᴗ࡟ PCM ᡭἲࢆ౑ࡗ࡚ࠊⰋࡃ࡞࠿ࡗࡓⅬࠊᅔ㞴ࡔࡗࡓⅬ࡟ࡘ࠸࡚
‫ە‬PCM ᡭἲࢆά⏝ࡍࡿ࡟㝿ࡋ࡚ࡢᆅᇦಖ೺⾜ᨻ࡟㛵ࢃࡿேࠎ㸦┴ᗇ⫋ဨࠊಖ೺ᡤ⫋ဨ࡞࡝㸧ࡢ཯ᛂ࡟ࡘ࠸࡚
‫ە‬Ἀ⦖┴࡟࠾ࡅࡿ⌧ᅾཬࡧᑗ᮶ࡢ PCM ά⏝࡟ࡘ࠸࡚࡟ࡘ࠸࡚࡛࠶ࡿࠋ
3.

᪥ᮏࡢᆅᇦಖ೺⾜ᨻ⌧ሙ࡟࠾ࡅࡿ஦ᴗィ⏬࣭ホ౯࡟㛵ࡋ࡚ࠊSWOT ศᯒࢆᐇ᪋ࠋPCM
ᡭἲࡢ᪥ᮏࡢᆅᇦಖ೺⾜ᨻ⌧ሙ࡛ࡢά⏝ࡢྍ⬟ᛶ࡟ࡘ࠸᳨࡚ウࠋ

4.

ಖ೺⾜ᨻ⌧ሙ࡛ാࡃ⫋ဨࢆᑐ㇟࡟ PCM ᡭἲ◊ಟࢆ⾜࠸ࠊ◊ಟᚋ࡟ཧຍ⪅࡟ᑐࡋ࡚ࠊ⌧ᅾ⌧ሙ࡛ᢪ࠼࡚࠸ࡿ஦ᴗィ⏬࣭㐠Ⴀ࣭ホ౯࡟㛵ࡍࡿၥ㢟ⅬࡸࠊPCM ᡭἲά⏝ࡢྍ⬟ᛶ࡟ࡘ࠸࡚ࠊ࢔ࣥࢣ࣮ࢺㄪᰝࢆᐇ᪋ࠋ

III. ⤖ᯝ
1.

PCM ᡭἲࢆྵࡴㄢ㢟ศᯒࡢᡭἲࡢẚ㍑ࠊPCM ᡭἲࡢ≉ᚩ࣭฼Ⅼ࣭ḞⅬ ㈨ᩱ㸯࡟ࠊㄢ㢟ศᯒᡭἲࡢẚ㍑⤖ᯝࢆ♧ࡍࠋⓎ᝿࣭ㄢ㢟ศᯒ࣭ពᛮỴᐃ࣭ィ⏬ᐇ⾜࣭ㄪᰝࡢ 5 Ⅼ࡟ࡘ࠸࡚ࠊPCM ᡭἲࡣࡍ࡭࡚ࡢሙ㠃࡛౑⏝ྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓࠋྠᵝ࡟ࡇࡢ 5 Ⅼ࡟㛵ࡋ࡚ࡍ࡭࡚ࡢሙ㠃࡛౑⏝ྍ⬟࡞᪉ἲࡣࠊࢥ࣑ࣗࢽࢸ࢕࣭࢔ࢬ࣭ࣃ࣮ࢺࢼ࣮ࣔ
ࢹࣝࠊࣉࣟࢩ࣮ࢻ࣭ࣉࣜࢩ࣮ࢻࣔࢹࣝࡶ࠶ࡿࡀࠊ⌜఍㆟࡛ࡣࠊࡇࢀࡽ஧ࡘࡢᡭἲ࡟ẚ࡭࡚ࠊ
PCM ᡭἲࡣ⡆౽࡛࠶ࡿ࡜ࡢពぢࡀከ࠿ࡗࡓࠋࡇࡢࡼ࠺࡟ࠊPCM ᡭἲࡣ௚ㄢ㢟ศᯒᡭἲ࡟ẚࡋࠊከࡃࡢሙ㠃࡛౑⏝ྍ⬟࡛࠶ࡾࠊ⡆౽࡛࠶ࡿ࡜࠸࠺Ⅼ࡛ඃࢀ࡚࠸ࡿ࡜ゝ࠼ࡿࠋ
ࡲࡓࠊPCM ᡭἲࡢ≉ᚩ࣭฼Ⅼཬࡧ␃ពⅬ࡜ࡋ࡚ࡣࠊᩥ⊩ୖ࡛ࡣ௨ୗࡢࡼ࠺࡞ࡇ࡜ࡀ᭩࠿
ࢀ࡚࠸ࡓࠋ
㸺PCM ᡭἲࡢ≉ᚩ࣭฼Ⅼ㸼zཧຍᆺ㸸ࢽ࣮ࢬ࡟ᛂࡌࡓࣉࣟࢪ࢙ࢡࢺ❧᱌ࡀ࡛ࡁࡿࠋཧຍ⪅㛫ࡢࢥ࣑ࣗࢽࢣ࣮ࢩ࣭ࣙࣥ
᝟ሗඹ᭷࣭㆟ㄽ࣭ྜពᙧᡂࡢಁ㐍ࠊࣉࣟࢪ࢙ࢡࢺࡢ㐍ᤖࡸ㐩ᡂ≧ἣࢆඹ᭷໬ࡍࡿࢶ࣮
ࣝ࡜ࡋ࡚ඃࢀ࡚࠸ࡿࠋ㛵ಀ⪅㛫ࠊ⿕᥼ຓ⪅࡜᥼ຓ⪅㛫࡛ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀᐜ᫆࡟
࡞ࡾࠊㄪᩚ࡟ᙺ❧ࡘࠋz୍㈏ᛶ㸸┠ᶆࡸᡂᯝ࡞࡝ࢆィ⏬᫬࡟᫂☜࡟タᐃࡍࡿࡓࡵࠊⓗ☜࡛ຠ⋡ࡢⰋ࠸ࣉࣟࢪ࢙
ࢡࢺ㐠Ⴀ⟶⌮ࡀ࡛ࡁࡿࠋグ㘓ࡀᶆ‽໬ࡋࡓᙧ࡛ṧࡉࢀࡿࡢ࡛ࠊ⤒㦂ࡢ⵳✚࡜࡞ࡿࠋz

どぬⓗ㸸඲యࡀࡘ࠿ࡵࡿࠋzၥ㢟࠿ࡽ⪃࠼ࡿ㸸ẚ㍑ⓗ༢⣧࡞ㄽ⌮࡟ᇶ࡙࠸࡚࠸ࡿࡓࡵ⌮ゎࡋࡸࡍ࠸ࠋz࣎ࢺ࣒࢔ࢵࣉ

㸺PCM ᡭἲࡢ␃ពⅬ㸼z

PDM ࡣኚ᭦ࡍࡿࡇ࡜ࡀ࠶ࡿࠋᐇ᪋㏵୰࡛ࡢኚ᭦➼ᰂ㌾࡞ᑐᛂࡀᚲせࠋ

 

z

PDM ࡟㑅ᢥࡉࢀ࡞࠿ࡗࡓ⠊ᅖࡢせᅉࡀ⪃៖ࡉࢀ࡞࠸ࠋz࣮࣡ࢡࢩࣙࢵࣉཧຍ⪅ࡢ⫼ᬒ࡟ᕥྑࡉࢀࡿࠋz」㞧࡞ၥ㢟࡬ࡢᑐᛂࡣ㞴ࡋ࠸ࠋ௚ࡢᡭἲ➼ࡢ┦஫⿵᏶ࡀᚲせࠋzၥ㢟ࡀ࡞࠸≧ἣࠊ┠ⓗࡀ୙᫂░࡞≧ἣ࡛ࡣ౑࠼࡞࠸ࠋ

2.

⌧᫬Ⅼ࡛ࡢබ⾗⾨⏕⾜ᨻ࡛ࡢ PCM ᡭἲά⏝஦౛࡟ࡘ࠸࡚
࢖ࣥࢱ࣮ࢿࢵࢺୖ᳨࡛⣴ࡋ࠼ࡓ᪥ᮏࡢ⾜ᨻࡀ㛵ಀࡋࡓ PCM ᡭἲά⏝౛ࢆ࠸ࡃࡘ࠿ୗグ࡟ᥦ♧ࡍࡿࠋಖ೺⾨⏕ศ㔝㸦1㹼6㸧ࡢ௚࡟ࠊᅵᮌศ㔝㸦7㸧࡛ࡶ஦ᴗィ⏬⟇ᐃ࡟㛵ࡋ࡚ࠊPCM
ᡭἲࡀ⏝࠸ࡽࢀ࡚࠸ࡿ஦౛ࡀㄆࡵࡽࢀࡓࠋಖ೺⾨⏕ศ㔝࡛ࡣࠊ⾨⏕ศ㔝(1)ࠊ⢭⚄ಖ೺ศ㔝(2)࡜ẕᏊಖ೺ศ㔝㸦3㹼6㸧࡛ࡢ஦౛ࡀ࠶ࡗࡓࠋ⢭⚄ಖ೺ศ㔝࡛ࡢ஦౛(2)ࡣ◊✲ศ㔝࡛ࡢά⏝࡛ࠊ1 ࡜ 3㹼6 ࡣࠊ࠸ࡎࢀࡶᐇ㝿ࡢ஦ᴗィ⏬⟇ᐃ࡟ά⏝ࡉࢀࡓ஦౛࡛࠶ࡗࡓࠋ1㹼4ࠊ7 ࡣ⾜ᨻ࡜ࡑࡢ௚ࡢ㛵ಀ⪅ࡓࡕࡀཧຍ⪅࡜࡞ࡗ࡚࠸ࡓࡀࠊ5,6 ࡢ஦౛࡛ࡣఫẸࡶཧຍࡋ࡚ࡢ࣮࣡
ࢡࢩࣙࢵࣉࡀ㛤ദࡉࢀ࡚࠸ࡓࠋ
ձឡ▱┴࡟࠾ࡅࡿ IPM㸦⤫ྜⓗ࣌ࢫࢺ࣐ࢿ࣮ࢪ࣓ࣥࢺ㸧ᬑཬ࡬ࡢྲྀࡾ⤌ࡳࠕ⤫ྜⓗ࣌ࢫࢺ࣐ࢿ࣮ࢪ࣓ࣥࢺࡀᬑཬࡋ࡞࠸ࠖࢆ୰ᚰၥ㢟࡜ࡋ࡚ࠊಖ೺ᡤࡸᮏᗇࡢ┘どဨࠊᴗ⏺ᅋయࡢ௦⾲࡛ PCM ᡭἲ࡟ࡼࡾၥ㢟ࢆศᯒࡋࡓࠋࡑࡢ⤖ᯝࢆࡶ࡜࡟ࠊゎỴ⟇ࢆ⪃࠼ࠊᐇ⾜ࡋࡓ㸦ࣃࣥࣇࣞࢵࢺࡸ࣏ࢫࢱ࣮ࡢసᡂэᐇ㝿࡟సᡂࠊ࢟ࣕࣛࢡࢱ࣮ࡢసᡂэᐇ㝿࡟సᡂࠊᶆ‽ⓗ࡞సᴗィ⏬᭩࣭ሗ࿌᭩ࡢసᡂэ཰㞟ࡋࡓ㈨ᩱୖ࡛ࡣ௒ᚋసᡂணᐃࠊࣜࢫࢡࢥ࣑
ࣗࢽࢣ࣮ࢩࣙࣥࢆ㋃ࡲ࠼ࡓ᥎㐍༠㆟఍ࡢⓎ㊊эᐇ㝿࡟㛤ദ ࡞࡝ࡢゎỴ᱌ࡀฟࡉࢀࡓ㸧ࠋ㸦ཌ⏕ປാ┬㸬ᖹᡂ 23 ᖺᗘ⏕ά⾨⏕㛵ಀᢏ⾡ᢸᙜ⪅◊ಟ఍
http://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/kenkou/seikatsu-eisei/gijutukensyuukai/
dl/h23_4.pdf#search=%27PCM+%E4%BF%9D%E5%81%A5%E6%89%80%27
2018 ᖺ 1 ᭶ 19 ᪥࢔ࢡࢭࢫྍ⬟㸧ղ

ᖹᡂ 18 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠㸦ࡇࡇࢁࡢ೺ᗣ⛉Ꮫ◊✲஦ᴗ㸧 ⮬ẅࡢᐇែ࡟ᇶ࡙ࡃண㜵ᑐ⟇ࡢ᥎㐍࡟㛵ࡍࡿ◊✲ PCM ᡭἲࢆ⏝࠸ࡓ⮬ẅᑐ⟇࣮࣡ࢡࢩࣙࢵࣉࡢᐇ᪋ሗ࿌⾜ᨻ㸦ಖ೺ᡤ㸧ࠊ◊✲⪅ࠊ⑓㝔໅ົ་ࠊNPO ࡞࡝࡛ PCM ᡭἲࢆ⏝࠸ࡓ⮬ẅᑐ⟇࣮࣡ࢡࢩࣙࢵࣉࢆᐇ᪋ࠋࠕ⮬ẅࡀከ࠸ࠖࢆ୰ᚰၥ㢟࡜ࡋ࡚ศᯒࡋࠊ᭱⤊ⓗ࡟ࡣࠊࠕᕼṚᛕ៖ᑐ⟇ࠖࠕ♫఍ᇶ┙ᩚഛࠖࡢ 2 ࡘࡢࣉࣟࢪ࢙ࢡࢺࢆ PDM ࡜ࡋ࡚సᡂࠋᵝࠎ࡞❧ሙࡢ▱ぢࢆ㞟⣙ࡋ࡚ࡲ࡜ࡵࡿሙ࡜࡞ࡾࠊ⮬ẅᑐ⟇࡟࠾ࡅࡿࢿࢵࢺ࣮࣡ࢡᵓ⠏࡜࠸ࡗࡓⅬ࡛ᙺ❧ࡗࡓࠋэࡑࡢᚋࣉࣟ
ࢪ࢙ࢡࢺࡀᐇ⾜ࡉࢀࡓ࠿࡝࠺࠿ࡣࠊሗ࿌᭩࠿ࡽࡣ୙᫂ࠋ

㸦ᖹᡂ 18 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠㸦ࡇࡇࢁࡢ೺ᗣ⛉Ꮫ◊✲஦ᴗ㸧ࠕ⮬ẅࡢᐇែ࡟ᇶ
࡙ࡃண㜵ᑐ⟇ࡢ᥎㐍࡟㛵ࡍࡿ◊✲ࠖ⥲ᣓ࣭ศᢸ◊✲ሗ࿌᭩㸬㸺◊✲༠ຊሗ࿌᭩㸼㸰㸧PCM
ᡭἲࢆ⏝࠸ࡓ⮬ẅᑐ⟇࣮࣡ࢡࢩࣙࢵࣉࡢᐇ᪋ሗ࿌㸦➉ᓥṇ㸧 http://ikiru.ncnp.go.jp/report/ueda18/ueda18-8.pdf#search=%27PCM%E6%89%8B%E6%B3%95+%E4%BF%9D%E5%81%A5%E6%89%80%27 2018 ᖺ 1 ᭶ 19 ᪥࢔ࢡࢭࢫྍ⬟㸧ճ೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010 ィ⏬
ࠕ೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010 ィ⏬ࠖࢆ⟇ᐃࡍࡿ࡟ᙜࡓࡾࠊ4 ࡘࡢศ㔝࡟࠾ࡅࡿ⟇ᐃᑓ㛛㒊఍ࢆタ⨨ࡋࠊศ㔝ࡈ࡜࡟ PCM ᡭἲࢆ⏝࠸࡚ၥ㢟ࢆศᯒࡋࠊPDM ࢆసᡂࡋ࡚ィ⏬ࢆ⟇ᐃࡋࡓࠋጤဨࡣࠊಖ೺ศ㔝ࡣࡶ࡜ࡼࡾࠊ་⒪ࠊඣ❺⚟♴ࠊᩍ⫱ࠊࡲࡓẕᏊಖ೺᥎㐍ဨ࡞࡝ NPO࠿ࡽࡶᗈࡃཧຍࢆồࡵࡓࠋᑓ㛛㒊఍ࢆタᐃࡋࡓ 4 ࡘࡢศ㔝ࡣ௨ୗࡢ㏻ࡾࠋ(࢔) ᛮ᫓ᮇࡢẕᛶࠊ∗ᛶࡢ⫱ᡂ࡜ேᶒᑛ㔜࡟㛵ࡍࡿᛮ᫓ᮇಖ೺ࡢᙉ໬(࢖) ዷፎࠊฟ⏘࡟Ᏻᚰࡋ࡚⮫ࡵࡿ࿘⏘ᮇಖ೺་⒪యไࡢᩚഛ(࢘) ẕぶࡢ⫱ඣ୙Ᏻࠊࢫࢺࣞࢫࠊඣ❺⹢ᚅࡢゎᾘ࡜Ꮚ࡝ࡶࡢᚰࡢᏳࡽ࠿࡞ᡂ㛗ࡢಁ㐍(࢚) ⏕ࡲࢀࡓᏊࡀඖẼ࡟ࡓࡃࡲࡋࡃ⫱ࡘࡓࡵࡢ⎔ቃᩚഛ㸦೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010 http://www.pref.okinawa.jp/kenzou/sukoyaka/pdf.htm 2018 ᖺ 1
᭶ 19 ᪥࢔ࢡࢭࢫྍ⬟㸧մ㟷᳃┴ᮌ㐀⏫࡟࠾ࡅࡿẕᏊಖ೺஦ᴗホ౯㸦ᖹᡂ 13 ᖺᗘ㸧ಖ೺፬㞧ㄅ Vol.59 No.11 2003
ᖺ 11 ᭶ 1034-1039 Ꮚ࡝ࡶࡢ㣗⏕ά࡟㛵ࡍࡿෆᐜࠋᗂඣ೺デཷデ⪅ࡢẕぶ࠿ࡽฟࡉࢀࡓ㣗⏕ά┦ㄯ⾲ࢆᇶ♏
㈨ᩱ࡜ࡋ࡚ࠊ⏫ࡢಖ೺ᖌ࣭ᰤ㣴ኈ࡛ PCM ᡭἲࢆ㐺⏝ࠋᰤ㣴ኈ࠿ࡽࡢどⅬ࡜ࠊẕぶ࠿ࡽࡢどⅬ࡜ 2 ᪉ྥ࡛ၥ㢟ࢆᢳฟࡋࠊẕᏊಖ೺άື㸦㔝⳯ᦤྲྀࡢືᶵ࡙ࡅ㸧ࢆࠕ㔝⳯ࡢᚲせᛶࡢ▱㆑ᬑཬࠖࢆ⾜࠺ࡇ࡜ࡼࡾࡶࠊࠕᩱ⌮ࢆࡍࡿᴦࡋࡉࢆఏ࠼ࡿࠖࡢ୰࡛⾜࠺ࡇ࡜ࡀࡩࡉࢃࡋ࠸ࡶ
ࡢ࡜⪃࠼ࡽࢀࡿࡼ࠺࡟࡞ࡗࡓࠋ
յ⚄ዉᕝ┴ᇛᒣ⏫࡟࠾ࡅࡿẕᏊṑ⛉ಖ೺஦ᴗ⟇ᐃ㸦ᖹᡂඖᖺ㸧ಖ೺፬㞧ㄅ Vol.55 No.10
1999 ᖺ 10 ᭶ 815-822

ࡇࢀࡲ࡛ࡢṑ⛉ಖ೺஦ᴗࢆᐇ᪋ࡍࡿࡔࡅ࡛ࡣᡭワࡲࡾ࡞≧ἣࡢᡴ㛤ࡢࡓࡵࠊどⅬࢆኚ࠼ࡓ᪂ࡓ࡞᪉ἲ࡛ఫẸ࡜೺ᗣၥ㢟ࡢඹ᭷ࢆࡋࡓ࠸࡜ PCM ᡭἲ࡟╔┠ࠋஙᗂඣࡢ࠸ࡿẕぶࠊṑ⛉་ᖌࠊಖ೺፬ࡢ࣓ࣥࣂ࣮࡛ PCM ᡭἲࢆᐇ᪋ࠋẕぶ࡜ᑓ㛛⫋࡛ࡢ࢖࣓࣮ࢪࡸ⪃࠼᪉࣭どⅬࡢ㐪࠸࡞࡝ࡀ᫂☜࡟࡞ࡗࡓэࢽ࣮ࢬࢆᢕᥱࡍࡿ࡜࠸࠺ព࿡࡛᭷ព⩏࡛࠶ࡗࡓࠋࡲࡓṑ⛉ಖ೺ࡢศ㔝ࢆ㉸࠼࡚ࠊ㐟ࡧࡢᨭ᥼ࡸ೺デ᫬ࡢクඣ࡜࠸ࡗࡓࠊ௚ࡢ㒊ศ࡬ࡶィ⏬ࡀᬑཬࡋࡓࠋ࢟
࣮࣮࣡ࢻࠕᆅ༊デ᩿࡜ಖ೺ィ⏬࡬ࡢఫẸཧຍࠖࠋնᐑᇛ┴ᰩཎಖ೺ᡤ⟶ෆ(ⱝᰗ⏫)࡟࠾ࡅࡿẕᏊಖ೺ィ⏬㸦ᖹᡂ 9 ᖺࠊ10 ᖺ㸧 ಖ೺፬㞧ㄅ
Vol.54 No.12 1998 ᖺ 11 ᭶ 1014-1023

 ẕᏊಖ೺ィ⏬⟇ᐃ࡟ᙜࡓࡾࠊᑓ㛛⫋ࠊẕᏊ⚟♴࡟㛵ࢃࡿ⫋ဨࠊಖ⫱ᡤ࣭ᗂ⛶ᅬࡢඛ⏕ࠊ ᑠ୰㧗ᰯࡢ㣴ㆤᩍㅍࠊᏊ⫱࡚ࢧ࣮ࢡࣝᢸᙜ⫋ဨ࡜ᣦᑟ⪅ࠊఫẸ௦⾲࡜ࡋ࡚ PTA ᙺဨࠊఏ⤫ⱁ⬟ᣦᑟ⪅࡟ࡼࡿ࣮࣡ࢡ࢟ࣥࢢࢢ࣮ࣝࣉࢆ⤖ᡂࡋࠊ➨ 1 ᅇ┠ࡢ࣮࣡࢟ࣥࢢ࡛ၥ㢟Ⅼࢆᩚ⌮ࠋࡑࡢᚋࠊಖ೺ᡤࢫࢱࢵࣇ࡛ၥ㢟ศᯒ࣭┠ⓗศᯒࢆ⾜࠸ࠊ➨ 2 ᅇ┠ࡢ࣮࣡࢟ࣥࢢ࡛࣓ࣥࣂ࣮
࡟ᥦ♧ࡋࠊពぢࢆฟࡋ࡚ࡶࡽࡗࡓࠋࡑࡢᚋࠊ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ࡛ฟࡓពぢ࡜ࠊఫẸࡢᛮࡗ࡚࠸ࡿࡇ࡜ࡢ㛫࡟ࡎࢀࡀ࡞࠸࠿࡝࠺࠿ࡢ☜ㄆࡢࡓࡵ࡟ࠊஙᗂඣࢆᣢࡘẕぶ 350 ே࡟࢔ࣥࢣ࣮ࢺࢆ⾜ࡗࡓࠋࡇࢀࡽࢆඖ࡟ࡋ࡚ࠊィ⏬ࢆ⟇ᐃࡋࡓࠋշ㤶ᕝ┴኱ෆⓑ㫽ࣂ࢖ࣃࢫィ⏬࡬ࡢ PCM ࣮࣡ࢡࢩࣙࢵࣉࡢᑟධ㸦ᖹᡂ 12 ᖺ㸧 ᅵᮌィ⏬Ꮫ◊✲࣭ㄽᩥ㞟 Vol.18 No.1 2001 ᖺ 9 ᭶

 ⾜ᨻ㛵ಀ࡜ࠊᆅඖࡢ᳨ウ఍࣓ࣥࣂ࣮ࠊ኱Ꮫ◊✲⪅➼࡛ࣂ࢖ࣃࢫィ⏬࡟ࡘ࠸࡚ PCM ࣮࣡ࢡࢩࣙࢵࣉࢆᐇ᪋ࠋ㛵ಀ⪅ศᯒࡢࡢࡕࠊࠕఫẸࡢពぢࡀ཯ᫎࡉࢀ࡚࠸࡞࠸ࠖࢆ୰ᚰၥ㢟࡜ࡋ࡚ၥ㢟ศᯒэ┠ⓗศᯒࡀᐇ᪋ࡉࢀࠊ5 ࡘࡢࣉࣟࢪ࢙ࢡࢺࡀ㑅ฟࡉࢀࡓࠋࡇࡢࡢࡕࠊබඹ஦ᴗ࡛
ࡢࣃࣈࣜࢵࢡ࢖ࣥࣂࣝࣈ࣓ࣥࢺࢆ㐍ࡵࡿୖࡢ PCM ᡭἲࡢᑟධྍ⬟ᛶ࡟ࡘ࠸᳨࡚ウ఍ࡀࡶࡓࢀࡓࠋఫẸࡢཧຍࡀ㝈ࡽࢀ࡚࠾ࡾࠊ⾜ᨻ୺ᑟࡢศᯒ࡜࡞ࡗࡓࡇ࡜➼ࡀㄢ㢟࡜ࡋ࡚ᣲࡆࡽࢀ
ࡓࠋࡉࡽ࡟ࠊἈ⦖┴࡛ PCM ᡭἲࢆά⏝ࡋࡓ೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010 ィ⏬࡟ࡘ࠸࡚ࠊᙜ᫬஦
ᴗィ⏬⟇ᐃ࡟㛵ࢃࡗࡓ୍㛵ಀ⪅㸦ᅜྜྷ་ᖌ㸧࡟ࣄ࢔ࣜࣥࢢࢆ⾜ࡗࡓࠋ1㸬೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010 ィ⏬࡛ࡢ PCM ᡭἲά⏝࡟ࡘ࠸࡚¾

PCM ᡭἲࢆ౑࠺ࡇ࡜࡟࡞ࡗࡓ⌮⏤࣭⤒⦋࣭⌮⏤࡜ࡋ࡚ࠊẕᏊಖ೺ィ⏬ࢆ⟇ᐃࡍࡿ㝿ࠊ21 ୡ⣖ⓗ࡟ྲྀࡾ⤌ࡴ࡭ࡁၥ㢟ࡢ⠊ᅖࡀᗈࡀࡾࠊ
㛵ಀ⪅ࡶቑ࠼ࠊᵝࠎ࡞ศ㔝ࡢ㛵ಀ⪅࠿ࡽ࠸ࢁ࠸ࢁ࡞ពぢࢆ⪺ࡁࡓ࠿ࡗࡓ࡜࠸࠺ࡇ࡜ࡀᣲࡆ
ࡽࢀࡿࠋࡲࡓࠊᙜ᫬ࡣィ⏬⟇ᐃ࡟࠾ࡅࡿᵝࠎ࡞ᡭἲࡢ᭷ຠᛶࡸᡭἲࢆ⏝࠸ࡿྍ⬟ᛶ࡟ࡘ࠸᳨࡚ウࡉࢀ࡚࠾ࡾࠊ࠸ࢁ࠸ࢁ࡞ᡭἲࢆ㞟ࡵࡓ◊✲ࡀࡉ࠿ࢇ࡟⾜ࢃࢀ࡚࠸ࡓࠋPCM ᡭἲࡶࡑࡢ୍ࡘ࡛࠶ࡾࠊά⏝ࡋ࡚࠸ࡿேࡣከࡃࡣ࡞࠿ࡗࡓࡀࠊᅇ⟅⪅ࡀ PCM ᡭἲά⏝ࡢ⤒㦂ࡀ࠶ࡾࠊ┦ㄯ࡟஌ࡗ࡚࠸ࡓࠋ
¾┴ࡢ஦ᴗ࡟᪂ࡓ࡟ PCM ᡭἲࢆ⏝࠸ࡿ࡟࠶ࡓࡗ࡚ࠊⱞປࡋࡓࡇ࡜࡞࡝

࣭ୖᒙ㒊࡟ᙜࡓࡿࡢࡣㄢ㛗⣭ࡢ⫋ဨ࡛ࠊ⟇ᐃẁ㝵඲యࢆㄝ᫂ࡍࡿ࡞࠿࡛ࠊᡭἲ㑅ᢥ࡟ࡘ࠸࡚ࡢ⌮ゎࢆᚓࡿࡇ࡜ࡣ࡛ࡁࡓࠋ
࣭ఫẸࡸ㛵ಀ⪅㸦ಖ೺ᡤ⫋ဨࠊ⮫ᗋᚰ⌮ኈࠊ࣎ࣛࣥࢸ࢕࢔ࠊ་ᖌ➼ẕᏊಖ೺࡟㛵ࢃࡿேࡓࡕ㸧ࡢཧຍᆺࡢィ⏬࡛࠶ࡗࡓࡓࡵࠊࡑࡢேࡓࡕ࡟ᑐࡍࡿ◊ಟࡀᚲせ࡛࠶ࡾࠊ◊ಟࡢㅮᖌࢆ
㏄࠼ࡿ࡟࠶ࡓࡗ࡚㈝⏝ࡀᚲせࡔࡗࡓࠋ࣭4 ࡘࡢ㒊఍ࢆタ⨨ࡋࠊኪ࡟㒊఍ࢆ㛤ദࡋ࡚࠾ࡾࠊࡑࡢ㒊఍࡜ࡢࡸࡾ࡜ࡾࡸᵝࠎ࡞ពぢࢆᩚ⌮ࡍࡿࡇ࡜࡟࠾࠸࡚ PCM ᡭἲࡣ᭷ຠ࡛ࡣ࠶ࡗࡓࡀࠊ᫬㛫ࡀ࠿࠿ࡗࡓࡇ࡜ࡀ኱ኚࡔࡗࡓࠋ

 

¾

PCM ࣮࣡ࢡࢩࣙࢵࣉ࡟ࡘ࠸࡚ձ ㅮᖌ࡟ࡘ࠸࡚

࣭㒊఍ẖࡢ࣮࣡ࢡࢩࣙࢵࣉࡣᅇ⟅⪅ࡀㅮᖌࢆᢸᙜࡋࡓࠋ
㸦࣭඲య࡟ᑐࡍࡿ PCM ࡑࡢࡶࡢࡢㅮ⩦఍ࡣර஭ఙ⾜ඛ⏕ࡀᢸᙜࡉࢀࡓ㸧ղ ࣮࣡ࢡࢩࣙࢵࣉ࡟࠿ࡅࡓ᫬㛫࡟ࡘ࠸࡚࣭1 ᅇ࠶ࡓࡾ 2㹼3 ᫬㛫ࡢ࣮࣡ࢡࢩࣙࢵࣉࢆࠊࡑࢀࡒࢀ 3㹼4 ᅇ㛤ദࡋࡓࠋճ஦ᴗࡢ࡝ࡢẁ㝵࡛ PCM ᡭἲࢆά⏝ࡋࡓࡢ࠿ࠋPDM ࡢ౑ࢃࢀ᪉࡞࡝࡟ࡘ࠸࡚
࣭PCM ᡭἲࡣィ⏬/❧᱌ࡢẁ㝵࡛ά⏝ࡋࡓࠋ࣭࣮࣡ࢡࢩࣙࢵࣉ࡛ࡍ࡭࡚ࢆ௙ୖࡆ࡚࠸ࡓࢃࡅ࡛ࡣ࡞ࡃࠊ᭱ప࡛ࡶ┠ⓗศᯒࡲ࡛㸦ࡶࡋࡃࡣ PDM సᡂࡲ࡛㸧ࢆ⾜࠸ࠊࡑࡢᚋࡶ࠺୍ேࡢ་ᖌ࡜ࠊ㒊఍࡛ࡢࡸࡾ࡜ࡾࢆ☜ㄆ࣭ᩚ⌮ࡋ࡞ࡀࡽࡲ࡜ࡵࡿᙧ࡛㐍ࡵ࡚࠸ࡗࡓࠋ
࣭άືィ⏬ࢆ♧ࡍ㝿ࠊPDM ࢆ౑ࡗ࡚ㄝ᫂ࡋࡓࠋ୍┠࡛ࡑࡢෆᐜࢆඹ᭷࡛ࡁࡿࡓࡵࠊࡢࡕࡢ
ㄝ᫂఍ࡸ㈨ᩱ࡛ࡶ౑ࢃࢀ࡚࠸ࡓࠋ
࣭ࣔࢽࢱࣜࣥࢢࡸホ౯ࡢ๓ᥦ࡜ࡋ࡚ࡢ PDM ࡢ᫬Ⅼಟṇࡀ㞴ࡋࡃࠊࡑࡢᚋࡢసᴗ࡟ධࢀ࡞࠿
ࡗࡓࠋ
2㸬ࠕ೺ࡸ࠿ぶᏊ࠾ࡁ࡞ࢃ 2010ࠖ௨እ࡛ࡶࠊἈ⦖┴࡛ PCM ᡭἲࢆά⏝ࡋࡓ஦ᴗ࡟ࡘ࠸࡚
¾

ࡑࡢ௚ࡢά⏝஦౛࡟ࡘ࠸࡚

࣭ᖹⰋᕷࠕ೺ᗣࡦࡽࡽ 21࣭ࠖୖ㔝ᮧࠕୖ㔝ᮧ㞀ᐖ⪅⚟♴ィ⏬࣭ࠖἈ⦖┴ᐑྂᆅ༊࡛⟇ᐃࡉࢀࡓᗈᇦ㞀ᐖ⪅⚟♴ィ⏬
ͤୖ㔝ᮧ㞀ᐖ⪅⚟♴ィ⏬ࡣࠊ3 ࣨ᭶௨ୖ࡟ࢃࡓࡗ࡚ 4 ᅇ࡯࡝ࠊఫẸཧຍᆺࡢ࣮࣡ࢡࢩࣙࢵࣉ
ࢆ⾜ࡗࡓ㸦ࡍ࡭࡚ᅇ⟅⪅ࡀཧຍࡋࡓ㸧ࠋ
¾┴ࡀᐇ᪋ࡋࡓ PCM ᡭἲ࡜ࠊᕷ⏫ᮧ࡛ࡢ PCM ᡭἲά⏝࡜ࡢ㐪࠸࣭≉ᚩ࣭ఫẸ࡜┤᥋࣮࣡ࢡࢩࣙࢵࣉࢆ⾜࠺࠿ࠊ࡜࠸࠺㐪࠸ࡀ࠶ࡿࠋ
࣭┠ⓗศᯒࡣၥ㢟ศᯒ࡛♧ࡉࢀࡓศࡋ࠿ศᯒ࡛ࡁ࡞࠸ࡀࠊ㛵ಀ⪅࡛࠶ࢀࡤ୰ᚰ┠ⓗ࡟ἢࡗ࡚௒࡞ࡉࢀ࡚࠸ࡿࡇ࡜ࢆࠊᡭẁ࡜ࡋ࡚ຍ࠼ࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡶࡕࢁࢇࠊఫẸࡢ┠࡛Ẽ࡙ࡃࡇ࡜ࡶ࠶ࡾࡑࢀࡶ኱஦ࡔࡀࠊィ⏬⟇ᐃࡣ₃ࢀࡀ࡞࠸ࡇ࡜ࡶ኱஦࡛࠶ࡿࠋ
࣭┴ࡢᨻ⟇࡜ࡋ࡚ࠊࣉࣟࢪ࢙ࢡࢺࡢ㑅ᢥࡣࡏࡎ࢔ࣉ࣮ࣟࢳࡣ඲㒊᥇⏝ࡋࠊ඲యࢆ♧ࡋ࡚ィ⏬ࢆࡓ࡚ࡓࠋ୍᪉࡛⾜ືィ⏬⾲࡟ࡘ࠸࡚ࡣᕷ⏫ᮧࡸ㛵ಀᅋయ➼ࠊྲྀࡾ⤌ࡳ୺యࡢ࡛ࣞ࣋ࣝ⾜ࡗࡓࠋ¾

ᕷ⏫ᮧ࡛ PCM ᡭἲࢆ౑ࡗࡓ஦ᴗ࡬┴ࡸಖ೺ᡤࡣ࡝࠺㛵ࢃࡗࡓࡢ࠿࡞࡝ ࣭ᕷ⏫ᮧィ⏬⟇ᐃࢆᐑྂಖ೺ᡤࡀᨭ᥼ࡋࡓ㝿ࠊᅇ⟅⪅ࡀ࢔ࢻࣂ࢖ࢨ࣮࡜ࡋ࡚㛵ࢃࡗࡓࠋ
3㸬᪥ᮏ㸦Ἀ⦖┴㸧ࡢᆅᇦಖ೺⾜ᨻࡢ஦ᴗ࡟ PCM ᡭἲࢆ౑ࡗ࡚ࠊⰋ࠿ࡗࡓⅬ࡟ࡘ࠸࡚࣭ၥ㢟࡜࡞ࡗ࡚࠸ࡿࡇ࡜ࡀ PDM ࡲ࡛௙ୖࡆࡿ࡜ࡼࡃࢃ࠿ࡾࠊᵝࠎ࡞ၥ㢟ࡢᩚ⌮࡟ᙺ❧ࡘ࣭ఫẸࡸ㛵ಀ⪅ࡀཧຍ࡛ࡁࡿࠋ
࣭㛵ಀ⪅➼࡜⌧≧ㄆ㆑ࡀඹ᭷࡛ࡁࠊ࠶ࡿࣉࣟࢪ࢙ࢡࢺ࡟ࡘ࠸࡚ࠊPDM ࡜άືィ⏬⾲ࢆ⏝࠸࡚ㄝ᫂ࡀࡋࡸࡍ࠸ࠋ
4㸬᪥ᮏ㸦Ἀ⦖┴㸧ࡢᆅᇦಖ೺⾜ᨻࡢ஦ᴗ࡟ PCM ᡭἲࢆ౑ࡗ࡚ࠊⰋࡃ࡞࠿ࡗࡓⅬࠊᅔ㞴ࡔࡗࡓⅬ࡟ࡘ࠸࡚
࣭᫬㛫ࡀ࠿࠿ࡿࠋ
࣭ၥ㢟ศᯒࢆ㐍ࡵࡿ࠺࠼࡛ࠊ୰ᚰၥ㢟ࡢࣞ࣋ࣝࢆ࡝࠺⪃࠼ࡿ࠿ࡀ㞴ࡋ࠸ࠋໟᣓⓗࡍࡂ࡚ࡶ㒊ศⓗࡍࡂ࡚ࡶᙜ࡚ࡣࡲࡾࡀᝏ࠸ࡢ࡛⤒㦂ࢆ㔜ࡡ࡞࠸࡜᳨ウࡀ㞴ࡋ࠸ࠋ࣭┠ⓗศᯒࡢ㝿ࠊࡓ࡜࠼ࡤ┤᥋ᡭẁ➼࡟ࡘ࠸࡚ࠊࣞ࣋ࣝࡀ㐪࠺ヰࢆྠࡌỈ‽࡟ྜࢃࡏࡿࡇ
࡜ࡀ㞴ࡋ࠸ࠋ
୍࣭ᗘ PCM ᡭἲ࡟ࡘ࠸࡚ᣦᑟࡋ࡚ࡶࠊࡑࡢᚋᣦᑟ⪅࡞ࡋ࡛࣮࣡ࢡࢩࣙࢵࣉࡢ㐠Ⴀࡸ‽ഛࠊࡲ࡜ࡵ㸦Ỉ‽ࢆྜࢃࡏࡿࡇ࡜ࡶྵࡵࡿࠋ㸧➼ࢆ⾜࠺ࡇ࡜ࡣ⤒㦂ࡀ࡞࠸࡜㞴ࡋ࠸ࠋ
5㸬PCM ᡭἲࢆά⏝ࡍࡿ࡟㝿ࡋ࡚ࡢᆅᇦಖ೺⾜ᨻ࡟㛵ࢃࡿேࠎ㸦┴ᗇ⫋ဨࠊಖ೺ᡤ⫋ဨ࡞࡝㸧ࡢ཯ᛂ࡟ࡘ࠸࡚
࣭᎘ࡔ࡜࠸࠺ேࡸ཯ᑐࡍࡿேࡣ࠸࡞࠿ࡗࡓࠋ
࣭ࡓࡔࡋࠊ඲ཧຍᆺ࡛ࡣ࡞ࡃࠊ࣮࣡ࢡࢩࣙࢵࣉࢆኪ㛤ദࡋ࡚࠸ࡓࡇ࡜ࡶ࠶ࡾࠊཧຍ⪅ࡶ᮶ࡓࡾ᮶࡞࠿ࡗࡓࡾ࡛ࡣ࠶ࡗࡓࠋ
ͤሗ࿌᭩࡟ࡍࡿẁ㝵࡛┠ⓗศᯒࡸ PDM ➼ࢆ⡆᫂࡞⾲⌧࡟ࡍࡿࡇ࡜ࡶ࠶ࡗࡓࠋ
6㸬Ἀ⦖┴࡟࠾ࡅࡿ⌧ᅾཬࡧᑗ᮶ࡢ PCM ά⏝࡟ࡘ࠸࡚࣭⌧ᅾࡣ౑ࡗ࡚࠸࡞࠸ࠋ
࣭௨๓ࡣᡭἲࢆᗈࡵࡿࡇ࡜ࡀὶ⾜ࡋ࡚࠸ࡓࡀࠊ௒ࡣ௨๓ࡢࡼ࠺࡟࡝ࡢᡭἲࢆ౑࠺ࠊ࡜࠸࠺
ࡇ࡜ࢆ࠶ࡲࡾゝࢃ࡞ࡃ࡞ࡗࡓࠋ
࣭PCM ᡭἲ⮬యࠊྜ࠺ேྜࢃ࡞࠸ேࡀ࠸ࡿ
ͤPCM ࡀ᢬ᢠ࡞ࡃᗈࡃᬑཬࡋ࡞࠿ࡗࡓ⌮⏤࡜ࡋ࡚⪃࠼ࡽࢀࡿࡇ࡜
ЍẕᏊಖ೺ィ⏬⟇ᐃ࡟࠾࠸࡚ࠊከࡃࡢィ⏬⟇ᐃᡭἲࡀᗈࡀࡗࡓࡀࠊၥ㢟Ⅼࡸㄢ㢟ࡀ඲యⓗ࡟᫂☜࡟⾲⌧ࡋ࡟ࡃ࠸ẕᏊಖ೺ࡢศ㔝࡟ᑐࡋ࡚ࠊㄽ⌮ᛶࡸ୍㈏ᛶ࡟ඃࢀ࡚࠸ࡿ PCM ᡭἲࡣࡴ࠿࡞࠿ࡗࡓࡢ࡛ࡣ࡞࠸࠿ࠊࡲࡓࠊᕷ⏫ᮧ㞀ᐖ⪅ィ⏬ࡢࡼ࠺࡟ၥ㢟ࡀከࡃ᫂☜࡞ศ㔝࡟ࡣ
PCM ᡭἲࡣྥ࠸࡚࠸ࡿ࡜⪃࠼ࡿࠋ

 

3.

ಖ೺ᡤ࡟ࡼࡿಖ೺⚟♴஦ᴗ࡛ᡂᯝࢆฟࡍࡓࡵࡢ SWOT ศᯒ࡜ PCM ᡭἲࡢ᪥ᮏࡢᆅᇦಖ೺⾜ᨻ⌧ሙ࡛ࡢά⏝ࡢྍ⬟ᛶ࡟ࡘ࠸࡚ࡢ᳨ウ

ෆ㒊せᅉ

ᙉࡳ

ᙅࡳ

9

ከ⫋✀ࡢ㞟ࡲࡾ

99஦ᴗࢆ⾜࠺ࡓࡵࡢண⟬ࡸ௙⤌ࡳࡀ࠶ࡿ⛬ᗘ☜ಖࡉࢀ࡚࠸ࡿ

ࠕ౛ᖺ㏻ࡾࠖࡀ័౛໬ࡋ࡚ࠊၥ
㢟ࡀ୙᫂☜࡟࡞ࡗ࡚࠸ࡿ

9࠶ࡿ⛬ᗘࡸࡿࡇ࡜ࡀỴࡲࡗ࡚

9ᕷ⏫ᮧ࡜ࡢࡘ࡞ࡀࡾࡀ࠶ࡿ

࠸ࡿศࠊᐇ㝿ࡢၥ㢟࠿ࡽ㞳ࢀ࡚

9

ᆅᇦ㈨※࡜ࡢࡘ࡞ࡀࡾࡀ࠶ࡿ

ࡋࡲ࠺࡜ࡇࢁࡀ࠶ࡿࠋ
9

PDCA ࢆࡁࡕࢇ࡜ᐇ⾜࡛ࡁࡿேࡀᑡ࡞࠸ࠋ◊ಟࡶ⾜ࢃࢀ࡚࠸࡞࠸9␗ືࡀ࠶ࡾࠊேࡀኚࢃࡿ࡜஦ᴗ
࡟ᑐࡍࡿ⇕ពࡶኚࢃࡿ࡜ࡇࢁ
ࡀ࠶ࡿࠋᘬࡁ⥅ࡂࡀ࠺ࡲࡃ࠸࠿
࡞࠸ࠊ༑ศ࡛ࡣ࡞࠸࡜ࡇࢁࡀ࠶
ࡿ

9᪂ࡓ࡞ࡇ࡜ࠊ⊂⮬ࡢࡇ࡜࡟ྲྀࡾ
⤌ࡳ࡟ࡃ࠸㢼ᅵ㸦๓ᖺ㋃くࠊ⤒㦂࡟ᇶ࡙ࡃࡔࡅࠊࡓࡔᮏᗇ࠿ࡽ
ࡢᣦ♧࡟ᚑ࠺࡞࡝㸧

9⌧ሙ࠿ࡽࡢᥦ᱌ࢆࡍࡿ࡟࠶ࡓ
ࡾࠊಖ೺ᡤ-ᮏᗇ㛫ࡢࢥ࣑ࣗࢽ
ࢣ࣮ࢩࣙࣥࡀ୙㊊ࡋ࡚࠸ࡿࠋ

9ಖ೺ᡤэᮏᗇࢆㄝᚓࡉࡏࡿࡔ
ࡅࡢ⬟ຊࡀ୙㊊ࠋ

እ㒊せᅉ

ᶵ఍

⬣ጾ

9

9

ᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ᵓ⠏ࡸ⅏ᐖ᫬೺ᗣ༴ᶵ⟶⌮ᑐᛂ࡞࡝ࠊㄢ㒊ᒁࢆᶓ᩿ࡍࡿㄢ㢟࡬ࡢᑐᛂࡀồࡵࡽࢀ

9ண⟬ࡀῶࡽࡉࢀ࡚࠸ࡿ㸦◊ಟண⟬ྵࡵ㸧9ேࡀῶࡽࡉࢀ࡚࠸ࡿࠋࡋ࠿ࡋࡸ

࡚࠸ࡿࠋࡿࡇ࡜ࡣቑ࠼࡚࠸ࡿ࠿ࠊኚࢃࡗ

ᆅᇦಖ೺ἲࡢᣦ㔪࡛ࠊ⮬ຓ࣭஫ຓࢆ

࡚࠸࡞࠸эᛁࡋ࠸

ಁࡍྲྀࡾ⤌ࡳࡀồࡵࡽࢀ࡚࠸ࡿࠋ

9ᕷ⏫ᮧ࡜ࡢࡘ࡞ࡀࡾࡢᕼⷧ໬
㸦ᴗົࡢศᢸ࡟ࡼࡿ㸧9ጤク஦ᴗ࡟ࡼࡿᕷ⏫ᮧᑐ㇟ࡢ◊ಟ㛤ദࡸ࢔ࢻࣂ࢖ࢨ࣮ὴ㐵ࡀቑ࠼࡚࠸ࡿࠋ ୖグ SWOT ศᯒ⤖ᯝ࡜ࠊPCM ᡭἲࡢ฼Ⅼ࣭␃ពⅬ࠿ࡽ⪃࠼ࡿ࡜ࠊࠕPDCA ࢆࡁࡕࢇ࡜ᐇ
⾜࡛ࡁࡿேࡀᑡ࡞࠸ࠋ◊ಟࡶ⾜ࢃࢀ࡚࠸࡞࠸ࠖ
ࠕ࠶ࡿ⛬ᗘࡸࡿࡇ࡜ࡀỴࡲࡗ࡚࠸ࡿศࠊᐇ㝿ࡢၥ㢟࠿ࡽ㞳ࢀ࡚ࡋࡲ࠺࡜ࡇࢁࡀ࠶ࡿࠖࠕ␗ືࡀ࠶ࡾࠊேࡀኚࢃࡿ࡜஦ᴗ࡟ᑐࡍࡿ⇕ពࡶኚࢃࡿ࡜ࡇࢁࡀ࠶ࡿࠋᘬࡁ⥅ࡂࡀ࠺ࡲࡃ࠸࠿࡞࠸ࠊ༑ศ࡛ࡣ࡞࠸࡜ࡇࢁࡀ࠶ࡿࠖࠕ⌧ሙ࠿ࡽࡢᥦ᱌ࢆࡍࡿ࡟࠶ࡓࡾࠊಖ೺ᡤ-ᮏᗇ㛫ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀ୙㊊ࡋ࡚࠸ࡿࠖ࡜࠸ࡗࡓಖ೺
ᡤෆ㒊ࡢࠕᙅࡳࠖࢆࠊz◊ಟ᪉ἲࡀ☜❧ࡉࢀ࡚࠸ࡿzၥ㢟࠿ࡽ⪃࠼ࡿᡭἲ࡛࠶ࡿz஦ᴗ໬ࡲ࡛ࡢࣉࣟࢭࢫࡸ஦ᴗィ⏬ࢆどぬⓗ࡟♧ࡍࡇ࡜ࡀ࡛ࡁࡿ

࡜࠸࠺ PCM ᡭἲࢆ⏝࠸ࡿࡇ࡜࡛ࠊ࢝ࣂ࣮࡛ࡁࡿྍ⬟ᛶࡀ࠶ࡿࠋࡲࡓඖࠎከ⫋✀ࡢ㞟ࡲࡾ࡛࠶ࡾࠊᆅᇦ㈨※࡜ࡢࡘ࡞ࡀࡾࡶ࠶ࡿಖ೺ᡤ࡛ࡣࠊⓗ☜࡞ேࡀ㞟ࡲࡗ࡚ࠕཧຍᆺࠖࡢᡭἲࢆ
ຠᯝⓗ࡟㐠Ⴀ࡛ࡁࠊࡼࡾ⌧ሙࡢࢽ࣮ࢬ࡟ྜࡗࡓ஦ᴗࢆィ⏬ࡍࡿࡇ࡜ࡀ࡛ࡁࡿྍ⬟ᛶࡶ࠶ࡿࠋ
4.

᪥ᮏࡢᆅᇦಖ೺⾜ᨻ⌧ሙ࡛ാࡃ⫋ဨࢆᑐ㇟࡜ࡋࡓ PCM ᡭἲ◊ಟ⤖ᯝᖹᡂ 29 ᖺ 9 ᭶࡟⇃ᮏ┴ᚚ⯪ಖ೺ᡤࠊᖹᡂ 30 ᖺ 1 ᭶࡟㛗ᓮ┴஬ᓥಖ೺ᡤ࡛ PCM ᡭἲ◊ಟࢆᐇ᪋ࡋࡓࠋㅮᖌࡣࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㡿ᇦ࡛ PCM ᡭἲࢆ⏝࠸ࡓ⤒㦂ࡀ㇏ᐩ࡛ࠊࣇ࢓ࢩࣜࢸ
࣮ࢱ࣮㈨᱁ࡶ࠶ࡿᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮ᅜ㝿་⒪༠ຊᒁ௰బಖ་ᖌ࡟౫㢗ࡋࠊ7 ᫬㛫ࡢ◊ಟ᫬㛫ෆ࡛㛵ಀ⪅ศᯒࠊၥ㢟ศᯒࠊ┠ⓗศᯒࢆ⾜࠸ࠊࣉࣟࢪ࢙ࢡࢺ㑅ᢥ࡜ PDM ࡢసᡂࡲ࡛⮳ࡗࡓࠋ㸦㈨ᩱ 2 ◊ಟࡢᵝᏊ㸧ձ⇃ᮏ┴࡛ࡢ◊ಟ┴ಖ೺ᡤࠊ┴⚟♴஦ົᡤࠊ┴ᗇ೺ᗣ⚟♴㒊ࠊ㣗⫗⾨⏕᳨ᰝᡤ➼࡛ാࡃ་ᖌࠊಖ೺ᖌࠊ⟶⌮ᰤ㣴ኈࠊ᳨ᰝᢏᖌࠊ⸆๣ᖌࠊ⋇་ᖌࠊࢣ࣮ࢫ࣮࣮࣡࢝㸦஦ົ⫋㸧➼࡟ᗈࡃཧຍᕼᮃࢆເ
ࡾࠊࡲࡓᢅ࠺ࢸ࣮࣐࡟ࡘ࠸࡚ࡶᕼᮃࢆ࡜ࡗࡓࠋࢸ࣮࣐ࡢᕼᮃࡣ㸦」ᩘᕼᮃྍ㸧⢭⚄ಖ೺㛵
㐃 5 ྡࠊ⅏ᐖಖ೺་⒪㛵㐃 5 ྡࠊឤᰁ⑕㛵㐃 4 ྡࠊ⤖᰾㛵㐃 3 ྡࠊᅾᏯ་⒪࣭ᆅᇦໟᣓ㛵㐃 3 ྡࠊṑ⛉ಖ೺㛵㐃 1 ྡࠊ⢾ᒀ⑓࣭⏕ά⩦័⑓㛵㐃 1 ྡࠊື≀ឡㆤ㛵㐃 1 ྡࠊᏊ࡝ࡶࡢ㈋ᅔ㛵㐃 2 ྡ࡛࠶ࡗࡓࠋከ⫋✀ࡀ㞟ࡲࡿࡇ࡜ࠊⓙࡀ⇃ᮏᆅ㟈ࢆ⤒㦂ࡋ⅏ᐖᑐᛂ࡟ࡣ㛵ᚰࢆᣢࡗ࡚࠸ࡿࡇ࡜ࡼࡾࠊ⇃ᮏ࡛ࡢ◊ಟࡢࢸ࣮࣐ࡣࠕ⅏ᐖ᫬ࡢබ⾗⾨⏕ᑐᛂ࡟ࡘ࠸࡚ࠖ࡜ࡋࡓࠋ
ཧຍ⪅ࡣ⥲ໃ 18 ྡ㸦◊✲⌜་ᖌ஧ேࢆྵࡴ㸧࡛ࠊ3 ࢢ࣮ࣝࣉ࡟ศ࠿ࢀ࡚◊ಟࢆᐇ᪋ࡋࡓࠋ
࡝ࡢࢢ࣮ࣝࣉࡶࠊ㑊㞴ᡤࡢ≧ἣ࣭㐠Ⴀࠊಖ೺ᡤࡢᶵ⬟ࠊ་⒪ࡸせᨭ᥼⪅➼࡟㛵ࡍࡿၥ㢟ࢆ࿊♧ࡋ࡚࠾ࡾࠊ㸦ࢢ࣮ࣝࣉ 1㸧㑊㞴ᡤࡢ≧ἣࢆᢕᥱࡍࡿࡓࡵࡢ᝟ሗ⟶⌮࡟㛵ࡍࡿࡇ࡜㸦ࢢࣝ
࣮ࣉ 2㸧ಖ೺ᡤࡢᶵ⬟㸦ಖ೺ᡤ⫋ဨࡢᙺ๭㸧࡟㛵ࡍࡿࡇ࡜㸦ࢢ࣮ࣝࣉ 3㸧㑊㞴ᡤ࡛ࡢឤᰁ⑕
ᑐ⟇࡟㛵ࡍࡿࡇ࡜ࢆࣉࣟࢪ࢙ࢡࢺ࡜ࡋ࡚㑅ᢥࡋࠊィ⏬ࢆ❧࡚ࡓࠋูῧ㈨ᩱ࡟ྛ⌜ࡢ㛵ಀ⪅ศᯒ⤖ᯝ㸦㈨ᩱ 3㸧ࠊၥ㢟ศᯒ⤖ᯝ㸦㈨ᩱ 4㹼6㸧ࠊ┠ⓗศᯒ⤖ᯝ㸦㈨ᩱ 7㹼9㸧ࠊࣉࣟࢪ࢙ࢡࢺ
ࡢ㑅ᢥ᳨ウ⤖ᯝ㸦㈨ᩱ 10㸧ࠊPDM㸦㈨ᩱ 11㸧ࢆ♧ࡍࠋղ㛗ᓮ┴࡛ࡢ◊ಟ ⌧ᅾࠊ஬ᓥಖ೺ᡤࡀᐇ㝿࡟ྲྀࡾ⤌ࢇ࡛࠸ࡿάືࡢ୰࠿ࡽࠊ◊ಟࢸ࣮࣐ࢆ⟶ෆࡢ஧ḟ㞳ᓥࡢ⏫࡛࠶ࡿዉ␃⏫ࢆ᝿ᐃࡋ࡚ࠕఫࡳ័ࢀࡓᆅᇦ࡛᭱ᚋࡲ࡛ࡍࡈࡏࡿࡓࡵࡢၥ㢟Ⅼ࣭ㄢ㢟ࠖ࡜ࡋࠊ஬ᓥಖ೺ᡤ⟶ෆ┴ಖ೺ᡤ࣭ᕷಖ೺ࢭࣥࢱ࣮⫋ဨࡢಖ೺ᖌ࣭⟶⌮ᰤ㣴ኈ⥲ᩘ 13 ྡ࡛ࡢཧຍࢆᚓࡓࠋࢢ࣮ࣝࣉ 1 ࡛ࡣࠊࠕᏳᚰࡋ࡚㧗㱋⪅ࡀ୍ேᬽࡽࡋࡀ࡛ࡁ࡞࠸ࠖࠕ⮬Ꮿ࡛ࡢ┳ྲྀࡾࡢయไࡀ࡛ࡁ࡚࠸࡞࠸ࠖࠊࢢ࣮ࣝࣉ 2 ࡛ࡣࠕ㧗㱋⪅ࡀ୍ே࡛ࡢ⏕άࡀᅔ㞴ࠖࠕㄆ▱⑕ᝈ⪅ࡀ᪩ᮇ࡟ᓥ࠿ࡽ㌿ฟࡍࡿࠖࠕ⊂ᒃࡸ㧗㱋⪅ࡢࡳࡢୡᖏࡀከࡃࠊ⥭ᛴ᫬ࡢᑐᛂࡀᅔ㞴࡛࠶ࡿࠖࡇ࡜࡞࡝ࡀࠊୖ఩ࡢၥ㢟࡜ࡋ࡚ᣲࡆࡽࢀࠊࡑࢀࡒࢀᶞᙧᅗࡀసᡂࡉࢀࡓࠋࢢ࣮ࣝࣉ 1 ࡣࠕ⮬Ꮿ࡛ࡢ┳ྲྀࡾࡢయไࢆᩚ࠼ࡿࠖࠊࢢ࣮ࣝࣉ 2 ࡣࠕዉ␃ࡢ㧗㱋⪅ࡀ௓ㆤࢧ࣮ࣅࢫࢆ༑ศ࡟ཷࡅ
ࡽࢀࡿࠖࡇ࡜ࢆࣉࣟࢪ࢙ࢡࢺ┠ⓗ࡜ࡍࡿࣉࣟࢪ࢙ࢡࢺࢆ㑅ᢥࡋࠊィ⏬ࢆ❧࡚ࡓࠋูῧ㈨ᩱ
࡟ྛ⌜ࡢ㛵ಀ⪅ศᯒ⤖ᯝ㸦㈨ᩱ 12㸧ࠊၥ㢟ศᯒ⤖ᯝ㸦㈨ᩱ 13ࠊ14㸧ࠊ┠ⓗศᯒ⤖ᯝ㸦㈨ᩱ 15ࠊ16㸧ࠊࣉࣟࢪ࢙ࢡࢺࡢ㑅ᢥ᳨ウ⤖ᯝ㸦㈨ᩱ 17㸧ࠊPDM㸦㈨ᩱ 18㸧ࢆ♧ࡍࠋճ⇃ᮏ࣭㛗ᓮ୧┴ࡢ◊ಟᚋ࢔ࣥࢣ࣮ࢺ⤖ᯝ㸦㈨ᩱ 19ࠊ20㸧ཷㅮືᶵ࡟ࡘ࠸࡚ࠊࠕ⮬ศࡢᴗົ࡟ᙺ❧ࡕࡑ࠺ࡔ࡜ᛮࡗࡓ࠿ࡽࠖࢆ㑅ᢥࡋࡓ⪅ࡀࠊ⇃ᮏ┴

15 ྡ㸦83.3㸣㸧ࠊ㛗ᓮ 10 ྡ㸦76.9%㸧࡜ࡶ࡟᭱ࡶከ࠿ࡗࡓࠋࡲࡓ⇃ᮏ࡛ࡣ 5 ྡ㸦27.8㸣㸧ࠊ㛗ᓮ࡛ࡣ 4 ྡ㸦30.8%㸧ࡀࠊࠕ஦ᴗࡢ❧᱌/ィ⏬࣭ᐇ᪋࣭ホ౯࡛ᅔࡗ࡚࠸ࡿࡇ࡜ࡀ࠶ࡗࡓ࠿ࡽࠖ
ࢆ㑅ᢥࡋ࡚࠾ࡾࠊලయⓗ࡟ᅔࡗ࡚࠸ࡿࡇ࡜࡜ࡋ࡚ࠊ⮬⏤グ㏙ḍ࡟ࡣࠕ᪤Ꮡࡢ஦ᴗ࣭せ㡿࠿ࡽ࡝࠺ᆅᇦࡢ≉ᛶ࡟ྜࡗࡓࡶࡢࢆࡍࡿ࠿ࠖࠕỴࡵࡽࢀࡓ᪥࡟ࡕࠊ᫬㛫ࠊ㈝⏝➼ࡢ୰࡛ࠊ᭱ࡶ
ຠᯝࡀᚓࡽࢀࡿࡼ࠺࡟ࡍࡿ࡟ࡣ࡝࠺ࡍࢀࡤࡼ࠸࠿ࠖ
ࠕ௒࠶ࡿၥ㢟ࢆゎỴࡍࡿࡢ࡟ຠᯝⓗ࡞ィ⏬ࢆసᡂ࡛ࡁ࡚࠸࡞࠸ࡼ࠺࡟ឤࡌ࡚࠸ࡿࠖ
ࠕᆅᇦࡢ㛵ಀ⪅࡜ྜྠ࡛సᴗࡍࡿ࡜ࡁ࡟㆟ㄽࡀࡲ࡜ࡲࡽ࡞࠸ࡇ࡜ࡀࡼࡃ࠶ࡿࠖࠕ஦ᴗࢆᐇ᪋ࡍࡿ࠺࠼࡛ࠊࡲࡎఱ࠿ࡽྲྀࡾ⤌ࡵࡤࡼ࠸ࡢ࠿ࢃ࠿
ࡽ࡞࠸࡜ࡁࡀࡼࡃ࠶ࡿࠖࠕ࡜࡟࠿ࡃ᪤Ꮡࡢ஦ᴗࢆࡍࡿࡇ࡜࡟㏣ࢃࢀ࡚࠸ࡿࠖࠕ⟶㎄ᆅ༊ෆࡢ೺ᗣㄢ㢟ࡢᢕᥱࡀ࡛ࡁ࡚࠸࡞࠸ࠖ࡜࠸ࡗࡓࡇ࡜ࡀᣲࡆࡽࢀ࡚࠸ࡓࠋࡑࡢ௚ࠊලయⓗ࡞ཷㅮືᶵ࡜ࡋ࡚ࡣࠕᐇ᪋ࡍࡿࡇ࡜ࡀ┠ⓗ࡟࡞ࡗ࡚ࡋࡲࡗ࡚࠸ࡿࡇ࡜ࡀከ࠿ࡗࡓࡓࡵࠊィ⏬࣭ᐇ᪋࣭ホ౯ࡀ࡛ࡁࡿࡼ࠺ᡭἲࢆᏛࡧࡓ࠿ࡗࡓࠖ
ࠕ⫋ሙࡢពᛮỴᐃࣉࣟࢭࢫ࡟୙‶ࢆឤࡌ࡚࠾ࡾࠊ
ఱࡽ࠿ࡢࣄࣥࢺࡀḧࡋ࠿ࡗࡓࠖࠕၥ㢟ᩚ⌮ࡋࠊ┠ⓗࢆỴᐃࡍࡿᡭἲ࡟⯆࿡ࢆᣢࡘ࡜࡜ࡶ࡟ࠊ
௒ᚋά⏝࡛ࡁࡓࡽ࡜ᛮ࠸ཧຍࢆᕼᮃࠖࠕࠗ౛ᖺ㏻ࡾ࠘࡟௙஦ࢆࡋ࡚࠸ࡿࠋ⮬ศ࡛ㄢ㢟ࢆᢕᥱࡋࠊࡑࢀ࠿ࡽ࡝࠺࢔ࢡࢩࣙࣥࢆ㉳ࡇࡋ࡚Ⰻ࠸࠿ࡀࢃ࠿ࡽ࡞࠿ࡗࡓࡓࡵࠖࠕᐇ㝿࡟ᴗົࢆ㐍ࡵࡿ࠺࠼࡛ࠊ࡝ࡢࡼ࠺࡞ᡭ㡰࡛ィ⏬ࡍࢀࡤࡼ࠸࠿ࢃ࠿ࡽ࡞࠿ࡗࡓࡢ࡛ࠖ
ࠕఫẸ࡜ඹ࡟᳨ウࡋ࡚࠸ࡿࡇ࡜࡟ጇᙜᛶࡀ࠶ࡿࡢ࠿ࠊඃඛᗘࡣఱ࠿ࠊ୙᫂☜࡞ࡓࡵࠖࠕఫẸ࠿ࡽࡢពぢࢆᘬࡁฟࡋ
᪋⟇࡟ά࠿ࡏࡿᡭἲ࡟ࡘ࠸࡚▱ࡾࡓ࠿ࡗࡓࠖ࡜࠸ࡗࡓࡇ࡜ࡀᣲࡆࡽࢀ࡚࠸ࡓࠋ
⇃ᮏ┴ 17 ே㸦94%㸧ࠊ㛗ᓮ┴ 13 ே㸦100%㸧ࡀࠊPCM ᡭἲ◊ಟ࡟ࡘ࠸࡚ࠕ⯆࿡῝࠿ࡗࡓࠖࠕࡲ࠶ࡲ࠶⯆࿡῝࠿ࡗࡓࠖ࡜ᅇ⟅ࡋ࡚࠾ࡾࠊ⮬⏤グ㏙ḍ࡟ࡣࠕཧຍᆺ࡛࠶ࡿࡇ࡜࣭࠸ࢁ࠸
ࢁ࡞どⅬ࠿ࡽ⪃࠼ࡿࡇ࡜࣭㛵ಀ⪅࡛ඹ᭷ࡍࡿࡇ࡜㸦୧┴࡛ 7 ྡ㸧ࠖࠕၥ㢟࠿ࡽጞࡲࡿ⪃࠼᪉ࡸၥ㢟ศᯒ࠿ࡽ┠ⓗศᯒࡢὶࢀ࡟㛵ࡍࡿࡇ࡜㸦୧┴࡛ 13 ྡ㸧ࠖࠕどぬ໬ࡍࡿࡇ࡜ࠊ඲యീࢆ
ࡳࡿࡇ࡜㸦୧┴࡛ 6 ྡ㸧ࠖ࡜ゝࡗࡓⅬ࡟⯆࿡ࢆᣢࡗࡓ࡜࠸࠺ࡇ࡜᭩࠿ࢀ࡚࠸ࡓࠋ ⇃ᮏ┴ 13 ே㸦72㸣㸧ࠊ㛗ᓮ┴ 8 ே㸦62㸣㸧ࡀࠕᬑẁࡢᴗົ࡛ PCM ᡭἲࡢά⏝ࡀྍ⬟ࠖ࡜ᅇ⟅ࡋ࡚࠾ࡾࠊά⏝࡟ᚲせ࡞ࡇ࡜࡜ࡋ࡚ࠕ◊ಟ(⇃ᮏ┴ 14 ྡࠊ77.8㸣ࠊ㛗ᓮ┴ 10 ேࠊ77.9㸣)ࠖࠊ
ࠕୖྖࡢ⌮ゎ㸦⇃ᮏ┴ 12 ேࠊ66.7㸣ࠊ㛗ᓮ┴ 3 ྡࠊ23.1㸣㸧ࠖࢆ㑅ࢇࡔ⪅ࡀከࡃࠊࡑࡢ௚࡜
ࡋ࡚ࠊࠕ᫬㛫ࠖࠕ⪃࠼᪉ࡢ⌮ゎࠖࠕᐇ㊶ࠖࠕⓙ࡛஦ᴗࢆ⪃࠼࡚࠸ࡃࡼ࠺࡞㞺ᅖẼࠖ࡞࡝ࡀᣲࡆ
ࡽࢀ࡚࠸ࡓࠋලయⓗ࡞ά⏝᱌࡜ࡋ࡚ࡣࠊࠕㄢ/⌜ෆ࣑࣮ࢸ࢕ࣥࢢࠖࠕ◊ಟࠖࠕᐇ㝿ࡢ஦ᴗࠖࠕᆅ
ᇦデ᩿ࠖࠕᵝࠎ࡞఍㆟ࠖ࡞࡝ࡀᣲࡆࡽࢀࡓࠋ
IV. ⪃ᐹ
⾜ᨻࡢ஦ᴗᒎ㛤࡟࠾࠸࡚ࠊィ⏬ࡢ❧᱌ࠊᐇ⾜ࠊホ౯ࡀ㔜せ࡛࠶ࡿࡇ࡜ࡣㄆ㆑ࡉࢀ࡚࠾ࡾࠊ
ࡑࡢࡓࡵ࡟ࠕPDCA ࢧ࢖ࢡࣝࢆࡲࢃࡍࠖࡇ࡜ࡀ௨๓ࡼࡾᙉㄪࡉࢀ࡚࠸ࡿࠋࡋ࠿ࡋࠊPDCA
ࢧ࢖ࢡࣝࢆࠕ࡝࠺ᅇࡍ࠿ࠖ࡟ࡘ࠸࡚ࡢ◊ಟ➼ࢆཷࡅࡓࡇ࡜ࡢ࠶ࡿ⾜ᨻ⫋ဨࡣỴࡋ࡚ከࡃࡣ
࡞ࡃࠊᆅᇦಖ೺ࡢ⌧ሙ࡟࠾࠸࡚ࡣࠊୖ఩ィ⏬࡟๎ࡾࠕ౛ᖺ㏻ࡾࠖࡢ஦ᴗࢆ㐍ࡵࡀࡕ࡛ࠊၥ
㢟ࡸ┠ⓗࡀⓗ☜࡛࡞࠸≧ἣ࡟࡞ࡿࡇ࡜ࡀ㉳ࡇࡾ࠺ࡿࠋ௒ᅇࠊ᪥ᮏࡢᆅᇦಖ೺⌧ሙ࡛ാࡃ⾜ᨻ⫋ဨ࡟ᅇ⟅ࡋ࡚ࡶࡽࡗࡓ࢔ࣥࢣ࣮ࢺ࡛ࡶࠊᑡ࡞࠿ࡽࡎ㏞࠸ࡸᅔ㞴ࢆឤࡌ࡞ࡀࡽࠊ஦ᴗ㐠Ⴀ࡟ᚑ஦ࡋ࡚࠸ࡿᵝᏊࡀఛ࠼ࡓࠋ୍᪉࡛ࠊ᪥ᮏࡀᾏእࡢ㏵ୖᅜࢆᨭ᥼ࡍࡿᅜ㝿㛤Ⓨ㡿ᇦ࡛ࡣࠊၥ㢟࠿ࡽ⪃࠼ࡿᡭἲ࡛࠶ࡿ PCM ᡭἲࡀᗈࡃ⏝࠸ࡽࢀ࡚࠾ࡾࠊᅜ㝿㛤Ⓨ஦ᴗ࡟ᚑ஦ࡍࡿ
⪅ࡣὴ㐵๓࡟◊ಟࢆཷࡅࠊᖖ࡟ࠕ௒࠶ࡿၥ㢟ࡣ࡝࠺ࡋ࡚㉳ࡇࡗ࡚࠸ࡿࡢ࠿ࠖࠕࡑࡢၥ㢟ࢆゎỴࡍࡿࡓࡵ࡟ࡣఱࢆࡍࢀࡤ࠸࠸ࡢ࠿ࠖࠕホ౯ࡣ࡝ࡢࡼ࠺࡟ࡋ࡚⾜࠺࠿ࠖࢆᛕ㢌࡟⨨ࡁ࡞ࡀࡽࣉࣟࢪ࢙ࢡࢺ㐠Ⴀ࡟㛵ࢃࡗ࡚࠸ࡿࠋᅜ㝿㛤Ⓨ஦ᴗ࡟㛵ࢃࡿ⪅ࡣ PCM ᡭἲࡸ PDM ࢆ▱ࡗ࡚࠸ࡿࡢ࡛ࠊ᪂ࡓ࡞ேᮦࡀࣉࣟࢪ࢙ࢡࢺ࡟㛵ࢃࡿࡇ࡜࡟࡞ࡗ࡚ࡶࠊPDM ࢆඹ㏻ゝㄒ࡜ࡋ࡚ࢫ
࣒࣮ࢬ࡟ࣉࣟࢪ࢙ࢡࢺࢆ⥅⥆ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡇࡢࠊ᪤࡟◊ಟ᪉ἲࡸᡭἲࡀ☜❧ࡋ࡚࠾ࡾࠊᅜෆ࡟ࣇ࢓ࢩࣜࢸ࣮ࢱ࣮࡜ᡂࡾᚓࡿேᮦࡀᏑᅾࡍࡿ PCM ᡭἲࢆ᪥ᮏࡢᆅᇦಖ೺⌧ሙ࡛⏝࠸ࡿࡇ࡜࡛ࠊ௒௨ୖ࡟ᆅᇦࡢㄢ㢟࡜ࡑࡢཎᅉࢆヲ⣽࡟ศᯒ࡛ࡁࠊ┠ⓗࢆ᫂☜໬ࡍࡿࡇ࡜
ࡀ࡛ࡁࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡓࠋࡲࡓࠊ㛗ᓮ┴஬ᓥಖ೺ᡤ࡛ࡢ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊࠕఫẸࡢពぢࢆᘬࡁฟࡍࡇ࡜ࠖࡸࠕఫẸ࡜࡜ࡶ࡟࡛ࡁࡿᡭἲࠖࢆᶍ⣴ࡋ࡚࠸ࡿᵝᏊࡀఛ࠼ࡓࡀࠊPCM
ᡭἲࡣࠕཧຍᆺࠖࡢᡭἲ࡛࠶ࡾࠊఫẸࢆྵࡴ㛵ಀ⪅࡛ၥ㢟ࢆศᯒࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿࠋࡑࡶࡑࡶࠊಖ೺ᡤࡢࠕከ⫋✀ࡀᡤᒓࡋࠊᆅᇦ㈨※࡜ࡢࡘ࡞ࡀࡾࡀ࠶ࡿࠖ࡜࠸࠺≉ᛶࡣࠊⓗ☜࡞ேဨᵓᡂ࡛ࠕཧຍᆺࠖࡢᡭἲࢆຠᯝⓗ࡟㐠Ⴀࡍࡿ⣲ᆅࡀ࠶ࡾࠊPCM ᡭἲࡢά⏝࡛ࡼࡾ⌧ሙࡢࢽ࣮ࢬ࡟ྜࡗࡓ஦ᴗィ⏬ࠊ㛵ಀ⪅㛫ࡢ┠ⓗ࣭┠ᶆࢆඹ᭷ࡋࡓ஦ᴗ㐙⾜ࡀᮇᚅ࡛ࡁࡿ
ࡢ࡛ࡣ࡞࠸ࡔࢁ࠺࠿ࠋࡲࡓࠊ஦ᴗ໬ࡲ࡛ࡢࣉࣟࢭࢫࡸ஦ᴗィ⏬ࢆどぬⓗ࡟♧ࡍࡓࡵࠊ⫋ሙෆ࡛どぬⓗ࡟ඹ᭷ࡍࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢶ࣮ࣝ࡟࡞ࡾࠊ≉࡟⾜ᨻࡢሙ࡛Ḟ࠿ࡍࡇ࡜ࡢ࡛
ࡁ࡞࠸ୖྖࡸୖ఩⤌⧊࡬ࡢㄝ᫂ࠊᚋ௵࡬ࡢᘬࡁ⥅ࡂ࡟ᙺ❧ࡘ࡜ᛮࢃࢀࡿࠋᩥ⊩ㄪᰝୖ࡛ࡶࠊ
᪤࡟⾜ᨻ⌧ሙ࡛ά⏝ࡉࢀ࡚ᐇ㝿ࡢ஦ᴗᐇ᪋ࡸఫẸཧຍ࡛ࡢ஦ᴗィ⏬࡞࡝࡟ࡘ࡞ࡀࡗ࡚࠸ࡿ
஦౛ࡶ࠶ࡾࠊ≉࡟Ἀ⦖┴࡛ࡣ┴ཬࡧᕷ⏫ᮧ࡛ࡢ஦ᴗィ⏬࡛」ᩘ PCM ᡭἲࢆ⏝࠸ࡓ⤒㦂ࡀ࠶ࡗࡓࠋ஦ᴗ࡟㛵ࢃࡗࡓ୍ᢸᙜ⪅ࡢពぢ࡜ࡋ࡚ࠊఫẸࡸ㛵ಀ⪅ࡀཧຍ࡛ࡁࠊPDM ࡟ࡍࡿࡇ࡜
࡛ᵝࠎ࡞ၥ㢟ࡢᩚ⌮࡟ᙺ❧ࡕࠊ㛵ಀ⪅➼࡜⌧≧ㄆ㆑ࡀඹ᭷࡛ࡁࡓ࡜࠸ࡗࡓ PCM ᡭἲࡢ฼Ⅼ ࡀᣲࡆࡽࢀ࡚࠸ࡓࠋ௒ᅇࡢ◊ಟ࡛ࡶࠊཧຍ⪅⾜ᨻ⫋ဨ඲ဨࡀ PCM ᡭἲ࡟⯆࿡ࢆᣢࡘ࡞࡝ࠊ
ᆅᇦಖ೺⌧ሙ࡛ࡢά⏝ࡢྍ⬟ᛶࡣ༑ศ࡟࠶ࡿ࡜ឤࡌࡓࠋࡋ࠿ࡋἈ⦖┴ࡢ⤒㦂࠿ࡽࡣ᫬㛫ࡀ࠿࠿ࡗࡓࡇ࡜ࡸࠊᣦᑟ⪅࡞ࡋ࡛࣮࣡ࢡࢩࣙࢵࣉࡢ㐠Ⴀࡸ‽ഛࠊࡲ࡜ࡵ➼ࢆ⥅⥆ࡋ࡚⾜࠺ࡇ࡜ࡢ㞴ࡋࡉࡀ࠶ࡗࡓࡇ࡜ࠊศ㔝࡟ࡼࡾ PCM ᡭἲࢆ౑⏝ࡍࡿࡢ࡟ྥ࠸࡚࠸ࡿ㢟ᮦ࡜୙ྥࡁࡢ
㢟ᮦࡀ࠶ࡿ࡜࠸࠺ࡇ࡜ࠊࡑࡋ࡚௒ᅇᐇ᪋ࡋࡓ PCM ◊ಟᚋࡢ࢔ࣥࢣ࣮ࢺ⤖ᯝ࠿ࡽࡣࠊᐇ㝿࡟⾜࠺࡟ࡣࡶࡗ࡜◊ಟࡀᚲせ࡜࠸࠺ࡇ࡜ࠊᐇ㝿࡟ά⏝ࡍࡿ࡟ࡣ᫬㛫ࡀ㊊ࡾ࡞࠸࡜ゝࡗࡓࠊPCM
ᡭἲࢆά⏝ࡍࡿሙྜ࡟⪃࠼ࡽࢀࡿᅔ㞴࡟ࡘ࠸࡚ࡢពぢࡶฟࡉࢀ࡚࠸ࡓࠋࡉࡽ࡟ࠊά⏝࡟࠾࠸࡚ࡣୖྖࡢ⌮ゎࡀᚲせ࡜ࡢពぢࡶ࠶ࡾࠊ᪂ࡓ࡞ᡭἲࢆᰂ㌾࡟ྲྀࡾධࢀࡿࡇ࡜ࡀ࡛ࡁࡿ⫋ሙ⎔ቃ࡙ࡃࡾࡶᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓࠋࡲࡓࠊPCM ᡭἲ࡟ࡣࠊPDM ࡟㑅ᢥࡉࢀ࡞࠿ࡗࡓ⠊ᅖࡢせᅉࡀ⪃៖ࡉࢀ࡞࠸࡜࠸࠺␃ពⅬࡀ࠶ࡿࠋࡇࢀࡽࡢࡇ࡜࠿ࡽࠊ᪥ᮏࡢᆅᇦಖ೺⌧ሙ࡬ࡢά⏝࡟࠾࠸࡚ࡣࠊ౛࠼ࡤಖ೺ᡤ஦ᴗ඲యࠊࡍ࡞ࢃࡕࣉࣟࢢ࣒ࣛᆺࡢ❧᱌࣭ホ౯࡛ࡣ࡞ࡃࠊࡼࡾᮇ㛫࡜ศ㔝ࢆ⤠ࡗࡓࣉࣟࢪ࢙ࢡࢺᆺ஦ᴗࡢ❧᱌࣭ホ౯࡟ᛂ⏝ࡉࡏࡸࡍ࠸࡜⪃࠼ࡿࠋ
PCM ᡭἲࢆ⏝࠸ࡓࣉࣟࢪ࢙ࢡࢺ/஦ᴗ㐠Ⴀ࡟㛵ࡋ࡚ࡣࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㡿ᇦ࡛ࡇࢀࡲ࡛
⵳✚ࡉࢀ࡚ࡁࡓ⤒㦂ࡀ᪤࡟࠶ࡾࠊࡑࢀࢆᗈࡵࡽࢀࡿேᮦࡶᏑᅾࡍࡿࠋ᪂ࡓ࡞ᡭἲࢆ㛤Ⓨࡋࡓࡾᑟධࡋࡓࡾࡋ࡞ࡃ࡚ࡶࠊ᪥ᮏࡢᆅᇦಖ೺⌧ሙ࡛౑࠸ࡸࡍ࠸ࡼ࠺࡟࢔ࣞࣥࢪࡉࢀࡓ PCM
ᡭἲࢆά⏝ࡍࡿࡇ࡜࡛ࠊ⌧ᅾ㐠Ⴀࡉࢀ࡚࠸ࡿ஦ᴗࢆࡼࡾຠᯝⓗ࡟ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡢ࡛ࡣ
࡞࠸ࡔࢁ࠺࠿ࠋࡲࡓឤᰁ⑕㡿ᇦ࡞࡝ࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫ࡜ᅜෆࡢᆅᇦಖ೺࡜᫂☜࡟ศ᩿ࡍࡿࡇ࡜ࡢ࡛ࡁ࡞࠸ศ㔝࡛ࡢࠊᅜෆእ࡟Ώࡿ஦㇟ࢆྲྀࡾᢅ࠺㝿࡟ࡶࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫ/ᅜෆࡢᆅᇦಖ೺୧ศ㔝ࡢேᮦ㛫࡛ࠊPDM ࡣඹ㏻ゝㄒ࡜࡞ࡾ࠺ࡿࡔࢁ࠺ࠋࡲࡓࠊᐇ㝿ࡢ஦ᴗ㐠Ⴀ࡟౑࠺ࡇ࡜௨እ࡟ࡶࠊࠕࣉࣟࢪ࢙ࢡࢺ㸦஦ᴗ㸧࡜ࡣ㸽ࠖࠕᆅᇦࢆデࡿࠖࡇ࡜ࢆᏛࡪࡓࡵࡢ୍
ࡘࡢ◊ಟ࡜ࡋ࡚ࠊᆅᇦಖ೺ศ㔝ࡢேᮦ⫱ᡂ㸦౛࠼ࡤࠊ♫఍་Ꮫᑓ㛛་◊ಟࡢෆᐜ࡟ධࢀࡿ
࡞࡝ࡋ࡚㸧࡟ࡶᙺ❧ࡘ࡜ᛮ࠺ࠋ฼⏝ྍ⬟௒ᚋᆅᇦಖ೺ศ㔝࡟ᚑ஦ࡍࡿேᮦ࡟ PCM ᡭἲ࡟⢭㏻ࡍࡿேᮦࡀቑ࠼ࡿࡇ࡜࡛ࠊࡶࡗ࡜◊ಟࡀᚲせ࡜࠸࠺ PCM ᡭἲᑟධ࡟ᙜࡓࡗ࡚ࡢᅔ㞴ࡶඞ᭹ྍ⬟࡛ࡣ࡞࠸ࡔࢁ࠺࠿ࠋ
࠙௒ᚋࡢᒎ㛤ࠚ᪥ᮏࡢᆅᇦಖ೺ࡢ⌧ሙ࡛ࡶ PCM ᡭἲࡸ PDM ࢆ౑࠺ࡇ࡜࡟ࡼࡗ࡚஦ᴗ㐠Ⴀࡀࡼࡾຠᯝⓗ࡟࡞ࡿྍ⬟ᛶࡀ࠶ࡿࡇ࡜ࢆ⤂௓ࡋ࡚࠸ࡁࡓ࠸ࠋࡲࡓᐇ㝿ࡢ஦ᴗ㐠Ⴀ࡟ά⏝࡛ࡁ࡞࠸࡜ࡋ࡚
ࡶࠊᆅᇦಖ೺ศ㔝࡟ᚑ஦ࡍࡿேࠎ࡟◊ಟࢆ⾜࠺ࡇ࡜࡛ࠊ⬟ຊᙉ໬࡟ࡘ࡞ࡀࡿࡇ࡜ࡶ⪃࠼ࡽࢀࠊ⾜ᨻ࡛ࡣከࡃࡢ◊ಟࡀ⾜ࢃࢀ࡚࠸ࡿࡢ࡛ࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫேᮦࢆά⏝ࡋࡓ◊ಟࡢᐇ᪋࡞࡝ࡶ࡛ࡁࢀࡤ࡜ᛮ࠺㸦♫఍་Ꮫᑓ㛛་◊ಟ࡬ࡢᥦゝ࣭⤂௓࡞࡝㸧
ࠋ

 

㈨ᩱ㸯㸬ㄢ㢟ศᯒ࡜ࣉࣟࢪ࢙ࢡࢺ࣐ࢿ࣮ࢪ࣓ࣥࢺᡭἲ ࣈ࣮ࣞࣥࢫࢺ࣮࣑ࣥࢢ
⡿ᅜࡢ Alex Faickney Osborn ࡀ 1953 ᖺ࡟Ⓨ⾜ࡋࡓⴭ᭩ࡢ࡞࠿࡛ᥦ♧ࡋࡓ㞟ᅋⓎ᝿ἲ࡛ࠊ࣓ࣥࣂ࣮ࡢ⮬⏤࡞Ⓨゝ࣭Ⓨ᝿࠿ࡽ࢔࢖ࢹ࢔ࢆᘬࡁฟࡋ࡚࠸ࡃࠋ㸲ཎ๎࡜ࡋ࡚ࠊձ࢔࢖ࢹ࢔ࡢ㉁ࡼࡾࡶᵝࠎ࡞ゅᗘ࠿ࡽࡢ࢔࢖ࢹ࢔ࡢ㔞ࢆ㔜どࡍࡿࠊղேࡢពぢ࡟ᑐࡋุ࡚᩿࣭ᢈุࢆࡋ࡞࠸ࠊճ⢒࠸࢔࢖ࢹ࢔ࢆḼ㏄ࡍࡿࠊմ࢔࢖ࢹ࢔ࢆ⤖ྜࡉࡏ࡚ᨵ
ၿࡋ࡚࠸ࡃࠊࡀ࠶ࡆࡽࢀࡿࠋ࢔࢖ࢹ࢔ࡀฟᑾࡃࡋࡓࡽࠊ⾲⌧ࡀ᫂☜࡛࡞࠸ࡶࡢࡣ☜࠿ࡵ࡚᭩ࡁ┤ࡍ࡞࡝ࡋ࡚ࠊࢢ
࣮ࣝࣉ࡟ᩚ⌮ࡍࡿ㸦௨ୗࠊKJ ἲ➼࡟ࡘ࡞ࡆࡿ㸧
ࠋ
(Alex Faickney Osborn, Applied Imagination, 1953)

 .- ἲ᪥ᮏࡢᩥ໬ே㢮Ꮫ⪅࡛࠶ࡿᕝ႐⏣஧㑻ࡀ 1960 ᖺ௦࡟⪃᱌ࡋࡓ᝟ሗࡢᩚ⌮᪉ἲࠋၥ㢟ࡸ࢔࢖ࢹ࢔ࢆ࣮࢝ࢻࡸ࣏ࢫࢺ࢖ࢵࢺ➼࡟ಶࠎ࡟グ㍕ࡋࠊࢢ࣮ࣝࣉẖ࡟ࡲ࡜ࡵ࡚ᅗゎࡋ࡚࠸ࡃࠋඹྠ࡛ࡢ
సᴗࡢሙ࡛ከࡃ⏝࠸ࡽࢀࠊࣇ࢕࣮ࣝࢻ࣮࣡ࢡ࡛ከࡃࡢ᝟ሗࢆ㞟ࡵࡓᚋࡸࠊ௚ᡭἲ࡛ᵝࠎ࡞࢔࢖ࢹ࢔ฟࡋࢆ⾜ࡗࡓᚋ࡟ά⏝࡛ࡁࡿࠋ㸲ẁ㝵࠶ࡾࠊձ࣮࢝ࢻࡢసᡂࠊղఝ㏻ࡗࡓ࣮࢝ࢻࢆ⏝࠸ࡓࢢࣝ̿ࣉ⦅ᡂ࡜⾲ᮐ࡙ࡃࡾ㸦ࢢ࣮ࣝࣉ࡟࡞ࡽ࡞࠸ࡶࡢࡶ࠶ࡿ㸧ࠊճᅗゎ໬ࠊմᩥ❶໬࡜㐍ࡵࡽࢀࡿࠋ
㸦ᕝ႐⏣஧㑻ࠊⓎ᝿ἲ̿๰㐀ᛶ㛤Ⓨࡢࡓࡵ࡟ࠊ୰බ᪂᭩ࠊ1967 ᖺ㸧 ࣐࢖ࣥࢻ࣐ࢵࣉ
ⱥᅜࡢ⬻⛉Ꮫ⪅ Tony Buzan ࡀ 1970 ᖺ௦࡟ᥦ♧ࡋࡓࠊ⬻ෆ࡛ࡢᛮ⪃ࢆࠊᅗゎ࡟ࡼࡾぢ࠼ࡿ໬ࢆࡋ࡚Ⓨ᝿ࢆಁࡍࢶ࣮ࣝࠋ⾲⌧ࡋࡓ࠸ᴫᛕࡢ᰾࡜࡞ࡿ࣮࣮࢟࣡ࢻࡸᅗࢆ୰ኸ࡟グ㍕ࡋࠊᨺᑕ≧࡟࣮࣮࢟࣡ࢻࢆࡘ࡞ࡆࠊImagination㸦Ⓨ᝿㸧࡜ Association㸦⣔⤫໬㸧ࢆ⧞ࡾ㏉ࡋ࡞ࡀࡽᒎ㛤ࡋ࡚࠸ࡃࠋⓎ᝿ࢆ࣮࣮࢟࣡ࢻ
࡛グ㏙ࡍࡿࡇ࡜࡛ᛮ⪃ࡢࢫࣆ࣮ࢻ࡟㏣࠸௜ࡃࡇ࡜ࡀ࡛ࡁࠊ࣮࢟
࣮࣡ࢻࢆ㛵ಀ⥺࡛ࡘ࡞ࡆࡿࡇ࡜࡛ᩥ❶໬ࢆ⿵࠸ࠊྠ᫬࡟ḟࡢⓎ᝿ࡀ่⃭ࡉࢀࡿࠋ
(https://imindmap.com/how-to-mind-map)(Tony Buzan, How to Mind Map: The Ultimate Thinking Tool That Will Change Your Life, 2002)㸦ࢺࢽ࣮࣭ࣈࢧࣥࠊ᪂∧ ࢨ࣭࣐࢖ࣥࢻ࣐ࢵࣉࠊࢲ࢖࢔ࣔࣥࢻ♫㸧 ࣟࢪࢵࢡࢶ࣮ࣜ࡜ 0(&( ⡿ᅜࡢ McKinsey ♫ࡸ The Boston Consulting Group ࡞࡝ྛᒙ䜢MECE䛷ศゎ䛧䛶䛔䛟ࡢ ௻ ᴗ ᡓ ␎ࢥ ࣥ ࢧ ࣝ ࢱࣥ ࢺ ࡀ ά ⏝ࡋ ࡚ ࠸ ࡿ ࠋ"Mutually➨䠐㝵ᒙіMECEї

ྠ厺ᒙ叐ḟඖ可厾叭厪召

➨䠍㝵ᒙ
᭱ୖ఩
࿨㢟

➨䠏㝵ᒙ

іMECEї

➨䠎㝵ᒙ

Exclusive Collectively Exhaustive : MECE㸦஫࠸࡟ࢲࣈࡾ
ࡀ࡞ࡃ඲య࡜ࡋ࡚ࣔࣞࡀ࡞࠸ࡇ࡜㸧”ࡢ⪃࠼᪉࡟ᇶ࡙ࡁࠊㄢ
㢟ࢆ㝵ᒙ≧㸦ࢶ࣮ࣜ≧㸧࡟ศゎࡋ࡚ㄽ⌮ࢆᒎ㛤ࡍࡿࠋゎỴ⟇
࡟㏕ࡗ࡚࠸ࡃᡭἲࠋ≀஦ࡢ඲యീࡀᢕᥱ࡛ࡁࠊ῝ᒙࡢཎᅉࢆ
᥈ࡾࠊලయⓗ࡞ゎỴ⟇ࢆᥦ♧ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡲࡓࠊせ⣲㛫ࡢ㛵ಀࡀᅗゎ࡛᫂ࡽ࠿࡟࡞ࡿࠋసᡂ᫬ࠊྛ㝵ᒙ㛫࡛ḟඖࡀࡑࢁࡗ࡚࠸ࡿࡇ࡜ࠊࢲࣈࡾࡸࣔࣞࡀ࡞࠸ࡇ࡜ࡢ㐺ᐅ☜ㄆࡀ㔜せ࡛࠶ࡿࠋ(ࣟࢪ࢝ࣝࢩࣥ࢟ࣥࢢ◊ಟ.com http://www.ltkensyu.com/logicalthinking/1-4/4-1.html)  ࣇ࢕ࢵࢩ࣮ࣗ࣎ࣥࢲ࢖࢔ࢢ࣒ࣛ㸦≉ᛶせᅉᅗ㸧᪥ᮏࡢ໬ᏛᕤᏛ⪅ࡢ▼ᕝ㤾ࡀ 1950 ᖺ௦࡟⪃᱌ࡋࡓࠊ≉ᛶ(effect)࡜せᅉ(factor)ࡢ㛵ಀࢆ⣔⤫ⓗ࡟⥺࡛⤖ࢇ࡛ࠊ㨶ࡢ㦵≧㸦ᶞ≧㸧࡟♧ࡋࡓᅗࠋ≉ᛶ (effect) ࡜ࡣࠊ⟶⌮ࡢᡂ⦼࣭ᡂᯝ࡜ࡋ࡚ᚓࡿ࡭ࡁᣦᶆࡲࡓࡣ᪤࡟Ⓨ⏕ࡋࡓࢺࣛࣈ࡛ࣝ࠶ࡿࠋせᅉ (factor) ࡜ࡣ≉ᛶ࡟ᙳ㡪ࡍࡿ⟶⌮஦㡯㸦ே࣭ᶵᲔ࣭ᮦᩱ࣭᪉ἲ࣭

ᐃ࣭⎔ቃࠊ࡞࡝㸧࡛࠶ࡾࠊࡑࡢ୰࡛ཎ

ᅉ(cause)࡜ࡣࠊ㐺ษ࡞⟶⌮ࢆḞ࠸ࡓࡓࡵ࡟ࢺࣛࣈࣝࢆᘬࡁ㉳ࡇࡋࡓせᅉࢆᣦࡍࠋ
(Tom Mochal, Use a Fishbone Diagram to help attack complex problems,
The Tech Republic CIO50, 2012)(Problem Solving By Fishbone Diagram,http://www.innovativeprojectguide.com/problem-solving/11/95-problem-solving-by-fishbone-diagram.html)

 ࢩࢫࢸ࣒ࢩࣥ࢟ࣥࢢ
஦㇟ࡢ඲యࢆ㸯ࡘࡢࢩࢫࢸ࣒࡜ࡋ࡚࡜ࡽ࠼ࡿ࡜ࠊ┦஫࡟㛵㐃

S௻ᴗ䛜ᨭᡶ䛖
་⒪㈝OS

་⒪䝃䞊䝡䝇ㄪᰝ䛾฼⏝㐜 䜜་⒪㛵ಀ⪅ഃ䛾⟶⌮㈇ᢸ

S

ཎᅉ࡜⤖ᯝࡢ㛵ಀ࡛ࡣㄝ᫂ࡋࡁࢀ࡞࠸ሙྜࡀ࠶ࡿࠋࢩࢫࢸ࣒
ࢩࣥ࢟ࣥࢢ࡛ࡣᅉᯝ࣮ࣝࣉᅗࢆ⏝࠸࡚ᚠ⎔ᵓ㐀ࢆ᫂ࡽ࠿࡟

R

B
Sࡍࡿࢩࢫࢸ࣒ࡸࡑࡢせ⣲࡛ฟ᮶ୖࡀࡗ࡚࠸ࡿࡓࡵࠊ┤⥺ⓗ࡞⟶⌮䝁䝇䝖ࡋࠊ඲యࡢ᭱㐺໬ࢆ⪃࠼ࡿࠋS(Same)ࡣྠ୍᪉ྥࡢᅉᯝ㛵ಀࠊ
O(Opposite)ࡣ㏫᪉ྥࡢᅉᯝ㛵ಀࠊB ࡣࣂࣛࣥࢫࢮࣟࡢࣉࣟ
ࢭࢫࠊR ࡣᣑᙇࡢࣉࣟࢭࢫࢆ♧ࡍࠋࣟࢪࢵࢡࢶ࣮ࣜࡸ PCM
ᡭἲࡢᙅⅬࢆ⿵࠺⪃࠼᪉࡛ࡶ࠶ࡿࠋ

㸦㜝㇂Ṋྖ௚ࠊࢢ࣮ࣟࣂࣝேᮦ࡟㉗ࡿࣉࣟࢪ࢙ࢡࢺ࣐ࢿࢪ࣓ࣥࢺࠊ㛵すᏛ㝔኱Ꮫฟ∧఍㸧㸦ࢲࢽ࢚࣭࣒ࣝ࢟௚ࠊᐑᕝ㞞᫂ヂࠊࢩࢫࢸ࣒࣭ࢩࣥ࢟ࣥࢢࢺ࣮ࣞࢽࣥࢢࣈࢵࢡ㸧 ࣏࣮ࢺࣇ࢛ࣜ࢜ศᯒ
஦ᴗࠊάືࡢඃඛ㡰఩ࢆỴࡵࡿᡭἲࡢ୍ࡘࠋ2 ࡘࡢᣦᶆࢆ㑅ฟࡋࠊࡑࢀࡒࢀ஺ᕪࡍࡿ㍈ୖ࡟タ⨨ࡍࡿࠋ࢚ࣜ࢔ࢆ 4 ༊ศࡋࠊせ⣲ࢆ㓄⨨ࡋ࡚࠸ࡃࡇ࡜࡛ඃඛ㡰఩ࢆุ᩿ࡍࡿࠋᕥࡢ౛࡛ࡣࠊ‶㊊ᗘ࡜ᮇᚅᗘࢆᣦᶆ࡜ࡋ࡚࠾ࡾࠊᮇᚅᗘࡀ㧗࠸ࡀ‶㊊ᗘࡀప࠸άືࢆᨵၿ
ࡢඃඛ㡰఩ࡀ㧗࠸࡜ุ᩿ࡋࡓࠋ௚࡟㔜せᗘ࡜⥭ᛴᗘࠊࢽ࣮ࢬ࡜ࢥ
ࢫࢺࠊ࡞࡝ᵝࠎ࡞ᣦᶆࡀ⪃࠼࠺ࡿࡀࠊࡑࢀࡽᣦᶆࡢ㑅ฟࡀᡂྰࢆ
Ỵᐃࡍࡿࡓࡵࠊ㔜せ࡜࡞ࡿࠋ
(᪂₲ᕷ ࠾ᐈࡉࡲ‶㊊ᗘㄪᰝ Ỉ㐨࢔ࣥࢣ࣮ࢺㄪᰝࠊhttps://www.city.niigata.lg.jp)

 6:27 ศᯒ
1960 ᖺ௦࠿ࡽ 70 ᖺ௦࡟࠿ࡅ࡚ࠊ⡿ᅜࢫࢱࣥࣇ࢛࣮ࢻ኱Ꮫࡢ Albert
Humphrey ࡟ࡼࡾᵓ⠏ࡉࢀࠊ௻ᴗࡸࣉࣟࢪ࢙ࢡࢺࡢෆ㒊⎔ቃ࡜እ㒊⎔ቃࢆࠊᙉࡳ(Strengths) ࠊ ᙅ ࡳ(Weaknesses) ࠊ ᶵ ఍(Opportunities)ࠊ⬣ጾ (Threats) ࡢ 4 ࡘࡢ࢝ࢸࢦ࣮࡛ࣜせᅉศᯒࡍࡿࠋ❧᱌᪉ἲ࡛ࡣ࡞ࡃࠊࣉࣟࢪ࢙ࢡࢺᐇ᪋୰ࡢ≧ἣศᯒ࡟౑⏝ࡉࢀࡿࡢࡀ୍⯡ⓗ࡛࠶ࡿࠋ(SWOT ศᯒࠊᡓ␎※ࠊhttps://strategy.dyzo.consulting/terms/swot%E5%88%86%E6%9E%90)  ࢜ࢽ࢜ࣥࣔࢹࣝ
࠸ࡃࡘ࠿ࡢᴫᛕ㛫ࡢᣑ኱ࡲࡓࡣᣑᙇ㛵ಀࢆㄝ᫂ࡍࡿ
ࡓࡵࡢࢲ࢖࢔ࢢ࣒ࣛࢸࣥࣉ࣮ࣞࢺ࡛ࠊ⋢ࡡࡂࡢ᩿㠃ࡢᒙࡢࡼ࠺࡟࡞ࡗ࡚࠸ࡿࡓࡵࡇࡢྡࡀ࠶ࡿࠋ୍ࡘእഃࡢ
ᒙ࡜ࡢ㛫ࡢ Gap ࢆㄢ㢟࡜ࡋ࡚ᢕᥱࡍࡿ㝿࡟᭷ຠ࡛࠶
ࡿࠋᕥࡢ౛࡛ࡣࠊ┿ࡢ⤖᰾ᝈ⪅ᩘ㸦➨භᒙ㸧࠿ࡽ⤖᰾ᑐ⟇࡟࠾࠸࡚デ᩿ࡉࢀࡓᝈ⪅ᩘ㸦➨୍ᒙ㸧࡟⮳ࡿࡲ࡛ࡢྛᒙ㛫ࡢ Gap ࡀ♧ࡉࢀࠊࡑࢀࡽࢆᇙࡵࡿࡓࡵࡢᑐ
⟇ࡀᥦ♧ࡉࢀ࡚࠸ࡿࠋ
(WHO, Assessment of surveillance data – workbook., 2012.
http://www.who.int/tb/advisory_bodies/impact_measuremen
t_taskforce/resources_documents/workbook.pdf)

 ࢥ࣑ࣗࢽࢸ࢕࣭࢔ࢬ࣭ࣃ࣮ࢺࢼ࣮ࣔࢹࣝ
Elizabeth T. Anderson, Judith Macfarlane ࡽ࡟ࡼࡾ 1996 ᖺ࡟ᥦၐࡉࢀࡓ
ᆅᇦデ᩿ࡢࣔࢹ࡛ࣝࠊ๓㌟ࡣ community as client modelࠋᆅᇦ඲యࢆໟᣓ
ⓗ࡞どⅬ࡛ᤊ࠼ࠊᆅᇦࡢ᝟ሗ཰㞟ࠊィ⏬ࠊ❧᱌ࠊ௓ධࠊホ౯ࡲ࡛ࡢࣉࣟࢭࢫ
ࢆఫẸཧ⏬ࡢୖ࡛⾜࠺ࠋࢥ࢔ࢩࢫࢸ࣒࡜ࢧࣈࢩࢫࢸ࣒࠿ࡽ࢔ࢭࢫ࣓ࣥࢺࢆ⾜࠸ࠊᢳฟࡉࢀࡓㄢ㢟࠿ࡽඃඛ㡰఩ࢆỴᐃࠊᑐᛂ⟇ࢆ❧᱌ࡋࠊ௓ධࡋ࡚࠸ࡃࠋ
ࢥ࢔ࢩࢫࢸ࣒ࡣࠊேཱྀᵓᡂࠊṔྐࠊᩥ໬ࠊ౯್ほ࡞࡝ࢥ࣑ࣗࢽࢸ࢕ࡢᇶ┙࡜࡞ࡿࡶࡢ࡛ࠊࢧࣈࢩࢫࢸ࣒ࡣ 8 ࡘࡢせ⣲㸦ձ ≀⌮ⓗ⎔ቃࠊղ ⤒῭ࠊճ ᨻ἞࡜⾜ᨻࠊմ ᩍ⫱ࠊյ Ᏻ඲࡜஺㏻ࠊն ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࡜᝟ሗࠊշ ࣞࢡ࢚࣮ࣜࢩࣙࣥࠊո ಖ೺་⒪࡜♫఍⚟♴㸧ࢆྵࢇ࡛࠸ࡿࠋ(Elizabeth T. Anderson, Judith M. McFarlane, Community as Partner: Theory andPractice in Nursing)㸦඲ᅜᅜẸ೺ᗣಖ㝤デ⒪᪋タ༠㆟఍ࠊᐇ㊶࡟ࡘ࡞ࡀࡿఫẸཧຍᆺᆅᇦデ᩿ࡢᡭᘬࡁ: ᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࡢ᥎㐍࡟ྥࡅ࡚ࠊ2012㸧 ࣉࣜࢩ࣮ࢻ࣭ࣉࣟࢩ࣮ࢻࣔࢹࣝ
Lawrence W. Green, Marshall W. Kreuter ࡟ࡼࡗ࡚ 1991

ᖺ࡟㛤Ⓨࡉࢀࡓᆅᇦࡢ࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥࡸಖ೺
ࣉࣟࢢ࣒ࣛࢆィ⏬ࡋࠊホ౯ࡍࡿࡓࡵࡢࣔࢹࣝࠋࣉࣜࢩ࣮ࢻ(PRECEDE)ࡣ Predisposing, Reinforcing
and Enabling Constructs in Educational
Diagnosis and Evaluation ࡢ㢌ᩥᏐ࡛ 4 ẁ㝵ࡢデ᩿㒊ศࢆ♧ࡍࠋࣉࣟࢩ࣮ࢻ(PROCEDE)ࡣ Policy,
Regulatory, and Organizational Constructs in
Educational and Environmental Development ࡢ㢌ᩥᏐ࡛ࠊᐇ᪋ࠥホ౯ࡢ 4 ẁ㝵ࢆ♧ࡍࠋィ 8 ẁ㝵࡛ᵓᡂࡉࢀࡿࠋ೺ᗣၥ㢟ࡢᐇ⌧せᅉࠊᙉ໬せᅉࠊ๓
ᥦせᅉࢆලయ໬ࡋ࡚ᩚ⌮ࡋࠊᆅᇦ࡟࠾ࡅࡿ⮬Ⓨⓗ࡞೺ᗣቑ㐍ࣉࣟࢢ࣒ࣛࡢィ⏬సᡂ࣭ᐇ᪋࣭ホ౯ࢆ⌮ㄽⓗ࡟㐍ࡵࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
㸦඲ᅜᅜẸ೺ᗣಖ㝤デ⒪᪋タ༠㆟఍ࠊᐇ㊶࡟ࡘ࡞ࡀࡿఫẸཧຍᆺᆅᇦデ᩿ࡢᡭᘬࡁ: ᆅᇦໟᣓࢣ࢔ࢩࢫࢸ࣒ࡢ᥎㐍࡟ྥࡅ࡚ࠊ2012㸧
(Lawrence W. Green, Marshall W. Kreuter,ࠊᐇ㊶࣊ࣝࢫࣉ࣮ࣟࣔࢩࣙࣥ̿PRECEDE̺PROCEED ࣔࢹࣝ࡟ࡼࡿ௻⏬࡜ホ౯)(Lawrence W. Green Ặࡢ HP, http://www.lgreen.net/precede.htm)

  ࢞ࣥࢺࢳ࣮ࣕࢺ
⡿ᅜࡢᶵᲔᕤᏛ⪅ Henry Gantt ࡀ 1910 ᖺ௦࡟⪃᱌ࠋィ⏬ᐇ⾜ࡢࡓࡵ࡟ᚲせ࡞సᴗࢆࠊWho, What, When࡛Ὑ࠸ฟࡋࠊ⦪㍈࡟సᴗࡲࡓࡣ㈨※ࠊᶓ㍈࡟᫬㛫ࢆ๭ࡾᙜ࡚࡚ᅗᘧ໬ࡋࡓࡶࡢࠋィ⏬࡟ຍ࠼࡚ࠊᐇ⦼ࡢᶓᲬ
ࢆ᭩ࡁධࢀࡿࡇ࡜࡛ࠊࣉࣟࢪ࢙ࢡࢺ඲యࡢ㐍ᤖ≧ἣࢆ୍┠࡛⟶⌮ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
(http://fk-plaza.jp/Solution/solution_Top.html)(Gantt chart history,
http://www.ganttchart.com/index.html)

 3'3& ἲ㸦㐣⛬Ỵᐃィ⏬ᅗ㸧Process Decision Program Chart ࡢ㢌ᩥᏐ࡛ࠊ᪥ᮏࡢ㏆⸨ḟ㑻ࡀ1960 ᖺ௦సᡂࡋࡓᡭἲࠋィ⏬ࡢ඲㐣⛬ࢆ㡰ᗎ࡛ᅗゎࡋࡓࡶࡢ࡛ࠊ
஦๓࡟⪃࠼ࡽࢀࡿࡉࡲࡊࡲ࡞஦㇟㸦⤖ᯝ㸪≧ἣ㸪ฎ⨨࡞࡝㸧ࢆணࡋ㸪ࣉࣟࢭࢫࡢ㐍⾜ࢆ㐍ࡵࡿᡭ㡰ࢆᅗᘧ໬ࡋ㸪ၥ㢟ࡀ⏕ࡌࡓ࡜ࡁ࡟
ࡣ㸪┠ᶆ࡟ྥ࠿ࡗ࡚㌶㐨ಟṇࡍࡿࡇ࡜ࡀྍ⬟࡜࡞ࡿࠋ⤖ᯝⓗ࡟ࠊ஦ែࢆᮃࡲࡋ࠸᪉ྥ࡟ᑟࡃࡇ࡜ࡀ࡛ࡁࡿࠋᕥࡢ౛࡛ࡣࠊィ⏬࡛ࡣ➨ 1ᕤ⛬࠿ࡽ➨ 3 ᕤ⛬ࢆ⤒࡚᏶ᡂࡍࡿࡀࠊ➨ 1 ᕤ⛬࠾ࡼࡧ➨ 2 ᕤ⛬࡟ࡣ୙Ᏻᐃせ⣲ࡀ࠶ࡿࡓࡵࠊᑐ⟇ᕤ⛬ࡀ᝿ᐃࡉࢀ࡚࠸ࡿࠋ[(ᰴ)᪥⛉ᢏ◊㸸㐣⛬Ỵᐃィ⏬ᅗ㸦PDPC㸧࡜ࡣࠊhttps://www.i-juse.co.jp/statistics/product/func/nqc/pdpc.html](PDPC ἲࠊhttp://fk-plaza.jp/Solution/solu_nqc7_6.htm)

 3㹂㹁㸿ࢧ࢖ࢡࣝ

ᴗົ⟶⌮ࡢᇶᮏࢧ࢖ࢡࣝ࡜ࡋ࡚⏝࠸ࡽࢀࡿ࣐ࢿ࣮ࢪ࣓ࣥࢺᡭἲࠋ㏆௦ࡢရ
㉁⟶⌮ࡢ∗࡜࠸ࢃࢀࡿ W. Edwards
Deming ༤ኈ࡟ࡼࡾ 1980 ᖺ௦࡟⪃᱌ࡉࢀࠊ⏕⏘⌧ሙ࡛ᨵၿࢆ⥅⥆ⓗ࡟⾜࠺ࡓࡵࡢࣉࣟࢭࢫࡀ㐃⥆ⓗ࡞࣮ࣝࣉ࡜

࡞ࡿࡼ࠺࡟ࢹࢨ࢖ࣥࡉࢀ࡚࠸ࡿࠋPlan㸦ィ⏬㸧㸫Do㸦ᐇ⾜㸧㸫Check㸦ホ౯㸧㸫Action㸦ฎ⨨㸧ࡢ㡰࡟ ᴗົࢆ㐍ࡵࠊ୍ᕠࡋࡓࡽḟࡢࢧ࢖ࢡࣝ࡟ධࡿࠋ᪂ࡓ࡞┠ᶆࢆỴࡵ࡚ィ⏬ࢆ❧࡚ࡿࡇ࡜࡛ࠊPDCA ࡢᨵၿࢧ࢖ࢡࣝࡀᅇࡾ
⥆ࡅࡿࠋ        (PDCA cycle, http://asq.org/learn-about-quality/project-planning-tools/overview/pdca-cycle.html)
ྛᡭἲࡢ୺࡞౑⏝ሙ㠃࡜ 3&0 ἲ࡜ࡢẚ㍑⾲
ᩚ⌮␒ྕ
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ᡭἲ
ࣈ࣮ࣞࣥࢫࢺ࣮࣑ࣥࢢ
KJἲ
࣐࢖ࣥࢻ࣐ࢵࣉ
ࣟࢪࢵࢡࢶ࣮ࣜ࡜MECEࣇ࢕ࢵࢩ࣮ࣗ࣎ࣥࢲ࢖࢔ࢢ࣒ࣛ㸦≉ᛶせᅉᅗ㸧ࢩࢫࢸ࣒ࢩࣥ࢟ࣥࢢ
࣏࣮ࢺࣇ࢛ࣜ࢜ศᯒ
SWOTศᯒ
࢜ࢽ࢜ࣥࣔࢹࣝ
ࢥ࣑ࣗࢽࢸ࢕࣭࢔ࢬ࣭ࣃ࣮ࢺࢼ࣮ࣔࢹࣝ
ࣉࣜࢩ࣮ࢻ࣭ࣉࣟࢩ࣮ࢻࣔࢹࣝ
࢞ࣥࢺࢳ࣮ࣕࢺ
PDPCἲ
PDCAࢧ࢖ࢡࣝ
PCMἲ

Ⓨ᝿
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ពᛮỴᐃ

ィ⏬ᐇ⾜

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㸦ཧ↷㸸http://fk-plaza.jp/Solution/solution_Top.htmࠊ୍㒊ᮧୖຍ➹㸧

 

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2018/4/3㈨ᩱ2 ⇃ᮏPCM◊ಟ 2017ᖺ9᭶2᪥㈨ᩱ2 㛗ᓮPCM◊ಟ 2018ᖺ1᭶13᪥

 

1

ৱમ‫ؙ‬ঢ়બ঻ীෲ‫ؙ‬ിমॢঝ‫ش‬উ‫ڭ‬ਭஇ঻উট४ख़ॡॺৰ઱঻

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৘঴੨૙৩

཯എ

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঎ছথॸॕ॔੮৬
ஂ૧૙৩୰੹‫؞‬ୢ੹ୢప  

䜺䝋䝸䞁୙
㊊

ᨭ᥼≀㈨䜢
㐠ᦙ䛷䛝䛺

⿕⅏⪅䛾㣗
ᩱ䛜㊊䜚䛺䛔

⏣⏿䛾ᾘ
ኻ

㧗㱋⪅䛜య
䜢ື䛛䛩ᶵ
఍䛜䛺䛔

㧗㱋⪅䛾⾜
䛟䛸䛣䜝䛜䛺䛔㧗㱋⪅䛜䛨䛳䛸䛧䛶䛔
䜛

⏕ά୙άⓎ
⑓䛾䛚䛭䜜
䛒䜚䠅

⫋ሙ䛾ᾘ
ኻ

ᨭ᥼≀㈨䜢㓄
䜛ே䛜䛔䛺䛔

⮬Ꮿ䛜
⿕⅏

Ỉ㐨䛾୙㏻

㌴୰Ἡ䛜ቑ
䛘䜛

ಖ೺ᖌ
䛾⿕⅏

႙ኻయ
㦂

ᡭὙ䛔ሙ
୙㊊

ᡭ䛜Ὑ䛘䛺䛔

䝖䜲䝺୙㊊

㑊㞴ᡤ䛾䝥
䝷䜲䝞䝅䞊
☜ಖ䛜䛷䛝

Ỉศᦤྲྀ䜢
᥍䛘䜛

⿕⅏⪅䛾ά
ື㔞䛜ῶ䜛

యㄪ୙Ⰻ䠄䜶
䝁䝜䝭䞊⑕ೃ⩌䠅㈨ᩱ4 ၥ㢟ศᯒ ⇃ᮏ䜾䝹䞊䝥1

㟁Ẽ䛜䝇
䝖䝑䝥

⁺⯪䛾ὶ
ኻ

ởỈ

⎔ቃ⾨⏕
䛾ᝏ໬

Ꮫ⏕䛾ຮᙉ 䝷䜲䝣䝷䜲䞁䛾
೵Ṇ
䛾㐜䜜

ᝏ㉁䛺䝕䝬
䝂䞊䜾

᝟ሗ䛾䜰䜽䝉
䝇䛜䛷䛝䛺䛔㑊㞴ᡤ䛾≧ἣ䛜ᢕᥱ䛷䛝䛺䛔㑊㞴ᡤ䛾≧ἣᢕᥱ䜢┤᥋
ᢕᥱ䛩䜛䝅䝇

せᨭ᥼⪅䛾
ᢕᥱ䛜䛷䛝

䜲䞁䝍䞊
䝛䝑䝖䛜౑
⏝䛷䛝䛺䛔

㑊㞴ᡤ䛾タ
⨨ᩘ䛜ከ䛔

ಖ೺ᡤ⫋ဨ䛾
䝇䝖䝺䝇

ఫẸ䛻䜘
䜛ⱞ᝟

ಖ೺ᡤ⫋ဨ
䛜㑊㞴ᡤ㐠
Ⴀ䜢䛧䛶䛔䜛

⸆ᒁ䛜㏆
䛟䛻䛺䛔

⸆䛜☜ಖ
䛷䛝䛺䛔

ᚲせ䛺⸆
䛜㣧䜑䛺
䛔

஺㏻⥙㐽᩿

⮬Ꮿ䛜ὶ䛥
䜜䛶䛺䛔

ᮏே䛜⸆䛜
䜟䛛䜙䛺䛔

ᐙ␆䛾⑌⑓

㣴Ṫ᪋タ䛾
ᾘኻ

㟁Ẽ౪⤥䝇
䝖䝑䝥

෭ⶶᗜ䛜䛺
䛔

㣗ရ⾨⏕⟶
⌮䛜䛷䛝䛺
䛔

㣗୰ẘ䛾Ⓨ
⏕

䝪䝷䞁䝔䜱
ಖ೺ᖌ୙ 䜰䛾⤫ไ䛜
㊊
䛷䛝䛺䛔

ᐙ᪘䛾⾨⏕
⟶⌮䛜䛷䛝
䛺䛔

ឤᰁ⪅ᣑ኱

㑊㞴ᡤ䛾
⾨⏕⟶⌮
䛜䛷䛝䛺

⅏ᑐᮏ㒊䛾
ㄪᩚᶵ⬟䛜
䛺䛔

㑊㞴ᡤ䛜㐣ᐦື≀⟶⌮䛷䛝䛺䛔䝨䝑䝖䛾㔝⏕
໬ᛴᛶ⑕≧㻔䝯䞁䝍䝹䠅
䝇䝖䝺䝇䝣
䝹

㧗㱋⪅䛾
䜹䝊䛜ከ䛔

኱Ꮫ䞉䠪䠬䠫䞉
䝪䝷䞁䝔䜱䜰ᅋయ䛾䜋䛸䜣䛹
䛜どᐹ䞉◊✲┠ⓗ䛷᮶䜛どᐹ䞉◊✲┠ⓗ䛾᮶ゼ⪅➼䛾
ᑐᛂ䛻᫬㛫䛜
䛛䛛䜛

㟁Ẽ䛜౑䛘
䛺䛔

་⒪ᶵჾ
䛾౑⏝䛜䛷
䛝䛺䛔

㌟య≧ែ
䛾ᝏ໬

⫋ဨ䛾⮬Ꮿ䛜
⿕⅏ಖ೺ᡤ⫋ဨ䛜
ฟ໅䛷䛝䛺䛔

䝰䝜

ᚲせ䛺≀㈨
䛜☜ಖ䛥䜜
䛺䛔

⚟♴㑊㞴
ᡤ䛾௓ㆤ
⚟♴ኈ䛜
୙㊊

⚟♴㑊㞴ᡤ
䛜㐠Ⴀ䛷䛝䛺
䛔

㏻ಙ୙
㏻

㟁Ẽ౪⤥
䝇䝖䝑䝥

⅏ᐖᑐ⟇ᮏ㒊䜈䛾
ሗ࿌䛜䛷䛝䛺䛔

་ᖌ䝏䞊䝮䛾せㄳ᪉ἲ䛜䜟䛛䜙䛺䛔

་⒪䝏䞊䝮䛜㐺
ṇ㓄⨨䛥䜜䛺䛔

ே

⚟♴㑊㞴ᡤ
䛾┳ㆤᖌ䛜
୙㊊

ሙᡤ

⚟♴᪋タ䛜
⿕⅏

せ᥼ㆤ⪅䛾ධᡤඛ
䛜䛺䛔

་⒪䝏䞊䝮
䛾⤫ᣓ䛜䛷
䛝䛺䛔

་ᖌ䛾୙
㊊

┴䛛䜙䛾ᣦ♧
䛜ཷ䛡䜙䜜䛺
䛔

་ᖌ䛾⿕
⅏

┳ㆤᖌ䛾
୙㊊

ಖ೺ᡤᴗົ䛜
⁫䜛

┳ㆤᖌ䛾
⿕⅏

་⒪ᶵ㛵䛾
⿕⅏

ཷデ䛷䛝䛺䛔 

⚟♴᪋タ䛾
⿕⅏

┳ㆤᖌ㓄⨨
䛜ᑡ䛺䛔

せ᥼ㆤ⪅䛜
ከ䛔

௓ㆤ⚟♴ኈ
䛜㊊䜚䛺䛔

⚟♴㑊㞴ᡤ
䛾᝟ሗ䛜࿘
▱䛥䜜䛶䛔
䛺䛛䛳䛯

⚟♴㑊㞴ᡤ
䛜ᶵ⬟䛧䛺
䛛䛳䛯

㟁ヰ䛜౑
⏝䛷䛝䛺
䛔

㌴୰Ἡ䛾ே
䛜䜶䝁䝜䝭䞊
䜽䝷䝇⑕ೃ
⩌䛻䛺䜛

㌴୰Ἡ䛾ே
䛾≧ἣᢕᥱ
䛜䛷䛝䛺䛔

ఫẸㄪᰝ䛜
䛷䛝䛺䛔

᭷⑕≧⪅䜢
㝸㞳䛷䛝䛺䛔

㑊㞴ᡤ௨
እ䛻㑊㞴
䛧䛶䛔䜛ே
䛾ᢕᥱ䛜
䛷䛝䛺䛔

㑊㞴⪅䛾䝇䝖
䝺䝇䛜኱䛝䛔

㟁Ẽ୙㏻

㑊㞴ᡤ䛻
䛔䛺䛔ே
䛾䝙䞊䝈
䛜ศ䛛䜙
䛺䛔

ྛ⮬䛜⏕ά
ᚲ㟂ရ䜢ᣢ

㧗㱋⪅䛜䛨䛳
䛸䛧䛶䛔䜛
⏕ά୙άⓎ
⑓䛜ᚰ㓄

㣗ᩱ䞉Ỉ䛜୙
㊊䛧䛶䛔䜛㑊㞴ᡤ䛻༑ศ䝇䝨䞊䝇䛜
䛺䛔

㧗⾑ᅽ䛾ே
䛜ከ䛔

㣗஦䛜೫䛳
䛶䛔䜛

᩿Ỉ

ಖ೺ᡤ⫋ဨ䛾䛖䛱11ྡ䛜໅ົ䛷䛝䛺䛔㑊㞴⪅䛾ᨭ᥼䛜
୙༑ศ

᥮Ẽ䛜༑ศ
䛷䛺䛔

⸆䛜ᡭ䛻ධ
䜙䛺䛔

䜲䞁䝍䞊䝛䝑䝖౑⏝୙ྍᕷ⏫ᮧ⫋ဨ䛜㊊䜚䛺䛔

ẟᕸ䛜༑ศ
䛻䛺䛔

䝟䝋䝁䞁䛜
౑⏝䛷䛝䛺

ᐮ䛔

㢼㑧䛾ே䛜
ከ䛔

ᕠᅇ་⒪䝏䞊䝮䛾せㄳ᪉ἲ
䛜䜟䛛䜙䛺䛔㢌③䛾ே䛜ከ䛔་⒪ᶵ㛵䛜⿕
⅏༑ศ䛺ಖ೺་⒪యไ䛜☜ಖ䛥䜜䛺䛔

㌿㝔䛜ᚲせ

┳ㆤᖌ䛜ฟ
໅䛷䛝䛺䛔

ண㜵᥋✀䛜
䛷䛝䛺䛔

་ᖌ䛜ฟ໅
䛷䛝䛺䛔

㈨ᩱ5 ၥ㢟ศᯒ ⇃ᮏ䜾䝹䞊䝥2

ᴗົ䛾ΰ஘
⅏ᐖᑐᛂ
ᴗົ䛾ቑຍ

どᐹ䞉◊✲
┠ⓗ䛾᮶ᗇ
⪅䛜ከ䛟䚸䛭
䛾ᑐᛂ䛻㏣
䜟䜜䜛

ಖ೺ᡤ
⫋ဨ䛾
㈇യ

ಖ೺ᡤ⫋ဨ䛜
ᕷ⏫ᮧᨭ᥼䛷
୙ᅾ䝟䝋䝁䞁䛜౑⏝䛷䛝䛺䛔ὴ㐵䛾⫋ဨ䛜
᮶䛺䛔⏕άಖㆤ⪅䛾
᝟ሗ䛻䜰䜽䝉䝇䛷䛝䛺䛔ᚲせ≀ရ䜢せồ䛷䛝䛺䛔ᑠ៏ᝈ⪅䛾᝟
ሗ䛻䜰䜽䝉䝇䛷䛝䛺䛔ᨭ᥼ᑐ㇟⪅䛜ᢕᥱ䛷䛝䛺

㞴⑓ᝈ⪅䛾
᝟ሗ䛻䜰䜽
䝉䝇䛷䛝䛺

ሗ࿌䞉ᣦ♧䛜䛷
䛝䛺䛔䚸ཷ䛡䜙

ಖ೺ᡤ䛾䝕䞊䝍
䝧䞊䝇䛻䜰䜽䝉䝇
ฟ᮶䛺䛔┴䛛䜙䛾ᣦ♧䜢ཷ䛡䜙䜜䛺䛔

㟁ヰ䛜౑⏝
䛷䛝䛺䛔

໅ົྍ⬟䛺
ಖ೺ᡤ⫋ဨ䛜ᑡ䛺䛔ಖ೺ᡤ䛜ᶵ⬟䛧䛺䛔 

἞⒪䛜ᚲせ
䛺ே䛜䛔䜛

䝷䜲䝣䝷䜲䞁
䛾ᑍ᩿⏕ά䛷䛝䜛⎔
ቃ䛜ᩚ䛳䛶䛔
䛺䛔᝟ሗඹ᭷䛾ᡭ
ẁ䛜ᑡ䛺䛔௙஦䛜䛺䛟䛺䜛

㟁Ẽ䛜᚟ᪧ䛧䛶
䛔䛺䛔ಖ೺ᡤ䛾䝟䝋
䝁䞁䛜౑䛘䛺
䛔᝟ሗ䜢⪺䛡䜛ே䛜䜟䛛䜙䛺䛔⸆䜢ᣢ䛳䛶䛔
䛺䛔ᣢ⑓䛜ᝏ໬䛩
䜛

་⒪䛜ᚲせ䛺
㑊㞴⪅䛾⏕࿨
䛾༴ᶵ

㑊㞴ᡤ䜈䛾
ฟධ䜚䛜ᢕ
ᥱ䛷䛝䛺䛔

㟁Ẽ䛜᚟ᪧ䛧䛶䛔䛺䛔ᅾᏯ⒪㣴⪅䛾ேᕤ࿧྾ჾ䛜౑⏝䛷䛝䛺䛔

㑊㞴ᡤ䛸
䛧䛶Ⓩ㘓䛥
䜜䛶䛔䛺
䛔䛸䛣䜝䜈
㑊㞴䛧䛶
䛔䜛

་⒪ᶵ㛵䛜
⿕⅏
Ỉ䛜䛺䛔

㏱ᯒ䛜䛷䛝䛺
䛔

ᖐ䜛ᐙ䛜䛺
䛟䛺䜛

ᐙ᪘䛜㞳
䜜㞳䜜䛻䛺
䜛

㑊㞴ᡤ䛾⟶⌮䛜䛷䛝䛶䛔䛺䛔

Ᏻྰ☜ㄆ䛜䛷䛝䛺䛔ឤᰁ䛾ᣑ኱⮬Ꮿ䛜ಽቯ䛧
䛶䛔䜛㛤䛔䛶䛔䜛་⒪ᶵ㛵䛜
䜟䛛䜙䛺䛔

≀㈨䛜ᒆ䛛
䛺䛔

㑊㞴ᡤ䛷䛾
✼┐䛜ከ䛔

㑊㞴⪅䛾䝇
䝖䝺䝇䛜ከ䛔

㑊㞴ᡤ䛾䜿䞁
䜹䝖䝷䝤䝹䛜ከ
䛔

㑊㞴⪅䛾
䝰䝷䝹䛜ప
ୗ䛩䜛

䝨䝑䝖䛸ே
䛾⏕ά䝇
䝨䞊䝇䛜༊
ู䛷䛝䛶䛔
䛺䛔

㑊㞴ᡤ䛻䝨䝑䝖
䜢㐃䜜䛶䛝䛶䛔
䜛ே䛜䛔䜛

⚟♴㑊㞴ᡤ
䛜䛖䜎䛟ᅇ䛳
䛶䛖䛺䛔せ᥼ㆤ䛾㑊㞴⪅䛜ከ䛔㑊㞴ᡤ㐠Ⴀ䛜
䛖䜎䛟䛔䛛䛺䛔㈨ᩱ6 ၥ㢟ศᯒ ⇃ᮏ䜾䝹䞊䝥3

䝖䜲䝺䛾୙
㊊

Ỉ㐨䛜
౑䛘䛺䛔

ᡭ䛜Ὑ䛘
䛺䛔

⾨⏕⎔ቃ䛜ᝏ
໬䛩䜛㑊㞴ᡤ䛻㣗୰ẘ䛜Ⓨ⏕䛩䜛㑊㞴ᡤ䛻ឤᰁ
⑕䛜Ⓨ⏕䛩䜛

ᣢ⑓䛜ᝏ
໬䛩䜛

㐨䛜㏵⤯
䛘䛶䛔䜛

ὶ㏻䛾㏵⤯

㣗஦㓄
⤥୙㊊

⫋ဨ䛾䝇䝖䝺
䝇䚸⑂ᘢ

ADL䛜పୗ
䛩䜛Ꮩ❧㞟ⴠ䛜䛷
䛝䜛

㑊㞴ᡤ䛜
౑䛘䛺䛔

䜶䝁䝜䝭䞊䜽䝷䝇⑕
ೃ⩌䛾ቑຍ

⫋ဨ䛜⿕⅏

ಖ೺ᡤᶵ⬟䜢ᯝ䛯䛩䛯䜑䛾ேᮦ䛜㊊
䜚䛺䛔

どᐹ䞉ㄪᰝ
┠ⓗ䛾᮶ᗇ
⪅䛜ከ䛔

㌴୰Ἡ䛾
ቑຍ

㐠ື୙㊊

ᨭ᥼ᅋయ䛾
く᮶䛻䜘䜛
ΰ஘

ಖ೺ᡤ⫋ဨ䛜ᑐᛂ䛻᫬㛫䜢ྲྀ䜙䜜䜛䜰䝺䝹䜼䞊䛜
䛒䜛ே䛜䛔䜛

㑊㞴ᡤ䛾೫䜚

㑊㞴ᡤ䛷䝇䝨䞊䝇䛜୙㊊ᚲせ䛺ಶᐊ䛜
☜ಖ䛷䛝䛺䛔ᰤ㣴䝞䝷䞁䝇䛜ᝏ䛔ච␿ຊ䛜పୗ
䛩䜛ឤᰁ䛜ᣑ኱䛩䜛

⫋ဨ䛜ᑐᛂ
䛻㏣䜟䜜䜛

ఫẸㄪᰝ䛜䛷䛝
䛺䛔ᨭ᥼䛜ᚲせ䛺
ே䛜ᢕᥱ䛷䛝
䛺䛔ಖ೺ᡤ䛜ᶵ⬟䛧䛺䛔ண㜵᥋✀஦ᴗ䛜
䛷䛝䛺䛔

ᑐ㇟⪅䛜
䜟䛛䜙䛺
䛔

 

ᰤ㣴䛜༑ศ䛻
ྲྀ䜜䜛

䜺䝋䝸䞁䛜
䛒䜛

ᨭ᥼≀㈨䜢
㐠ᦙ䛷䛝䜛
㌴䛜䛒䜛

⿕⅏⪅䛾㣗
ᩱ䛜☜ಖ䛷䛝䜛⏣⏿䛾෌⏕㧗㱋⪅䜢ື䛛䛩ᶵ఍䜢స䜛౑䛘䜛஭ᡞ䜢
ά⏝䛩䜛

⫋ሙ䛾
ᾘኻ

㌴୰Ἡ䜢ῶ
䜙䛩

⡆᫆䝖䜲䝺
䛾タ⨨

⮬Ꮿ䛜
⿕⅏

Ỉ㐨⟶䛾ᙉ
ᗘ䜢㧗䜑䜛

ಖ೺ᖌ
䛾⿕⅏

႙ኻయ
㦂

㑊㞴ᡤ☜
ಖ䛾㐺ṇ
໬

㟁Ẽ䛜䝇
䝖䝑䝥

䜲䞁䝍䞊
䝛䝑䝖䛜
౑⏝䛷䛝

ởỈ

ᝏ㉁䛺䝕䝬
䝂䞊䜾

⎔ቃ⾨⏕
䛾ᝏ໬

㣴Ṫ᪋タ䛾
ᾘኻ

ྜពᙧᡂ䛾
᝟ሗ䛾䜰䜽䝉
䝇䛜ᨵၿ䛥䜜 ఍㆟䚸᳨ウ఍
䜛
ᚲせ䛺ே䛸
䝰䝜䛾ᢕᥱ
䛜䛷䛝䜛
カ⦎䜢⾜䛖

Ꮫ⏕䛾ຮᙉ 䝷䜲䝣䝷䜲䞁䛾
೵Ṇ
䛾㐜䜜

⁺⯪䛾ὶ
ฟ

㟁Ẽ౪⤥䛜
ᨵၿ䛥䜜䜛

ᐙ␆䛾⑌⑓

⮬Ꮿ䛜ὶ䛥䜜䛶
䛺䛔ᮏே䛜⸆䛜䜟䛛䜛
䠄䛚⸆ᡭᖒ䛾ά⏝䠅ಖ೺ᡤ⫋ဨ䛾
೺ᗣಖᣢ

⸆䛾㓄㐩ᡭ
ẁ䛜☜ಖ䛷
䛝䜛

⸆䛜☜ಖ䛷
䛝䜛

⸆䛾☜ಖ䛜䛷
䛝䜛

ᚲせ䛺⸆
䛜㣧䜑䜛

䐠ᚲせ䛺⸆䛜㣧䜑䜛෭ⶶᗜ䛜ື䛟

⾨⏕ⓗ䛺㣗
ရ౪⤥

㣗୰ẘ䛾Ⓨ
⏕䛜䛺䛔

┤᥋ᢕᥱ䛩䜛௙⤌䜏䜢స䜛ಖ೺ᖌ䛻䜘 䝪䝷䞁䜛⾨⏕ᣦᑟ 䝔䜱䜰䜢䛜඘ศ䛷䛝 ⤫ไ䛩
䜛
䜛

せᨭ᥼⪅䛾
ᢕᥱ䛜䛷䛝 㑊㞴ᡤ䛾≧ἣ䛜ᢕᥱ䛷䛝䜛
䜛

㑊㞴ᡤ䛜
㐣ᐦ≧ែ
䛷䛺䛔

ᡭ䜢Ὑ䛘䜛
䜘䛖䛻䛩䜛

ᐙᗞ䛾⾨⏕
☜ಖ

ឤᰁᣑ኱䛜ᢚ䛘䜙䜜䜛㧗㱋⪅䛾䜹䝊䛜
ῶᑡ䛩䜛

㑊㞴ᡤ䛾
⾨⏕⟶⌮
䛜䛷䛝䜛

ᛴᛶ⑕≧䠄䝯
䞁䝍䝹䠅䝇䝖
䝺䝇䝣䝹⅏ᐖ⏝䜰䝥 㑊㞴ᡤ䛾≧ἣ䝸䜢స䜛ᢕᥱ䜢䛩䜛ே
䜢Ỵ䜑䜛
⅏ᐖ⏝䛾
⾨ᫍᅇ⥺
䜢‽ഛ

ື≀⟶⌮䛜䛷
䛝䜛䝨䝑䝖䛜㔝⏕
໬䛧䛺䛔ᡭὙ䛔ሙ䜢స
䜛

㑊㞴ᡤ䛻䝥
䝷䜲䝞䝅䞊
䜢☜ಖ䛩䜛

Ỉ㐨䛜᚟ᪧ
䛩䜛

඘ศ䛺Ỉ䜢
ᦤྲྀ䛷䛝䜛

⿕⅏⪅䛜ά
ື䛩䜛䜘䛖䛻
䛺䜛䜶䝁䝜䝭䞊⑕
ೃ⩌䛜Ⓨ⏕䛧䛺䛔䐡㑊㞴⪅䛾≧ἣᢕᥱᨭ᥼≀㈨䜢㓄䜛ே䛜䛔䜛⏕ά୙άⓎ⑓䛜㉳䛝䛺䛔䠄ᑡ䛺䛟䛺䜛䠅㈨ᩱ7 ┠ⓗศᯒ ⇃ᮏ䜾䝹䞊䝥1኱Ꮫ䞉䠪䠬䠫䞉
䝪䝷䞁䝔䜱䜰䛺
䛹䜋䛸䜣䛹䛜どᐹ䛜┠ⓗᑐᛂ❆ཱྀ䛾タ
⨨

ಖ೺ᡤᴗົ
䛾෇⁥䛺㐠
Ⴀ

௚ᆅᇦ䛛䜙ᶵჾ
䜢☜ಖ䛷䛝䜛

⅏ᐖ᫬䛻
άື䛷䛝䜛
་ᖌ䛾☜
ಖ

䝰䝜

ᚲせ䛺≀
㈨䛾☜ಖ

ே

⚟♴㑊㞴ᡤ
䛾௓ㆤ⚟♴

㟁Ẽ䛾᚟ᪧ

⚟♴㑊㞴ᡤ
䛾┳ㆤᖌ䛾
☜ಖ

ሙᡤ

せ᥼ㆤ⪅䛾ධᡤඛ䛾☜ಖせ᥼ㆤ⪅䜈䛾ᨭ
᥼䛾඘ᐇ

㏻ಙᶵ⬟
䛾☜ಖ

⅏ᐖᑐ⟇ᮏ㒊䜈䛾
ሗ࿌䛜䛷䛝䜛

⚟♴㑊㞴ᡤ䛾෇⁥
䛺㐠Ⴀ

⫋ဨ䛾ᛂ᥼
ែໃ䛾ᩚഛ

ಖ೺ᡤ
䛾⫋ဨ
☜ಖ

┴䛛䜙䛾ᣦ♧
䛜ཷ䛡䜙䜜䜛

་ᖌ䝏䞊䝮䛾せㄳ᪉ἲ䛜䜟䛛䜛䠄࿘▱䠅

་⒪䝏䞊䝮䛾㐺ษ䛺㓄⨨䐟㐺ษ䛺་⒪䛾ᥦ౪་⒪䝏䞊䝮䛾ὴ㐵ㄪ
ᩚ䛜䛷䛝䜛

⅏ᐖ᫬䠪䡏
☜ಖ

㐺ษ䛺་⒪䛾ᥦ
౪

་⒪ᶵ㛵
䛾⪏㟈ᛶ
䛾ᙉ໬

ఫẸ䛻䜘䜛
ⱞ᝟

ಖ೺ᡤᴗົ
䛾
ඃඛ㡰఩䛾
᫂☜໬

⮬ᐙⓎ㟁
䛜䛷䛝䜛

་⒪ᶵჾ
䛾౑⏝䛜
䛷䛝䜛

⿕⅏⪅䛜೺ᗣ
ⓗ䛺⏕ά䜢㏦䜛 

⚟♴᪋タ䜢
⪏㟈ᵓ㐀䛻
䛩䜛

┳ㆤᖌ䛜༑
ศ㓄⨨䛥䜜䜛

せ᥼ㆤ⪅䛜
ᑡ䛺䛔

௓ㆤ⚟♴ኈ
䛜㊊䜚䜛

⚟♴㑊㞴ᡤ
䛾᝟ሗ䛜࿘
▱䛥䜜䜛

⚟♴㑊㞴ᡤ
䛜ᶵ⬟䛩䜛

㟁ヰ䛜
౑⏝䛷䛝
䜛
䝟䝋䝁䞁䛜
౑⏝䛷䛝䜛
㌴୰Ἡ
⪅䛾≧
ἣᢕᥱ
䛜䛷䛝
䜛

㑊㞴ᡤ䛻༑
ศ䛺䝇䝨䞊䝇⸆䛜ᡭ䛻ධ䜛䜲䞁䝍䞊䝛䝑䝖
䛜౑䛘䜛

㑊㞴ᡤ௨እ
䛻㑊㞴䛧䛶
䛔䜛ே䛾ᢕ
ᥱ䛜䛷䛝䜛

㑊㞴⪅䛜䝇
䝖䝺䝇䛜ᑡ䛺
䛔⎔ቃ䛷㐣
䛤䛫䜛

⏕ά୙άⓎ
⑓䛾ᑐᛂ䛜
䛷䛝䜛

㑊㞴ᡤ䛻༑
ศ䝇䝨䞊䝇
䛜䛷䛝䜛

ᰤ㣴䝞䝷䞁
䝇䛾䛸䜜䛯
㣗஦䜢ᥦ౪
䛷䛝䜛

Ỉ䛜౑䛘
䜛

⏕άᚲ㟂
ရ䜢䜒䛳䛶
ྛ⮬㑊㞴
䛩䜛

༑ศ䛻㣗
ᩱ䞉Ỉ䛜౪
⤥䛷䛝䜛

㧗⾑ᅽ䛾ே
䛜ᑡ䛺䛔

㟁Ẽ䛜౑䛘䜛

ಖ೺ᡤ⫋ဨ䛜༑ศᩘ
໅ົ䛷䛝䜛

㑊㞴ᡤ䛻䛔
䛺䛔ே䛾
䝙䞊䝈䛜ᢕ
ᥱ䛷䛝䜛

ᕷ⏫ᮧ⫋ဨ䛜㊊䜚䜛㑊㞴⪅䛾ᨭ᥼䛜
༑ศ䛷䛝䜛

㑊㞴ᡤ䜢ႏ
㉳䛩䜛

㑊㞴⪅䜈䛾
ᨭ᥼䛜༑ศ
䛻䛷䛝䜛

ẟᕸ䛜༑ศ
䛻䛒䜛

ఫẸㄪᰝ
䛜䛷䛝䜛

ᐊ 䛜
㐺

㢼㑧䛾ே䛜
ᑡ䛺䛔

ᕠᅇ་⒪䝏䞊䝮䜢せㄳ䛷䛝
䜛

㢌③䛾ே䛜
ᑡ䛺䛔

་⒪ᶵ㛵䜢⪏
㟈ᵓ㐀䛻䛩䜛

༑ศ䛺ಖ೺་⒪యไ䛜
☜ಖ䛥䜜䜛

㌿㝔䛜ᚲせ
䛷䛺䛔

┳ㆤᖌ䛜ฟ
໅䛷䛝䜛

ண㜵᥋✀䛜
䛷䛝䜛

་ᖌ䛜ฟ໅
䛷䛝䜛

㈨ᩱ8 ┠ⓗศᯒ ⇃ᮏ䜾䝹䞊䝥2᮶ᗇ⪅䛾ᑐᛂ❆ཱྀ䜢୍䛴
䛻䛩䜛

㈇യ䛧䛯ಖ
೺ᡤ⫋ဨ
䛜㏿䜔䛛
䛻ᅇ᚟䛩䜛

ᑠ៏ᝈ⪅䛾 ⏕άಖㆤ⪅䛾᝟ሗ䛻䜰䜽䝉 ᝟ሗ䛻䜰䜽䝉
䝇䛷䛝䜛
䝇䛷䛝䜛

ᚲせ≀㈨䛜
せồ䛷䛝䜛

ᕷ⏫ᮧᨭ᥼䛾
ಖ೺ᡤ⫋ဨὴ
㐵䜢ィ⏬ⓗ䛻⾜䛖䐟ಖ೺ᡤ⫋ဨᑐ⟇ὴ㐵⫋ဨ䛻᮶
䛶䜒䜙䛘䜛

㏻ಙᶵ⬟䛜㐽᩿䛥䜜䛺䛔㞴⑓ᝈ⪅䛾᝟
ሗ䛻䜰䜽䝉䝇
䛷䛝䜛㛵ಀᶵ㛵䛸༠ᐃ䜢⤖䜃ᴗົศᢸ䜢᫂░໬䛩䜛

⅏ᐖᑐᛂ
䜰䜽䝅䝵䞁
䜹䞊䝗䛾⟇
ᐃ

䐡㑊㞴ᡤᑐ⟇

㻮㻯㻼䛾⟇ᐃ䝟䝋䝁䞁䛜౑⏝䛷䛝䜛ಖ೺ᡤ䛾䝕䞊䝍䝧䞊䝇
䛻䜰䜽䝉䝇ฟ

ᨭ᥼ᑐ㇟⪅䛜ᢕᥱ䛷䛝䜛

䐠᝟ሗ䝅䝇䝔䝮ᑐ⟇┴䛛䜙䛾ᣦ♧
䜢ཷ䛡䜙䜜䜛 ሗ࿌䞉ᣦ♧䛜䛷䛝䜛䚸ཷ䛡
䜙䜜䜛

㟁ヰ䛜౑⏝
䛷䛝䜛

໅ົྍ⬟䛺
ಖ೺ᡤ⫋ဨ䛜ቑ䛘ಖ೺ᡤ䛜ᶵ⬟䛩䜛 

἞⒪䛜ᚲせ
䛺ே䛜䛔䜛

䝷䜲䝣䝷䜲䞁䛾ᑍ᩿⚟♴㑊㞴ᡤ䛜䛖䜎䛟ᅇ䜛

㑊㞴ᡤ䛾せ᥼
ㆤ⪅䛜ᑡ䛺䛟䛺

䑵㑊㞴ᡤ᝟ሗඹ᭷䛷䛝䜛

⏕ά䛷䛝䜛ሙᡤ
䛜䛒䜛ᖐ䜛ᐙ䛜䛒䜛

ឤᰁ䛜ᣑ኱䛧䛺䛔≀㈨䛜ᒆ䛟㟁Ẽ䛜᚟ᪧ䛩
䜛ಖ೺ᡤ䛾䝟䝋
䝁䞁౑⏝䛷䛝䜛

᝟ሗ䜢⪺䛟
䜉䛝ே䛜䜟
䛛䜛

⸆䜢ฎ᪉䛧
䛶䜒䜙䛘䜛

㑊㞴ᡤ䜈䛾
ฟධ䜚䛜ᢕ
ᥱ䛷䛝䛶䛔
䜛

䑶་⒪

㟁Ẽ䛜᚟ᪧ䛩
䜛

ᅾᏯ⒪㣴⪅䛾ேᕤ࿧྾ჾ䛜⥔ᣢ䛷䛝䜛

་⒪ᶵ㛵䛜
ᶵ⬟䛩䜛
Ỉ䛜☜ಖ
䛷䛝䜛

㏱ᯒ䛜䛷䛝䜛

ᖐ䜛ᐙ䛜䛺
䛟䛺䜛

ᐙ᪘䛜୍⥴
䛻㐣䛤䛫䜛

་⒪䛜ᚲせ䛺
⿕⅏⪅䛾⏕࿨
䛜⥔ᣢ䛷䛝䜛

Ᏻྰ☜ㄆ䛜䛷
䛝䜛㑊㞴ᡤ䛾⟶⌮䛜
ᩚ䛖

㑊㞴ᡤ䛸䛧
䛶Ⓩ㘓䛥䜜
䛶䛔䜛䛸䛣䜝䜈㑊㞴䛧䛶䛔䜛ᣢ⑓䛾⟶⌮䛜䛷䛝䜛௙஦䛜䛒䜛⮬Ꮿ䛜ಽቯ䛧
䛺䛔

་⒪ᶵ㛵䛾෌㛤䞉ఇデ➼䛜䜟䛛䜛

㑊㞴⪅䛾
䝰䝷䝹䛜ྥ
ୖ䛩䜛

㑊㞴ᡤ䛷䛾
✼┐䛜䛺䛔

㑊㞴⪅䛾䝇
䝖䝺䝇䛜䛺䛟
䛺䜛㑊㞴ᡤ䛾䝖䝷䝤
䝹䛜ᑡ䛺䛔㑊㞴ᡤ䛻䝨䝑䝖
䜢㐃䜜䛶䛣䛺䛟
䛶䜒䜘䛔

⏕ά䝇䝨䞊
䝇䛾༊ู䛜
䛷䛝䛶䛔䜛

㑊㞴ᡤ㐠Ⴀ䛜䛖䜎䛟䛔䛟㈨ᩱ9 ┠ⓗศᯒ ⇃ᮏ䜾䝹䞊䝥3䝖䜲䝺䛜༑ศ䛻
౑䛘䜛

Ỉ㐨䛜
౑䛘䜛

䛝䛱䜣䛸ᡭ
䛜Ὑ䛘䜛

⾨⏕⎔ቃ䛜
ᩚ䛳䛶䛔䜛

㑊㞴ᡤ䛻㣗୰ẘ
䛜Ⓨ⏕䛧䛺䛔

㑊㞴ᡤ䛻ឤᰁ
⑕䛜Ⓨ⏕䛧䛺䛔

㐨䛜㛤㏻䛩䜛≀㈨䛜䛖䜎䛟ὶ㏻䛩䜛య䜢ື䛛䛩䛣䛸
䛜䛷䛝䜛䜰䝺䝹䜼䞊⏝
䛾㣗஦䛜䛒䜛

௚┴䛛䜙䛾ᛂ᥼䜢
せㄳ䛩䜛

㑊㞴ᡤ䛜
౑䛘䜛

㌴୰Ἡ䛜
ῶ䜛

䜶䝁䝜䝭䞊
䜽䝷䝇⑕
ೃ⩌䛜ῶ
䜛

ᨭ᥼⪅ᑓ⏝䛾ཷ௜❆ཱྀ䜢タ⨨䛩䜛ಖ೺ᡤᶵ⬟䜢ᯝ䛯䛩䛯䜑䛾ேᮦ䛜☜ಖ䛷䛝䜛ᨭ᥼ᅋయ䛾⤫ไ䛜䛸䜜䛶䛔䜛

೫䜚䛺䛟㑊㞴ᡤ䛻ධ䜜䜛㑊㞴ᡤ䛷㐺ษ
䛺䝇䝨䞊䝇䛜☜ಖ䛷䛝䜛

ADL䛜ᨵၿ
䛩䜛ಖ೺ᡤ⫋ဨ䛜ᑐᛂ䛾᫬㛫䜢䛸䜜䜛

㞟ⴠ䛜
Ꮩ❧䛧䛶
䛔䛺䛔

ᚲせ䛺ಶᐊ䛜
☜ಖ䛷䛝䜛㣗஦䛜༑ศ䛻䛸䜜
䜛

ఫẸㄪᰝ䛜
䛷䛝䜛

ᨭ᥼䛜ᚲせ䛺
ே䛜ᢕᥱ䛷䛝
䜛ಖ೺ᡤ䛜ᶵ⬟䛩䜛⫋ဨ䛜೺ᗣ䛷
䛒䜛ᰤ㣴䝞䝷䞁䝇䛾䛸䜜䛯㣗஦䛜䛷䛝䜛

ච␿ຊ䛜ྥୖ
䛩䜛ឤᰁ䛜ᣑ኱䛧䛺
䛔

⫋ဨ䛻వ⿱
䛜䛷䛝䜛

ᣢ⑓䛜ᝏ
໬䛧䛺䛔

䑷ಖ೺ᡤ

ண㜵᥋✀஦ᴗ䛜
䛷䛝䜛

ᑐ㇟⪅䛜
ᢕᥱ䛷䛝
䜛

ৱમ‫ؙ‬ിম‫ؙ‬উট४ख़ॡॺ৭උ
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થ஍ਙ

஍૨ਙ

ঽয়ಲਢਙ

⋇ిજऩୢ௜भ઀୹

¼

¼

¼

¼

‫س‬

⋈૑ਏऩऎघॉऋධीॊ

‫ٺ‬

‫س‬

‫س‬

‫ٺ‬

‫ٺ‬

‫س‬

‫ٺ‬

‫ٺ‬

‫س‬

¼

ৰਠ૭ચਙ

થ஍ਙ

஍૨ਙ

ঽয়ಲਢਙ

ಸ૶ਙ











⋈ੲਾ३५ॸ঒ଡണ











⋉ೂ୔ਚৌੁ











ॢঝ‫ش‬উ‫়قگ‬ੑਡਯ‫ك‬

ৰਠ૭ચਙ

થ஍ਙ

஍૨ਙ

ঽয়ಲਢਙ

ಸ૶ਙ

⯼ೂ୔ਚઈ੾ଵ৶ਘ৲













⯽્पୢ௜ऋ૑ਏऩযषभୢ௜઀୹৬਑ਘ৲

























‫⋉ ٲ‬ೂ୔঻भ૾யཔ඼
ॢঝ‫ش‬উ‫ڭقڮ‬ऋਈર੔‫ك‬‫⋇ ٲ‬৳௏ਚ૙৩ৌੁ‫಼⯾ ٲ‬૩ৎ૎ഉඪ৅েৌੁ

 

ಸ૶ਙ

়ੑ

ৱમ‫ؙ‬ിম‫ؙ‬3'0ॢঝ‫ش‬উ

ॢঝ‫ش‬উ

ॢঝ‫ش‬উ

উট४ख़ॡॺ੡৯੐च‫آ‬ೂ୔ਚੲਾ

উট४ख़ॡॺ੡৳௏ਚ૙৩ৌੁ৖౉

উট४ख़ॡॺ਋৑‫؟‬উট४ख़ॡॺ਋৑‫؟‬উট४ख़ॡॺ੡
উট४ख़ॡॺ਋৑‫؟‬ৌ଴৉ୠ‫؟‬ৌ଴৉ୠ‫؟‬ৌ଴৉ୠ‫؟‬ৌ଴঻‫؟‬ೂ୔ਚೂ୔঻

ৌ଴঻‫؟‬৳௏ਚ૙৩

ৌ଴঻‫ق঻಼଺؟‬ೂ୔঻‫ؚ‬ෘਝো೜঻ऩन‫ك‬

঱ਜ਼৯ఏ

঱ਜ਼৯ఏ

঱ਜ਼৯ఏ

಼૩ম৖भ৹ତਃચऋ௮ऎ঴

಼૩ৎप৳௏ਚऋਃચघॊ

৳௏ਚ૙৩ऋ౟ඥ॑ुढथೂ୔ਚৌૢऋदऌॊ

উট४ख़ॡॺ৯৓

উট४ख़ॡॺ৯৓

উট४ख़ॡॺ৯৓
ೂ୔ਚभ૾யऋཔ඼दऌॊ‫ق‬ೂ୔ਚपःॊ‫ك‬಼૩ৎप‫ેؚ‬ীऩਯभ৳௏ਚ૙৩ऋ‫ؚ‬ঽীभ૽સ॑
ੳ௙खथ৿ऐॊेअपघॊ

಼૩ৎभ଺಼঻पउऐॊ૎ഉඪఁপଆૃ

ਛટ

ਛટ

ਛટ

ઉமཔ඼ਾઔदऌॊலੌातऎॉऋदऌॊ‫؛‬ୣാ૙৩भન৳

ୋে୭୆भତ૟ঔॹঝभ੿ਛ

಼૩ৎपुણ৷दऌॊॖথইছ৬਑ତ૟

ঢ়બਃঢ়धभ৹ତ

୫হ઀୹ঐॽগ॔ঝभ੿ਛधఢੴ

པ඼ਾઔभலੌाभఢੴ

৘঴੨੍ର

৬ৡ଩ৣଆૃ

৳௏ਚभ৬਑तऎॉ

ણ৿

ણ৿

ણ৿

৉ୠभঢ়બ঻ভ৮॑ষअ‫؛‬਩ਗୣാ਑২भଡണ

ೂ୔ਚ॰‫ॽش‬থॢपउऐॊ৬਑तऎॉ

ੲਾ৥ન৲भञी‫੶ؚ‬ஈ஘ૄभ੿ਛ

਩৔ୣാ਑২भଡണ

ୋయ੟ৱभન৳ජೲभఢੴ

૽੿ॉभ৥ન৲‫ق‬ড়ে੻৩‫ؚ‬৘঴੨‫ؚ‬਩૙੍ର৬਑भનয়

৩‫ك‬லੌाभ৥ધ৲

૙ரશ‫ق‬ୣാୢప‫ؚ‬ఇදప‫ؚ‬୫૰ऩन‫ك‬ୣാ৬਑भଡണୋయ৚଍॑੅ण঵঻धभੈ৒ഁ੥

৳௏ਚध਩ૂ৑‫ؚ‬৳௏ਚ৑भษઠ৹ତ

୫হংছথ५३‫ॺش‬ଦഘୋయ௚ఝ॑ଦ૟घॊ

ୣാॳ‫ش‬঒‫ؚ‬ਗ৖ਃঢ়‫ؚ‬੮৬धभ৹ତ

ঔॹঝ൴য়भ੿ਛधఢੴ

ZLrঝ‫ॱشॱش‬ঈঞॵॺऩनभॖথॱ‫ ॵॿش‬ುਡ୰੹धभ৹ତ

੫঵धभੈ৒ഁ੥

ॺ୭୆भତ૟
ঐ५॥঑धॱॖ॔ॵউखञఢੴ॑ষअ

ୣാ૙৩भੑ઺

ธಫ॑ৰ઱घॊ

৘঴੨धभ॥঑গॽॣ‫ش‬३ঙথકড়ହ৥ভ॑৫ಈघॊ

৘঴੨ध৳௏ਚदजोझोभ૽સ॑ુपੳ௙
घॊ‫੍ؙ‬ର঻षभఢੴॶ‫ش‬ঝ॑੿ਛघॊ
ঐॽগ॔ঝभତ૟धણ৷
%&3भੁ৒धણ৷
॔ॡ३ঙথढ़‫ॻش‬भତ૟धણ৷
৳௏ਚ৑भੳ௙भુથ ऎऽঔথ৬ඝऩनभఢੴधཟ৅

ৱમ‫ؙ‬ঢ়બ঻ীෲ‫ؙ‬শ૊૜ਣ
䜾䝹䞊䝥䠍
ਭஇ঻

ዉ␃䛾ఫẸ䠄㧗㱋⪅䠅せ௓ㆤ䛾㧗㱋⪅
ᐙ᪘
㞀䛜䛔⪅
㞴⑓ᝈ⪅
Ꮚ䛹䜒䛯䛱

উট४ख़ॡॺৠ৒঻

㛗ᓮ┴஬ᓥᕷ
ᕷᙺᡤ⫋ဨᕷᙺᡤಖ೺ᖌᕷ㛗ಖ೺་⒪⚟♴㛵ಀ⪅
ᨭᡤ㛗
ᨭᡤㄢ㛗
ᨭᡤಖ೺ᖌ
೺ᗣ᥎㐍ဨ
ᐇ᪋ᶵ㛵䛾㛗
ᆅᇦಖ೺஦ᴗ䛾ᢸᙜ⪅බⓗ᭷ᗋデ⒪ᡤ
་⒪ᶵ㛵Ẹ㛫↓ᗋデ⒪ᡤ㻞ḟ་⒪ᅪෆ䛾බⓗ⑓㝔䠄ᓥእ䠅

৆ੁৠ৒঻

ᕷ㛗

ଃ৆଀૿঻

ੈৡ঻

ᕷ㛗
ᐙ᪘
㧗㱋⪅
ᆅᇦఫẸ
ᐙ᪘
䝪䝷䞁䝔䜱䜰
⣡⛯⪅䠄ಖ㝤ᨭ䛘䜛ே
බẸ㤋ㅮᗙ
䝭䝙䝕䜲
㊃࿡䛾఍
≉ู㣴ㆤ⪁ே䝩䞊䝮
Ꮫᰯ
ಖ⫱ᅬ
⏫ෆ఍
♫఍⚟♴༠㆟఍⪁ே⚟♴᪋タ⸆ᒁㄪ๣⸆ᒁ䛾⸆๣ᖌ

ਂਹஇॢঝ‫ش‬উ䝍䜽䝅䞊఍♫
Ꮿ㓄ᴗ⪅
ၟᗑ
௓ㆤᴗ⪅

ખৌ঻

जभ౎

㧗㱋⪅
ᐙ᪘

ᆅᇦఫẸ䛾ព㆑
೺ᗣ
⮬Ꮿ䛾⎔ቃ
♫఍㈨※

ખৌ঻

जभ౎

㣗⏕άᨵၿ᥎㐍ဨ䠄ዉ␃䛻䛿䛔䛺䛔䛜䠅ṑ⛉デ⒪ᡤᆅᇦໟᣓᨭ᥼䝉䞁䝍䞊ᆅᇦᨭ᥼༠ຊဨ䠄ᕷᆅᇦ༠ാ⌜⟶㎄䠅
䜿䜰䝬䝛䞊䝆䝱䞊
ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁䝦䝹䝟䞊㆙ᐹᾘ㜵ዉ␃ᨭᡤ
஺㏻ᶵ㛵㛵ಀ⪅Ꮿ㓄㈙䛔≀㛵ಀ⪅
㣗ᇽ
஑ᕞၟ⯪
䝍䜽䝅䞊
䝞䝇

䜾䝹䞊䝥䠎
ਭஇ঻

ዉ␃⏫ᅾఫ䛾ே㧗㱋⪅୍ேᬽ䜙䛧䛾㧗㱋⪅ㄆ▱⑕ᝈ⪅୍ேᬽ䜙䛧䛾ㄆ▱⑕
ዷ፬
ᐙ᪘
ஙᗂඣ
Ꮚ䛹䜒
ዉ␃䛻ᐙ᪘䜢ṧ䛧䛶㌿ฟ䛧䛯ே㐲᪉䛾ᐙ᪘উট४ख़ॡॺৠ৒঻

ዉ␃ᨭᡤ
⾜ᨻᮏᗇ
ᕷ⫋ဨ
㛗ᑑ௓ㆤㄢ
ಖ೺ᡤ
㻞ḟ་⒪ᅪෆ䛾බⓗ⑓㝔䠄ᓥእ䠅බⓗ᭷ᗋデ⒪ᡤ
⑓㝔䞉デ⒪ᡤ䛾་ᖌ་⒪ᶵ㛵⫋ဨ
ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁ᅾᏯ௓ㆤ⫋ဨ
௓ㆤ㛵ಀ᪋タ⫋ဨ䝦䝹䝟䞊ධᡤ᪋タ㏻ᡤ䝃䞊䝡䝇
≉ู㣴ㆤ⪁ே䝩䞊䝮

৆ੁৠ৒঻

஬ᓥᕷ

ଃ৆଀૿঻

ఫẸ
஬ᓥᕷ
㛗ᓮ┴

 

ੈৡ঻

㏆㞄⪅
཭ே
ぢᅇ䜚䛩䜛ே
බⓗ᭷ᗋデ⒪ᡤ
་⒪ᶵ㛵䞉デ⒪ᡤẸ㛫↓ᗋデ⒪ᡤ་ᖌ䜿䜰䝬䝛䞊䝆䝱䞊
♫఍⚟♴༠㆟఍௓ㆤಖ㝤஦ົᡤ೺ᗣ᥎㐍ဨẸ⏕ጤဨ䜎䛱䛵䛟䜚༠㆟఍ㄆ▱⑕䝃䝫䞊䝍䞊
⏫ෆ఍
⪁ே䜽䝷䝤
⪁ே఍఍㛗
፬ேᅋయ
⫱ᡂ఍఍㛗
㆙ᐹ䞉஺␒䞉㥔ᅾᡤᾘ㜵䞉ᾘ㜵ᅋ
Ꮫᰯ㣗஦㓄㐩䝃䞊䝡䝇
⁺༠ਂਹஇॢঝ‫ش‬উ

ᓥእ䛾᪋タ

஬ᓥᕷ
௓ㆤಖ㝤⛯⁫⣡⪅㏆㞄ఫẸ ೺デᮍཷデ⪅ᅜಖ⛯ᮍ⣡⪅ 

ኳೃ䛻䜘䜚ᓥෆእ䜈䛾⛣
ື䛜䛷䛝䛺䛔

ᓥእ䛸䛾஺㏻
ᡭẁ䛜⯪䛾䜏

ᐙ᪘䛾
௓ㆤ㈇ᢸ䛜
኱䛝䛔

⏫ෆ䛷
ཷ䛡䜙䜜䜛
ᅾᏯ௓ㆤ䝃䞊
䝡䝇䛜ᑡ䛺䛔ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁䛜ᓥእ䛻䛒䜛ゼၥ┳ㆤ䛾24᫬㛫యไ䛜䛸
䜜䛺䛔㧗㱋⪅䛜ᐙ᪘
䛾௓ㆤ㈇ᢸ䜢
ᚰ㓄䛧䛶䛔䜛

⮬Ꮿ䛷䛾┳ྲྀ䜚䛾యไ䛜䛷䛝䛶䛔䛺䛔

⊂ᒃ䛾ㄆ▱
⑕㧗㱋⪅䛜
䛔䜛

ゼၥ┳ㆤ䛿
ᆅᇦ䛜ᗈ䛟
ఱ㌺䜒ᅇ䜜䛺䛔

ᓥෆ䛷ཷ䛡䜙䜜䜛
ᅾᏯ་⒪䝃䞊䝡䝇
䛜ᑡ䛺䛔䠄ゼၥ┳
ㆤ䠅

᭹⸆⟶⌮䛜
㞴䛧䛔

ኪ㛫ᛴኚ᫬
䛾ཷデ䛜
䛷䛝䛺䛔

㈨ᩱ13 ၥ㢟ศᯒ 㛗ᓮ஬ᓥ䜾䝹䞊䝥1

ㄆ▱⑕䛻ᑐ
䛩䜛⌮ゎ䛜
ప䛔

ㄆ▱⑕㧗㱋
⪅䛜⏕ά䛷䛝
䜛ሙ䛻㝈䜚䛜
䛒䜛ᮏே䞉ᐙ᪘䛜䚸࿘䜚䛾┠䛜Ẽ䛻䛺䜛
ே䛜䛔䜛䝃䞊䝡䝇䜢ᣄ
ྰ䛩䜛㧗㱋⪅
䛜䛔䜛

㣗ᩱ䛾ㄪ
㐩䛜ᅔ㞴

⊂ᒃ䛷እ
䛻ฟ䛺䛔

ᓥෆ䛻ᑵ⫋ඛ䛜
䛺䛔

䝍䜽䝅䞊ᩱ
㔠䜢
㈇ᢸ䛷䛝
䛺䛔

⑓㝔䛻㐃䜜䛶
⾜䛳䛶䛶䛟䜜䜛ே䛜䛔䛺䛔ᐃᮇཷデ䛜䛷
䛝䛺䛔ⱝ䛔ୡ௦䛜ዉ
␃䛻ᐃఫ䛷䛝䛺䛔Ꮚ౪䛾㐟䜆཭㐩䛜䛔䛺䛔

㞟ⴠ䛜ศᩓ
䛧䛶䛔䜛

䝞䝇䛾౽䛜
ᑡ䛺䛔

ᓥෆ䛷䛾⛣ືᡭ
ẁ䛜୺䛻䝍䜽
䝅䞊

䛚䛧䜓䜉䜚
䛩䜛཭㐩䛜
㏆ᡤ䛻䛔䛺䛔

Ꮚ౪䛾㐍Ꮫඛ䠄኱Ꮫ௨ୖ䠅䛜䛺䛔

ᐙ᪘䠄Ꮚ౪䛯䛱䠅䛜ᓥእ䛻䛔䜛ୡᖏ䛜ከ䛔୍ேᬽ䜙䛧䛾㧗㱋⪅䛜ከ䛔㧗㱋⪅䛾䜏䛾ୡᖏ䜒ከ䛔୍ேᬽ䜙䛧䛾㧗
㱋⪅䛿⏕ά䝸䝈
䝮䛜஘䜜䜔䛩䛔

୰ᚰ㒊䛾ே䛿
㊊⭜䛜ᙅ䛔ᗑ䛜㐲䛔ᐙ᪘䛜㧗㱋⪅䛻ྜ䜟䛫䛯㣗஦䜢స䜛䛣䛸
䛜ᅔ㞴

ḧ䛧䛔䜒䛾
䛜ᓥෆ䛻
኎䛳䛶䛔䛺
䛔

㧗㱋⪅䛜⮬ศ䛾ศ䛰䛡䜢స䜚䛯䛟䛺䛔ᮏே䛜᪋タධᡤ䜢ᕼᮃ䛩䜛䛜䛩䛠䛻ධ䜜䛺䛔

Ṍ䛔䛶㈙䛔≀䛻⾜䛡䛺䛔ⱝ䛔ୡ௦䛾ே䛜ᐙ᪘䜢┳䜛䛸䛔䛖ព
㆑䛜ప䛔

㧗㱋⪅䛜
䛩䜛䛣䛸䛜
ῶ䜛

ᐙ஦➼
䛱䜗䛳䛸䛧䛯⏝஦䜢㢗䜐ே䛜ᑡ䛺䛔㣗஦䜢స䜛䛾
䛜㠃ಽ㧗㱋⪅䛜䛝䛱䜣䛸
㣗஦䛜䛸䜜䛺䛔

Ᏻᚰ䛧䛶㧗㱋⪅䛜୍ேᬽ䜙䛧䛜䛷䛝䛺䛔ᐙ᪘䛜䠄ᮏே䛾ព䛻཯䛧䛶䠅᪋タධᡤ䜢ᕼᮃ䛩䜛㧗㱋⪅䛜㣗䜉䛯䛟䛺䛔

ᮏே䛜ᕼᮃ䛩䜛
ሙᡤ䛷᭱ᮇ䜢㏄䛘
䜛䛣䛸䛜
䛷䛝䛺䛔

ᖺ㔠㢠䛜
ᑡ䛺䛔

ዉ␃䛾་⒪ᚑ஦⪅䛜㊊䜚䛺䛔ዉ␃䛷ධ㝔䛜
䛷䛝䛺䛔⯪䛾㐠⯟᝟ሗ䛜㧗㱋⪅䛻ධ䛳䛶䛣䛺䛔᝟ሗ䛜ධ䜙䛺䛔ᅔ䛳䛯䛸䛝䛻┦ㄯ䛩䜛┦ᡭ䛜䛔䛺䛔

⯪䛾㐠⯟᝟ሗ䜢䜏䜛᪉ἲ䜢▱䜙䛺䛔ዉ␃ᓥෆ䛷ゎỴ䛷䛝䛺䛔
⑓Ẽ䛜䛒䜛ᓥ䜢㞳䜜䛺䛡䜜䜀
䛺䜙䛺䛔᫬䛜䛒䜛

䜿䞊䝤䝹䝔䝺䝡
䛜ᫎ䜙䛺䛔ᓥෆ䛾䜲䝧䞁䝖
᝟ሗ䛜䜟䛛䜙䛺䛔 ⱝ䛔ே䛜ྠᒃ䛧䛶䛔䛺䛔㧗㱋⪅䜢ぢᏲ䜛ே䛜㧗㱋䛷䛒䜛

௓ㆤண㜵䛾
ຊ䛜ᙅ䛔

௓ㆤ⫋䛜㊊
䜚䛺䛔

䛤䜏䛾ศู䛜
ศ䛛䜙䛺䛔ㄆ▱ᶵ⬟䛜పୗ䛧䛶䛔䜛

௓ㆤ䝃䞊䝡䝇䜢ཷ
䛡䜙䜜䜛

㧗㱋⪅⋡䛜
㧗䛟䛺䛳䛶䛔䜛

௓ㆤᗘ䛜㧗䛔ே䛜ቑ䛘䛶䛔䜛

௓ㆤ䝃䞊䝡䝇䛜
ཷ䛡䜙䜜䛺䛔

䛤䜏䜢㐺ษ
䛻ฟ䛫䛺䛔

㧗㱋⪅䛜ఫ䜏
䜔䛩䛔ᐙ䛻䛺䛳

㧗㱋⪅䛜୍ே䛷䛾⏕ά䛜ᅔ㞴㈨ᩱ14 ၥ㢟ศᯒ 㛗ᓮ஬ᓥ䜾䝹䞊䝥2ⱝ⪅䛾௙஦䛜
㝈䜙䜜䛶䛔䜛

㏆ᡤ䛻ே䛜ఫ䜣䛷䛔䛺䛔

୍ேᬽ䜙䛧䛾㧗㱋⪅䛜㢗䜚䛻䛧䛶䛔䜛

㨶䛜ྲྀ䜜䛺䛔

ᰤ㣴䛜೫䜛

୰ᚰ㒊䛛䜙
㞳䜜䛶䛔䜛

㞳ᓥ䛷䛒䜛

㧗㱋⪅䛜ከ䛔

ᗑ䛜ᑡ䛺䛔

㈙䛔≀䛜ᅔ
㞴

೺ᗣ≧ែ䛜
ᝏ໬䛩䜛

஺㏻㈝䛜䛛䛛䜛

⤒῭ⓗ䛻
ᅔ❓䛩䜛

≀౯䛜㧗䛔

௙஦䛜䛺䛔

㧗ᰯ༞ᴗᚋ
ᓥእ䜈ฟ䜛

ᐙ᪘䜔Ꮚ౪䛜ᓥእ䛻ฟ䛶䛔䜛

ⱝ䛔ே䛜ᓥእ䛻⾜䛟䛣䛸䛜ከ䛔

ᨭ᥼⪅䛜㌟
㏆䛻䛔䛺䛔

✵䛝ᐙ䛜ከ䛔

ዉ␃་⒪䝉䞁
䝍䞊䛾デ⒪⛉┠
䛜㝈䜙䜜䛶䛔䜛

ㄆ▱⑕䛜ᝏ໬䛩䜛ேཱྀῶᑡ䛜ᛴ㏿䛻㐍䜣䛷䛔䜛⚟Ụ䜎䛷᮶䜛䛾
䛻⯪౽䛧䛛䛺䛔ಖ㝤ᩱ䛜㧗䛟䛺䜛᪥௜䛜୙᫂☜䛺ே䛿⸆䛾㣧䜏ᛀ䜜䛜䛒䜛஬ᓥ୰ኸ⑓㝔
䜈䛾ᦙ㏦䛻᫬㛫䜢せ䛩䜛

ཷデ䛜୙౽
䛷䛒䜛

᪥ᖖⓗ䛺⒪
㣴䛜㞴䛧䛔

㐲᪉䛻ఫ䜐ᐙ᪘䛿⊂ᒃ䛾ே䛾⏕ά䛜ᚰ㓄䛷䛒䜛་⒪⫋䠄≉䛻┳ㆤ⫋䠅䛜㊊䜚䛺䛔

ゼၥ┳ㆤయไ䛜୍䛛ᡤ䛷䛒䜛⮬Ꮿ䛷䛾ぢྲྀ䜚䜢⾜䛖䛣䛸䛜㞴䛧䛔

≉㣴䛜୍䛛ᡤ䛧䛛䛺䛔≉㣴䛜‶ᗋ䛷
ධ䜚䛯䛔ே䛜
ධ䜜䛺䛔

⑓㝔䞉᪋タ
䛻ධ䜛ே䛜

ㄆ▱⑕ᝈ⪅䛜᪩ᮇ䛻ᓥ䛛䜙ㄆ▱⑕䛾ே䛜⢭⚄⛉䜢ཷデ䛩䜛ሙྜ䛿ึデ䛿⯪䛷஬ᓥ⑓㝔ఫ䜏័䜜䛯ᆅᇦ䛷೺ᗣ䛻᭱ᮇ䜎䛷㐣䛤䛫䛺䛔

㧗㱋⪅䛜㌴
䜢㐠㌿䛩䜛

ே䛸䛾஺ὶ䜢㑊
䛡䜛䇿⮬ศ䛾ᐙ䇿䛻
ఫ䜐䛣䛸䛻䛣䛰䜟
䜚⥆䛡䜛

᪋タධᒃ䜢
ᣄྰ䛩䜛

୍ேᬽ䜙䛧䛾㧗㱋⪅䛜ከ䛔஧ḟ㞳ᓥ䛺䛾䛷⅏ᐖ᫬䛻䛿஺㏻䞉㐃⤡ᡭ⮬Ꮿ䛷ஸ䛟䛺䜛ே䛾๭ྜ䛜ᑡ䛺䛔⫈ຊ䛜పୗ䛧䛶䛔䜛ே䛿㞟ᅋ䛾୰䛻ฟ䛛䛡䜛䛾䛜൨ຕ䛻䛺䛳䛶䛔䜛཭ே䛜㌿ᒃ䞉Ṛஸ䛺䛹䛻䜘䜚ᑡ䛺䛟䛳䛶䛔䜛஺཭⪅䛜ῶ䛳䛶䛔䜛⊂ᒃ䛾ே䛿⥭ᛴ᫬䛻࿘ᅖ䛾ே䛜ᢕᥱ䛩䜛䛣䛸

㐲᪉䛻ᐙ᪘
䛜䛔䛶ᑐᛂ

⊂ᒃ䜔㧗㱋⪅䛾䜏ୡᖏ䛜ከ䛟⥭ᛴ᫬䛾ᑐᛂ䛜 ゼၥ┳ㆤ䝇䝔䞊䝅䝵䞁䛜
ᓥෆ䛻䛒䜛

ཷ䛡䜙䜜䜛
ᅾᏯ௓ㆤ
䝃䞊䝡䝇䛜䛒
䜛

䖃┳ྲྀ䜚

ゼၥ┳ㆤ䛾
䝬䞁䝟䝽䞊䛜
༑ศ䛻
䛒䜛

ᐙ᪘䛾
௓ㆤ㈇ᢸ䛜
ᑡ䛺䛔

⏫ෆ䛷

24᫬㛫యไ䛾ゼၥ┳ㆤ䛜䛷䛝䜛

㧗㱋⪅䛜ᐙ᪘
䛾௓ㆤ㈇ᢸ䜢
ᚰ㓄䛧䛺䛟䛶䜘
䛔⮬Ꮿ䛷䛾┳ྲྀ䜚䛾యไ䛜ᩚ䛳䛶䛔䜛

ゼၥ┳ㆤ䝃䞊
䝡䝇䛜༑ศ䛻䛒䜛ゼၥ┳ㆤ䛿༑ศ䛻ᅇ䜛䛣䛸
䛜䛷䛝䜛ኪ㛫ᛴኚ᫬䛻
ᶞ⬡་䛷䛝䜛

䖃೺⬮

⊂ᒃ䛾㧗
㱋⪅䛜ᨭ
᥼䜢ཷ䛡
䜙䜜䜛

᭹⸆⟶⌮䛜
䛷䛝䜛

᭹⸆

㈨ᩱ15 ┠ⓗศᯒ 㛗ᓮ஬ᓥ䜾䝹䞊䝥1ᮏே䞉ᐙ᪘䛜䚸
䝃䞊䝡䝇䜢ཷ䛡䜛䛣䛸䛻ᑐ䛩䜛⌮ゎ䜢ᣢ䛴㧗㱋⪅䛜䝃䞊䝡䝇䜢ཷ䛡䛔䜜䜛ㄆ▱⑕䛻ᑐ䛩䜛
⌮ゎຊ䛜㧘䛔

ㄆ▱⑕㧗㱋⪅䛜⏕ά䛷䛝䜛ሙᡤ䛜
༑ศ䛒䜛

䝞䝇䛾౽䛜
ከ䛔

Ꮚ౪䛾㐍Ꮫඛ
䠄኱Ꮫ௨ୖ䠅䛜䛒 Ꮚ౪䛾㐟䜆཭㐩䛜
㏆ᡤ䛻䛔䜛
䜛

㏆ᡤ䛻
཭㐩䛜䛔䜛

⑓㝔䛻㐃䜜䛶
⾜䛳䛶䛶䛟䜜䜛ே䛜䛔䜛ᖺ㔠䛜༑ศ䛻䛒
䜛ᚲせ䛺䛸䛝䛻䝎䜽䝅䞊䛜฼⏝䛷䛝䜛䛚䛧䜓䜉䜚䛩䜛཭
㐩䛜䛔䜛

୰ᚰ㒊䛻⾜
䛛䛺䛟䛶䜒
ḧ䛧䛔䜒䛾
䛜㈙䛘䜛

䖃஺㏻

ᐃᮇཷデ䛜䛷䛝
䜛ධᡤ᪋タ䛜༑ศ䛻䛒䜛ᮏே䛜ᕼᮃ䛧䛯䛸䛝䛻ධᡤ䛷䛝䜛

ධᡤᕼᮃ⪅䛜ῶ䜛ⱝ䛔ୡ௦䛜ዉ␃䛻
ᐃఫ䛷䛝䜛

㧗㱋⪅䛜
እฟ䛷䛝䜛

ᓥෆ䛻
ḧ䛧䛔䜒䛾䛜
䛭䜝䛳䛶䛔䜛

ᐙ᪘䠄Ꮚ౪䛯䛱䠅䛜ᓥෆ䛻䛔䜛㧗㱋⪅䛜ᚲせ䛺ᨭ᥼䜢ཷ䛡䜙䜜䜛㧗㱋⪅䛜つ๎
ṇ䛧䛔⏕ά䛜
䛷䛝䜛୰ᚰ㒊䛾ே䜒
೺⬮䛷䛒䜛

Ṍ䛔䛶㈙
䛔≀䛻⾜
䛡䜛

ᓥෆ䛻ᑵ⫋ඛ䛜䛒䜛ⱝ䛔ୡ௦䛾ே䛜ᐙ᪘䜢┳䜛䛸䛔䛖
ព㆑䜢ᣢ䛳䛶䛔
䜛⮬❧䛧䛯㧗㱋
⪅䛜ቑ䛘䜛

㧗㱋⪅䛾
ᙺ๭䛜䛒䜛

䛱䜗䛳䛸䛧
䛯⏝஦䜢
㢗䜑䜛ே
䛜䛔䜛

⡆༢䛻㣗ᩱ䜢ㄪ㐩䛷䛝䜛䠄㣗஦䛾⟶⌮䛜䛷䛝䜛䠅㧗㱋⪅䛜䛝䛱䜣䛸㣗஦䛷䛝䜛㧗㱋⪅䛜Ᏻᚰ䛧䛶୍ேᬽ䜙䛧䛜䛷䛝䜛ᮏே䛜୍ேᬽ䜙䛧䜢ᕼᮃ䛧䛯㝿䛻ᐙ᪘䜒㈶ᡂ䛩䜛ᕼᮃ䛩䜛ሙᡤ䛷᭱ᮇ䜢㏄䛘䜛䛣䛸䛜䛷䛝䜛ዉ␃䛾་⒪ᚑ
஦⪅䛜༑ศ䛷䛒
䜛ዉ␃䛷ධ㝔䛜
䛷䛝䜛ዉ␃䛷䛾⏕ά
䛜⥅⥆䛷䛝䜛

ᐃᮇ೺デ

ዉ␃䛷䛔
䜝䛔䜝䛺
⑓Ẽ䛜デ
䜜䜛

ᅔ䛳䛯䛸䛝䛻┦ㄯ䛩䜛┦ᡭ䛜䛔䜛⯪䛾㐠⯟᝟ሗ
䜢䜏䜛䛣䛸䛜䛷
䛝䜛

⯪䛾㐠⯟᝟
ሗ䛜㧗㱋⪅
䛻
ධ䜛

᝟ሗ䛜ධ䜛

䜿䞊䝤䝹䝔䝺䝡
䛜ᫎ䜛ᓥෆ䛾䜲䝧䞁䝖
᝟ሗ䛜䜟䛛䜛᝟ሗ 

ᐙ䛜ᨵಟ
䛷䛝䜛

௓ㆤ⫋䛜
඘ศ䛻䛔䜛

ㄆ▱ᶵ⬟䛜
పୗ䛧䛶䛔䛶䜒䛤䜏䛾ศู䛜䛷䛝䜛䝃䞊䝡䝇䛜䛒
䜛

せ௓ㆤண㜵
䛜⾜䜟䜜䜛

せᨭ᥼䠍䛾
ே䛜ቑ䛘䜛

௓ㆤ䝃䞊䝡䝇䜢
ཷ䛡䜙䜜䜛஦ᴗᡤ䛜඘ศ䛻೺ᗣ䛺㧗㱋⪅䛜ቑ䛘䜛㧗㱋⪅䛾௓ㆤᗘ䛜ୗ䛜䜛

௓ㆤ䝃䞊䝡䝇䜢඘ศ䛻ཷ䛡䜙䜜䜛

䛤䜏䜢㐺ษ䛻ฟ䛫䜛㧗㱋⪅䛜ఫ䜏
䜔䛩䛔ᐙ䛷䛒䜛

㧗㱋⪅䛜୍ே䛷䛾⏕ά䛜⥔ᣢ䛷䛝䜛

䐟ඖẼ䛻ዉ␃ዉ␃㈨ᩱ䠍䠒 ┠ⓗศᯒ 㛗ᓮ஬ᓥ䜾䝹䞊䝥2ⱝ䛔ே䛜ᓥෆ䛷⏕ά䛩䜛䐠ዉ␃䛾㍯䝥䝻䝆䜵䜽䝖㧗㱋⪅䜢ぢᏲ䜛ே䛜㧗㱋䛷䛒䜛㞳ᓥ䛷䛒䜛✵䛝ᐙ䛜ከ䛔

ዉ␃་⒪䝉䞁
䝍䞊䛾デ⒪⛉┠

ேཱྀῶᑡ䛜ᛴ㏿䛻㐍䜣䛷䛔䜛⚟Ụ䠉ዉ␃㛫䛾
⯪౽௨እ䛜඘ᐇ

㧗㱋⪅䛜㌴
䜢㐠㌿䛩䜛

་⒪⫋䛾ᩘ䛜඘ศ䛷䛒䜛ゼၥ┳ㆤయไ䛜」ᩘ䛒䜛⮬Ꮿ䛷䛾ኪ㛫ぢྲྀ䜚䜢⾜䛖
䛣䛸䛜ྍ⬟䛻䛺䜛

⮬Ꮿ䛷ஸ䛟䛺䜛ே䛾๭ྜ䛜ᑡ䛺䛔ಖ㝤ᩱ䛜㧗䛟䛺䜛⸆䛾㣧䜏ᛀ䜜䛜䛺䛔ㄆ▱⑕䛾ᝏ໬䛜
㜵Ṇ䛷䛝䜛
≉㣴䛾ᩘ䛜
ቑ䛘䜛

≉㣴䛻䜖䛸䜚䛜䛒䜚ᕼᮃ䛩䜛ே䛜
ධᡤ䛷䛝䜛ᅾᏯ䛷⏕ά䛷䛝䜛
ே䛾ᩘ䛜ቑ䛘䜛

ㄆ▱⑕ᝈ⪅䛾ᓥእὶฟ䜢㜵䛠䛣䛸䛜䛷䛝䜛ㄆ▱⑕䛾ே䛜ᓥእ⑓㝔䜈ཷデ䛫䛪䛻῭䜐㐲㝸デ⒪䛜඘ᐇ
䛩䜛ཷデ䛜䛧䜔䛩䛔⎔ቃ䛷䛒䜛᪥ᖖⓗ䛺⒪㣴䛜
䛷䛝䜛⎔ቃ䛷䛒䜛

஧ḟ㞳ᓥ䛺䛾䛷⅏ᐖ᫬䛻䛿
஺㏻䞉㐃⤡ᡭẁ䛜㏵⤯䛘䜛㧗㱋⪅䛜ከ䛔

஌䜚ྜ䛔䝍䜽䝅䞊䛾ไᗘ䜢స䜛㓄㐩䝃䞊䝡䝇䛜
฼⏝䛷䛝䜛

೺ᗣ≧ែ䛜
Ᏻᐃ䞉⥔ᣢ

⯪㈤䜈䛾᥼ຓ䛜᳨ウ䛥䜜䜛

཰ධ䛸ᨭฟ䛾䝞䝷
䞁䝇䛜ྲྀ䜜䛶䛔䜛

඘ศ䛺ᰤ㣴
䛜ᦤ䜜䜛

㧗㱋⪅䛷䜎䛸
䜑㈙䛔䜢䛧䛶
ᨭฟ䜢ᢚ䛘䜛ᓥෆ䛻௙஦䛜䛒䜛㧗ᰯ༞ᴗᚋᓥእ
䜈ฟ䛶䜒ᑵ⫋䛷ᖐ䛳䛶䛟䜛ⱝ⪅䛾௙஦䛜
䛒䜛

㏆ᡤ䛻ே䛜
ఫ䜣䛷䛔䜛

㧗㱋⪅䛾㢗䜜䜛
㏆ᡤ䛾ே䛜䛔䜛

㌟㏆䛺ᨭ᥼
⪅䛜䛔䜛

ఫ䜏័䜜䛯ᆅᇦ䛷೺ᗣ䛻᭱ᮇ䜎䛷
㐣䛤䛩䛣䛸䛜䛷䛝䜛㏆㞄䛻஺཭⪅䛜ቑ䛘䜛⊂ᒃ䛾ே䛾⥭ᛴ᫬䜢࿘ᅖ䛾ே䛜ᢕᥱ䛷䛝䜛㐲᪉䛻䛔䜛ᐙ᪘䛾⥭ᛴ᫬䛾ᑐᛂ䛜䛷䛝䜛

⫈ຊపୗ䛜䛒䛳䛶䜒㞟ᅋ䛾୰䛷㐣䛤䛫䜛ே䛸஺ὶ䛜ᣢ䛶䜛ᚲせ䛻ᛂ䛨䛶⮬ศ䛾ᐙ௨እ䛾᪋タධᡤ䜢ཷ䛡ධ䜜䜛䛣䛸䛜䛷
䛝䜛⥭ᛴ᫬䛾ᑐᛂ䛜㐺ษ䛻⾜䜟䜜䜛

䐡ዉ␃119ৱમ‫ؙ‬শ૊૜ਣ‫ؙ‬উট४ख़ॡॺ৭උ
ॢঝ‫ش‬উ‫়قڭ‬ੑਡਯ‫ك‬‫่ ٲ‬਄ॉ

ৰਠ૭ચਙ

થ஍ਙ

஍૨ਙ

ঽয়ಲਢਙ

ಸ૶ਙ

়ੑ













௏࿄













ઐৢ













ॢঝ‫ش‬উ‫ڭقڮ‬ऋਈર੔‫ك‬

ৰਠ૭ચਙ

થ஍ਙ

஍૨ਙ

ঽয়ಲਢਙ

ಸ૶ਙ

‫⋇ ٲ‬੪ਞपఱ೏ఱ೏উট४ख़ॡॺ











⋈ఱ೏भ୽উট४ख़ॡॺ











⋉ఱ೏উট४ख़ॡॺ











 

ৱમ‫ؙ‬শ૊૜ਣ‫ؙ‬3'0ॢঝ‫ش‬উ

ॢঝ‫ش‬উ

উট४ख़ॡॺ੡‫؟‬উট४ख़ॡॺ੡੪ਞपఱ೏ఱ೏উট४ख़ॡॺ

উট४ख़ॡॺ਋৑‫؟‬ফ৑উট४ख़ॡॺ਋৑‫؟‬ফ৑ৌ଴৉ୠ‫ؙؙؙؙ‬ఱ೏৉યৌ଴৉ୠ‫؟‬૜ਣ৘ఱ೏৉ય

ৌ଴঻‫ؙؙؙؙؙ؟‬ਛટ‫ڭ‬ఱ೏৉યકড়

ৌ଴঻‫؟‬ਛટ‫ڭ‬ఱ೏भୃਰ঱भৈೡ঻

‫ؙؙؙؙؙؙؙؙؙ‬ਛટ‫ڮ‬হ঵ਚਛટ‫ஂڮ‬૧૒उेलஂ૧૙॑৯੐घয‫ر‬

঱ਜ਼৯ఏ

঱ਜ਼৯ఏ

ൌ஦घॊৃਚदਈ਋॑ಶइॊऒधऋदऌॊ

ఱ೏भৈೡ঻ऋ঳যदभেણ॑೐੅दऌॊ

উট४ख़ॡॺ৯৓

উট४ख़ॡॺ৯৓

ঽ୧दभ่਄ॉभ৬਑॑ତइॊ

ఱ೏भৈೡ঻ऋஂ૧१‫ش‬অ५॑ેীपਭऐैोॊ

ਛટਛટৈೡ঻ऋੇఔभஂ૧଀૿॑ੱଦखऩऎथଐः

ఱ೏भৈೡ঻भஂ૧২ऋৣऋॊ

ৎ৑৬਑भ௰ਖ่૧ऋदऌॊ

ఱ೏दਭऐैोॊஂ૧१‫ش‬অ५ऋੜइॊ

ણ৿ણ৿કড়਱ऐभ൥౰ভ‫ق‬૔୧่૧‫ஂؚ‬૧‫ك‬౞ਭ൧঻षৌૢख્৒௏൧भਭ൧૨॑঱ऑॊ

ஂ૧‫่؞‬૧ৼ୥ভ঑ॽॹॖ‫ق‬৬ඝઇ஼‫ؚ‬ঽ਌ણ৿‫॑ك‬ੜृघੇఔভ

ஂ૧੒ଆઇ஼॑ੜृख‫ؚ‬੬ਙभেણચৡभ਱঱॑௕ॊ

঎ছথॸॕ॔୘ਛ‫ق‬ৈૅে‫ؚ‬଄঻‫ك‬३ঝং‫ش‬য౫७থॱ‫ش‬भভ৩॑ੜृख‫಺ؚ‬ௌभৃ‫ؚ‬१‫ش‬অ५भৃ॑઀୹घॊ
ஂ૧ੳ৒भిਫ৲भञीଢ଼ఊভ॑৫ಈघॊ

ਁ৓થ෫൧௜ਚ௰ਖ่૧५ॸ‫ش‬३ঙথभਘ৲

ஂ૧૙षभଢ଼ఊ॑ౄৰऔचॊ

‫ؙ‬য౫୘ਛ‫ق‬௰ਖ่૧भ૑ਏਙ॑ଢ଼ఊद஫इॊ‫ك‬র৾েਰ঱भ଄঻पஂ૧૙षभ૙ৃ৬ୡ॑઀୹घॊ

‫ؙ‬௰ਖ่૧పभન৳‫ق‬တ৾স਑২भ଑ো‫ؚ৾‬ে਱ऐखऽॼ‫ش‬५৬ୡ‫ؚ‬௰ਖ่ஂ૧૙৩୘ਛभ੍ର॑ষअ

૧పपेॊ७঑ॼ‫قش‬ৈૅেष‫ك‬‫ؙ‬௰ਖ੤૏‫؞‬फ़९জথभન৳

ুਊृஃਛস॑൉ਝख‫ؚ‬થৱત঻भ໧ॉକऒख॑ষअ

ఱ೏ਣਗ५ॸ‫ش‬३ঙথਘ৲
‫ؙ‬ఱ೏ਣ৔भ่૧పभન৳‫ؚ‬ఃஈ਑২‫ۉھؙ‬ഈଜदभৌૢ 

㈨ᩱ 19 PCM ◊ಟ⇃ᮏ ࢔ࣥࢣ࣮ࢺ⤖ᯝၥ 1࠙ཧຍ⪅࡟ࡘ࠸࡚ࠚ⥲ཧຍ⪅ᩘ 18 ྡᛶู㸸⏨ᛶ 2 ྡ㸦11㸣㸧ࠊዪᛶ 16 ྡ㸦89㸣㸧ᖺ㱋㸸20 ṓ௦ 7 ྡ㸦38.9㸣㸧ࠊ30 ṓ௦ 6 ྡ㸦33.3㸣㸧ࠊ40 ṓ௦ 3 ྡ㸦16.7㸣㸧ࠊ
50 ṓ௦ 1 ྡ㸦5.6㸣㸧ࠊ↓グධ 1 ྡ㸦5.6㸣㸧⫋✀㸸་ᖌ 3 ྡ㸦16.7㸣㸧ࠊಖ೺ᖌ 9 ྡ㸦50㸣㸧ࠊ᳨ᰝᢏᖌ 2 ྡ㸦11.1㸣㸧ࠊ⸆๣ᖌ 1 ྡ㸦5.6⋇་ᖌ 1 ྡ㸦5.6㸣㸧ࠊ஦ົ⫋/ࢣ࣮ࢫ࣮࣮࣡࢝1 ྡ㸦5.6㸣㸧ࠊ⟶⌮ᰤ㣴ኈ 1 ྡ㸦5.6㸣㸧
ၥ 2࠙◊ಟཷㅮືᶵࠚ㸦」ᩘ㑅ᢥ㸧
16
ே(%) 1415(83.3)

12
10
8
6

7(38.9)7(38.9)5(27.8)4
2

0(0)1(5.6)

0ࡑࡢ௚Ѝ≀஦࡟ᑐᛂࡍࡿ୍ᡭẁ࡜ࡋ࡚㠃ⓑࡑ࠺ࡔࡗࡓ࠿ࡽz◊✲⌜ࡢ୍ဨ࡛ࠊཧຍࡉࡏ࡚ࡶࡽ࠺ࡇ࡜࡟࡞ࡗࡓzࣅࢪࢿࢫ◊ಟࡢࡼ࠺࡛ࠊ㠃ⓑࡑ࠺ࡔࡗࡓ࠿ࡽzᐇ᪋ࡍࡿࡇ࡜ࡀ┠ⓗ࡟࡞ࡗ࡚ࡋࡲࡗ࡚࠸ࡿࡇ࡜ࡀከ࠿ࡗࡓࡓࡵࠊィ⏬࣭ᐇ᪋࣭ホ౯ࡀ࡛ࡁࡿࡼ࠺ᡭἲࢆᏛࡧࡓ࠿ࡗࡓz⅏ᐖ᫬ᑐᛂࢆ⪃࠼ࡿᶵ఍ࢆᣢࡕࠊ࠿ࡘゎỴ᪉ἲ࡞࡝ࢆ⪃࠼ࡿᡭἲࢆᏛࡧࡓ࠿ࡗࡓࡓࡵz

PCM ᡭἲࢆ▱ࡽ࡞࠿ࡗࡓࡢ࡛ࠊ᪥ࡈࢁࡢᴗົ࡟ά࠿ࡏࡓࡽ࡜ᛮ࠸ཧຍࡋࡓࠋ࡝࠺ࠊఱ
࠿ࡽ஦ᴗࢆࡍࡿࡢ࠿ࡶᝎࡴࡇ࡜ࡀ࠶ࡗࡓࡢ࡛ࠊࡍࡈࡃຮᙉ࡟࡞ࡗࡓz⫋ሙࡢពᛮỴᐃࣉࣟࢭࢫ࡟୙‶ࢆឤࡌ࡚࠾ࡾࠊఱࡽ࠿ࡢࣄࣥࢺࡀḧࡋ࠿ࡗࡓzၥ㢟ᩚ⌮ࡋࠊ┠ⓗࢆỴᐃࡍࡿᡭἲ࡟⯆࿡ࢆᣢࡘ࡜࡜ࡶ࡟ࠊ௒ᚋά⏝࡛ࡁࡓࡽ࡜ᛮ࠸ཧ

 

ຍࢆᕼᮃ
z

≀஦࡟ᑐᛂࡍࡿ୍ᡭẁ࡜ࡋ࡚㠃ⓑࡑ࠺ࡔࡗࡓ࠿ࡽ

zࠕ౛ᖺ㏻ࡾࠖ࡟௙஦ࢆࡋ࡚࠸ࡿࠋ⮬ศ࡛ㄢ㢟ࢆᢕᥱࡋࠊࡑࢀ࠿ࡽ࡝࠺࢔ࢡࢩࣙࣥࢆ㉳ࡇࡋ࡚Ⰻ࠸࠿ࡀࢃ࠿ࡽ࡞࠿ࡗࡓࡓࡵzᐇ㝿࡟ᴗົࢆ㐍ࡵࡿ࠺࠼࡛ࠊ࡝ࡢࡼ࠺࡞ᡭ㡰࡛ィ⏬ࡍࢀࡤࡼ࠸࠿ࢃ࠿ࡽ࡞࠿ࡗࡓࡢ࡛z஦ᴗࢆィ⏬ࡍࡿ㝿࡟ཧ⪃࡟࡞ࡿ࡜ᛮࡗࡓ࠿ࡽz

PCM ᡭἲ࡜࠸࠺ᡭἲࡣࠊึࡵ࡚⪺࠸ࡓࡀࠊᑡࡋㄪ࡭ࡿ࡜ࡑࡢᡭἲࡀ࡝ࡢࡼ࠺࡞ࡶࡢ࡞
ࡢ࠿ࠊ⯆࿡ࡀࢃ࠸ࡓࡢ࡛
ᚡ᠍ẰủẺᐯဌᚡᡓ ᵓᵍᵏᵐ ỂẆẐྵ‫נ‬ỉಅѦ᡾ᘍỆ˴ỤẦỉ‫׉‬ᩊửज़ẳềẟỦẑଓầ୿ẦủềẟỦẇᴾၥ 3㸦ၥ 2 ࡛㸰㸬ࢆ㑅ᢥࡋࡓ⪅㸧⌧ᅾࡢ⮬ศࡢᴗົ࡟㛵ࡋ࡚ࠊ஦ᴗࡢ❧᱌/ィ⏬࣭ᐇ᪋࣭ホ౯➼࡛ᅔࡗ࡚࠸ࡿࡇ࡜࡟ࡘ࠸࡚z࠺ࡲࡃ㐍ࡲ࡞࠸z❧᱌࣭ィ⏬ࡍࡿ࡜ࡁ࡟ࠊ᪤Ꮡࡢ஦ᴗ࣭せ㡿࠿ࡽ࡝࠺ᆅᇦࡢ≉ᛶ࡟ྜࡗࡓࡶࡢࢆࡍࡿ࠿z஦ᴗࢆᐇ᪋ࡍࡿ࠺࠼࡛ࠊࡲࡎఱ࠿ࡽྲྀࡾ⤌ࡵࡤࡼ࠸ࡢ࠿ࢃ࠿ࡽ࡞࠸࡜ࡁࡀࡼࡃ࠶ࡿࠋ
Ỵࡵࡽࢀࡓ᪥࡟ࡕࠊ᫬㛫ࠊ㈝⏝➼ࡢ୰࡛ࠊ᭱ࡶຠᯝࡀᚓࡽࢀࡿࡼ࠺࡟ࡍࡿ࡟ࡣ࡝࠺ࡍ
ࢀࡤࡼ࠸࠿㏞࠺࡜ࡁࡀ࠶ࡿࠋz௒࠶ࡿၥ㢟ࢆゎỴࡍࡿࡢ࡟ຠᯝⓗ࡞ィ⏬ࢆసᡂ࡛ࡁ࡚࠸࡞࠸ࡼ࠺࡟ឤࡌ࡚࠸ࡿz㛵ಀ⪅ࡀ୺యⓗ࡟࠿࠿ࢃࡿࡼ࠺࡟ィ⏬ࢆ⟇ᐃࡍࡿࡇ࡜ࠋከࡃฟࡓㄢ㢟࡟ඃඛ㡰఩ࢆࡘࡅࠊᑐ⟇ࢆ❧࡚ࡿࡇ࡜ࢆᆅᇦࡢ㛵ಀ⪅࡜ྜྠ࡛సᴗࡍࡿ࡜ࡁ࡟㆟ㄽࡀࡲ࡜ࡲࡽ࡞࠸ࡇ
࡜ࡀࡼࡃ࠶ࡿࠋ

ၥ 4-1 PCM ᡭἲ࡟⯆࿡ࢆᣢࡘࡇ࡜ࡀ࡛ࡁࡓ࠿㸽 
0, 0%

1ே, 6%

0ே, 0%
2ே, 11%࡜࡚ࡶ⯆࿡῝࠿ࡗࡓࡲ࠶ࡲ࠶⯆࿡῝࠿ࡗࡓ࠶ࡲࡾ⯆࿡ࢆࡶ࡚࡞࠿ࡗࡓ
15ேࠊ83%ࡲࡗࡓࡃ⯆࿡ࢆࡶ࡚࡞࠿ࡗࡓ
↓グධ

 

̿࡝ࡢࡼ࠺࡞Ⅼࡀ⯆࿡῝࠿ࡗࡓ࠿̿z๓ྥࡁ࡞┠ᶆࢆ㛵ಀ⪅࡛ඹ᭷࡛ࡁࡿⅬzၥ㢟Ⅼࢆᣲࡆࡿ࡜ࡇࢁ࠿ࡽጞࡲࡿ࡜ࡇࢁ㸦ࢺࢵࣉࢲ࢘ࣥᘧࡣᢳ㇟ⓗ࡛ศ࠿ࡾ࡟ࡃ࠸㸧z඲ဨࡀཧຍ࡛ࡁࡿ࡜ࡇࢁz⣬࡟᭩࠸࡚どぬ໬࡛ࡁࡿ࡜ࡇࢁࠋzࢢ࣮ࣝࣉ໬ࡋࡓࡾࠊࡘ࡞ࡆࡓࡾࡋ࡚┠ⓗศᯒࡲ࡛ࡀ୍㐃ࡢὶࢀ࡛┠࡟ぢ࠼࡚ࣉࣟࢪ࢙
ࢡࢺࡢᙧࡀฟ᮶ୖࡀࡗ࡚࠸ࡃ࡜ࡇࢁࠋz┠ⓗศᯒ࡛ࢿ࢞ࢸ࢕ࣈ࡞⾲⌧ࢆ࣏ࢪࢸ࢕ࣈ࡞⾲⌧࡟ኚ᥮ࡋࡓ᫬࡟ࠊ୍Ẽ࡟ࡑࡢၥ㢟ࡢゎỴ⟇ࡀ࠸ࡃࡘࡶ࡛ࡁࡓࡢࡀ㠃ⓑ࠿ࡗࡓz௜⟢࡛どぬ໬ࡍࡿࡇ࡜࡟ࡼࡗ࡚ࠊၥ㢟ゎỴࡢ㐨➽ࡀࡣࡗࡁࡾࡍࡿࡢࡣ௒ᚋࡢ௙஦࡛ࡶ
౑࠾࠺࡜ᛮࡗࡓࠋzᑡேᩘ࡛ࡣ࡞ࡃࠊ」ᩘே࡛ពぢࢆฟࡋྜ࠸ࠊ┠ᶆࡸィ⏬➼ࢆసࡗ࡚࠸ࡃ࡜ࡇࢁz୍ᅇࡢ◊ಟ࡛௒ᚋ஦ᴗ࡟⏕࠿ࡋ࡚࠸ࡃ࡟ࡣຊ㔞ࡀ㊊ࡾ࡞࠸࡜ឤࡌࡓࡀࠊ௒ᚋࡇࡢࡼ࠺
࡞ PCM ◊ಟࡀ࠶ࢀࡤཧຍࡋࡓ࠸࡜ឤࡌࡓ◊ಟࡔࡗࡓzၥ㢟࠿ࡽ┠ⓗ࡬࡜㌿᥮ࡍࡿ࡜ࡁࡀ⯆࿡῝࠿ࡗࡓz௚⫋✀ࡸ࠸ࢁࢇ࡞ேࡢពぢࢆఛ࠺ࡇ࡜ࡀ࡛ࡁࠊ࠾ࡶࡋࢁ࠿ࡗࡓࠋⰍࠎ࡞どⅬ࠿ࡽၥ㢟ࢆぢࡿࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟࡞ࢀࡿ࡜ᛮࡗࡓzࢢ࣮ࣝࣉ࣮࣡ࢡ࡛࠸ࢁ࠸ࢁ࡞ពぢࡀ࠶ࡗ࡚㠃ⓑ࠿ࡗࡓzヰࡣ࡜࡚ࡶࢃ࠿ࡾࡸࡍ࠿ࡗࡓࡀࠊᐇ㝿࡟ࡸࡗ࡚ࡳࡿ࡟ࡣࡶ࠺ᑡࡋຮᙉ࣭カ⦎ࡀ࠸ࡿ࡞࡜ᛮࡗࡓzၥ㢟ࢆࡓࡃࡉࢇ࠶ࡆ࡚ࠊ࡝ࡇࢆゎỴࡍࢀࡤࡼࡾୖ఩┠ᶆࢆ㐩ᡂ࡛ࡁࡿ࠿ࠊ࡜࠸࠺どⅬzၥ㢟Ⅼࡢ࣎ࢺ࣒࢔ࢵࣉ࡛ࣉࣟࢪ࢙ࢡࢺࡲ࡛㉳ࡇࡋ࡚࠸ࡃ࡜ࡇࢁࡣ⯆࿡῝࠿ࡗࡓz࣮࢝ࢻ࡛ពぢࢆฟࡋྜ࠸ࠊཎᅉ̿⤖ᯝ࡟ࡼࡿᩚ⌮ࢆά࠿ࡋࠊᡭẁ࣭┠ⓗࢆᩚ⌮ࡍࡿⅬ࡟⯆࿡῝ࡃឤࡌࡓzၥ㢟ศᯒЍ┠ⓗศᯒ࡬ኚ᥮ࡋ࡚࠸ࡃ୰࡛ࠊලయⓗ஦㡯ࡀ᫂☜࡟࡞ࡿ஦ࡣࠊ௒ᚋၥ㢟࡟┤㠃ࡋࡓ㝿ࡢ࢔ࣉ࣮ࣟࢳ࡜ࡋ࡚ྲྀࡾ㎸ࡳࡓ࠸zᐇ㝿ࡢၥ㢟ࢆฟࡋࠊᩚ⌮ࡋࠊ┠ⓗ࣭┠ᶆࢆᐃࡵࡿ࡜࠸࠺᪂ࡋ࠸どⅬࢆᏛࢇࡔⅬzឤࡌ࡚࠸ࡿၥ㢟࠿ࡽཎᅉࢆ⪃࠼ࠊㄢ㢟ゎỴ࡟ࡘ࡞ࡆࡽࢀࡿࡓࡵࠊࡘ࡞ࡀࡾࡀ᫂☜ࡔࡗࡓ࠿ࡽࢃ࠿ࡾࡸࡍ࠿ࡗࡓࠋz┠ⓗ࣭ၥ㢟ࢆ᥀ࡾୗࡆ࡚⪃࠼࡚࠸ࡃࡓࡵࠊ⪃࠼ࡸࡍ࠿ࡗࡓࠋz஦ᴗࢆ㐩ᡂࡍࡿ┠ⓗࡢㄢ㢟ࡢ㒊ศ࠿ࡽࠊィ⏬ࢆ⪃࠼ࡿ࡜࠸࠺ࢽ࣮ࢬ࡟ἢࡗࡓ஦ᴗࡀᒎ
㛤࡛ࡁࡿⅬࠊᒎ㛤ࡢࡸࡾ᪉ࡀࢃ࠿ࡾࡸࡍ࠿ࡗࡓⅬzၥ㢟ศᯒࡣ୰ᚰ࡜࡞ࡿၥ㢟ࢆぢฟࡍࡇ࡜ࡀ㞴ࡋ࠿ࡗࡓ࡜࠸࠺ࡇ࡜ࢆ⤒㦂zᴫᛕⓗ࡟ゝㄒ໬ࡍࡿ࡜㸦᭩ࡁฟࡍ㸧ࠊලయⓗ࡞ᑐ⟇❧᱌ࡀᅔ㞴࡟࡞ࡿࡇ࡜ࢆ⤒㦂 

ၥ 4-2 PCM ᡭἲ࡟ࡘ࠸࡚ࠊ⌮ゎࡣ࡛ࡁࡓ࠿㸽0ே, 0% 0ே, 0%

3ே, 17%

࡜࡚ࡶࡼࡃ⌮ゎ࡛ࡁࡓࡲ࠶ࡲ࠶⌮ゎ࡛ࡁࡓ࠶ࡲࡾ⌮ゎ࡛ࡁ࡞࠿ࡗ
ࡓ

15ே, 83%ࡲࡗࡓࡃ⌮ゎ࡛ࡁ࡞࠿ࡗࡓ̿ࢃ࠿ࡾ࡟ࡃ࠿ࡗࡓⅬ̿zၥ㢟ศᯒࡢ⾲⌧ࡸどⅬࡀ㞴ࡋࡃࠊࡑࡢᚋࡢ┠ⓗศᯒࡀ࡛ࡁ࡞࠿ࡗࡓࡇ࡜ࡀ㞴ࡋ࠿ࡗࡓz⥳ࡢ௜⟢㸦㛵ಀ⪅ศᯒ㸧࡛᭩࠸ࡓࡇ࡜ࡢά⏝ἲzၥ㢟ศᯒࡣ⥙⨶ⓗ࡟⾜࠺ࡢ࠿ᐇ㝿ࡢၥ㢟ࡲ࡛࡟␃ࡵࡿ࡭ࡁ࠿ࠊ┠ⓗศᯒࡣࠊ✲ᴟせᅉ࢔ࣉ࣮ࣟࢳ࠿⮳㏆せᅉ࢔ࣉ࣮ࣟࢳ࠿ࠊ࣮ࣝࣝࡢࡼ࠺࡞ࡶࡢࡀࡶ࠺ᑡࡋ᫂ࡽ࠿࡟࡞ࡗ࡚
࠸ࡿ࡜㐍ࡵࡸࡍ࠸࡜ឤࡌࡓࠋz᫬㛫ࡀ࠶ࢀࡤࠊࡶࡗ࡜ࡌࡗࡃࡾᏛࡧࡓ࠿ࡗࡓzᡂᯝ࡜άືࡢ⪃࠼᪉ࡀ㞴ࡋ࠿ࡗࡓzၥ㢟ศᯒࡢ⪃࠼᪉ၥ 5-1 ᬑẁࡢᴗົ࡛ PCM ᡭἲࡣά⏝࡛ࡁࡿ࠿㸽0ே, 0%

ά⏝࡛ࡁࡿ

5ே, 28%࡝ࡕࡽ࡜ࡶ࠸࠼࡞࠸
13ே, 72%ά⏝࡛ࡁ࡞࠸ ̿࡝࠺࠸࠺Ⅼ࡛ά⏝࡛ࡁࡑ࠺࠿̿zከ⫋✀࡛ᐇ⾜࡛ࡁࡿzၥ㢟Ⅼࡢิᣲ࠿ࡽ࡞ࡢ࡛ࠊ㌟㏆࡞ၥ㢟ࡸㄢ㢟࠿ࡽྲྀࡾ⤌ࡵࡑ࠺zࣉࣟࢪ࢙ࢡࢺ࡛ࡣ࡞࠸ࡀࠊ஦ᴗィ⏬ࡍࡿ㝿࡟ά⏝࡛ࡁࡿ࡜ᛮࢃࢀࡿzၥ㢟ࡢᢕᥱࡸࠊࡑࢀ࡟ࡴࡅ࡚ࡢゎỴ⟇ࠊ஦ᴗ᱌ࢆ⪃࠼ࡿ࡟࠶ࡓࡗ࡚ᡭ㡰ࡸ⪃࠼᪉ࢆ▱ࡿࡇ࡜ࡀ࡛ࡁࡓࠋz⫋ሙෆእ࡛೺ᗣㄢ㢟ࡸᑐ⟇ࡢ᳨ウ࡟౑࠼ࡿ࡜ᛮࡗࡓzỴࡵࡽࢀࡓᴗົࡸ஦ᴗࡢ୰࡛ࠊࡼࡾᆅᇦࡢၥ㢟ࢆゎỴ࡛ࡁࡿࡼ࠺࡟άືࡍࡿⅬz⌧ᴗົࡢၥ㢟ᩚ⌮ࠊ௒ᚋࡢ┠ᶆタᐃ࡛ά⏝࡛ࡁࡿࠋඛࠎࡣࢳ࣮࣒࡜ࡋ࡚ά⏝࡛ࡁࡿᶵ఍ࢆタࡅࠊά࠿ࡍ࡜༑ศ࡞ၥ㢟ศᯒ࡟ࡘ࡞ࡀࡿ࡜ᛮࡗࡓࠋz⮬ศࡢᒓࡍࡿࢢ࣮ࣝࣉෆ࡛ၥ㢟ࡀ㉳ࡁࡓ㝿࡟ࠊၥ㢟ࢆඹ᭷ࡋࠊከゅⓗ࡟ゎỴ࡛ࡁࡿࡼ࠺࡞ᡭẁ࡜ࡋ࡚ࠊᐇ㝿࡟᭩ࡁฟࡍ࡜࠸࠺ࡇ࡜ࢆࡍࡿព⩏ࡀ኱ࡁ࠸࡜ᛮ࠺ࠋz

PCM ࡢどⅬ࡛ᴗົࢆᐇ᪋࡛ࡁࡑ࠺zᴗົ࡟ࡣㄢ㢟ࡶከ࠸ࡢ࡛ࠊࡑࡇ࠿ࡽᑐ⟇ࢆ⪃࠼ࡿࡇ࡜ࡀ࡛ࡁࡿࠋzࡲࡓࠊ㛵ಀ⪅࡜ PCM ࡛ᑐ⟇ࢆ⪃࠼࡚ࡶⰋ࠸࡜ᛮࡗࡓ

z஦ᴗࡢ┠ⓗࡣ࠶ࡿࡀࠊ఍㆟ࢆࡍࡿ࡟ࡋ࡚ࡶఱࢆࡋࡼ࠺࠿ᝎࡴࡢ࡛ࠊ㢌ࡢᩚ⌮࡜ࡋ࡚ࡶࠊ
ࡇࡢ᪉ἲࡀ౑࠼ࡿࡢ࡛ࡣ࡞࠸࠿࡜ᛮࡗࡓzᕷ⏫ᨭ᥼ࢆࡍࡿ㝿ࡢ஦ᴗィ⏬ࢆసᡂz⮬ศࡀᣢࡘᢸᙜᴗົࡢ୰࡛ࠊ㸯㹼㸰ே࡛ᡭἲࢆసࡗ࡚ᒎ㛤ࡍࡿࡢࡣ㞴ࡋࡑ࠺

ၥ 5-2 PCM ᡭἲࢆά⏝ࡍࡿࡢ࡟ఱࡀᚲせ࠿㸦」ᩘ㑅ᢥ㸧
16

ே(%)

14(77.8)

14

12(66.7)

12
10
8
6

4(22.2)3(16.7)

4
2
0
◊ಟ

ண⟬

ୖྖࡢ⌮ゎ

ࡑࡢ௚

̿ࡑࡢ௚ࡢヲ⣽̿z᫬㛫zࡲࡔ┴⫋ဨ࡜ࡋ࡚᪥ࡀὸ࠸ࡢ࡛ࠊࡑࡢᆅᇦࡢ≉ᛶࢆࡶࡗ࡜⌮ゎࡋࡓ࠺࠼࡛❧᱌࡛ࡁࡿࡼ࠺࡟ࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸࡜ᛮࡗࡓ

 

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⪃࠼᪉ࡢ⌮ゎzⓙ࡛஦ᴗࢆ⪃࠼࡚࠸ࡃࡼ࠺࡞㞺ᅖẼၥ 6 ⫋ሙ࡛ලయⓗ࡟࡝࠺ά⏝ࡍࡿ࠿zᡭἲ࡟ࡘ࠸࡚ࡁࡕࢇ࡜⌮ゎ࡛ࡁ࡚࠸࡞࠸ࡢ࡛ࠊά⏝᱌࡟ࡘ࠸࡚ᛮ࠸ࡘ࠿࡞࠸z௒ࡣࡲࡔᛮ࠸ᾋ࠿ࡤ࡞࠸zឤᰁ⑕ࡸ⅏ᐖ࡞࡝ࠊ⟶ෆ࡛Ⓨ⏕ࡋࡓ᫬ࡢᡤෆࡢయไ࡙ࡃࡾ➼ࠋᕷ⏫ᮧࡢ⫋ဨࡉࢇ࡜ࡶ୍⥴࡟z⮬ศ࡛ၥ㢟Ⅼࢆ᭩ࡁࠊ௙஦࡛⾜ࡁワࡗࡓ࡜ࡁ࡟ά⏝ࡋ࡚ࡳࡓ࠸zㄢෆ࣑࣮ࢸ࢕ࣥࢢz➨ 7 ḟಖ೺་⒪ィ⏬ࡢసᡂz┳ㆤ⫋ဨࡢ⥅⥆┳ㆤᩍ⫱ࡢ◊ಟ఍࡛ࡸࡗ࡚ࡳࡓ࠸࡜ឤࡌࡓ

zHC㸫ᕷ⏫ᮧ࡜࡛⿕⅏⪅ᨭ᥼zಖ೺ᖌ◊ಟ࡟ࡘ࠸᳨࡚ウࡍࡿ࡜ࡁzẕᏊᢸᙜ⪅఍㆟ࡸ◊ಟ࡛ά⏝ࡋ࡚ࡳࡓ࠸ࠋzࡲࡎࡣᕷ⏫ᮧ⫋ဨ◊ಟ࡞࡝࡛౑ࡗ࡚ࡳࡓ࠸z័ࢀ࡚ࡁࡓࡽࠊ㛵ಀ⪅࡜ࡢ఍㆟࡞࡝࡟ࡶᛂ⏝ࡋ࡚ࡳࡓ࠸z௒ᅇࡢ⅏ᐖࡢࡼ࠺࡟ࠊ஦๓ࡢഛ࠼ࡀᚲせ࡞஦ᴗ࡟≉࡟᭷ຠࡔ࡜ᛮࡗࡓ㸦᪥ࡈࢁࡣ┠ඛࡢᴗົ࡟࡜ࡽࢃࢀࡀࡕ࡞ࡢ࡛ࠊ⪃࠼ࡿࡁࡗ࠿ࡅ࡙ࡃࡾ࡜ࡋ࡚㸧zྠ൉ࡀᴗົࡢၥ㢟Ⅼࢆࡼࡃហ⑵࡛ゝ࠺ࡢ࡛ࠊࡑࢀࢆ㞟ࡵࡿࡇ࡜࡛ᴗົᨵၿࣉࣟࢪ࢙ࢡ
ࢺࢆ❧࡚ࡽࢀࡿ࡜⪃࠼ࡓz㛵ಀࡍࡿ஦ᴗ⪅ࡀ⾨⏕ྥୖ᱌࡟ࡘ࠸࡚ゝ࠸ヂࡤ࠿ࡾࡍࡿࡢ࡛ࠊᮏἲ࡟ࡼࡾࣉࣟࢪ࢙ࢡ
ࢺ໬ࡋࠊ㏨ࡆሙࢆ࡞ࡃࡋࠊࡸࡿẼࢆࡶࡗ࡚ࡶࡽ࠺zㄢෆ࣑࣮ࢸ࢕ࣥࢢ࡛ࡢά⏝ࠋㄢෆ୺せ஦ᴗࡢ┠ᶆタᐃࡢࡓࡵά⏝࡛ࡁࡓࡽⰋ࠸z఍㆟ࡸ◊ಟ఍zṑ⛉ಖ೺ᑐ⟇ࢆ㛵ಀ⪅࡛⪃࠼ࡿ➼zᢸᙜ⪅ࣞ࣋ࣝࡢ఍㆟࡛ά⏝ࡋ࡚ࡳࡓ࠸z೺ᗣࢆᏲࡿ፬ேࡢ఍ࡢᙺဨࡓࡕ࡜ά⏝ࡋࠊࣉࣟࢢ࣒ࣛࢆ⪃࠼ࡓ࠸

ၥ 7 ࡑࡢ௚⮬⏤࡟z㏵୰ࡲ࡛ࡋ࠿ཧຍ࡛ࡁ࡞࠿ࡗࡓࡢ࡛ࠊᑡࡋ᚟⩦ࡋࡓ࠸ࠋࡲࡎࡣ௒ࡲ࡛࡜⪃࠼᪉ࡸどⅬࢆኚ࠼ࡿ࡜ࡇࢁ࠿ࡽጞࡵࡿ࡜࠸࠸ࡢ࠿࡞࡜ᛮ࠺ࠋz㛗࠸ࡼ࠺࡛࠶ࡗ࡜࠸࠺㛫ࡢ୍᪥࡛ࠊࡶ࠺ᑡࡋࡑࢀࡒࢀࡢศᯒ࡟᫬㛫ࡀḧࡋ࠸࡜ᛮ࠺ࡇ
࡜ࡀከࠎ࠶ࡗࡓࠋࡀࠊPCM ᡭἲࢆᐇ㝿ࡸࡗ࡚ࡳ࡚ࠊࡇࡢࡼ࠺࡞ࡶࡢࡔ࡜࠸࠺ࡢࡀࢃ࠿
ࡗ࡚ࡼ࠿ࡗࡓ࡛ࡍࠋz⏫ࡢ⫋ဨࡢ᪉࡜ࡶࡸࡗ࡚ࡳࡓ࠸

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ၥ㢟ศᯒࡀ༑ศ࡟࡛ࡁ࡚࠸࡞࠿ࡗࡓࡓࡵࠊ᭱ᚋࡢ PDM ࢆస〇ࡍࡿࡢࡀ㞴ࡋ࠿ࡗࡓzᵝࠎ࡞⫋✀࣭⤒㦂࠿ࡽࡢពぢࢆ⪺ࡁࠊ⪃࠼ࡿࡇ࡜ࠊఏ࠼ࡿࡇ࡜ࠊ⾲⌧ࡍࡿࡇ࡜ࡢ኱ษ
ࡉࠊ⮬ศࡢຊ୙㊊ࢆឤࡌࠊࡼࡾࡀࢇࡤࡗ࡚࠸ࡇ࠺࡜ᛮ࠼ࡓࠋzၥ㢟ࡢ᭩ࡁ᪉ࡀ㞴ࡋ࠿ࡗࡓ㸦ᚋ࡛᭩ࡁ┤ࡋࡀ⏕ࡌࡿࡓࡵࠊࡁࡕࢇ࡜◊ಟ࡛Ꮫࡪࡇ࡜ࡀ
኱ษ࡜ᛮࡗࡓ㸧z㛵㐃௜ࡅࡶ㞴ࡋ࠿ࡗࡓz඲యࡢὶࢀࡢ⪃࠼᪉ࡣ⌮ゎ࡛ࡁࡓz࢔ࣉ࣮ࣟࢳࡢẚ㍑どⅬ➼ཧ⪃࡟࡞ࡗࡓzᴦࡋࡃཧຍ࡛ࡁ࡚ࡼ࠿ࡗࡓࠋzࡶ࠺ᑡࡋ᫬㛫ࢆ࠿ࡅ࡚ࡸࡗ࡚ࡳࡓ࠸࡜ᛮࡗࡓz኱ኚຮᙉ࡟࡞ࡗࡓࠋ௒ᚋࡶά⏝ࡋ࡚࠸ࡁࡓ࠸ࠋz඲యീࡀࡘ࠿ࡳ࡟ࡃ࠿ࡗࡓࠋz኱ኚ⯆࿡῝ࡃཷㅮ࡛ࡁࡓࠋz㛗᫬㛫ࡢ◊ಟ࡜ࡋ࡚ཷㅮࡋ࡚ࡳࡓ࠸࡜ឤࡌࡓz᫬㛫࡟ไ⣙ࡀ࠶ࡗࡓࡢ࡛ࠊ༑ศ࡟⌮ゎ࡛ࡁࡓ࡜ࡣゝ࠼࡞࠸ࡀࠊㄽ⌮ⓗ࡟⪃࠼࡚࠸ࡃ㐣⛬ࡣ⮬ศࡢ୰࡛ࡶᩚ⌮࡛ࡁ࡚㠃ⓑ࠿ࡗࡓࠋz᪂ࡋ࠸⪃࠼᪉ࢆᏛࡪࡇ࡜ࡀ࡛ࡁࡓࠋz஦ᴗࢆ⪃࠼ࡿ࠺࠼࡛ࠊ㢌ࡢᩚ⌮ࡀࡋࡸࡍࡃࠊࢃ࠿ࡾࡸࡍ࠸᪉ἲࡔ࡜ᛮࡗࡓࠋzಖ೺ᖌ࡜ࡋ࡚ PCM ᡭἲࡢ⪃࠼᪉ࡣ኱ษࡔ࡜㠀ᖖ࡟ឤࡌࡓࠋ࡜࡚ࡶࡼ࠸ᶵ఍࡜࡞ࡗࡓࠋ 

㈨ᩱ 20 PCM ◊ಟ㛗ᓮ஬ᓥ ࢔ࣥࢣ࣮ࢺ⤖ᯝၥ 1࠙ཧຍ⪅࡟ࡘ࠸࡚ࠚ⥲ཧຍ⪅ᩘ 13 ྡᛶู㸸ዪᛶ 13 ྡ㸦100㸣㸧ᖺ㱋㸸20 ṓ௦ 3 ྡ㸦23.1㸣㸧ࠊ30 ṓ௦ 1 ྡ㸦7.7㸣㸧ࠊ40 ṓ௦ 7 ྡ㸦53.8㸣㸧ࠊ50 ṓ௦ 2 ྡ㸦15.4㸣㸧
⫋✀㸸ಖ೺ᖌ 12 ྡ㸦92.3㸣㸧ࠊ⟶⌮ᰤ㣴ኈ 1 ྡ㸦7.7㸣㸧
ၥ 2࠙◊ಟཷㅮືᶵࠚ㸦」ᩘ㑅ᢥ㸧
12

ே(%)

10㸦76.9㸧
10
8
64(30.8)4

3(23.1)
2(15.4)2

1(7.7)0(0)0ࡑࡢ௚ЍPCM ࡜࠸࠺ᡭἲࢆ⪺࠸ࡓࡇ࡜ࡀ࡞࠿ࡗࡓࡓࡵࠊ࡝ࢇ࡞ᡭἲࡀᏛࡧࡓ࠿ࡗࡓ࠿ࡽzዉ␃ࡢ௓ㆤ་⒪㐃ᦠ ࡺࡃࡺࡃࡣ஬ᓥᕷ඲య࡟ά⏝࡛ࡁࡿ࡜ᛮࡗࡓࡢ࡛ࠋzಖ೺ᡤ࠿ࡽ᱌ෆࡀ࠶ࡗࡓ㐣ཤࡢ㛤ദせ㡿࡟⯆࿡ࢆᣢࡗࡓࠋzዉ␃⏫࡛ࡢ஦ᴗࢆᐇ㝿࡟⾜ࡗ࡚࠾ࡾࠊఫẸ࡜ඹ࡟᳨ウࡋ࡚࠸ࡿࡇ࡜࡟ጇᙜᛶࡀ࠶ࡿࡢ
࠿ඃඛᗘࡣఱ࠿୙᫂☜࡞ࡓࡵࠋzఫẸ࠿ࡽࡢពぢࢆᘬࡁฟࡋ᪋⟇࡟ά࠿ࡏࡿᡭἲ࡟ࡘ࠸࡚▱ࡾࡓ࠿ࡗࡓࠋ

ၥ 3㸦ၥ 2 ࡛㸰㸬ࢆ㑅ᢥࡋࡓ⪅㸧⌧ᅾࡢ⮬ศࡢᴗົ࡟㛵ࡋ࡚ࠊ஦ᴗࡢ❧᱌/ィ⏬࣭ᐇ᪋࣭ホ౯➼࡛ᅔࡗ࡚࠸ࡿࡇ࡜࡟ࡘ࠸࡚zఱࡶ࠿ࡶ࠶࠸ࡲ࠸࡞ឤࡌ࡛ࠊ࡜࡟࠿ࡃ᪤Ꮡࡢ஦ᴗࢆࡍࡿࡇ࡜࡟㏣ࢃࢀ࡚࠸ࡿࡢ࡛ࠋ

 

z

࡝ࡢࡼ࠺࡞ᡭἲ࡛సࡿ࡜࠸࠸ࡢ࠿࠸ࡘࡶ㏞ࡗ࡚࠸ࡓࡢ࡛ࠊࡇࡢᡭἲࡶ࠶ࡿ࡜࠸࠺ࡇ࡜
ࡀศ࠿ࡗ࡚Ⰻ࠿ࡗࡓ࡛ࡍࠋz࠸ࢁࢇ࡞ᡭἲࡀ࠶ࡾຠᯝࢆᚓࡽࢀࡸࡍࡃࠊศ࠿ࡾࡸࡍࡃࠊఫẸ࡜ඹ࡟࡛ࡁࡿᡭἲࡢ㑅ᢥ࡛ᝎࡴࡇ࡜ࡀ࠶ࡿࠋ

z⟶㎄ᆅ༊ෆࡢ஧ḟ㞳ᓥࡢ೺ᗣㄢ㢟ࡢᢕᥱࡀ࡛ࡁ࡚࠸࡞࠸ࡇ࡜ࠋ࡝ࡢࡼ࠺࡞ὶࢀ࡛஦ᴗ
ࢆ❧᱌ࡋ࡚࠸ࡅࡤࡼ࠸ࡢ࠿ศ࠿ࡽࡎ࡟࠸ࡿࠋ   

ၥ 4-1 PCM ᡭἲ࡟⯆࿡ࢆᣢࡘࡇ࡜ࡀ࡛ࡁࡓ࠿㸽 
0ே, 0%

0ே, 0%

࡜࡚ࡶ⯆࿡῝࠿ࡗࡓ6ே, 43%ࡲ࠶ࡲ࠶⯆࿡῝࠿ࡗࡓ
8ே, 57%࠶ࡲࡾ⯆࿡ࢆࡶ࡚࡞࠿ࡗࡓ
ࡲࡗࡓࡃ⯆࿡ࢆࡶ࡚࡞࠿ࡗࡓ

̿࡝ࡢࡼ࠺࡞Ⅼࡀ⯆࿡῝࠿ࡗࡓ࠿̿z㞴ࡋ࠿ࡗࡓ࡛ࡍࡅ࡝ࠊ๓ྥࡁ࡞ィ⏬ࡀࡓ࡚ࡽࢀࡿࡼ࠺࡞Ẽࡀࡋࡲࡋࡓࠋz඲యⓗ࡞ㄢ㢟ࢆࡳࡽࢀࡿ࡜࠸࠺Ⅼz඲࡚ࢆࡸࢁ࠺࡜ࡍࡿࡀ㑅ᢥࡋ࡚ࡸࡿࡇ࡜zᆅᇦ඲యࢆ࠸ࢁࢇ࡞どⅬ࠿ࡽ⪃࠼࡚࠸ࡃ㐣⛬ࡀ⯆࿡῝࠸࡜ᛮࡗࡓࠋzၥ㢟ࡢ඲యീࡸ㛵㐃ᛶࢆᢕᥱࡋࠊᩚ⌮ࡍࡿࡇ࡜ࡀ࡛ࡁࡿⅬࠋ஦ᴗࢆ❧᱌ࡍࡿ᰿ᣐࡀศ
࠿ࡾࡸࡍ࠸ࡇ࡜ࠋࡓࡔࡋࠊศᯒࡀ኱ኚࡔ࡜ᛮ࠸ࡲࡋࡓࠋ z

PCM ࡢලయⓗ࡞౑࠸᪉ࡸ≉ᚩࢆᐇ㝿࡟ࡸࡗ࡚ࡳ࡞ࡀࡽᏛࡪࡇ࡜ࡀ࡛ࡁࡓࠋ㞴ࡋ࠿ࡗࡓࡀࠊᐇ㝿࡟ά⏝࡛ࡁࡑ࠺࡞ᡭἲࡔ࡜ឤࡌࡓࠋzၥ㢟ศᯒ࠿ࡽ┠ⓗศᯒࡢᒎ㛤ࡀ᭱ࡶ༳㇟ⓗ࡛࠶ࡗࡓࠋၥ㢟ศᯒࡀලయⓗ࡛᫂☜࡛࡞࠸࡜┠ⓗศᯒࡀ୙᫂☜࡟࡞ࡿⅬࡀ⯆࿡῝࠿ࡗࡓࠋz᫬㛫ࡀ࠿࠿ࡾ኱ኚࡔ࡜࠸࠺༳㇟࡛࠶ࡗࡓࠋ     ၥ 4-2 PCM ᡭἲ࡟ࡘ࠸࡚ࠊ⌮ゎࡣ࡛ࡁࡓ࠿㸽0ே, 0%

1ே,0ே,
8% 0%࡜࡚ࡶࡼࡃ⌮ゎ࡛ࡁࡓࡲ࠶ࡲ࠶⌮ゎ࡛ࡁࡓ࠶ࡲࡾ⌮ゎ࡛ࡁ࡞࠿ࡗࡓ

11ே, 92%ࡲࡗࡓࡃ⌮ゎ࡛ࡁ࡞࠿ࡗࡓ

̿ࢃ࠿ࡾ࡟ࡃ࠿ࡗࡓⅬ̿zཎᅉ̿⤖ᯝ࡟ࡼࡿᩚ⌮ࡀ㞴ࡋ࠿ࡗࡓࠋzၥ㢟ศᯒࡢ⾲⌧᪉ἲࡀ඘ศ࡟⌮ゎ࡛ࡁ࡞࠿ࡗࡓࠋ

ၥ 5-1 ᬑẁࡢᴗົ࡛ PCM ᡭἲࡣά⏝࡛ࡁࡿ࠿㸽2ே,15%
3ே, 23%ά⏝࡛ࡁࡿ࡝ࡕࡽ࡜ࡶ࠸࠼࡞
࠸

8ே, 62%ά⏝࡛ࡁ࡞࠸

̿࡝࠺࠸࠺Ⅼ࡛ά⏝࡛ࡁࡑ࠺࠿̿zᆅᇦศᯒ࡟ά⏝࡛ࡁࡲࡍࠋz⌧ᅾྲྀࡾ⤌ࢇ࡛࠸ࡿ஦ᴗ࡟ά⏝ࡋ࡚ࡳࡼ࠺࡜ᛮ࠸ࡲࡍࠋz⮬ศࡢᆅᇦ࡟ࡘ࠸࡚ࠊ⌧≧ࢆ▱ࡾ┠ⓗࢆᣢࡗ࡚άືࡋࡓ࠸ࠋzၥ㢟ࡢ඲యീࡢᢕᥱz㞴ࡋࡃࡣ࠶ࡗࡓࡀࠊ⾲࡟࠶࡚ࡣࡵࡿࡇ࡜࡛ࠊศ࠿ࡾࡸࡍ࠸ࡢ࡛ࡣ࡜ᛮࡗࡓࠋzၥ㢟ศᯒ࠿ࡽ┠ⓗศᯒࠊ஦ᴗࡢඃඛᗘࡲ࡛⪃࠼ࡿࡇ࡜ࡀ࡛ࡁࡿ࡜ᛮ࠸ࡲࡋࡓࠋ

̿ࠕ࡝ࡕࡽ࡜ࡶ࠸࠼࡞࠸ࠖ̿zఫẸࡉࢇ࡜⾜࠺࡟ࡣぬᝅࡀ࠸ࡿ̿࡝࠺࠸࠺Ⅼ࡛ࠊά⏝࡛ࡁࡑ࠺࡟࡞࠸࡜ᛮ࠺࠿̿z୍ᗘࡢ◊ಟࡔࡅ࡛ࡣ⮬ಙࡀ࡞࠸z

PCM ᡭἲࢆά⏝ࡍࡿ᫬㛫ࡀྲྀࢀ࡞࠸ 

ၥ 5-2 PCM ᡭἲࢆά⏝ࡍࡿࡢ࡟ఱࡀᚲせ࠿㸦」ᩘ㑅ᢥ㸧
ே(%) 1210(76.9)10
8(46.2)
6
4

3(23.1)

2

1(7.7)

0
◊ಟ

ண⟬

ୖྖࡢ⌮ゎ

ࡑࡢ௚

̿ࡑࡢ௚ࡢヲ⣽̿z᫬㛫㸦2 ྡ㸧zࡲࡎࡣ౑࠺ࡇ࡜㸦ᐇ㊶㸧
㸦3 ྡ㸧

z

₇⩦㸦1 ྡ㸧ၥ 6 ⫋ሙ࡛ලయⓗ࡟࡝࠺ά⏝ࡍࡿ࠿z⌜ෆ࡛ࡢ࣑࣮ࢸ࢕ࣥࢢzఱ࠿ࡢ஦ᴗࢆࡍࡿ᫬࡟ࠊࡑࢀࢆ࠸ࡗࡋࡻ࡟ࡍࡍࡵࡿ࣓ࣥࣂ࣮࡛౑ࡗ࡚ࡳࡓ࠸ࠋzᆅᇦศᯒࡸ஦౛᳨ウࢆࡋࡓ㝿ࡢᆅᇦ㈨※୙㊊ࠊ࡯࠿ࡢㄢ㢟ゎỴࡢ㝿࡟᭷ຠࡔ࡜
ឤࡌࡲࡋࡓࠋzㄢෆ࡛ᥦ᱌ࡍࡿ㈨ᩱ࡟ά⏝ࡋࡼ࠺࡜ᛮ࠸ࡲࡍࠋ

z⟶ෆࡢ་⒪࣭௓ㆤ➼ࡢᚑ஦⪅◊ಟ఍࡞࡝࡛ά⏝࡛ࡁࡿ࡜ᛮ࠺ࠋఫẸࡶ஺࠼ࡓሙ࡛ࡢά
⏝ࡀ࡛ࡁࢀࡤࠊࡼࡾ⌧ᐇⓗ࡞ࡶࡢ࡟࡞ࡿ࡜ᛮ࠺ࠋ         zㄢෆ࣑࣮ࢸ࢕ࣥࢢ࡛ಖ೺ᖌࡢࡳ࡛࡞ࡃ඲࡚ࡢ⫋ဨ࡛ά⏝ࡍࡿࠋ

z

ᆅ༊デ᩿

z

ዉ␃⏫࡛ࡢ஦ᴗࢆ෌☜ㄆࡍࡿࠋၥ 7 ࡑࡢ௚⮬⏤࡟zఫẸࡉࢇ࡜ࡸࡗ࡚ࡳࡿ࡜ᴦࡋࡑ࠺ࡔ࡜ࠋ⮬ศࡓࡕࡀࡸࡗ࡚࠸ࡿάືࢆㄽ⌮ⓗ࡟ㄝ࡛᫂ࡁࡿࡼ࠺࡟࡞ࡾࡓ࠸࡛ࡍࠋz

PCM ᡭἲࡢ඲࡚ࢆᬑẁࡢᴗົ࡟ά࠿ࡍࡇ࡜ࡣ㞴ࡋ࠸࡜ᛮ࠸ࡲࡍࡀࠊ࡛ࡁࡿ࡜ࡇࢁ࠿ࡽ
ά⏝ࡋ࡚࠸ࡁࡓ࠸࡛ࡍࠋzึࡵ࡚ࡢᡭἲ࡛㞴ࡋࡃឤࡌࡿࡇ࡜ࡶ࠶ࡾࡲࡋࡓࡀࠊ⮬ศࡓࡕ࡛⪃࠼࡚ಖ೺άືࢆࡍࡿ
ࡇ࡜ࡢ኱ษࡉ࡜㠃ⓑࡉࢆឤࡌࡲࡋࡓࠋ

 

z

᫬㛫ⓗ࡟࡜࡚ࡶ㛗࠸◊ಟ࡜ᛮࡗ࡚࠸ࡲࡋࡓࡀࠊពእ࡟᪩ࡃ⤊஢ࡋࡓ࡜ᛮ࠸ࡲࡋࡓࠋࢢ
࣮ࣝࣉ࣮࣡ࢡࡣᴦࡋ࠿ࡗࡓ࡛ࡍࠋzཧຍ⪅඲ဨ࠿ࡽពぢࢆ⪺ࡁࡔࡍࡇ࡜ࠊࡑࡢពぢࢆ࡝ࡢࡼ࠺࡟ά࠿ࡍ࠿࡜࠸࠺ࡇ࡜ࡣ㞴ࡋ࠿ࡗࡓࠋᴦࡋ࠸㞺ᅖẼ࡛ཧຍ࡛ࡁࡓࠋ     
䝥䝻䝆䜵䜽䝖䝃䜲䜽䝹⌧≧ศᯒ

PCM ᡭἲ
Project Cycle Management

EvaluationSEEᅜ㝿་⒪䝉䞁䝍䞊௰బ ಖィ⏬
Planning and෌ィ⏬㸧 Re-Planning

ホ౯

PLAN
ᐇ᪋

PCMᡭἲ

ᐈほⓗ
ᣦᶆ

ᣦᶆ䛾
ධᡭᡭẁ

እ㒊᮲௳

ୖ఩┠ᶆ

䝥䝻䝆䜵䜽䝖
┠ᶆ

ᡂᯝ

άື

ᢞධ

๓ᥦ᮲௳

ᐈほⓗᣦᶆ

ᣦᶆධᡭᡭẁ

እ㒊᮲௳࠙ୖ఩┠ᶆࠚ
࢝ࣥ࣎ࢪ࢔࡟࠾ࡅࡿ⇍⦎ຓ⏘⪅㸦Skilled
Birth Attendant: SBA
㸧࡟ࡼࡿ㉁ࡢ㧗࠸ዷፎ࣭ฟ⏘࣭᪂⏕ඣࢣ࢔ࢧ࣮ࣅࢫࡢ฼⏝ࡀቑຍࡍࡿ

- SBAࡢ❧఍࠸࡟ࡼࡿฟ⏘ࡢ๭ྜ㹙44㸣
DHS㸦Demographic and Health
Survey㸧2005Ѝ 80㸣 HSP㸦HealthStrategic Plan㸧2 ࡛つᐃࡉࢀ࡚࠸ࡿ
2015ᖺࡢࢱ࣮ࢤࢵࢺ㹛- ዷ⏘፬೺デཷデ⋡㹙2ᅇ௨ୖཷデࡍࡿዷ፬⋡68㸣 㸦HSP2ᥖ㍕ࡢ࣮࣋ࢫࣛ࢖ࣥ
್2005-2008㸧ࠊ60.2㸣 DHS2005
Ѝ 90% HSP2 ࡛つᐃࡉࢀ࡚࠸ࡿ
2015ᖺࡢࢱ࣮ࢤࢵࢺ㹛

NHS㸦National Health
Statistics㸧, DHS
NHS, DHSಖ೺┬ࡀSBA࡜ẕᏊ᪂⏕ඣ࡟㛵ࡍࡿ୺せ࡞ᨻ⟇ࢆኚ᭦
ࡋ࡞࠸࠙ࣉࣟࢪ࢙ࢡࢺ┠ᶆࠚࣔࢹ࣭ࣝࢧ࢖ࢺࡢዷፎ
࣭ฟ⏘࣭᪂⏕ඣࢣ࢔ࢧ࣮ࣅࢫࡀྥୖࡋࠊࡑࢀ
ࡀᆅᇦࣔࢹࣝ(⾜ᨻ࡟ࡼࡿᨭ᥼ࣔࢹࣝ࡜ࢥ࣑ࣗ
ࢽࢸ࢕ࡢ༠ാࣔࢹࣝ)࡜
ࡋ࡚ᅜᐙࣉࣟࢢ࣒ࣛ࡟཯ᫎࡉࢀࡿ- ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾ࡅࡿSBA࡟ࡼࡿฟ⏘௓ຓࡢᩘ࡜⋡㸦8373ศፔ 34㸣
NHS2006 Ѝ12068ศፔ 50㸣
NHS2009a㸧- ࣔࢹ࣭ࣝࢧ࢖ࢺSBA࡟ࡼࡿዷ⏘፬೺デࡢᩘ࡜⋡㸦2ᅇཷデ10541ே 43%
NHS2006 Ѝ15585ே 64㸣
NHS2009b㸧- ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾࠸࡚Ⓩ㘓ࡉࢀࡓcฟ⏘ᩘ࡜⋡㸦12301ศፔ 50㸣
NHS2006 Ѝ 15497ศፔ 63㸣
NHS2009 㸫2015ᖺ࡟90㸣ࡀⓏ㘓ࡉࢀࡿ࡜௬ᐃ㸧- ࣉࣟࢪ࢙ࢡࢺࡢ⤒㦂ࢆࡶ࡜࡟ᅜᐙࣉࣟ
ࢢ࣒ࣛ࡜ࡋ࡚ᢎㄆࡉࢀࠊ඲ᅜࢆᑐ㇟࡜
ࡋ࡚ᐇ᪋ࡉࢀࡓ஦ᴗࡢᩘ㸦Ѝ㸧OD࡟ࡼࡿHISሗ࿌/ NHSOD࡟ࡼࡿHISሗ࿌/ NHSOD࡟ࡼࡿHISሗ࿌/ NHSࣉࣟࢪ࢙ࢡࢺሗ࿌᭩

ᅜ❧ẕᏊಖ೺ࢭࣥ
ࢱ࣮࡜ࢭࣥࢱ࣮ෆ
ࡢᅜᐙࣉࣟࢢ࣒ࣛ
ᶵ⬟ࡀ኱ᖜ࡟ኚ᭦
ࡉࢀ࡞࠸࠙άືࠚ
0-1. ࢥ࣏ࣥࣥࢳ࣒ࣕᕞࡢࣔࢹ࣭ࣝࢧ࢖ࢺ࡜࡞ࡿODࢆ㑅ᐃࡍࡿࡓࡵ࡟⌧≧ࢆࣞࣅ࣮ࣗࢆࡍࡿ
0-2 ࣔࢹ࣭ࣝࢧ࢖ࢺࢆ㑅ᐃࡍࡿ
1-1 ඲ᅜࡢࣔࢽࢱࣜࣥࢢ᪉ἲࣞࣅ࣮ࣗ㸦άື2-1㸧࡜ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾ࡅࡿ㛵ಀ⪅ศᯒࡢ⤖ᯝࢆࡶ࡜
࡟ࠊNMCHCࡀࣔࢹࣝࢧ࢖ࢺࡢSBAࢳ࣮࣒࣮࣡ࢡᙉ໬◊ಟ(MCT,MAT◊ಟ)࣒࢝ࣜ࢟ࣗࣛࢆసᡂࡍࡿ
1-2 ◊ಟᐇ᪋యไࢆᩚ࠼ࡿ
1-3 ẕᏊಖ೺⾜ᨻᐁ㸦PHD/OD-MCH㸧ࢆᑐ㇟࡟ToT㸦Training of Trainers㸧(MCT◊ಟ)ࢆᐇ᪋ࡋຓ
⏘ᖌࢥ࣮ࢹ࢕ࢿ࢖ࢱ࣮࡜ࡋ࡚㣴ᡂࡍࡿ
1-4 ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾࠸࡚ẕᏊಖ೺ࢧ࣮ࣅࢫᙉ໬ࢆࢳ࣮࣒࡛ྲྀࡾ⤌ࡵࡿࡓࡵࡢ◊ಟ㸦MAT◊ಟ㸧ࢆ
PHD/OD/RHࢆᑐ㇟࡟ᐇ᪋ࡍࡿ
1-5 ຓ⏘ᖌࢥ࣮ࢹ࢕ࢿ࢖ࢱ࣮࡜RH-SBAࡀMAT◊ಟ᫬࡟HC-SBAᨭ᥼ࡢࡓࡵࡢ࢔ࢡࢩࣙࣥࣉࣛࣥࢆస
ᡂࡍࡿ
1-6 ᡂᯝࢆࣔࢽࢱࣜࣥࢢࡍࡿࡓࡵࠊࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾࠸࡚ࣇ࢛࣮ࣟ࢔ࢵࣉ࣮࣡ࢡࢩࣙࢵࣉࢆ⾜࠺
2-1 PHD/OD࡟ࡼࡿHC-SBA࡟ᑐࡍࡿᨭ᥼᪉ἲ㸦ࣔࢽࢱࣜࣥࢢ᪉ἲ࡜⌧Ꮡࡍࡿࢳ࢙ࢵࢡࣜࢫࢺ㸧ࢆࣞࣅ࣮ࣗࡍࡿ
2-2 ࣞࣅ࣮ࣗࡢ⤖ᯝࢆάື1-1ࡢ◊ಟ࣒࢝ࣜ࢟ࣗࣛ࡟཯ᫎࡉࡏࡿ
2-3 ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾࠸࡚ຓ⏘ᖌࢥ࣮ࢹ࢕ࢿ࢖ࢱ࣮ࡀ࢔ࢡࢩࣙࣥࣉࣛࣥࢆᐇ᪋ࡍࡿ
2-4 ◊ಟᚋ࡟ࢳ࢙ࢵࢡࣜࢫࢺ࡞࡝ࢆά⏝ࡋࠊPHD/OD/RH࡟ࡼࡿHC-SBAs࡬ࡢᨭ᥼ࢆᙉ໬ࡍࡿ
2-5 ຓ⏘ᖌࢥ࣮ࢹ࢕ࢿ࢖ࢱ࣮࡜RH-SBA࡟ᑐࡍࡿNMCHCࡢᨭ᥼ࢆᙉ໬ࡍࡿ
2-6 SBAᨭ᥼࢞࢖ࢻࣛ࢖ࣥࢆసᡂࡍࡿࡓࡵࡢ஦౛ࢆ཰㞟ࡍࡿ
2-7 ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾ࡅࡿᨭ᥼ࣔࢹࣝ஦౛ࢆࡶ࡜࡟ࠊ඲ᅜࢆᑐ㇟࡜ࡋࡓSBAᨭ᥼࢞࢖ࢻࣛ࢖ࣥࢆస
ᡂࡍࡿ
3-1 ඲ᅜ࡟࠾࠸࡚ࢥ࣑ࣗࢽࢸ࢕࣭ࣞ࣋ࣝࡢࢢࢵࢻ࣭ࣉࣛࢡࢸ࢕ࢫࢆࣞࣅ࣮ࣗࡍࡿ
3-2 㑅ᐃࡉࢀࡓࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾ࡅࡿ㛵ಀ⪅ศᯒࢆ⾜࠺
3-3 ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾ࡅࡿHCࢫࢱࢵࣇ࡜ࢥ࣑ࣗࢽࢸ࢕࡟ࡼࡿ༠ാάືࢆㄪᰝࡋࢥ࣑ࣗࢽࢸ࢕༠ാࡢ
ಁ㐍࣭㜼ᐖせᅉࢆᢳฟࡍࡿ
3-4 ODࡢࡓࡵࡢࢥ࣑ࣗࢽࢸ࢕༠ാᨭ᥼⾜ືࣜࢫࢺࢆసᡂࡍࡿ
3-5 ODࡢࢥ࣑ࣗࢽࢸ࢕༠ാᨭ᥼⾜ືࢆࣔࢽࢱ࣮ࡍࡿ
3-6 ODࡢࡓࡵࡢࢥ࣑ࣗࢽࢸ࢕༠ാᨭ᥼⾜ື࢞࢖ࢻࣛ࢖ࣥࢆసᡂࡍࡿ
3-7 ࣔࢹ࣭ࣝࢧ࢖ࢺࡢ⤒㦂ࢆඹ᭷ࡍࡿ࣮࣡ࢡࢩࣙࢵࣉࢆᐇ᪋ࡍࡿ
4-1 ẕᏊಖ೺㛵㐃࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࡢάື࡟ཧຍࡍࡿ
4-2 ࣉࣟࢪ࢙ࢡࢺࡢάື㐍ᤖ࣭ᡂᯝࡸᆅ᪉࡟࠾ࡅࡿㄪᰝ⤖ᯝࢆ୰ኸࣞ࣋ࣝࡢẕᏊಖ೺㛵ಀ⪅㸦ᅜ❧ẕᏊಖ೺ࢭࣥࢱ࣮ࠊ㛤Ⓨࣃ࣮ࢺࢼ࣮ഃᢏ⾡࢔ࢻࣂ࢖ࢨ࣮㸧࡟ሗ࿌ࡍࡿ
4.3 ࣉࣟࢪ࢙ࢡࢺࡢ⤒㦂ࢆά࠿ࡋSBAࢆᑐ㇟࡜ࡋࡓNMCHCࡢ◊ಟෆᐜ➼ࢆኚ᭦࣭ᨵᐃࡍࡿ
4-4 ዷ⏘፬Ṛஸ࣭⑌⑓࡟㛵ࡍࡿ᝟ሗࢆㄪᰝศᯒࡋᅜᐙࣜࣉࣟࢲࢡࢸ࢕ࣈ࣊ࣝࢫࣉࣟࢢ࣒ࣛ࡜ᅜᐙዷ⏘፬Ṛஸ࣮࢜ࢹ࢕ࢵࢺጤဨ఍࡟ሗ࿌ࡍࡿ
4-5 MCT/MAT◊ಟ࣒࢝ࣜ࢟ࣗࣛࢆᇶ࡟᪂◊ಟ࣒࢝ࣜ࢟ࣗࣛࢆ⟇ᐃࡋࠊ඲ᅜࢆᑐ㇟࡟ᐇ᪋ࡍࡿ
4-6 NRHPࡀ༙ᮇ఍ྜ➼࡛ຓ⏘ᖌࢥ࣮ࢹ࢕ࢿ࢖ࢱ࣮ࡢάືࢆࣔࢽࢱ࣮ࡍࡿ
4-7 ࣉࣟࢪ࢙ࢡࢺ࡛సᡂࡋࡓྛ✀࢞࢖ࢻࣛ࢖ࣥࢆᅜ❧ẕᏊಖ೺ࢭࣥࢱ࣮ࡀㄆᐃࡍࡿ
4-8 SBAᨭ᥼࡟㛵ࡍࡿࣁ࢖ࣞ࣋ࣝࢭ࣑ࢼ࣮఍㆟➼ࢆ㛤ദࡍࡿຓ⏘⬟ຊᙉ໬䜢㏻䛨䛯ẕᏊಖ೺ᨵၿ䝥䝻䝆䜵䜽䝖
1. సᡂࡉࢀࡓ◊ಟ࣒࢝ࣜ࢟ࣗࣛࡢᩘ࡜ࡑࢀ࡟ᇶ࡙࠸࡚ᐇ᪋ࡉࢀࡓ◊ಟࡢᩘࡀቑຍࡍࡿ㸦◊ಟ࣒࢝ࣜ࢟ࣗࣛࡢᩘ0Ѝ2ࠊ◊ಟࡢᩘ0Ѝ3㸧
1-2 MCT◊ಟ㹢࡟ࡼࡾ㣴ᡂࡉࢀࡓຓ⏘ᖌࢥ࣮ࢹ࢕ࢿ࢖ࢱ࣮ࡢᩘࡀቑຍ
ࡍࡿ㸦0Ѝ12㸧
1-3 MAT◊ಟe᫬࡟సᡂࡉࢀࡓ࢔ࢡࢩࣙࣥࣉࣛࣥࡢᩘࡀቑຍࡍࡿ㸦0Ѝ43㸧
2-1 HC-SBAᨭ᥼࢔ࢡࢩࣙࣥࣉࣛࣥࡢᐇ᪋ᩘࡀቑຍࡍࡿ㸦0Ѝ4㸧
2-2 HCࡢSBAࡀㄆ㆑ࡍࡿPHD/OD/RH࠿ࡽࡢᨭ᥼ෆᐜ࣭㉁ࡀྥୖࡍࡿ
2-3 PHD/OD࡟ࡼࡿࢳ࢙ࢵࢡࣜࢫࢺࡢά⏝≧ἣࡀᨵၿࡉࢀࡿ
2-4 ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟࠾ࡅࡿᨭ᥼ࣔࢹࣝ஦౛ࢆࡶ࡜࡟ࠊ඲ᅜࢆᑐ㇟࡜ࡋࡓSBAᨭ᥼࢞࢖ࢻࣛ࢖ࣥࡀసᡂࡉࢀࡿ
3.1ࢥ࣑ࣗࢽࢸ࢕άື⌧≧ࡢㄪᰝ࣭ศᯒࡢ⤖ᯝࠊࢥ࣑ࣗࢽࢸ࢕༠ാfࡢಁ㐍࣭㜼ᐖせᅉࡀᢳฟࡉࢀࡿ
3.2 ODࡢࡓࡵࡢࢥ࣑ࣗࢽࢸ࢕༠ാᨭ᥼⾜ືࣜࢫࢺࡀసᡂࡉࢀࡿ
3.3 OD࡟ࡼࡿ᪂つࡢࢥ࣑ࣗࢽࢸ࢕༠ാᨭ᥼⾜ືᩘࡀቑຍࡍࡿ㸦0Ѝ4㸧㸦㸲ࣔࢹ࣭ࣝࢧ࢖ࢺ࡟㝈ᐃ㸧
3.4ODࡢࡓࡵࡢࢥ࣑ࣗࢽࢸ࢕༠ാᨭ᥼⾜ື࢞࢖ࢻࣛ࢖ࣥࡀసᡂࡉࢀࡿ
4.1 ୰ኸࣞ࣋ࣝࡢẕᏊಖ೺㛵ಀ⪅㸦ᅜ❧ẕᏊಖ೺ࢭࣥࢱ࣮ࠊ㛤Ⓨࣃ࣮ࢺࢼ࣮ഃᢏ⾡࢔ࢻࣂ࢖ࢨ࣮㸧࡟ᑐࡍࡿࣉࣟࢪ࢙ࢡࢺ࠿ࡽࡢ㐍ᤖ࣭ᡂᯝሗ
࿌㸦ᆅ᪉࡟࠾ࡅࡿㄪᰝ⤖ᯝࢆྵࡴ㸧ᩘࡀቑຍࡍࡿ㸦0Ѝ15㸧
4.2 ࣉࣟࢪ࢙ࢡࢺࡢ⤒㦂ࢆά࠿ࡋSBAࢆᑐ㇟࡜ࡋࡓNMCHCࡢ◊ಟෆᐜ➼ࡀኚ᭦࣭ᨵゞࡉࢀࡿ
4.3 ᅜᐙࣜࣉࣟࢲࢡࢸ࢕ࣈ࣊ࣝࢫࣉࣟࢢ࣒ࣛ㸦NRHP㸸National
Reproductive Health Programme㸧࡜ᅜᐙዷ⏘፬Ṛஸ࣮࢜ࢹ࢕ࢵࢺࢥ
࣑ࢵࢸ࢕࣮࡟࠾࠸࡚ࠊࣉࣟࢪ࢙ࢡࢺࡢ⤒㦂ࢆ⏕࠿ࡋ࡚సᡂࡉࢀࡓㄪᰝ
ሗ࿌ᩘࡀቑຍࡍࡿ 㸦0Ѝ3㸧
4-4 MCT, MAT◊ಟ࣒࢝ࣜ࢟ࣗࣛࢆࡶ࡜࡟⟇ᐃࡉࢀࡓ᪂◊ಟ࢝ࣜ࢟ࣗ
࣒ࣛࡀNRHP࡟ㄆᐃࡉࢀࡿ
4-5 ᪂◊ಟ࣒࢝ࣜ࢟ࣗࣛࡢཷㅮ⪅ᩘࡀቑຍࡍࡿ㸦0ĺ68㸧
4-6 ࣉࣟࢪ࢙ࢡࢺ࡛సᡂࡉࢀࡓྛ✀࢞࢖ࢻࣛ࢖ࣥࡀNMCHC࡟ㄆᐃࡉࢀࡿせ⣙ᐇ㝿䛾PDM

ᐇ㝿䛾PDM࠙ᡂᯝࠚ㸯㸬HC࡟㓄⨨ࡉࢀࡿ
SBA (HC-SBA) ࢆᨭ᥼ࡍࡿࡓࡵࡢࢳ࣮࣒࣡
࣮ࢡࡀྥୖࡍࡿ
㸰㸬HC-SBAࡢάືࢆ෇⁥࡟ࡍࡿࡓࡵࡢಖ೺
⾜ᨻ(PHD/OD)࠾ࡼࡧ
⮫ᗋᶵ㛵㸦RH㸧࡟ࡼࡿᨭ᥼ࣔࢹࣝࢆ⟇ᐃࡍࡿ㸱㸬ᆅᇦࢥ࣑ࣗࢽࢸ࢕
࡟࠾ࡅࡿẕᏊಖ೺ྥୖ
ࡢࡓࡵࡢ༠ാࣔࢹࣝࢆ
⟇ᐃࡍࡿ
㸲㸬NMCHCࡀᆅᇦࡢᐇ᝟ࢆᢕᥱࡋࠊᅜᐙ
ࣉࣟࢢ࣒ࣛ࡟཯ᫎࡉࡏ
ࡿ

Implementation
DOᐇ㝿䛾PDM䝥䝻䝆䜵䜽䝖䛾ィ⏬䞉ᐇ᪋䞉ホ౯䛸䛔䛖୍㐃䛾䝃䜲䜽䝹
䜢䚸Project Design Matrix䠄PDM䠅䛸࿧䜀䜜䜛䝥䝻䝆䜵䜽䝖䛾ᴫせ⾲䜢⏝䛔䛶㐠Ⴀ⟶⌮䛩䜛᪉ἲ䝥䝻䝆䜵䜽䝖䛾せ⣙Situation Analysis

㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢࡟ࡼࡿㄪᰝ㺪㺽㺹㺚㺼㺈㺖㺢࡟ࡼࡿ
SBA⪺ࡁྲྀࡾㄪ
ᰝ㺪㺽㺹㺚㺼㺈㺖㺢࡟ࡼࡿㄪᰝ㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢࡟ࡼࡿㄪᰝ㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩㺪㺽㺹㺚㺼㺈㺖㺢ሗ࿌᭩

ᨻ᝟ࡀᏳᐃ
ࡋ࡚࠸ࡿ
ᅜᐙࣉࣟࢢ
࣒ࣛࡢ࣐ࢿ
࣮ࢪ࣮ࣕࣞ
࣋ࣝࡀ㞳⫋
ࡋ࡞࠸

 

࠙ᢞධࠚ
᪥ᮏഃ
ᑓ㛛ᐙὴ㐵 㛗ᮇᑓ
㛛ᐙ㸸
-ࢳ࣮ࣇ࢔
ࢻࣂ࢖ࢨ
࣮
-ẕᏊಖ೺
-ᴗົㄪᩚ
ဨ
 ▷ᮇᑓ
㛛ᐙ
&3ᮏ㑥◊ಟᶵᮦ౪୚
⌧ᆅᴗົ
㈝

࢝ࣥ࣎ࢪ
࢔ഃ
࢝࢘ࣥ
ࢱ࣮ࣃ࣮
ࢺ
⌧ᆅᴗ
ົ㈝
ࣉࣟࢪ
࢙ࢡࢺ஦
ົᡤ

ࣔࢹ࣭ࣝࢧ࢖
ࢺࡢ་⒪ᚑ஦
⪅࡜OD,PHD⫋ဨࡢከࡃࡀ
බⓗࢭࢡࢱ࣮
ࢆ㞳⫋ࡋ࡞࠸
࠙๓ᥦ᮲௳ࠚ
ಖ೺┬ࡢ୺せ࡞ᨻ⟇ࡀኚ᭦
ࡉࢀ࡞࠸ࠋ.

PCM䛾≉ᚩ

PCM䛾ཎ๎

୍㈏ᛶ 䝥䝻䝆䜵䜽䝖䛾඲㐣⛬䛾⟶⌮• PDM䜢౑䛳䛶䛾䝰䝙䝍䞊䞉ホ౯ㄽ⌮ᛶ ᅉᯝ㛵ಀ䛻ᇶ䛵䛟ศᯒཎᅉ䡬⤖ᯝ ᡭẁ䡬┠ⓗ• 䜹䞊䝗䜢౑䛳䛶䛾ཧຍᆺィ⏬ᡭἲཧຍᆺ ᵝ䚻䛺㛵ಀ⪅䛻䜘䜛༠㆟
ㄝ᫂㈐௵䛸㏱᫂ᛶ ィ⏬❧᱌㐣⛬䛾どぬ໬

PCM䝽䞊䜽䝅䝵䝑䝥䛾≉ᚩ

PCM䝽䞊䜽䝅䝵䝑䝥ពぢ䛜ฟ䛧䜔䛩䛔䚸ཧຍ⪅䚸㞺ᅖẼ䚸᪉ἲ䜢⏝䛔䜛䚹• 䛭䛾ᆅᇦ䛾㛵ಀ⪅䠄䝇䝔䞊䜻䝩䝹䝎䞊䠅䛜㞟䜎䜚䚸㛵㐃䛩䜛ၥ㢟➼䜢༠㆟᳨ウ䛩䜛䚹ከᵝ䛺ཧຍ⪅• 䝥䝻䝆䜵䜽䝖䛾ィ⏬❧᱌䛾ྛẁ㝵䛻䛚䛔䛶䚸ᐇ᪋⪅ഃ䞉ཷ┈⪅ഃ཮᪉䛾㛵ಀ⪅䛜ཧຍ䛩䜛఍㆟䚹≉䛻ཷ┈⪅䛾ᢪ䛘䜛ၥ㢟䜔䝙䞊䝈䜢ㄽ⌮ⓗ䛻᫂䜙䛛䛻䛧䚸ཷ┈⪅䜢୰ᚰ䛸䛩䜛 㛵ಀ⪅䛾ពぢ䜢ᗈ䛟ྲྀ䜚ධ䜜䛶㐺ษ䛺䝥䝻䝆䜵䜽䝖䛾ィ⏬䞉❧᱌䜢⾜䛺䛖䚹඲䛶䛾ཧຍ⪅䛾ពぢពぢ䛾どぬ໬䞉ඹ᭷䝣䜯䝅䝸䝔䞊䝍䞊䛻䜘䜛䜾䝹䞊䝥䛾䝎䜲䝘䝭䝑䜽

3&0ࡢᡭ㡰
Participant
Analysis㛵ಀ⪅ศᯒ㸦㛵ಀ⪅ศᯒ⾲㸧

ProblemAnalysisၥ㢟ศᯒ㸦ၥ㢟⣔ᅗ㸧

Objective
Analysis┠ⓗศᯒ㸦┠ⓗ⣔ᅗ㸧

Selection of
the Projectࣉࣟࢪ࢙ࢡࢺ
ࡢ㑅ᢥ

Project
DesignMatrixࣉࣟࢪ࢙ࢡࢺࡢせ⣙ࡢసᡂ
㸦3'0⾲㸧

Plan of
Operationάືィ⏬ࡢ⟇ᐃ㸦άືィ⏬⾲㸧

ࣉࣟࢪ࢙ࢡࢺ
ࡢࢧ࢖ࢡࣝ⌧≧ศᯒ

PCMᡭἲ䜢⏝䛔䛶䛾䝥䝻䝆䜵䜽䝖䝥䝷䞁䝙䞁䜾

Project Cycle

Situation Analysis

Evaluation• 䜿䞊䝇䝇䝍䝕䜱䛾䝅䝘䝸䜸䜢ヲ⣽䛻ㄞ䜐䚹

Planning and
Re-Planning• 䝥䝻䝆䜵䜽䝖䛾ᮇ㛫䛿3ᖺ㛫䚸⥲ண⟬䛿1000
୓䛸䛩䜛䚹

ィ⏬
෌ィ⏬㸧

ホ౯

ᐇ᪋

Implementation 㛵ಀ⪅ศᯒ

㛵ಀ⪅ศᯒ䛾ศ㢮౛• ཷ┈⪅• 䝥䝻䝆䜵䜽䝖ᐇ᪋⪅• ᨻ⟇Ỵᐃ⪅• ㈈ᨻ㈇ᢸ⪅• ༠ຊ⪅• ୙฼┈䜢⿕䜛䠄ᜍ䜜䛾䛒䜛䠅䜾䝹䞊䝥
• ཯ᑐ⪅
• 䛭䛾௚

• ᑐ㇟䛾ᆅᇦ䛻䛚䛔䛶䚸୍య䚸ㄡ䛜ཷ┈⪅䛻䛺䜛䛾䛛䚹䝥䝻䝆䜵䜽䝖䛾ᐇ᪋⪅䛺䛹䛿ㄡ䛺䛾䛛䜢᳨ウ䛩䜛䚹• ฟ䛥䜜䛯㛵ಀ⪅䜢䜾䝹䞊䝥໬䛧䚸䜎䛯䚸≉ᚩู䛻ᩚ⌮䛩䜛䚹ၥ㢟ศᯒཎᅉ䞊⤖ᯝ䛻䜘䜛ᩚ⌮• 䛂ఱ䛜ၥ㢟䛛䠛䛃• ၥ㢟ศᯒ䛿䚸⌧≧䛻䛚䛡䜛ၥ㢟䜢䛂ཎᅉ䠉⤖ᯝ䛃䛾㛵ಀ䛷ᩚ⌮䛧䚸䜟䛛䜚䜔䛩䛔䜘䛖䛻ᶞᙧᅗ䠄ၥ㢟⣔ᅗ䠅䛻䜎䛸䜑䜛సᴗ䛷䛒䜛䚹⤖ᯝཎᅉ䜹䞊䝗䛾᭩䛝᪉୰ᚰၥ㢟• ୍䛴䛾䜹䞊䝗䛻䛿୍䛴䛾ၥ㢟䜢グ㍕䚹ᝏ䛔౛䛂Ꮚ䛹䜒䛾ୗ⑩䛸⫵⅖䛜ከ䛔䛃• ᢳ㇟ⓗ䛺ᴫᛕ䛷䛿䛺䛟䚸ලయⓗ䛺グ㏙䜢⾜䛖䚹ᝏ䛔౛䛂೺ᗣ䛷䛺䛔䛃• 䛂䕿䕿䛜䛺䛔䛃䛸䛔䛖⾲⌧䜢㑊䛡䜛䚹ᝏ䛔౛䛂⑓㝔䛜↓䛔䛃• ཎᅉ䛸⤖ᯝ䜢୧᪉ྵ䜣䛰ᩥ䛿㑊䛡䜛䚹ᝏ䛔౛䛂௙஦䛜䛺䛔䛯䜑䚸཰ධ䛜ᑡ䛺䛔䛃ໟᣓⓗ䛺ၥ㢟䛷䚸䛭䜜䜢ゎỴ䛩䜜䜀䚸ከ䛟䛾ၥ㢟䛜ゎỴ䛩䜛䜒䛾

 

┠ⓗศᯒ

ཎᅉ䞊⤖ᯝ䛻䜘䜛ᩚ⌮• ၥ㢟䛾Negative䛺⾲⌧䜢Positive䠄┠ⓗ䛻䛺䜛䠅䛺⾲⌧䛻ኚ᥮䚹• 䛷䛝䜛䛰䛡䚸ᐇ⌧ྍ⬟䛺ゝ䛔᪉䛻ኚ᥮䚹⤖ᯝཎᅉᡭẁ䞊┠ⓗ䛻䜘䜛ᩚ⌮ၥ㢟ศᯒ୰ᚰၥ㢟 ĺ ✄స㎰Ẹ䛜㈋䛧䛔

┠ⓗ㎰ᴗ௨እ䛾཰ධ
䛜ᑡ䛺䛔㎰ᴗ཰ධ䛜ᑡ䛺䛔ᡭẁ⡿䛾཰✭㧗ప䛔

⡿䛾⏕⏘
ᛶ䛜ప䛔

┠ⓗศᯒ
✄స㎰Ẹ䛾཰ධ䛜‶㊊䛷䛝䜛䝺䝧䝹䛷䛒䜛

௦᭰᱌A

Ỉ⏣䛾⪔స
㠃✚䛜ᑠ䛥
䛔

⡿䛾཰✭㧗䛜
ୖ䛜䜛

⡿䛾⏕⏘
ᛶ䛜㧗䛔

Ỉ⏣䛾⪔
స㠃✚䛜
༑ศ䛒䜛

⡿䛾ရ㉁
䛜㧗䛔

⡿䛾༺౯᱁䛾஺΅䛜䛷䛝䛺
䛔䜰䝥䝻䞊䝏B௦᭰᱌B㎰ᴗ௨እ䛾཰ධ䛜ᚓ䜙䜜䜛⡿䛾್ẁ䛜‶㊊䛷䛝䜛䝺䝧䝹䛷䛒䜛

⡿䛾ရ㉁䛜ప䛔㎰ᴗ௨እ䛾཰
ධ䜢ᚓ䜛άື䜢
䛩䜛㈨ᮏ䛜䛺
䛔

㎰ᴗ௨እ䛻
཰ධ䜢ᚓ䜛
ᢏ⾡䛜䛺䛔

䝥䝻䝆䜵䜽䝖䛾㑅ᢥ䜰䝥䝻䞊䝏A㎰ᴗ཰ධ䛜༑
ศ䛒䜛

⡿䛾್ẁ䛜
Ᏻ䛔

㎰ᴗ௨እ
䛻཰ධ䜢
ᚓ䜛ᢏ⾡
䛜䛒䜛

㎰ᴗ௨እ
䛾཰ධ䜢
ᚓ䜛άື
䜢䛩䜛㈨
ᮏ䛜䛒䜛

⡿䛾༺౯᱁
䛾஺΅䛜䛷
䛝䜛

 

䜰䝥䝻䞊䝏C┠ⓗศᯒ
௦᭰᱌A㎰ᴗ཰ධ䛜༑
ศ䛒䜛⡿䛾཰✭㧗䛜
ୖ䛜䜛

⡿䛾⏕⏘
ᛶ䛜㧗䛔

Ỉ⏣䛾⪔
స㠃✚䛜
༑ศ䛒䜛

ணᐃ䛾䜲䞁䝥䝑䝖

✄స㎰Ẹ䛾཰ධ䛜‶㊊䛷䛝䜛䝺䝧䝹䛷䛒䜛• 3ᖺ㛫䛾䝥䝻䝆䜵䜽䝖• 䠏ᖺ㛫1000୓෇

㎰ᴗ௨እ䛾཰ධ䛜ᚓ䜙䜜䜛⡿䛾್ẁ䛜‶㊊䛷䛝䜛䝺䝧䝹䛷䛒䜛

⡿䛾ရ㉁
䛜㧗䛔

௦᭰᱌B

㎰ᴗ௨እ
䛻཰ධ䜢
ᚓ䜛ᢏ⾡
䛜䛒䜛

㎰ᴗ௨እ
䛾཰ධ䜢
ᚓ䜛άື
䜢䛩䜛㈨
ᮏ䛜䛒䜛

⡿䛾༺౯᱁
䛾஺΅䛜䛷
䛝䜛

䜰䝥䝻䞊䝏䛾ẚ㍑౛

PDM Project Design Matrix䝥䝻䝆䜵䜽䝖䛾
せ⣙ᐇ⌧ྍ ᭷ຠᛶ ຠ⋡ᛶ ⮬❧⥅ ⥭ᛴᛶ
⥆ᛶ
⬟ᛶ

ᐈほⓗ
ᣦᶆ

ᣦᶆ䛾
ධᡭᡭẁ

እ㒊᮲௳

ୖ఩┠ᶆ

䜰䝥䝻䞊
䝏A

䝥䝻䝆䜵䜽䝖┠ⓗ

䜰䝥䝻䞊
䝏B

ᡂᯝ

䜰䝥䝻䞊
䝏C

άື

ᢞධ

๓ᥦ᮲௳

䝥䝻䝆䜵䜽䝖䛾㑅ᢥ䛾䛯䜑䛾䜽䝷䜲䝔䝸䜰

䝥䝻䝆䜵䜽䝖䛾せ⣙ୖ఩┠ᶆ䝥䝻䝆䜵䜽䝖䛜㐩ᡂ䛥䜜䜛䛣䛸䛻䜘䛳䛶䚸㐩ᡂ䛜ᮇᚅ䛥䜜䜛㛤Ⓨຠᯝ䚹• ᭷ຠᛶ䠄┠ⓗ䛜㐩䛫䜙䜜䛭䛖䛛䠅䝥䝻䝆䜵䜽䝖┠ᶆ䝥䝻䝆䜵䜽䝖⤊஢᫬䜎䛷䛻㐩ᡂ䛥䜜䜛䛣䛸䛜ᮇᚅ䛥䜜䛶䛔䜛┠ᶆ䚹• ຠ⋡ᛶ䠄䜲䞁䝥䝑䝖䛻ẚ䜉䛭䛾䜰䜴䝖䝥䝑䝖䛜ప䛩䛞䛺䛔䛛䚹䠅• ᐇ⌧ྍ⬟ᛶ䠄฼⏝䛷䛝䜛䝸䝋䞊䝇䛸ᮇ㛫䛻ẚ䜉䠅• ⥭ᛴᛶ• ⮬❧⥅⥆ᛶ䠄Sustainability䠅
• 䛺䛹䚹

ᡂᯝ
┠ᶆ䜢㐩ᡂ䛩䜛䛯䜑䛻䝥䝻䝆䜵䜽䝖䛜ᐇ⌧䛧䛺䛡䜜䜀䛺䜙䛺䛔஦㡯䚹άື䝥䝻䝆䜵䜽䝖䛾ᡂᯝ䜢ᐇ⌧䛩䜛䛯䜑䛻䚸ᢞධ䜢ຠᯝⓗ䛻⏝䛔䛶䝥䝻䝆䜵䜽䝖䛜ᐇ᪋䛩䜛ලయⓗ䛺⾜Ⅽ䚹 䝥䝻䝆䜵䜽䝖䞉䝕䝄䜲䞁䞉䝬䝖䝸䝑䜽䝇䝥䝻䝆䜵䜽䝖䛾せ⣙ᣦᶆ䠄3ಶ௨ୗ䠅䝥䝻䝆䜵䜽䝖䞉䝕䝄䜲䞁䞉䝬䝖䝸䝑䜽䝇ᣦᶆ䛾ධᡭ᪉ἲ

䝥䝻䝆䜵䜽䝖䛾せ⣙ୖ఩┠ᶆ䠖䝥䝻䝆䜵䜽䝖┠ᶆ䠖䝥䝻䝆䜵䜽䝖┠ᶆ䠖
㎰ᴗ཰ධ䛜ቑຍ䛩䜛䚹ᡂᯝཬ䜃άືᡂᯝ䠍
1-1
1-2

ᡂᯝཬ䜃άື
ᡂᯝ䠍
1-1
1-2

ᡂᯝ䠎
2-1
2-2

ᡂᯝ䠎
2-1
2-2

ᡂᯝ䠏
3-1
3-2

ᡂᯝ䠏
3-1
3-2

 

ᣦᶆ䠄3ಶ௨ୗ䠅ᣦᶆ䛾ධᡭ᪉ἲ

& ୧㡿ᇦᶓ᩿ேᮦ⫱ᡂ᪉ἲࡢ᳨ウ :*㸦㸯㸧ྲྀࡾ⤌ࡳሗ࿌:* ࣓ࣥࣂ࣮ ᯇ஭㸦࣮ࣜࢲ࣮㸧ࠊ▼ᒸࠊ㤿ሙࠊ㛗㇂ᕝ⤌⧊ᶓ᩿ⓗ࡞බ⾗⾨⏕ᑓ㛛⫋⫱ᡂࢩࢫࢸ࣒☜❧ࡢヨࡳ㛤Ⓨ㏵ୖᅜࡢ⤒㦂࡜᪥ᮏࡢ⾨⏕⾜ᨻᴗົ࡜ࡢ᥋Ⅼࢆᶍ⣴ࡍࡿࡓࡵࡢ࢖ࣥࢱࣅ࣮ࣗㄪᰝ
㸯㸬◊✲ࡢᐇ᪋⫼ᬒ ᮏ◊✲ᡂ❧ࡢ⫼ᬒࡢࡦ࡜ࡘ࡟ࠊࠕᆅᇦಖ೺ࠖ࡜ࠕᅜ㝿ಖ೺㸦ࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㸧ࠖ࡜ࡢ㛫࡟ࡣࠕබ⾗⾨⏕Ꮫࠖ࡜ࡋ୍࡚ᐃࡢඹ㏻ᛶࡀᏑᅾࡋࠊࡑࡢඹ㏻஦㡯ࢆ㏻ࡌ࡚බ⾗⾨⏕ศ㔝ࡢᑓ㛛⫋ࡢ⫱ᡂ࡜☜ಖ࡟ྲྀࡾ⤌ࡴࡇ࡜ࡀྍ⬟࡞ࡢ࡛ࡣ࡞࠸࠿ࠊ࡜࠸࠺௬ᐃࡀ࠶ࡿࠋ ♫఍ၥ㢟ࡢከࡃࡣ✀ࠎࡢ᱁ᕪ࡟㉳ᅉࡋ࡚Ⓨ⏕ࡍࡿࠋ᱁ᕪࡣࠊᅜᐙ࣭ᆅᇦ㛫ࠊ࠶ࡿ࠸ࡣ㒔ᕷ࡜㎰⁺ᮧ࡜ࡢ㛫࡟ࠊࡲࡓே✀ࠊୡ௦ࠊᛶูࠊ⫋ᴗ࡞࡝ࠊ࠶ࡽࡺࡿ♫఍ⓗᵓ㐀ࢆᇶ♏࡜ࡋ
࡚Ⓨ⏕ࡋ࠺ࡿࠋࡑࡋ࡚ࠊࡇࡢ᱁ᕪ࡟㛵㐃ࡋ࡚ᕪูࡀ㉳ࡇࡿࠋࠕබ⾗⾨⏕Ꮫࠖࡣࠊ♫఍ၥ㢟ࠊࡦ࠸࡚ࡣ᱁ᕪ࡜ᕪูࡢၥ㢟ࢆࠊಖ೺࣭⚟♴࣭་⒪ࡢほⅬ࠿ࡽᤊ࠼࡚ゎỴ⟇ࢆᶍ⣴ࡍࡿᐇᏛ࡛࠶ࡿࠋ
㛤Ⓨ㏵ୖᅜ࡟ど㔝ࢆᗈࡆࡓሙྜࠊᆅ⌮࣭Ẽೃ࡞࡝ࡢ⏕ά⎔ቃࡢཝࡋࡉ࡜ᨻ἞࣭⤒῭≧ἣࡢ୙Ᏻᐃࡉࠊࡲࡓࡑࢀࡽ࡟㉳ᅉࡍࡿ㈋ᅔࡢࡓࡵ࡟ࠊ᱁ᕪࡀᙅ⪅࡟ཬࡰࡍᙳ㡪ࡣࠊ≉࡟㛤Ⓨ㏵ୖᅜ࡟࠾࠸࡚ࡼࡾᴟ➃࡞ᙧ࡛㢧ᅾ໬ࡋ࡚࠸ࡿࠋ ᪥ᮏࡣ㛤Ⓨ㏵ୖᅜ࡟ᑐࡍࡿᢏ⾡༠ຊ࠶ࡿ࠸ࡣ◊✲➼ࢆ㏻ࡌ࡚ࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢ⤒㦂ࢆ㔜ࡡ࡚ࡁࡓࠋ㏵ୖᅜ࡛ࡣࠊ㝈ࡽࢀࡓ᝟ሗࢆᡭࡀ࠿ࡾ࡜ࡋ࡚ࠊᑡ࡞࠸㈨※ࢆ᭷ຠ࡟ά⏝ࡍࡿಖ೺⾨⏕ᨻ⟇ࡢ❧᱌࣭ᐇ᪋࣭ホ౯ࡀồࡵࡽࢀࡿࠋࡑࡢᐇ㊶࡛ࡣࠊᐈほⓗ࡞≧ἣศᯒ࡟ᇶ࡙ࡃ⌧≧ホ౯࡜ᮍ᮶ண

ࠊࡉࡽ࡟ᚲせ࡟ᛂࡌ࡚እ㒊࠿ࡽࡢ㈨㔠࣭㈨※ࡢᑟධࢆ⾜࠺ࡇ࡜ࡀእ

㒊⪅ࡢᙺ๭࡜ࡋ࡚ᮇᚅࡉࢀ࡚࠸ࡿࠋ
୍᪉ࠊᅜෆ࡛ࡣࠊἲⓗ᰿ᣐ࡟ᇶ࡙࠸࡚ᢏ⾡⫋࡜஦ົ⫋ࡀ༠ຊࡋࡘࡘ⾨⏕⾜ᨻࡢయไࢆᩚഛ
ࡋࠊୡ⏺࡛ࡶඛ㐍ⓗ࡞ᆅᇦಖ೺ࢩࢫࢸ࣒ࢆᵓ⠏ࡋ࡚ࡁࡓࠋࡑࡢ୰࡛ࠊ࠸ࢃࡺࡿ┴ᆺಖ೺ᡤࡢᙺ๭࡟ὀ┠ࡋࡓሙྜࠊᕷ༊⏫ᮧࡀ⾜࠺ಖ೺ศ㔝ࡢィ⏬⟇ᐃ࣭ᐇ᪋࣭ホ౯ࡢ㐣⛬ࢆᑓ㛛ⓗ
ほⅬ࠿ࡽࡢຓゝ➼ࢆ⾜࠸ࠊࡼࡾ᪋⟇ࡀ᭷ຠ࡞ࡶࡢ࡜࡞ࡿࡼ࠺ᨭ᥼ࢆࡍࡿᙺ๭ࡀᮇᚅࡉࢀ࡚
࠸ࡿࠋࡇࡢ᪥ᮏࡢಖ೺ࢧ࣮ࣅࢫᥦ౪࡟࠾ࡅࡿಖ೺ᡤ࡜ᕷ⏫ᮧ࡜ࡢ㛵ಀࡣࠊ㛤Ⓨ㏵ୖᅜ࡟࠾
ࡅࡿ✀ࠎࡢ༠ຊ㛵ಀ࡟┦ఝࡋ࡚࠸ࡿ࡜ࡶ⪃࠼ࡽࢀࡿࠋ ୖグ࠿ࡽࠊᵝࠎ࡞ഃ㠃࡛ᅜ㝿໬ࡀ㐍ࢇ࡛࠸ࡿࠊ࠶ࡿ࠸ࡣ㐍ࡵ࡞ࡃ࡚ࡣ࡞ࡽ࡞࠸᪥ᮏᅜෆ
ࡢಖ೺⾨⏕⾜ᨻ࡟ࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫศ㔝࡛ࡣ୍⯡໬ࡋ࡚࠸ࡿከ⫋✀༠ാᆺࡢ஦ᴗ࣐ࢿ࣮
ࢪ࣓ࣥࢺᡭἲࢆᑟධࡍࡿࡇ࡜ࠊࡲࡓᅜෆእ࡛άືࡍࡿேࠎࡢ஺ὶࢆಁࡍࡇ࡜࡟ࡼࡗ࡚ࠊ୧
ศ㔝࠿ࡽࡢᏛࡧࢆᚓࡿࡇ࡜ࡀ࡛ࡁࠊࡑࢀࢆ㏻ࡌ࡚ࡢேࡢ⫱ᡂࡀྍ⬟࡞ࡢ࡛ࡣ࡞࠸࠿ࠊ࡜⪃࠼ࡓࠋࡋ࠿ࡋ࡞ࡀࡽࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫ࡜ᆅᇦಖ೺㡿ᇦࡢ▱ぢ࣭ᢏ⾡࡟ࡘ࠸࡚཮᪉ྥ࡛ࡢ
ලయⓗ࡞ά⏝࡜ᐇ㊶᪉ἲ࡟ࡘ࠸࡚ࡢ᳨ウࡣ୙༑ศ࡛࠶ࡾࠊࡑࡢព⩏࡟ࡘ࠸࡚ᗈࡃࢥࣥࢭࣥ
ࢧࢫࢆᚓࡽࢀ࡚࠸࡞࠸ࡼ࠺࡟ឤࡌࡽࢀࡿࠋ ࡛ࡣࠊ࡝ࡢࡼ࠺࡟ࡋࡓࡽࠊ㛤Ⓨ㏵ୖᅜ࡛ാ࠸࡚ࡁࡓබ⾗⾨⏕ᑓ㛛⫋㸦་ᖌࠊ⋇་ᖌࠊಖ೺
ᖌࠊ➼㸧ࡀࠊࡑࡢ⤒㦂ࢆ᪥ᮏࡢ⾨⏕⾜ᨻ࡛⏕࠿ࡍࡇ࡜ࡀ࡛ࡁࡿࡢ࠿ࠊ⤒㦂ࢆ⏕࠿ࡍࡓࡵ࡟
࡝ࡢࡼ࠺࡞ᕤኵࡀᚲせ࠿ࠊࡉࡽ࡟බ⾗⾨⏕ࢆᇶ┙࡜ࡋ࡚᪥ᮏᅜෆ࡜㛤Ⓨ㏵ୖᅜࡢ཮᪉ࢆど㔝࡟ධࢀ࡞ࡀࡽ㸦ே஦஺ὶ➼ࡢᐇ᪋ࡶྵࡵ࡚㸧άືࡍࡿࡇ࡜ࡣ࡛ࡁࡿࡢ࠿ࠊ࡞࡝ࢆ᫂ࡽ࠿
࡟ࡍࡿࡇ࡜ࡀᚲせ࡜⪃࠼ࡓࠋ
II. ◊✲ࡢ┠ⓗ ᮏ◊✲ࡣࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫศ㔝࡟࠾࠸࡚᪥ᮏேࡀᇵࡗ࡚ࡁࡓ⤒㦂ࢆᅜෆࡢබ⾗⾨⏕⾜ᨻ࡟ᛂ⏝ࡍࡿࡇ࡜ࠊࡲࡓ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻ⤒㦂ࡢ࡞࠿࡛㛤Ⓨ㏵ୖᅜ࡟ά⏝࡛ࡁࡿྍ⬟ᛶࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ᐇ᪋ࡋࡓࠋලయⓗ࡟ࡣࠊ௨ୗࡢ஦㡯ࢆ୰ᚰ࡜ࡋࡓㄪᰝࢆ⾜ࡗࡓࠋձ㛤Ⓨ㏵ୖᅜ࡟࠾ࡅࡿ໅ົ⤒㦂ࢆ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻ࡟ά⏝࡛ࡁࡿྍ⬟ᛶࠊࡲࡓࡑࡢࡓࡵ࡟ᚲせ࡜ࡉࢀࡿ᪉ἲࡣ࡞࡟࠿ࠋ
ղ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻ࡛ാࡃ㝿࡟ồࡵࡽࢀࡿ㈨㉁ࠊ࠾ࡼࡧࡑࡢ㈨㉁࡜㛤Ⓨ㏵ୖᅜ࡛ࡢ໅ົ
࡛ᇵࢃࢀࡿ⤒㦂࡜ࡢඹ㏻Ⅼ࡜┦㐪Ⅼࡣ࡞࡟࠿ࠋ
III. ᪉ἲ1. ◊✲ᑐ㇟⪅ᑐ㇟⪅ࡣࠊཎ๎࡜ࡋ࡚ᅜෆࡢಖ೺࣭⾨⏕⾜ᨻศ㔝ࠊ㛤Ⓨ㏵ୖᅜ࡛ࡢಖ೺࣭་⒪ศ㔝ࠊ୧⪅ࡢ໅ົࢆ⤒㦂ࡋࡓ་ᖌࠊṑ⛉་ᖌࠊ⋇་ᖌࠊ⸆๣ᖌࠊಖ೺ᖌࠊຓ⏘ᖌࠊ┳ㆤᖌ➼ࡢᑓ㛛⫋࡜ࡍࡿࠋᑐ㇟⪅ࡢ㑅ᐃᇶ‽ࡣࠊ௨ୗࡢ㸰Ⅼࢆ‶ࡓࡍ⪅࡜ࡋࡓࠋ
ձᅜෆࡢ⾨⏕⾜ᨻศ㔝㸦ᅜ࣭㒔㐨ᗓ┴࣭ᕷ༊⏫ᮧ㸧࡛ࠊ㸱ᖺ௨ୖࡢ໅ົ⤒㦂ࢆ᭷ࡍࡿղ㛤Ⓨ㏵ୖᅜ࡟࠾࠸࡚ࠊಖ೺࣭་⒪ศ㔝࡛ࠊ㸰ᖺ௨ୖࡢ໅ົ⤒㦂ࢆ᭷ࡍࡿࡇࡢᑐ㇟⪅ࡣࠊᮏ◊✲⌜㸦ࠕࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢಖ೺ᡤᶵ⬟ᙉ໬࡬ࡢά⏝᪉ἲ☜❧࠾ࡼࡧ㛤
Ⓨ㏵ୖᅜ࡟ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ྍ⬟ᛶࡢᶍ⣴ࠖ㸧ࡢཧຍ⪅⮬㌟ࠊ࠶ࡿ࠸ࡣཧຍ
⪅࠿ࡽ⤂௓ࢆ࠺ࡅࡓ⪅ࢆࡣࡌࡵ࡜ࡋࠊ◊✲ཧຍ⪅࠿ࡽ⤂௓ࢆཷࡅࡿࢫࣀ࣮࣮࣎ࣝᘧ࡛⾜ࢃ
ࢀࡓࠋ
2.

◊✲ࡢ᪉ἲ

(1) ᴫせᮏ◊✲ࡣࠊಶูࡢ࢖ࣥࢱࣅ࣮ࣗ࡟ࡼࡿ㉁ⓗ◊✲ᡭἲ࡟ࡼࡾᐇ᪋ࡋࡓࠋ࢖ࣥࢱࣅ࣮ࣗࡣࠊᑐ
㇟⪅඲ဨ࡟ᑐࡋ࡚ࠊୗグࡢ࢖ࣥࢱࣅ࣮ࣗ࢞࢖ࢻࢆ⏝࠸ࠊ1 ᑐ 1 ࡢ༙ᵓ㐀໬㠃᥋ἲ࡟ࡼࡾ⾜ࡗࡓࠋ࢖ࣥࢱࣅ࣮ࣗࡢᐇ᪋ࡣཎ๎࡜ࡋ࡚ᑐ㠃࡛࠶ࡿࡀࠊᑐ㇟⪅ࡀ㐲㝸ᆅ࡟ᒃఫࡋ࡚࠸ࡿሙྜ
࡟ࡣࠊ㟁ヰࡲࡓࡣࢫ࢝࢖ࣉ➼ࡢ㏻ಙᡭẁ࡟ࡼࡾ⾜ࡗࡓࠋ࢖ࣥࢱࣅ࣮ࣗࡣࠊணࡵᚋ㏙ࡍࡿ◊✲ཧຍ࡬ࡢྠពࢆྲྀࡾ௜ࡅࡓᚋࠊ࢖ࣥࢱࣅࣗ࢔࣮ࡀ⮬ᕫ⤂௓ࢆ⾜࠸ࠊ௨ୗࡢ஦㡯࡟ἢࡗ࡚ᑐ㇟⪅ࡢ⤒㦂ࢆ᫬⣔ิ࡟⪺ࡁฟࡋࠊࡲࡓᚲせ࡟ᛂࡌ࡚⿵ຓⓗ࡞㉁ၥࢆຍ࠼ࡿ᪉ἲࢆྲྀࡗࡓࠋ 

(2) ࢖ࣥࢱࣅ࣮ࣗ࢞࢖ࢻ
ձಖ೺་⒪㈨᱁ྲྀᚓᚋࡢ⤒Ṕࢆᩍ࠼࡚ࡃࡔࡉ࠸ࠋ
(i)᪥ᮏᅜෆ࡛ࡢ⾨⏕⾜ᨻศ㔝ࡢ⤒㦂࡟ࡘ࠸࡚㸦⫋ሙࠊ⫋ົࠊ༳㇟㸧(ii)ᾏእ㸦୺࡟㏵ୖᅜ㸧࡛ࡢ໅ົ⤒㦂࡟ࡘ࠸࡚㸦⫋ሙࠊ⫋ົࠊ༳㇟㸧ղ᪥ᮏ࡛ࡢ⤒㦂ࢆ㏵ୖᅜ࡛⏕࠿ࡏࡿ࡜ᛮ࠸ࡲࡍ࠿㸽(i)ࡑࡢࡓࡵ࡟ᚲせ࡞ࡇ࡜㸦⬟ຊࠊ⤌⧊ࡢయไࠊྲྀࡾ⤌ࡴㄢ㢟ࠊ㞠⏝యไ࡞࡝㸧ࡣࠊ࡝ࡢࡼ࠺
࡞ࡇ࡜࡛ࡋࡻ࠺࠿㸽(ii)᪥ᮏࡢ⾨⏕⾜ᨻ࡛ാ࠸࡚ࠊࡉࡽ࡟ᾏእ࡛ാࡃ㝿࡟ᚲせ࡞ࡇ࡜ࠊᅔ㞴࡞ࡇ࡜ࡣ࡝ࡢࡼ࠺࡞
ࡇ࡜࡛ࡋࡻ࠺࠿㸽
ճ㏵ୖᅜ࡛ࡢ⤒㦂ࢆ᪥ᮏ࡛⏕࠿ࡏࡿ࡜ᛮ࠸ࡲࡍ࠿㸽(i)ࡑࡢࡓࡵ࡟ᚲせ࡞ࡇ࡜㸦⬟ຊࠊ⤌⧊ࡢయไࠊྲྀࡾ⤌ࡴㄢ㢟ࠊ㞠⏝యไ࡞࡝㸧ࡣࠊ࡝ࡢࡼ࠺
࡞ࡇ࡜࡛ࡋࡻ࠺࠿㸽(ii)᪥ᮏࡢ⾨⏕⾜ᨻ࡛ാࡃ㝿࡟ᅔ㞴࡞ࡇ࡜ࡣ࡝ࡢࡼ࠺࡞ࡇ࡜࡛ࡋࡻ࠺࠿㸽
մ㏵ୖᅜ࡛ാࡃࡇ࡜࡜ࠊ᪥ᮏ࡛ാࡃࡇ࡜࡛ࠊఝ࡚࠸ࡿⅬࠊ␗࡞ࡗ࡚࠸ࡿⅬࡣࠊࡑࢀࡒࢀ࡝
ࡢࡼ࠺࡞ࡇ࡜ࡔ࡜ᛮ࠸ࡲࡍ࠿㸽(3) グ㘓ࡢಖᣢ࡜ศᯒ
࢖ࣥࢱࣅ࣮ࣗࡢグ㘓ࡣࠊཧຍ⪅ࡢチྍࢆᚓࡓୖ࡛㘓㡢ࡋࠊࢹࢪࢱࣝ㡢ኌࢹ࣮ࢱ࡜ࡋ࡚ಖ⟶ࠋࡇࡢࢹ࣮ࢱࡢᩥᏐ㉳ࡇࡋࢆࡋ࡚ᩥ᭩ࣇ࢓࢖ࣝࢆసᡂࡋࠊᐃᛶⓗ࡟ࢥ࣮ࢻ໬ࡋ࡚ࠊ㛤Ⓨ㏵ୖ
ᅜࡢබ⾗⾨⏕ศ㔝ࠊ᪥ᮏࡢ⾨⏕⾜ᨻࠊࡑࢀࡒࢀ࡛ാࡃ㝿ࡢどⅬࠊᚲせ࡞ࡇ࡜ࠊᅔ㞴࡞ࡇ࡜࡞࡝ࢆᛕ㢌࡟࠾࠸࡚ࠊࡑࢀࡽࢆᴫᛕ࡜ࡋ࡚ᢳฟࡋࡓࠋ࠶ࢃࡏ࡚ࠊ᪥ᮏࠊ㏵ୖᅜࠊࡑࢀࡒࢀ
࡛ඹ㏻ࡍࡿࡇ࡜࠿ࡽ┦஫࡟ά⏝ྍ⬟࡞஦㡯ࢆࠊࡉࡽ࡟␗࡞ࡿ஦㡯࠿ࡽ┦஫࡟Ꮫ࡭ࡿࡇ࡜ࠊ
࠶ࡿ࠸ࡣά⏝ࡀᅔ㞴࡛࠶ࡿࡇ࡜ࡢグ㏙ࢆ㏣ຍࡋࡓࠋ
IV. ⤖ᯝ1. ᐇ᪋ᮇ㛫࠾ࡼࡧᑐ㇟⪅2016 ᖺ 9 ᭶ࡼࡾ 2017 ᖺ 12 ᭶࡟࠿ࡅ࡚ 14 ྡ࡟ᑐࡋ࢖ࣥࢱࣅ࣮ࣗࢆ⾜ࡗࡓࠋࡑࢀࡒࢀࡢᒓᛶ
ࡣ⾲ 1 ࡢ㏻ࡾ࡛࠶ࡿࠋ
⫋✀ࡣ 1 ྡࡢ⮫ᗋ᳨ᰝᢏᖌࢆ㝖ࡁࠊ඲࡚ಖ೺ᖌࡢ᪉࡛࠶ࡿࠋ࢖ࣥࢱࣅ࣮ࣗᐇ᪋᫬࡟⾜ᨻ࡟ᒓࡋ࡚࠸ࡓ᪉ࡢ࠺ࡕࠊᅜࡀ 1 ྡࠊ㒔㐨ᗓ┴ࡀ 2 ྡࠊᕷ༊⏫ᮧ 5 ྡࠊࡑࡢ௚ 6 ྡ࡛࠶ࡾࠊ⾨⏕⾜ᨻ௨እࡢ⫋ົ࡟ᑵ࠸࡚࠾ࡽࢀࡿࠊ࠶ࡿ࠸ࡣ㞳⫋ࡋ࡚࠸ࡿ᪉ࡶぢࡽࢀࡓࠋ㏵ୖᅜ࡛ࡢά
ືࡣ 1 ྡࡢࢩࢽ࢔ᾏእ࣎ࣛࣥࢸ࢕࢔ࡢ᪉௨እࡣࡍ࡭࡚㟷ᖺᾏእ༠ຊ㝲࡟ཧຍࡉࢀࡓ᪉࡛࠶
ࡿࠋὴ㐵ࡉࢀ࡚࠸ࡓᆅᇦࡣ࢔ࣇࣜ࢝ 10 ྡࠊ୰ኸ࢔ࢪ࢔ 2 ྡࠊᮾ༡࢔ࢪ࢔ 1 ྡࠊ୰༡⡿ 1 ྡ࡜࠸࠺ෆヂ࡟࡞ࡗ࡚࠸ࡿࠋ
⾲ 1㸬ᑐ㇟⪅ࡢᒓᛶNo⫋✀ͤᅜෆᡤᒓᮇ㛫

ὴ㐵᫬㌟ศ

 

ὴ㐵ᆅᇦ

㸦࢖ࣥࢱࣅ࣮ࣗᐇ᪋᫬㸧
1

ಖ೺ᖌ

ᅜ

JOCV

࢔ࣇࣜ࢝

2

ಖ೺ᖌ

ࡑࡢ௚

JOCV

࢔ࣇࣜ࢝

3

ಖ೺ᖌ

ࡑࡢ௚

JOCV

࢔ࣇࣜ࢝

4

ಖ೺ᖌ

ࡑࡢ௚

JOCV

࢔ࣇࣜ࢝

5

ಖ೺ᖌ

ࡑࡢ௚

JOCV

࢔ࣇࣜ࢝

6

ಖ೺ᖌ

㒔㐨ᗓ┴

JOCV

୰ኸ࢔ࢪ࢔

7

ಖ೺ᖌ

ࡑࡢ௚

JOCV

ᮾ༡࢔ࢪ࢔

8

ಖ೺ᖌ

ᕷ༊⏫ᮧ

JOCV

࢔ࣇࣜ࢝

9

ಖ೺ᖌ

ᕷ༊⏫ᮧ

JOCV

୰ኸ࢔ࢪ࢔

10

ಖ೺ᖌ

ᕷ༊⏫ᮧ

JOCV

࢔ࣇࣜ࢝

11

ಖ೺ᖌ

ᕷ༊⏫ᮧ

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࢔ࣇࣜ࢝

12

⮫ᗋ᳨ᰝᢏᖌ

㒔㐨ᗓ┴

JOCV

࢔ࣇࣜ࢝

13

ಖ೺ᖌ

ࡑࡢ௚

SV

୰༡⡿

14

ಖ೺ᖌ

ᕷ༊⏫ᮧ

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࢔ࣇࣜ࢝

ͤᾏእὴ㐵᫬ࡢ⫋✀ࡣ␗࡞ࡿሙྜࡀ࠶ࡿ
2. ᾏእάືཧຍࡢዎᶵ ௒ᅇࡢ࢖ࣥࢱࣅ࣮ࣗᑐ㇟⪅ࡢከࡃࡀ㟷ᖺᾏእ༠ຊ㝲⤒㦂⪅࡛࠶ࡿࠋᾏእ࡛ࡢάືࢆព㆑
ࡋࠊ㟷ᖺᾏእ༠ຊ㝲࡟ཧຍࡍࡿዎᶵ࡜࡞ࡗࡓฟ᮶஦࡜ࡋ࡚ࡣࠊ཭ேࡸඛ㍮ࠊ࿘ᅖࡢ༠ຊ㝲
OB/OG ࡟ࡼࡿࡶࡢࡀከࡃࠊᐇ㝿࡟㏵ୖᅜ࡟⾜ࡗࡓ⤖ᯝࠊࡑࡢ⌧≧ࢆぢ࡚㛵ᚰࢆᣢࡗࡓ࡜࠸࠺⤒⦋ࡶぢཷࡅࡽࢀࡿࠋ᪩࠸᪉࡛ࡣ୰Ꮫ⏕ࡇࢁ࠿ࡽ༠ຊ㝲ཧຍࢆព㆑ࡋጞࡵࠊᾏእ࡛άື
ࡍࡿࡓࡵࠊࡶࡋࡃࡣ㟷ᖺᾏእ༠ຊ㝲࡟࡞ࡿࡓࡵ࡟┳ㆤ⫋ࢆ㑅ࢇࡔ࡜࠸࠺ࢣ࣮ࢫࡶ࠶ࡿࠋ୍
᪉࡛ࠊࡇࢀ࡜࠸࠺ࡁࡗ࠿ࡅࡣ࡞࠸ࡶࡢࡢࠊ᪂ࡓ࡞⎔ቃ࡛ാ࠸࡚ࡳࡓ࠸࡜࠸࠺ᛮ࠸ࡸࠊ⾨⏕⾜ᨻࡢ࢖࣓࣮ࢪࢠࣕࢵࣉ࠿ࡽ༠ຊ㝲ཧຍ࡟⮳ࡗࡓ౛ࡶ࠶ࡗࡓࠋ
3. ᾏእὴ㐵࡟㝿ࡋ࡚ࡢᅔ㞴
᪥ᮏࡢ⾨⏕⾜ᨻ࡟ാࡃ୰࡛ࠊᾏእ࡛ࡢάື࡟㛵ᚰࡢ࠶ࡿேᮦࡣ୍ᐃᩘᏑᅾࡍࡿࠋࡋ࠿ࡋ࡞
ࡀࡽࠊᾏእάື࡬ࡢཧຍࢆᅔ㞴࡟ࡍࡿせ⣲ࡀᵝࠎ࡟Ꮡᅾࡍࡿࠋලయ౛ࢆᣲࡆࡿ࡜

࣭⮬ศ࡟࡛ࡁࡿ࠿࡜࠸࠺୙Ᏻࠊຊࡀ࡞࠸࠿ࡽ࡜࠸࠺ᛮ࠸㎸ࡳ࣭ຬẼࡀᣢ࡚࡞࠸
࣭ᾏእࡢ἞Ᏻ(࢖࣓࣮ࢪ)ࡢᝏࡉ
࣭ᐙ᪘ࡢ཯ᑐ
࣭⫋ሙࡢ཯ᑐ
࣭⫋ሙࡢ㏞ᝨ࡟࡞ࡿࡢ࡛ࡣ࡜࠸࠺୙Ᏻ ࣭ᖺ㱋ไ㝈
࣭ࣛ࢖ࣇ࢖࣋ࣥࢺ(⤖፧ࠊᐙ᪘ࡢṚู࡞࡝)࡞࡝ࡀᣲࡆࡽࢀࡿࡀࠊᾏእὴ㐵ࢆ⾜࠺ୖ࡛኱ࡁ࡞ᙺ๭ࢆᢸ࠺⌧⫋ཧຍ࡟ࡘ࠸࡚ࠊୗグ࡛ヲ
ࡋࡃ᳨ウࡍࡿࠋ
4. ⌧⫋ཧຍ
㟷ᖺᾏእ༠ຊ㝲࡟ࡣࠊᡤᒓඛ࡟㌟ศࢆṧࡋࡓࡲࡲཧຍࡍࡿࠕ⌧⫋ཧຍࠖࡢ௙⤌ࡳࡀ࠶ࡾࠊ
ᆅ᪉බົဨࡢሙྜࠊୗグࡢ࠸ࡎࢀ࠿ࡢᥐ⨨ࡀ⏝ពࡉࢀ࡚࠸ࡿࠋ1ࠕእᅜࡢᆅ᪉බඹᅋయࡢᶵ㛵➼࡟ὴ㐵ࡉࢀࡿ୍⯡⫋ࡢᆅ᪉බົဨࡢฎ㐝➼࡟㛵ࡍࡿἲᚊࠖ
㸦᫛࿴ 62 ᖺἲᚊ➨ 78 ྕ㸧࡟ᇶ࡙ࡁྛᆅ᪉⮬἞యࡀไᐃࡋࡓ᮲౛㸦㏻⛠㸸ὴ㐵᮲౛㸧ࡢ㐺⏝࡟ࡼࡿࠊࠕὴ㐵⫋ဨࠖ㸦᭷⤥ఇ⫋㸧࡜ࡋ࡚ࡢཧຍࠋ
2. ࠕᆅ᪉බົဨἲࠖ
㸦᫛࿴ 25 ᖺἲᚊ➨ 261 ྕ㸧➨ 26 ᮲ࡢ 5 ࡟ᇶ࡙ࡁྛᆅ᪉⮬἞యࡀไᐃࡋ
ࡓ᮲౛ࡢ㐺⏝࡟ࡼࡿࠊࠕ⮬ᕫၨⓎ➼ఇᴗࠖ㸦↓⤥ఇ⫋㸧ࢆ฼⏝ࡋ࡚ࡢཧຍࠋ
ࡋ࠿ࡋ࡞ࡀࡽࠊ㐺ᛂࡣಶูࡢࢣ࣮ࢫ࡟ࡼࡿ࡜ࡇࢁࡀ኱ࡁࡃࠊᛂເ๓࡟⫋ሙ࠿ࡽ஦๓ࡢᢎㄆࡀᚲせ࡞ሙྜࡶ࠶ࡿࡇ࡜࠿ࡽࠊJICA ࡛ࡣᛂເ๓࡟ᡤᒓඛ࡟┦ㄯࡍࡿࡇ࡜ࢆ᥎ዡࡋ࡚࠸ࡿࠋ
1ᮏ࢖ࣥࢱࣅ࣮ࣗࡢᅇ⟅⪅ࡢ࠺ࡕࠊ⌧⫋ཧຍࢆࡋࡓேࡢ๭ྜࡣ࡯ࡰ༙ᩘ࡜࡞ࡗ࡚࠸ࡿࠋ⌧⫋ཧຍࡋ࡞࠿ࡗࡓ஦౛ࢆ᳨ウࡍࡿ࡜࣭༠ຊ㝲࡟⾜ࡁࡓ࠿ࡗࡓࡓࡵࠊ㐣ཤ࡟༠ຊ㝲ὴ㐵ࡢᐇ⦼ࡀ࠶ࡿ⮬἞యࢆ㑅ࢇ࡛ᑵ⫋ࡋࡓࡀࠊᐇ㝿ࡣ᮲౛ࡀ࡞࠸ࡓࡵ࡟⮬㌟ࡀ༠ຊ㝲࡟ཧຍࡍࡿ㝿ࡣ⌧⫋ཧຍ࡛ࡁࡎࠊ㏥⫋ࡋ࡚ཧຍࡋࡓ
࣭⌧⫋ཧຍࡍࡿࡇ࡜ࡀㄆࡵࡽࢀࡎࠊ㏥⫋ࡋࡓ࣭⌧⫋ཧຍࡢไᗘࡣ࠶ࡗࡓࡀࠊᖐᅜᚋ࡟ࡸࡾࡓ࠸ࡇ࡜ࡀኚࢃࡿࡢ࡛ࡣ࡞࠸࠿࡜ᛮ࠸ࠊ㏥⫋ࡋ࡚ཧຍࡋࡓ
࣭⌧⫋ཧຍࡢไᗘࡣ࠶ࡗࡓࡀࠊつᶍࡢᑠࡉ࡞⮬἞య࡟ 2 ᖺ࡜࠸࠺▷ᮇ࡛᮶࡚ࡃࢀࡿேᮦࡀ
࠸ࡿ࠿␲ၥ࡛࠶ࡾࠊ⤌⧊࡟㏞ᝨࢆ࠿ࡅ࡞࠸ࡓࡵ࡟ࡶ㎡ࡵ࡚ཧຍࡋࡓ
࡜࠸࠺஦ᐇࡀ᫂ࡽ࠿࡟࡞ࡗࡓࠋ≉グࡍ࡭ࡁࡣࠊ⌧⫋ཧຍࢆࡋࡓ࠸࡜᥃ࡅྜࡗࡓࡀㄆࡵࡽࢀ
࡞࠿ࡗࡓࢣ࣮ࢫ࡛ࠊ

ࠕࡑ࠺࠸࠺ேࡀ௒ᚋቑ࠼࡚ࡶᅔࡿࠊ࡜࠸࠺ࡇ࡜ࢆゝࢃࢀࡓࡢ࡜ࠊࡑ࠺࠸࠺ேࡣồࡵ࡚࠸࡞࠸࡜࠸࠺ࡇ࡜ࢆゝࢃࢀࡓࡢ࡛͐ࠋࡔ࠿ࡽᶓ὾࡜࠿ྡྂᒇ࡜࠿ࠊ኱ࡁ࠸ᡤ࡜࠿ࠊ㐣␯ᆅᇦ࡜࠿ࠊ㛤Ⓨࡋ࡚࡯ࡋ࠸ᡤࡣࡇ࠺࠸࠺ேⰋ࠸࡜ᛮ࠺ࢇ࡛ࡍࡅࢀ࡝ࠊ࠺ࡕࡳࡓ࠸࡞⏣⯋࡛ࠊࠗ࠶ࢀ
ࡇࢀవィ࡞ࡇ࡜ࢆゝࢃ࡞࠸࡛࡯ࡋ࠸࠘࡜࠸࠺ࡼ࠺࡞ᆅᇦⓗ࡞✵Ẽࡶ࠶ࡿࢇ࡛ࡍࡼࡡࠋࡑ࠺
࠸࠺ࡢࡣࠊࠗ⚾(ᅇ⟅⪅)ࡀ⾜ࡗࡓࢇࡔ࠿ࡽ⚾ࡶ⾜ࡁࡓ࠸࠘࡜࠸࠺ࡼ࠺࡞ேࡀቑ࠼࡚ࡃࡿ࡜ᅔ
ࡿࡋࠊไᗘࡀ࠶ࡿ௨ୖㄆࡵ࡞ࡃ࡚ࡣ࠸ࡅ࡞࠸࠿ࡽࠊ࡜࠸࠺ࡇ࡜࡛ࠊヰࢆཷࡅࡲࡋࡓࠋࠖ
௨ୖࡢࡼ࠺࡞஦ᐇࡶ࠶ࡿ࡜࠸࠺ࡇ࡜࡛࠶ࡿࠋࡇ࠺ࡋࡓ⎔ቃࡀࠊ⌧⫋ཧຍࡢࡳ࡞ࡽࡎࠊ༠ຊ
㝲ཧຍ࡬ࡢࣁ࣮ࢻࣝ࡟࡞ࡗ࡚࠸ࡿྍ⬟ᛶࡣ኱࠸࡟࠶ࡿࠋ
1https://www.jica.go.jp/volunteer/application/seinen/support_system/incumbent_participation/  ࡲࡓࠊ⌧⫋ཧຍࡋࡓࢣ࣮ࢫ࡟࠾࠸࡚ࡶ

࣭⌧⫋ཧຍࡋࡓࡀࠊ⮬἞య࡟࠾ࡅࡿึ஦౛ࡔࡗࡓ
࣭⮬㌟ࡣไᗘࢆ౑ࡗ࡚ཧຍࡋࡓࡀࠊ㐣ཤ࡟ྠࡌ⫋ሙ࠿ࡽཧຍࡋࡓ JOCV ࡢ࠺ࡕࠊ୍ேࡣᖐᅜ
ᚋ㏥⫋ࠊࡶ࠺୍ேࡣ⫋ሙ࡟ᡠࡽ࡞࠸࡜࠸࠺ࢣ࣮ࢫࡔࡗࡓࡢ࡛ࠊᚰ㓄ࡣࡉࢀࡓࠋ
࣭⌧⫋࡛ཧຍࡋࡓࡀࠊୖྖࡢ཯ᑐ࡟࠶ࡗࡓ
࣭⌧⫋࡛ཧຍࡋࡓࡀࠊ↓⤥ఇ⫋࡛ཧຍࡋࡓ࡜࠸࠺ពぢࡀ࠶ࡾࠊ⾨⏕⾜ᨻศ㔝࡟࠾ࡅࡿ⌧⫋ཧຍࡀᬑ㐢ⓗ࡟ཷࡅධࢀࡽࢀ࡚࠸࡞࠸ᵝᏊࡀ❚࠸▱ࢀࡿࠋ
5. ᪥ᮏࡢ⾨⏕⾜ᨻ᪥ᮏࡢ⾨⏕⾜ᨻࡢᙉࡳ࡜ࡋ࡚ᣲࡆࡽࢀࡓⅬࡣࠊಶูࡢᑐᛂࡀ࡛ࡁࡿࠊண㜵࡜࠸࠺ᙧ࡛ᆅᇦ
࡟ධࡿࡇ࡜ࡀ࡛ࡁࡿࠊࣜࢯ࣮ࢫ࡟㝈⏺ࡀ࡞࠸ࠊᆅᇦࡢ᪉ࡢຊ࡞࡝ࡀ࠶ࡿࠋ
௚᪉࡛ࠊ᪥ᮏࡢ⾜ᨻ࡛ാࡃ୰࡛ᅔ㞴࡞Ⅼࢆิᣲࡋ࡚ࡶࡽ࠺࡜ࠊᴗົ㔞࡜ࡑࡢෆᐜ࡟ゝཬࡋࡓࡶࡢࡀ┠❧ࡘࠋᴗົ㔞࡟㛵ࡋ࡚ゝ࠼ࡤࠊேᩘࡀ㝈ࡽࢀ࡚࠾ࡾࠊಶேࡢᢸᙜࡍࡿ⠊ᅖࡀᗈࡃࠊᴗົࢆࡇ࡞ࡍࡔࡅ࡛⢭୍ᮼ࡛࠶ࡿ࡜࠸࠺ពぢࡀከࡃࠊࡑࡢࡓࡵ࡟ᴗົᨵၿࡢవᆅࡀ࡞
࠸࡜࠸࠺୍㠃ࡶ࠶ࡿࡼ࠺࡛࠶ࡿࠋᐃᮇⓗ࡞␗ືࡀ⧞ࡾ㏉ࡉࢀࡿ୰࡛ࠊᴗົࢆ▱ࡿேࡀ࠾ࡽ
ࡎࠊ㐣ཤࡢ஦౛ࢆ⮬ศ࡛ㄪ࡭࡞ࡃ࡚ࡣ࠸ࡅ࡞࠸ᅔ㞴ࡉࢆᣲࡆࡿពぢࡶ࠶ࡗࡓࠋ
ᴗົࡢෆᐜ࡟㛵ࡋ࡚ࡣࠊ஦ົ௙஦ࡀከࡃࠊ(ಖ೺ᖌ࡜ࡋ࡚)ᆅᇦ࡟ฟྥࡃᶵ఍ࡀ(ᑡ)࡞࠸ࠊᑐ
ಶேࡢ௙஦ࡀ(ᑡ)࡞࠸࡜࠸࠺ពぢࡀ┠❧ࡗࡓࠋไᗘࡸண⟬ࡢ㝈⏺ࢆᣲࡆࡿពぢࡶ࠶ࡾࠊỴࡵࡽࢀࡓไᗘ࣭ண⟬ࡢᯟ⤌ࡳෆ࡛஦ᴗࢆ⾜ࢃ࡞ࡃ࡚ࡣ࠸ࡅ࡞࠸Ⅼࡀ㏵ୖᅜ࡜ࡢ኱ࡁ࡞㐪࠸࡛࠶ࡿ࡜࠸࠺ᣦ᦬ࡶ࠶ࡿࠋ⤒᫬ⓗ࡟ไᗘࡀቑ࠼ࠊኚ໬ࡋ࡚࠸ࡃ୰࡛ࠊᴗົෆᐜ࡟ᑐࡍࡿ⦡ࡾ
ࡣཝࡋࡃ࡞ࡗ࡚ࡁ࡚࠸ࡿࡇ࡜ࢆ♧၀ࡍࡿពぢࡶ࠶ࡗࡓࠋ
᪥ᮏࡢ⾜ᨻࡢㄢ㢟࡜ࡋ࡚ࠊᾏእ࠿ࡽ᮶ࡓఫẸ࡟ᑐࡍࡿᑐᛂࡢ୙༑ศࡉ࡟ゝཬࡋࡓࡶࡢࡀ࠶
ࡗࡓࠋࡇࢀࡽࡢ᪥ᮏ࡛ࡢ⾨⏕⾜ᨻࡢ⤒㦂࠿ࡽᚓࡽࢀࡓࡶࡢ࡟ࡘ࠸࡚ࡣࠊୗグࡢࡼ࠺࡞ពぢࡀᣲࡀࡗࡓ㸸࣭⑓Ẽࡔࡅ࡛ࡣ࡞ࡃ࡚ࠊᨻ⟇࡜࠸࠺どⅬࡀࡘ࠸ࡓ࣭ᾏእ࡛ࡢ࢝ࣝࢳ࣮ࣕࢩࣙࢵࢡࡀ࠶ࡲࡾ࡞࠿ࡗࡓ
࣭ᆅᇦ࡟ฟྥࡃ࡜࠸࠺᪥ᮏࡢಖ೺ᖌࡢጼໃࠊ㝈ࡽࢀࡓண⟬ࡢ୰࡛ᑡࡋ࡛ࡶከࡃࡢேࡀࡑࡢ
ᜠᜨࢆཷࡅࡽࢀࡿࡼ࠺࡟࡜࠸࠺⪃࠼᪉͐⑓㝔࡜ࡢ㐪࠸
6. ᾏእࡢᴗົ
ᾏእࠊ≉࡟㏵ୖᅜࡢ㟷ᖺᾏእ༠ຊ㝲࡞ࡽࡧ࡟ࢩࢽ࢔ᾏእ࣎ࣛࣥࢸ࢕࢔άື࡛┤㠃ࡍࡿ஦ែࡸࡑࢀ࡟ᑐࡍࡿ༳㇟ࡣࠊ⾨⏕⾜ᨻࡢ⤒㦂ࡢ᭷↓࡟࠿࠿ࢃࡽࡎࠊ௚ࡢ⫋✀࡛ࡶᗈࡃࡳࡽࢀࡿ
ࡶࡢࡀከ࠸ࠋ
ᾏእ࡛ࡢᴗົࡢᙉࡳ࡜ࡋ࡚᭱ࡶከࡃᐤࡏࡽࢀࡓពぢࡣࠊάືࡢ⮬⏤ࡉ࡛࠶ࡿࠋ≉࡟ࠊࠕไᗘ ࡸἲᚊࡀᮍᩚഛ࡞ࡇ࡜ࠖࡀ༑ศ࡞ᨭ᥼ࢆ୙ྍ⬟࡟ࡍࡿ୍ᅉ࡟࡞ࡿ୍᪉࡛ࠊάືࡢ⮬⏤ࡢᖜࡀࡁࡁࠊኻᩋࡋ࡚ࡶḟࡢࡇ࡜࡟ᣮᡓ࡛ࡁࡿ⎔ቃࡀ࠶ࡿ࡜࠸࠺ኌࡀ࠶ࡗࡓࠋ
ࡲࡓࠊ㓄ᒓඛ࡛ࡢ୙㐝ࡶ࠶ࡿ୍᪉࡛ࠊ

࣭௚ࡢ㝲ဨࡢ㓄ᒓඛ࡟ẚ࡭࡚ࡸࡿẼࡀ࠶ࡾࠊࡋࡗ࠿ࡾࡋ࡚࠸ࡓ
࣭఍㆟࡛⮬ศࡢゝ࠸ࡓ࠸ࡇ࡜ࢆỮࡳྲྀࡗ࡚ศ࠿ࡗ࡚ࡶࡽ࠼ࡓ
࣭༠ຊⓗ࡛࠶ࡾࠊ⮬ศࡓࡕ࡛㈹ࢆ⋓ᚓࡋࡓࡾࡋ࡚࠸ࡓ
࣭ᵝࠎ࡞᪉ἲ࡛ྲྀࡾ⤌ࢇ࡛ࡳࡼ࠺࡜࠸࠺ጼໃࡀឤࡌࡽࢀࠊ✚ᴟⓗ࡟᪂ࡋ࠸ࡇ࡜ࢆጞࡵࡓ࠸
࡜࠸࠺ࡇ࡜࠿ࡽࠊពぢࢆồࡵࡽࢀࠊ࢔࢖ࢹ࢕࢔ࢆฟࡍ࡜ྲྀࡾ⤌ࢇ࡛ࡃࢀࡓࠋࡸࢁ࠺࡜࠸࠺
ጼໃࢆឤࡌࡽࢀࡓ
௨ୖࡢࡼ࠺࡞༳㇟ࡶᐤࡏࡽࢀ࡚࠸ࡿࠋཷࡅධࢀ⤌⧊࡟ࡼࡗ࡚ᵝࠎ࡞ᚅ㐝ࡢᕪࡀ࠶ࡿ࡜࠸࠺
஦ᐇࡣࠊ⤌⧊࡛άືࡍࡿ୰࡛ࡣᬑ㐢ⓗ࡟Ꮡᅾࡍࡿࡶࡢ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࡓࡵࠊ㏵ୖᅜ࡛ࡢάືࡸ㟷ᖺᾏእ༠ຊ㝲࡟㝈ࡗ࡚Ⓨ⏕ࡍࡿࡇ࡜࡛ࡣ࡞࠸ࠋ
ࡇࢀ࡟ᑐࡋࠊᾏእ࡛┤㠃ࡍࡿᅔ㞴࡜ࡋ࡚ࡣࠊ

࣭ண⟬ࡀ඲ࡃ࡞࠸ࠊண⟬ࡀ࡞࠸≧ែ࡛㐍ࡵ࡚࠸ࡃࡢࡀ㞴ࡋ࠸࣭༠ຊ⪅ࡀ࠸࡞࠸
࣭࠾㔠ࡸࣉࣛ࢖ࢻࡢၥ㢟࡛ࠊ඲㠃ⓗ࡞༠ຊࡀᚓࡽࢀ࡞࠸
࡞࡝ࠊண⟬ࡸ㓄ᒓඛࡢጼໃ࡟ゝཬࡍࡿࡶࡢࡀከ࠿ࡗࡓࠋࡇࢀࡽࡢከࡃࡀ௚⫋✀ࡢ㟷ᖺᾏእ༠ຊ㝲࡟ࡶᗈࡃぢࡽࢀࡿ≧ἣ࡛࠶ࡿࡀࠊ

ࠕ୍␒኱ኚ࡞ࡢࡣゝⴥ࡛ࡍࡼࡡࠋ≉࡟ಖ೺ᖌࡣ┳ㆤ⫋ࡳࡓ࠸࡟┳ㆤᢏ⾡ࡣࡇ࠺࡛ࡋࡻࡗ࡚
ぢࡏࡿࡶࡢ࡛ࡶ࡞࠸ࡋࠊ≀ࢆసࡿேࡳࡓ࠸࡟≀ࢆసࡗ࡚ࠊࡇ࠺ࢪ࢙ࢫࢳ࣮࡛ࣕࠊぢࡏࡿࡗ࡚࠸࠺ࡶࡢ࡛ࡶ࡞࠸ࡢ࡛ࠊゝㄒࡣࡍࡈࡃ኱ษࡔ࡞࡜ᛮ࠸ࡲࡋࡓࠖ
ୖグࡢࡼ࠺࡞ពぢࡣࠊࠕ┠࡟ぢ࠼ࡿࡶࡢ࣭ᡂᯝࠖࢆ࡜࠿ࡃồࡵࡽࢀࡀࡕ࡛࠶ࡿ㏵ୖᅜ࡟࠾࠸
࡚ࡣࠊ≉࡟ಖ೺ᖌࡸ⾨⏕⾜ᨻࡢᴗົࢆ⌮ゎࡋ࡚ࡶࡽ࠺ࡇ࡜ࡀ㞴ࡋ࠸࡜ࡶ⪃࠼ࡽࢀࡿࠋ
ࡇ࠺ࡋࡓᾏእࡢ⤒㦂࠿ࡽᚓࡽࢀࡓࡶࡢ࡜ࡋ࡚᭱ࡶከ࠿ࡗࡓᅇ⟅ࡀࠊ౯್ほࠊෆ㠃ࠊ⢭⚄ࡢኚ໬࡛࠶ࡿࠋ

ࠕ⮬ศ⮬㌟ࡢ౯್ほ࡛ࡍ࠿ࡡࠋࠕࡇ࠺࠸࠺ேࡶ࠸ࡿࢇࡔࠖࡗ࡚࠸࠺ᡤ࡛ࡢࠋⱝ࠸᫬ࡣఱ࡛ࡇ
ࡢேࡇ࠺࡞ࢇࡔࢁ࠺ࡗ࡚࿘ࡾࡢேࡢࡏ࠸࡟ࡋ࡚࠸ࡓ࡜ࡇࢁࡶ࠶ࡿ࡜ᛮ࠺ࢇ࡛ࡍࡅࢀ࡝ࠊᖐ
ࡗ࡚᮶࡚࠿ࡽࡣࡇࡢேࡣࡇ࠺࠸࠺ே࡞ࢇࡔࡗ࡚࠸࠺ࠊᴟ➃࡟ゝ࠼ࡤࠋ࡝࠺ࡸࡗ࡚ື࠸࡚ࡶ
ࡽࡗࡓࡽⰋ࠸࠿࡞ࠊࡇࡢேࡢⰋ࠸ᡤࡗ࡚࡝࠺ࡋࡓࡽⰋ࠸࠿࡞࡜࠿ࠋ࡛ࡶᐇ㊶ࡣ⚾ࡋ࡚࠸࡞࠸ࡢ࡛ࠋࡑ࠺࠸࠺ࡇ࡜ࢆᛮ࠺ࡼ࠺࡟࡞ࡾࡲࡋࡓࠋࠖ
ࠕᛮ࠺㏻ࡾ࡟࠸࠿࡞࠸ࡌࡷ࡞࠸࡛ࡍ࠿ࠋ኱య఍㆟ࡸࡗ࡚ࡶ௒᪥ㄡࡶ㞟ࡲࡽ࡞࠸࡜࠿ࠊ㞵㝆ࡗࡓ࠿ࡽ᮶࡞࠸࡜࠿ࠋ᭱ึࡣ࢝ࣜ࢝ࣜࡋ࡚࠸ࡓࢇࡔࡅࢀ࡝ࡶࠊ㐪࠺ࢇࡔ࡞ࠊࡋࡻ࠺ࡀ࡞࠸
ࢇࡔ࡞ࠊ࡜ᛮࡗ࡚ࠋ࡛ࡶࠊḟࡢ᫬࡟᮶ࡿࢇ࡛ࡍࡼࡡࠋࡑࡢ᫬㛫ࡢࢫࣃࣥ࡜࠿㊥㞳ឤ࡜࠿ࡶࡢࡢ⪃࠼᪉ࡗ࡚࠸࠺ࡢࡀࠊ᪥ᮏࡣྠࡌྠ୍ࡢẸ᪘࡛ࠊྠ୍ࡢ⪃࠼᪉ࢆࡶࡗ࡚࠸ࡿ࠿ࡽࠊࡍ
ࡈࡃุ࡛ᢲࡋࡓࡼ࠺࡟࠺ࡲࡃ࠸ࡃࢇࡔࡅࢀ࡝ࠊࡑ࠺ࡌࡷ࡞࠸ேࡓࡕࡀධࡗ࡚࠸ࡿ᫬࡟ࠊ࡝ࡇࡲ࡛チᐜ࡛ࡁࡿ࠿ࡗ࡚࠸࠺ࡑࡇࡽ࡬ࢇࡢᗈࡉࡗ࡚࠸࠺ࡢࡀࠊᾏእ࡟⾜ࡗ࡚࠿ࡽࡢ᪉ࡀ῝ ࡲࡗࡓ࠿࡞࡜࠸࠺Ẽࡀࡋࡲࡋࡓࠋࠖ
௨ୖࡢࡼ࠺࡟ࠊࡇࢀࡲ࡛࡟య㦂ࡋࡓࡇ࡜ࡢ࡞࠸౯್ほࡸ⢭⚄࡟㛗ᮇ㛫ゐࢀࡿࡇ࡜࡟ࡼࡗ࡚ࠊ
⮬㌟ࡢ୰ࡢ౯್ほࡀ኱ࡁࡃኚࢃࡾࠊチᐜຊࡀᗈࡀࡗࡓ࡜ࡍࡿ஦౛ࡀከ࠸ࠋຍ࠼࡚ࠊ
ࠕ⤖ᵓᛮ࠸ࡘࡵࡓࡾࡍࡿࡇ࡜ࡀ࠶ࡿࢇ࡛ࡍࡅ࡝ࠊࡶ࠺ࡕࡻࡗ࡜ࡇ࠺ど㔝ࢆᗈࡆ࡚࡜࠸࠺࠿ࠊ

ࡇࢀࡤࡗ࠿ࡾࡌࡷ࡞࠸ࠊே⏕ࡣࡶࡗ࡜ࡗ࡚࠸࠺ឤࡌ࡛ࠋ࣭࣭࣭ࡸࡾࡓࡃ࡞࠿ࡗࡓࡽࡸࡵࢀࡤ
࠸࠸࠿ࠊࡳࡓ࠸࡞ឤࡌ࡛Ẽࡣᴦ࡟࡞ࡾࡲࡋࡓࡡࠋࠖ
୙័ࢀ࡞⎔ቃ࡛ࡢ⏕ά࡛ᵝࠎ࡞ᅔ㞴࡟᭚㟢ࡋࡓ⤖ᯝࠊᚸ⪏ຊࡸ㐺ᛂຊࠊ⢭⚄ຊࡸᰂ㌾ᛶࡀ
㌟࡟ࡘࡁࠊࡑࡢ⤖ᯝࠊ≀஦ࡢᤊ࠼᪉ࠊ⏕ࡁ᪉࡟ࡶ኱ࡁ࡞ኚ໬ࢆࡶࡓࡽࡍࡇ࡜ࡀ࠺࠿ࡀ࠼ࡿࠋ
7. ᪥ᮏ࡜ᾏእࡢᴗົࡢඹ㏻Ⅼ᪥ᮏ࡜ᾏእࡢඹ㏻Ⅼ࡜ࡋ࡚ᣲࡆࡽࢀࡓࡢࡣࠊᙜ↛࡛ࡣ࠶ࡿࡀࠊࡑࡢάືࡢ┠ⓗࡀࠕఫẸࡢ೺ᗣࢆᏲࡿࡇ࡜ࠖ࡟࠶ࡿⅬ࡛࠶ࡿࠋ࿘ᅖࡢ⎔ቃࡸㄢ㢟࡜࡞ࡿ⑌⑓ࡀ␗࡞ࡿ୰࡟࠾࠸࡚ࡶࠊ
ࡇࡢ┠ⓗ࡟ᑐࡍࡿ࢔ࣉ࣮ࣟࢳ᪉ἲࡣඹ㏻࡛࠶ࡿࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿࠋ≉࡟ࠊಖ೺ᖌ࡜ࡋ
࡚ࠊ௚ேࡢ㡿ᇦ࡟ධࡗ࡚࠸ࡃ㝿ࡢጼໃࠊ┦ᡭࡢヰࢆ⪺ࡁࠊᣦᅗࢆ㑊ࡅࡿࡇ࡜ࠊ⨨࠿ࢀ࡚࠸ࡿ≧ἣࡢၥ㢟ࢆᢕᥱࡋࠊᑐ⟇᪉ἲࢆ⪃࠼ࡿࡇ࡜ࠊᢸᙜࡀ࠸࡞ࡃ࡞ࡗࡓᚋࡶぢᤣ࠼࡚άືࢆ
ィ⏬ࡍࡿࡇ࡜ࠊࢥ࣑ࣗࢽࢸ࢕ࡢ୍ဨ࡟࡞ࡿࡇ࡜ࠊ࡞࡝ࡣ᪥ᮏࠊ㏵ୖ࡟ඹ㏻ࡍࡿ᪉ἲࡢࡼ࠺
࡛࠶ࡿࠋࡲࡓࠊ⎔ቃࡀ␗࡞ࡗ࡚ࡶࠊୖࡢ⪅ࢆ❧࡚ࡿࡇ࡜ࡸࠊୖྖࡸ࣮࢟ࣃ࣮ࢯࣥ࡜ࡢ㛵ಀᵓ⠏࡞࡝ࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆ෇⁥࡟㐍ࡵࡿࡓࡵࡢ⎔ቃ࡙ࡃࡾࡶඹ㏻ࡋ࡚࠸ࡿࠋ
8. ᪥ᮏ࡜ᾏእࡢᴗົࡢ┦㐪Ⅼ᪥ᮏ࡜ᾏእࡢ┦㐪Ⅼ࡛ᣲࡆࡽࢀࡿⅬࡣከᒱ࡟ࢃࡓࡿࡀࠊ኱ูࡍࡿ࡜ୗグࡢⅬ࡟せ⣙࡛ࡁࡿ㸸࣭⎔ቃ㸭ไᗘ
ὶ⾜ࡋ࡚࠸ࡿ⑓Ẽࡸ⏝࠸ࡽࢀࡿᇶ‽(ࢫࢱࣥࢲ࣮ࢻ)ࡢᕪ␗ࡶࡉࡿࡇ࡜࡞ࡀࡽࠊ㏵ୖᅜ࡛ࡣ฼
⏝࡛ࡁࡿ⎔ቃ(㈨※)ࡸไᗘࡶ␗࡞ࡿࠋ᪥ᮏ࡛ࡣᅜ࠿ࡽ┠ᶆ࣭ண⟬ࡢᯟ⤌ࡳࡀᥦ♧ࡉࢀࠊࡑࢀ
࡟ᇶ࡙ࡁࠊ㒔㐨ᗓ┴ࠊᕷ༊⏫ᮧ࡜࠸࠺㡰ࢆ⤒࡚ࠊάືࡀᒎ㛤ࡉࢀ࡚࠸ࡃࡇ࡜ࡀᇶᮏ࡛࠶ࡿ
ࡀࠊ㏵ୖᅜ࡛ࡣ≉࡟ࡑࢀࡀ㞴ࡋ࠸ࠋ᪥ᮏ࡛ࡣᵝࠎ࡞┘どᶵ㛵ࡀ࠶ࡾࠊࢭ࣮ࣇࢸ࢕ࢿࢵࢺࡀ
࠶ࡿ୍᪉࡛ࠊ࿨࡟┤⤖ࡍࡿ஦౛ࡀከ࠸㏵ୖᅜ࡛ࡣࡑࡢ௙⤌ࡳࡀ࡞࠸ࠊไᗘ࠶ࡾࡁ࡛᥎ዡࡋ
࡚࠸ࡓᨭ᥼⟇ࡀ㏵ୖᅜ࡛ࡣ㏻⏝ࡋ࡞࠸ࠊࡑࡶࡑࡶಖ೺ᖌ࡜࠸࠺⫋✀ࡀᏑᅾࡋ࡞࠸ࠊ࡞࡝ࡶ
ලయ౛࡛࠶ࡿࠋ
࣭௙஦࡟ᑐࡍࡿពḧࠊጼໃࠊ౯್ほḟ࠸࡛ከࡃᣲࡆࡽࢀࡓពぢࡣࠊ௙஦࡟ᑐࡍࡿពḧࠊጼໃࠊ౯್ほࡢ㐪࠸࡛࠶ࡿࠋ᪥ᮏ࡛ࡣ
௙஦ࡀ⏕άࡢ୰ᚰ࡟ᤣ࠼ࡽࢀࡿࡇ࡜ࡀከ࠸୰࡛ࠊᾏእ࡛ࡣࡑࡢ౯್ほࡀ኱ࡁࡃ␗࡞ࡿࠋ㔠㖹ⓗ⌮⏤࡟ࡼࡾ௙஦ࢆࡋ࡞࠸ࠊ௙஦ࡼࡾࡶࣉࣛ࢖࣮࣋ࢺࢆ㔜どࡍࡿࠊ࡞࡝ࡀᾏእ࡛ࡢ≉ᚩ࡜ࡋ࡚ᣲࡆࡽࢀࡿࠋࡇ࠺ࡋࡓ௙஦࡟ᑐࡍࡿពḧࡣࠊ᪥ᮏࡢ౯್ほࡢࡶ࡜࡛ࡣᅔ㞴ࢆぬ࠼ࡿࡇ࡜ࡀከ࠸ࠋࡑࡢ୍᪉࡛ࠊ᪥ᮏ࡛ࡣእᅜேఫẸࡢᑐᛂ(᪥ᮏㄒ௨እ࡛ࡢᴗົ)ࡀᩗ㐲ࡉࢀࡿഴྥࡀ࠶ࡿࡀࠊᾏእ࡛ࡣࡇ࠺ࡋࡓእᅜẸ࡟ᑐࡋ࡚ࡶࠊぶ㌟࡟࡞ࡗ࡚ᑐᛂࡍࡿጼໃࡀぢࡽࢀࡿࠊ ࡜࠸ࡗࡓពぢࡶ࠶ࡗࡓࠋ
࣭άືࡢ⮬⏤ᗘࠕไᗘࡸἲᚊࡀ࡞࠸ࠖ࡜࠸࠺ࡇ࡜ࡀ㏵ୖᅜࡢ୍ࡘࡢ≉ᚩ࡜ࡋ࡚ᣲࡆࡽࢀࡿ୍᪉࡛ࠊไᗘࡀ
࡞࠸ࡇ࡜࡛ࡼࡾ⮬⏤࡟άື࡛ࡁࡿ࡜࠸࠺ពぢࡶぢࡽࢀࡓࠋ௙஦࡛ᣮᡓ࡛ࡁࡿᖜࡀ኱ࡁ࠸ࠊ
ᛮ࠸ࡘ࠸ࡓࡇ࡜ࢆヨࡍࡇ࡜ࡀ࡛ࡁࡿࠊኻᩋࡋ࡚ࡶḟ࡟ᣮᡓ࡛ࡁࡿࠊୖྖ࡟┤ㄯุ࡛ࡁࡿࠊ
࡞࡝ࡀࡑࡢ⌮⏤࡛࠶ࡿࠋ9.

᪥ᮏ࠿ࡽᾏእ࡟ά࠿ࡏࡿࡇ࡜

᪥ᮏ࡛ࡢ⤒㦂ࢆ㏵ୖᅜ࡛ά࠿ࡏࡿ࠿ࠊ࡜࠸࠺ၥ࡟ࡣࠊ᪥ᮏ࡜ᾏእ࡛ࡢᴗົ࡟ඹ㏻ࡍࡿ஦㡯࡟࠾࠸࡚≉࡟ࡑࡢ⤒㦂ࡀⓎ᥹ࡉࢀࡿࡼ࠺࡛࠶ࡿࠋ୓ᅜඹ㏻࡛࠶ࡿឤᰁ⑕ࡢ▱㆑ࡣࡶ࡜ࡼࡾࠊ
ಖ೺ᖌ࡜ࡋ࡚ᆅᇦ࡟ྥ࠿࠺㝿ࡢጼໃࠊே࡜ࡢ᥋ࡋ᪉ࠊ᪥ᮏ࡛ᇵࢃࢀࡓ㛵ಀ⪅࡜ࡢࢿࢵࢺ࣡
࣮ࢡ࡙ࡃࡾࡸࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊ࡜࠸ࡗࡓᚰᵓ࠼ࡸᑐே⬟ຊ࡟ຍ࠼ࠊᐇ㝿ࡢ೺ᗣᨻ⟇ࡸ೺ᗣᩍ⫱ࠊ࢖࣋ࣥࢺᐇ⾜ࡸࢹ࣮ࢱศᯒ࡞࡝ࡢᐇ㊶ⓗ࡞⤒㦂ࡀᾏእࡢάື࡟┤᥋ᙺ❧ࡗࡓ࡜࠸࠺ពぢࡶከ࠸ࠋࡲࡓࠊẚ㍑ࡍࡿᑐ㇟࡜ࡋ࡚᪥ᮏ࡛ࡢ⤒㦂ࡀ࠶ࡿࡇ࡜࡛ࠊ᪥ᮏ࡛ࡢᴗ
ົࢆࡑࡢࡲࡲᛂ⏝ࡣ࡛ࡁ࡞ࡃ࡜ࡶࠊᕪ␗ࢆぢฟࡍࡇ࡜࠿ࡽ௚ᅜࡢไᗘࢆ⌮ゎࡍࡿᡭຓࡅ࡟
ࡶ࡞ࡾࠊ࡝࠺࠸ࡗࡓ᪋⟇ࡀᚲせ࠿ࢆ⪃࠼ࡿࣄࣥࢺ࡟ࡶ࡞ࡿࡼ࠺࡛࠶ࡿࠋ
ࡋ࠿ࡋࠊ᪥ᮏ࡛ࡢ⤒㦂ࡣࠊ᪥ᮏ࡛Ꮫࢇ࡛࠸ࡗࡓࡇ࡜ࡀ࠶ࡗ࡚ࡶࣞ࣋ࣝࡀ඲ࡃ␗࡞ࡿᾏእ࡛
ࡣ㏻⏝ࡋ࡞࠸ࡇ࡜ࠊࡲࡓࠊ᪥ᮏࡢබ⾗⾨⏕ࡢ▱㆑ࡀ࠶ࡗࡓ࡜ࡋ࡚ࡶࠊࡑࢀࢆඖ࡟ᾏእ࡟ࡘ
࠸࡚⪃࠼ࡓࡾẚ㍑ࡋࡓࡾࡍࡿࡢࡣ㞴ࡋ࠸࡜࠸࠺ぢゎࡶ࠶ࡗࡓࠋ
10. ᾏእ࠿ࡽ᪥ᮏ࡟ά࠿ࡏࡿࡇ࡜
㏵ୖᅜࡢ⤒㦂ࡀ᪥ᮏ࡛ά࠿ࡏࡿ࠿ࠊ࡜࠸࠺Ⅼ࡟࠾࠸࡚ࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࠊᗘ⬚ࠊ⢭⚄ຊ࡞࡝ࠊಶேࡢෆ㠃ᙉ໬࡜࠸࠺㠃࡟ゐࢀࡿពぢࡣከ࠸୍᪉࡛ࠊ᪥ᮏࡢ⾨⏕⾜ᨻ࡟ᑐࡋࠊ
┤᥋ⓗ࡞ᢏ⾡࡛㑏ඖ࡛ࡁࡿⅬࡣᑡ࡞࠸༳㇟ࢆཷࡅࡿࠋ
ࡲࡎࠊ㏵ୖᅜࡢ⤒㦂ࡀ᪥ᮏࡢ⾨⏕⾜ᨻ࡛ά࠿ࡏࡿ஦౛࡜ࡋ࡚ᣲࡆࡽࢀࡓⅬ࡟ࡘ࠸࡚ࠊලయ
ⓗ࡟ぢ࡚ࡳࡿ࡜ࠊ

࣭ᾏእࡢ⾜ᨻࢩࢫࢸ࣒ࡸ࠺ࡲࡃ࠸ࡗࡓࢣ࣮ࢫࢆ⤂௓࡛ࡁࡿ࣭ᾏእ࡜ఝࡓᆅᇦ≉ᛶࡢሙྜ(ൢᆅ࡞࡝)ࠊᆅᇦ࡬ࡢධࡗ࡚࠸ࡁ᪉ࢆ཯ᫎࡍࡿࡇ࡜ࡀ࡛ࡁࡿ
࣭ఫẸ୺య࡛άືࢆ⾜࠸ࠊព㆑ࢆ㧗ࡵࡿάືࡣ᪥ᮏ࡛ࡶά࠿ࡏࡿ
࣭ࢮࣟ࠿ࡽ⪃࠼ࠊேࢆ㞟ࡵࡿ᪉ἲࡣᛂ⏝࡛ࡁࡿ࣭ᾏእ࠿ࡽࡢ᮶ゼ⪅ࡀ࠶ࡗࡓ㝿ࠊ᪥ᮏ࡜ࡢᕪ␗ࢆព㆑ࡋࡓୖ࡛᪥ᮏࡢ⤂௓ࡀ࡛ࡁࡿ
࣭༴ᶵ⟶⌮ࡸ⤒Ⴀ⬟ຊ࣭ᵝࠎ࡞⏕άࠊ⪃࠼ࡀ࠶ࡿ࡜࠸࠺࣮࢝ࢻࢆᣢࡘࡇ࡜࡟ࡼࡾࠊ⪃࠼᪉ࡢᖜࡀᗈࡀࡾࠊ࣐ࢿࢪ
࣓ࣥࢺ࡟ࡶά࠿ࡏࡿ
࣭᪥ᮏ࡟࠸ࡿእᅜேᑐᛂࡸࠊᾏእ࡛ὶ⾜ࡋ࡚࠸ࡿ⑌⑓ࡢᢸᙜࢆ௵ࡏ࡚ࡶࡽ࠼ࡿࡼ࠺࡟࡞ࡿ
࡞࡝ࡀᣲࡆࡽࢀࡓࠋ ᭦࡟ࠊࡇ࠺ࡋࡓ┤᥋ⓗ࡟⾨⏕⾜ᨻ࡟཯࡛ᫎࡁࡿᢏ⾡࡟ຍ࠼࡚ከ࠿ࡗࡓᅇ⟅ࡀࠊಶࠎேࡢෆ
㠃ⓗ࡞ኚ໬࡛࠶ࡿࠋලయⓗ࡟ࡣ࣭ᵝࠎ࡞ேࡸ⪃࠼᪉ࢆཷࡅධࢀࡽࢀࡿ࣓ࣥࢱࣜࢸ࢕

࣭ᵝࠎ࡞ே࡜௜ࡁྜ࠼ࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊ
࣭㏵ୖᅜ࡛ᚓࡓ౯್ほࡸே⏕ࡢ⪃࠼᪉࡜࠸ࡗࡓࠊ␗ᩥ໬ࢆయ㦂ࡋࡓࡇ࡜࡟ࡼࡗ࡚⮬ᕫࡢෆ㠃ࡀᗈࡀࡗࡓ࡜࠸࠺ពぢࡀከ࠸ࠋ୍᪉ࠊ
ࡇ࠺ࡋࡓෆ㠃ⓗ࡞ኚ໬ࢆࠊ᪥ᮏᅜෆ࡛ࡢ⾨⏕⾜ᨻ࡟ලయⓗ࡟࡝࠺⏕࠿ࡍ࠿࡜࠸࠺Ⅼ࡛ࡣࠊࡑࡢ᪉ἲࢆぢࡘࡅࡽࢀ࡚࠸࡞࠸ࢣ࣮ࢫࡀከ࠸ࡼ࠺࡛࠶ࡿࠋ
ୖグ࡟⤂௓ࡍࡿࡼ࠺࡞஦౛ࡶ࠶ࡿ୍᪉࡛ࠊ㏵ୖᅜࡢ⤒㦂ࡀ᪥ᮏ࡛ά࠿ࡏࡿ࠿ࠊ࡜࠸࠺ၥ࠸
࡟㛵ࡋ࡚ࡣ᠜␲ⓗ࡞ពぢࡀከ࠿ࡗࡓࠋ≉࡟ࠊ᪥ᮏ࠿ࡽᾏእ࡟⾜ࡃ㝿ࡣࠊ▱㆑ࡸ⤒㦂ࢆᣢࡗ࡚࠸ࡃࡇ࡜ࡀ࡛ࡁࡿࡀࠊ㏫ࡢࣃࢱ࣮ࣥ࡟࠾࠸࡚ࡣࠊ⎔ቃࡀ࠶ࡲࡾ࡟㐪࠸ࡍࡂࡿࡓࡵࠊ᪥ᮏ
࡟࠾࠸࡚㏵ୖᅜࡢ⤒㦂ࢆά࠿ࡍ᪉ἲࡀぢࡘ࠿ࡽ࡞࠸࡜࠸࠺ࡶࡢ࡛࠶ࡿࠋ㏵ୖᅜ࡛άືࡋࡓ
⤒㦂ࢆά࠿ࡋࠊᅜ㝿஺ὶࡸࠊ㏵ୖᅜࢆᨭ᥼ࡍࡿࡇ࡜࡞࡝ࡶ⪃࠼ࡽࢀࡿࡀࠊ⾨⏕⾜ᨻࡢάື࡜ࡋ࡚ࡲࡎ⪃࠼࡞ࡅࢀࡤ࠸ࡅ࡞࠸ࡢࡣࡑࡢఫẸ࡛࠶ࡾࠊᕷ༊⏫ᮧࡢ⤌⧊࡛ࡑ࠺ࡋࡓ஦ᴗࢆ
ᒎ㛤ࡍࡿࡢࡣ㞴ࡋ࠸࡜࠸࠺ᣦ᦬ࡀ࠶ࡗࡓࠋࡑࡶࡑࡶࠊ᪥ᮏࡢ⾨⏕⾜ᨻᴗົࡢ୰࡛ࠊ㏵ୖᅜࡢ⤒㦂ࢆᚲせ࡜ࡍࡿᶵ఍ࡀ࡞࠸ࡢ࡛ࡣ࡞࠸࠿࡜࠸࠺ពぢࡶ࠶ࡾࠊከࡃࡢᅇ⟅⪅࠿ࡽࠕ᪥ᮏ
ࡢ⾨⏕⾜ᨻ࡬ࡢ㑏ඖ᪉ἲ࡟㛵ࡋ࡚ࡣᶍ⣴୰࡛࠶ࡿࠖ࡜ࡢᅇ⟅ࢆᚓࡓࠋ11.

ᖐᅜᚋࡢᅔ㞴

㟷ᖺᾏእ༠ຊ㝲࡜ࡋ࡚ᾏእ࡛άືࢆࡋ࡚᪥ᮏࡢ⾜ᨻ࡟ᡠࡿ㝿࡟ࠊᾏእ࡜ࡢࢠࣕࢵࣉ࡟ᝎࡴ
౛ࡶఱ௳࠿ሗ࿌ࡉࢀ࡚࠸ࡿࠋ

ࠕᖐࡗ࡚᮶࡚࠿ࡽࠊ࠶ࡲࡾ࡟㐪࠺ࡌࡷ࡞࠸࡛ࡍ࠿ࠋ⚾ࡶ 2 ᖺ(Ꮫᰯ࡟⾜ࡗࡓࡅࢀ࡝ࡑࢀ)ࡃࡽ
࠸✵ࡅ࡞࠸࡜ࠊ᪥ᮏே࡟♫఍᚟ᖐ࡛ࡁ࡞࠸࡜ᛮࡗ࡚ࠋ࣭࣭࣭ࡑࡇࡢ᪥ᮏே࡟♫఍᚟ᖐࡍࡿ᫬
㛫࡜࠿ࠊᚲせࡔ࡞ࡗ࡚ᛮࡗ࡚࣭࣭࣭⤌⧊࡜ࡋ࡚ࠊ᮶࡚ࡍࡄ࡟᪥ᮏே࡜ࡋ࡚ാ࠿࡞ࡃ࡚ࡣ࠸
ࡅ࡞࠸ࡢ࡛ࠊᾏእ࡛Ꮫࢇࡔࡶࡢ࡜࠿࠶ࡗ࡚ࡶࠊ୍ᅇࡑࡇ࡛ࡲࡿ࡟ࡋ࡚ࠊࡇࡇ࠿ࡽࡲࡓ㐪࠺ே࡛⾜ࡃࡗ࡚࠸࠺ࡢࡀ࠺ࡲࡃࡘ࡞ࡀࡗ࡚࠸࠿࡞࠸ࡢ࠿࡞࡜ࠖ
ࠕ᪥ᮏࡢࢸ࣏ࣥ࡜࢔ࣇࣜ࢝ࡢࠊࡓࡗࡓ 2 ᖺ㛫࡞ࡢ࡟ࢸ࣏ࣥࡀྜࢃ࡞ࡃࡗ࡚ࠊ᪥ᮏ♫఍࡟ࡘ࠸࡚࠸ࡅ࡞࠿ࡗࡓ࡛ࡍࠖ
ࠕ⤖ᵓࢫࣆ࣮ࢻឤࡢ㐪࠸࡜࠿ࡀ୍␒័ࢀࡿࡲ࡛ࡣ኱ኚ࡛ࠊ࠶࡜ࡣྠ᫬࡟Ⰽࢇ࡞௙஦ࢆࡇ࡞
ࡍࡗ࡚࠸࠺ࡇ࡜࡟ᑐࡋ࡚ࡶ࡞࠿࡞࠿㞴ࡋ࠸ࡢࢆឤࡌࡲࡋࡓࠖ
ࡑࡢከࡃࡣ௚ࡢᾏእ࠿ࡽࡢᖐᅜ⪅ࡀ⤒㦂ࡍࡿ㏫࢝ࣝࢳ࣮ࣕࢩࣙࢵࢡ࡟ࡼࡿࡶࡢ࡛࠶ࡿࡀࠊ
ᖐᅜ┤ᚋ࡟᪥ᮏࡢ⫋ሙ࡟᚟ᖐࡋ࡞ࡃࡣ࠸ࡅ࡞࠸⌧⫋ཧຍࡢ⾜ᨻ⫋ဨ࡟࡜ࡗ࡚ࡣࠊࡑࡢᙳ㡪ࡀࡼࡾᙉ࠸ࡇ࡜ࡶ⪃࠼ࡽࢀࡿࠋ
12. ᚲせ࡞⬟ຊࡸ᪥ᮏ࡛ࡸࡗ࡚࠾ࡃ࡭ࡁࡇ࡜
ᾏእὴ㐵ࢆぢᤣ࠼࡚ᚲせ࡞⬟ຊࡸࠊ᪥ᮏ࡛௜ࡅ࡚࠾ࡃ࡭ࡁ⬟ຊ࡟ࡘ࠸࡚ࡢၥ࠸࡟ࡣࠊୗグ ࡢᅇ⟅ࡀᚓࡽࢀࡓࠋ᪥ᮏࡢ⾜ᨻࡢᇶ♏ⓗ࡞▱㆑ࡶࡉࡿࡇ࡜࡞ࡀࡽࠊ⾨⏕⾜ᨻ࡜ࡋ࡚ே࡜㛵ࢃࡿ㝿ࡢጼໃࡸࠊᑐே⬟ຊ࡟ࡘ࠸࡚ゝཬࡍࡿࡶࡢࡶぢࡽࢀࡿࠋ࣭⾜ᨻࡢ௙⤌ࡳࠊᡭ⥆ࡁࠊ஦ᴗࢆࡶࡗ࡜▱ࡗ࡚࠾ࡃ࡭ࡁࡔࡗࡓࠋⰍࢇ࡞⮬἞యࡢ஦౛ࢆ▱ࡗ࡚࠸ࡓ᪉ࡀᥦ᱌ࡸศᯒࡶ῝ࡃ࡛ࡁࡿ࣭᪥ᮏࡢ⤫ィࡸࢹ࣮ࢱࡀ࡝ࡢࡼ࠺࡟ࡲ࡜ࡵࡽࢀ࡚࠸ࡿࡢ࠿ࢆ▱ࡽ࡞࠿ࡗࡓࡢ࡛ࠊ▱ࡗ࡚࠾࠸ࡓ᪉ࡀⰋ࠿ࡗࡓ
࣭ᆅᇦᐇែࡸேࠎࡢᬽࡽࡋࢆぢᴟࡵࡿ࡜࠸࠺ࡢࡣࠊ࡝ࡇࡢᅜ࡟࠾࠸࡚ࡶ኱஦ࠋᩘ್ⓗ࡟ぢࡿࡇ࡜ࡶࠊ≧ἣࢆほᐹࡍࡿࡇ࡜ࡶ
࣭┠ࡢ๓ࡢ௙஦࡟㏣ࢃࢀ࡚࠸ࡿࡇ࡜ࠊᑐᛂࡀࣃࢱ࣮ࣥ໬ࡉࢀ࡚࠸ࡿࡇ࡜࠿ࡽࠊࡦ࡜ࡾࡦ࡜
ࡾࡢ⏕άࢆぢᴟࡵࡿ࡜࠸࠺⬟ຊࡀ(኱஦࡜ࡣศ࠿ࡗ࡚࠸࡚ࡶ)࡞࠾ࡊࡾ࡟࡞ࡗ࡚࠸ࡿ
࣭ゝㄒ⬟ຊࡀ㝈ࡽࢀ࡚࠾ࡾࠊ㐲ࡲࢃࡋ࡟ゝ࠺࡭ࡁᡤ࡛ࢫࢺ࣮ࣞࢺ࡟ゝࡗ࡚ࡋࡲ࠸ࠊ⌧ᆅ࡛࠺ࡲࡃ㛵ಀࡀ⠏ࡅ࡞࠿ࡗࡓ
࣭࡞ࡐࡑࢀࡀᚲせ࠿ࢆ⌮ゎࡋ࡚ࡶࡽ࠼ࡿࡼ࠺࡟ㄝ࡛᫂ࡁࡿ⬟ຊV. ศᯒ࡞ࡽࡧ࡟ᥦゝ
1. 㛤Ⓨ㏵ୖᅜ࡟࠾ࡅࡿ⤒㦂ࢆᅜෆࡢ⾨⏕⾜ᨻ࡟ά⏝࡛ࡁࡿྍ⬟ᛶ
1-1. ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻ
1-1-1. ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻࡢㄢ㢟㛤Ⓨ㏵ୖᅜ࡛ࡢ⤒㦂ࢆᅜෆࠊ≉࡟⾨⏕⾜ᨻ࡟ά⏝࡛ࡁࡿ࠿࡜࠸࠺࿨㢟࡟ᑐࡋࠊ࢖ࣥࢱࣅࣗ
࣮ཧຍ⪅ࡢከࡃࡀࡑࡢゎࢆぢࡘࡅࡿࡇ࡜࡟ᅔ㞴ࢆぬ࠼࡚࠸ࡿ༳㇟ࢆཷࡅࡿࠋࡑࡢ⌮⏤ࡣࠕ㏵ୖᅜ࡜᪥ᮏࡢ⎔ቃࠊㄢ㢟ࠊồࡵࡽࢀ࡚࠸ࡿࡶࡢࡀ␗࡞ࡿࠖ࡜࠸࠺Ⅼ࡟㞟⣙࡛ࡁࡿࡢ࡛ࡣ࡞
࠸࠿࡜⪃࠼ࡿࠋୗグࡢᅇ⟅࡟ࡶ࠶ࡿ㏻ࡾࠊ

ࠕἲᚊ࡛ࡀࡕࡀࡕ࡟ࠕ௒ࡇ࠺࠸࠺஦ᴗࢆࡋ࡞ࡉ࠸ࠖ࡜࠿Ỵࡲࡗ࡚࠸ࡿࡋࠊ௒ኚࢃࡿ࡜ࡁࡔ
ࡗࡓࡢ࡛ࠊࡑࡢ‽ഛࡀ࡝ࡇࡢᕷ⏫ᮧࡶ࡚ࢇ࡚ࡇࡲ࠸࡜࠸࠺࠿ࡑ࠺࠸࠺ឤࡌ࡛ࠊఱ࠿᪂ࡋ࠸
ࡇ࡜ࢆࠊ࡜࠸࠺ࡼࡾࡶࠊኚ࠼࡚࠸࠿ࢀࡿἲᚊ࡟ྜࢃࡏࡿࡓࡵ࡟࡝࠺ࡋࡼ࠺࠿࡜࠸࠺᪉ࡀࠊ
ࡑࢀ࡛࠸ࡗࡥ࠸࡛ࡋࡓࠖ
ࠕ⦡ࡾࡀ࠶ࡿᡤࡀ࠶ࡿࡢ࡛ࠊᆅᇦ࡟ฟ࡚⾜ࡗ࡚ࢡ࢚ࣜ࢖ࢸ࢕ࣈࡉ࡜࠸࠺࠿ࡑ࠺࠸࠺ࡢࡣ⾜ᨻ࡛ࡸࡗ࡚࠸ࡃࡢࡣ࡜࡚ࡶ㞴ࡋ࠸࠿࡞ࠊ࡜࠸࠺ࡢࡀ 3 ᖺാ࠸࡚ࡳ࡚ࡢឤ᝿࡛ࡣ࠶ࡾࡲࡋࡓࠋ
ࡓࡔࡶࡗ࡜ಖ೺ᖌ࡜ࡋ࡚࠾௙஦ࡀ࡛ࡁࡿࡼ࠺࡟࡞ࢀࡤࡑ࠺࠸࠺వ⿱ࡶฟ࡚ࡃࡿ࠿ࡶࡋࢀ࡞
࠸ࢇ࡛ࡍࡀࠊ3 ᖺ㛫ࡢ୰ࡢ⮬ศ࡛ࡣࠊ⮬ศ࡛᪂ࡋ࠸ఱ࠿ࢆࡸࡿ࡜࠸࠺ࡢࡣࡍࡈࡃ㞴ࡋ࠸࡞࡜ᛮ࠸ࡲࡋࡓࠋண⟬ࡶ㝈ࡽࢀ࡚࠸ࡓࡾࡍࡿࡢ࡛ࠊࡇ࠺࠸࠺ࡇ࡜ࢆࡸࡗ࡚ࡳࡼ࠺ࡗ࡚ᛮࡗ࡚ࡶࠊ
ḟࡢᖺࠊࡸࡾࡓ࠸࡜ᛮࡗࡓ࡜ࡁ࡟࠾㔠ࡀ࠶ࡿࢃࡅ࡛ࡣ࡞࠸ࡢ࡛ࠊ1 ᖺ༙ࡃࡽ࠸๓࡟⪃࠼ࡿ࡜࡞ࡿ࡜ࠊ┦ᙜ㛗࠸┠࡛⪃࠼࡚࠸࠿࡞࠸࡜࡛ࡁ࡞࠿ࡗࡓࡾࠊ⪃࠼࡚࠸࡚ࡶᩘᖺ࡛␗ື࡟࡞ࡗ
࡚ࡋࡲࡗࡓࡾ࡜࠿ࠊᩘᖺ࡛㒊⨫ࡀ␗ື࡟࡞ࡿࡢ࡛ࠊࡑ࠺ࡍࡿ࡜ᛮࡗ࡚࠸ࡓࡇ࡜ࡀᢸᙜࡢ࡜
ࡇࢁ࡛࡛ࡁ࡞࠿ࡗࡓࡾ࡜࠸࠺ࡢࡣฟ࡚ࡃࡿ࠿࡞࡜ᛮ࠸ࡲࡍࠖ
᪥ᮏࡢ⾨⏕⾜ᨻ࡜࠸࠺ᯟ⤌ࡳ࡛⪃࠼ࡓሙྜࠊ⤌⧊࡜ࡋ࡚ྲྀࡾ⤌ࡴ࡭ࡁㄢ㢟ࠊᑐᛂ⟇ࡣ࠶ࡿ ⛬ᗘỴࡲࡗ࡚࠾ࡾࠊࡑࡇ࡟ಶࠎேࡢ࢔࢖ࢹ࢕࢔ࡸឤᛶࡀධࡾ㎸ࡴవ⿱ࡣࠊ㏵ୖᅜࡢࡑࢀ࡟
ẚ࡭ࢀࡤࡣࡿ࠿࡟㝈ࡽࢀ࡚࠸ࡿࠋࠕἲࡸไᗘࡀᮍⓎ㐩࡛࠶ࡿ୍᪉ࠊ⮬⏤࡞άືࡀ࡛ࡁࠊኻᩋ
ࡀ࠶ࡗ࡚ࡶḟ࡟ᣮᡓ࡛ࡁࡿࠖ㏵ୖᅜࡢ⎔ቃ࡛ᇵࢃࢀࡓ⤒㦂ࡀࠕἲࡸไᗘ࡟ࡼࡗ࡚άືࡢ㐨➽ࡀ᫂♧໬ࡉࢀࡿ୍᪉ࠊồࡵࡽࢀࡿᡂᯝࡀỴࡵࡽࢀ࡚࠾ࡾࠊᐃࡵࡽࢀࡓᡭ㡰㏻ࡾ࡟㐍ࡵࡿᚲせࡀ࠶ࡿࠖ᪥ᮏ࡟࠾࠸࡚ά⏝࡛ࡁࡿࡼ࠺࡟ࡍࡿ࡟ࡣࠊ᪥ᮏࡢ⾨⏕⾜ᨻࡢᴗົࣉࣟࢭࢫࡢ
኱ᖜ࡞ᨵ⤌ࡀᚲせ࡟࡞ࡿ࡛࠶ࢁ࠺ࠋ
1-1-2. ᪥ᮏᅜෆࡢ⾨⏕⾜ᨻ࡬ࡢᥦ᱌
᪥ᮏࡢ⾨⏕⾜ᨻ࡟㏵ୖᅜࡢ⤒㦂ࢆά⏝ࡍࡿࡓࡵ࡟ࡣࠊ࢖ࣥࢱࣅ࣮࡛ࣗᚓࡽࢀࡓ᪥ᮏࡢ⾨⏕⾜ᨻࡢㄢ㢟ࢆ᳨ウࡍࡿࡇ࡜ࡀ୍᱌࡛࠶ࡿࠋ᪥ᮏࡢ⾜ᨻ࡛ാࡃୖ࡛ࡢᅔ㞴࡞Ⅼࡣࠊᴗົ㔞࡜ࡑࡢෆᐜ࡟ゝཬࡋࡓࡶࡢࡀከ࠿ࡗࡓࠋ

ࠕ᪥ᮏࡢ⾜ᨻࠊಖ೺⾨⏕࡟㝈ࡽࡎ࡛ࡍࡅࢀ࡝ࠊ⾜ᨻ⮬యࠊᩥ᭩సࡾࡔࡗࡓࡾࡑ࠺࠸ࡗࡓ஦
ົసᴗࡀከ࠸࡛ࡍࡋࠊⰍࢇ࡞ไᗘࡀⰋࡃࡶᝏࡃࡶ࠶ࡗ࡚ࠊࡑࢀ࡟⦡ࡽࢀࡍࡂ࡚࠸ࡿឤࡌࠊ
ࡕࡻࡗ࡜❓ᒅ࡞ឤࡌࡀ᪥ᮏ࡟ᖐࡗ࡚ࡁ࡚ࡶࡗࡓ༳㇟࡛ࡍ࠿ࡡࠖ
ࠕ᪥ᮏࡢேࡶ་⒪⫋ࡢேࡗ࡚ேࡢࡓࡵ࡟ࡗ࡚࠸࠺ᛮ࠸ࡸࡾࡀከ࠸ேࡀከ࠸ࡢ࠿࡞ࡗ࡚࠸࠺
༳㇟ࡣ࠶ࡿࢇ࡛ࡍࡅࢀ࡝ࡶࠊ┠ࡢ๓ࡢ↹㞧࡞ᴗົࠊ஦ົసᴗ࡜࠿࡟㏣ࢃࢀ࡚ࠊࡑ࠺࠸ࡗࡓ
ẼᣢࡕࡀḞࡅࡘࡘ࠶ࡿேࡶ࠸ࡿࠋ┱㛫࡟⓾ᐤࡏ࡚ാ࠸࡚࠸ࡿឤࡌࡀ࠶ࡿࡢ࡛ࠊࡶ࠺ࡕࡻࡗ
࡜௙஦ࡢෆᐜࠊ᪥ᮏ඲యࡢయไ࡜࠿࡟ࡶ࠿࠿ࢃࡿ࡜ᛮ࠺ࢇ࡛ࡍࡅࢀ࡝ࡶࠊࡶ࠺ࡕࡻࡗ࡜ࢩ
ࣥࣉࣝ࡟࡞ࡽ࡞࠸࠿࡞ࡗ࡚ᛮ࠸ࡲࡍࡡࠖ
஦ົసᴗࡸᩥ᭩సࡾ࡟㏣ࢃࢀࠊ1-1-1 ࡛๓㏙ࡉࢀࡓࡼ࠺࡟ࠕᆅᇦ࡟ฟ࡚ࠊࢡ࢚ࣜ࢖ࢸ࢕ࣈ࡞
௙஦ࢆࡍࡿࡇ࡜ࡀ㞴ࡋ࠸ࠖ⎔ቃ࡛ࡣࠊ㏵ୖᅜ࡛ᇵࢃࢀࡓ⮬⏤࡞࢔࢖ࢹ࢕࢔ࢆヨࡍࡇ࡜ࡣᅔ
㞴࡛࠶ࢁ࠺ࠋᴗົጤクࡸᴗົศᢸࡢぢ┤ࡋࠊࡲࡓࠊ⤌⧊ෆࡢពぢ஺᥮࡞࡝ࢆ㏻ࡌࠊ᪥ᮏࡢ
⾨⏕⾜ᨻ࡟㏵ୖᅜࡢ⤒㦂ࢆά⏝࡛ࡁࡿవᆅࢆ⏕ࡳฟࡍࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡿࠋ
1-2. ౯್ほࡢά⏝㛤Ⓨ㏵ୖᅜ࡛ᚓࡽࢀࡓࡶࡢࡣࠊᢏ⾡ࡼࡾࡶ౯್ほࡢኚ໬࡞࡝ࠊෆ㠃ⓗ࡞ࡶࡢࡀ኱ࡁ࠸ࠋ≉࡟ࠊᵝࠎ࡞౯್ほ࡟ゐࢀࡓ⤖ᯝࠊチᐜຊࡀቑ࠼ࠊከゅⓗ࡞どⅬࡀ㌟࡟ࡘ࠸ࡓ࡜࠸࠺ཧຍ⪅ࡢពぢࡀ࠶ࡗࡓࠋࡇ࠺ࡋࡓከゅⓗ࡞どⅬࡣࠊ᪥ᮏ࡟࠾࠸࡚ࡶᵝࠎ࡞஦౛ࡀᏑᅾࡍࡿ୰࡛ࠊ
ࡑࡢከᵝᛶࢆチᐜ࡛ࡁࡿጼໃࡀ࠶ࡿࡇ࡜ࡣࠊ♫఍ⓗከᵝᛶࡢᗈࡲࡿୖ࡛ࡶ኱ࡁ࡞ᙺ๭ࢆᯝ
ࡓࡍ࡜⪃࠼ࡽࢀࡿࠋࡑࡢ᪉ἲ࡜ࡋ࡚ࡣࠊ┤᥋ⓗ࡞ᑐ㠃ᨭ᥼ࡔࡅ࡛࡞ࡃࠊ࢖࣋ࣥࢺࡸ௻⏬ࠊᩍᐊ࡞࡝ࢆ㏻ࡌ࡚㛫᥋ⓗ࡟ࡶά⏝࡛ࡁࡿྍ⬟ᛶࡀ࠶ࡿࠋ
1-3. እᅜேᑐᛂ㸭᪂⯆࣭෌⯆ឤᰁ⑕Ⓨ⏕᫬ࡢᑐᛂV ❶ 1-2. ࡜ࡶ㛵㐃ࡋࠊ♫఍ⓗከᵝᛶࡀᗈࡲࡿ୰࡛ࠊ⾜ᨻ࡟࠾ࡅࡿᅾ␃እᅜேᑐᛂࡣࡑࡢ୍
ゅࢆ༨ࡵࡿࠋᐇ㝿࡟ࠊᾏእ࡛ࡢ⤒㦂ࢆ㈙ࢃࢀࠊண㜵᥋✀ࡸ┦ㄯ᫬ࡢእᅜேࡢᑐᛂ(㏻ヂ)ࢆ௵
ࡉࢀࡓ࡜࠸࠺஦౛ࡣఱⅬ࠿⪺࠿ࢀࡓࠋࡲࡓࠊࢪ࢝⇕ࡸࢹࣥࢢ⇕࡜࠸ࡗࡓឤᰁ⑕ࡢᑐᛂ࡜ࡋ
࡚ࠊၥデ⚊ࡢⱥㄒ∧ࡢసᡂࢆᢸᙜࡋࡓ࡜࠸࠺஦౛ࡶ࠶ࡗࡓࠋ㐣ཤࡢ◊✲⌜࡟ࡼࡿ᳨ウ఍࡟࠾࠸࡚ࡣࠊࡇ࠺ࡋࡓእᅜேࡸ᪂⯆࣭෌⯆ឤᰁ⑕ᑐᛂࡣࠊ▷ᮇⓗࠊ࠿ࡘ≉Ṧ࡞ᑐᛂࢆせࡍࡿ㝿࡟ࡢࡳእ㒊ேᮦࢆồࡵࡿ࡜࠸࠺ᣦ᦬ࡀ࠶ࡗࡓࡀࠊἲົ┬࡟ࡼࢀࡤᅾ␃እᅜேࡢᩘࡣᖹᡂ 

29 ᖺ 6 ᭶ᮎ᫬Ⅼ࡛ 2,471,458 ேࠊࡑࡢᩘࡣᖹᡂ 23 ᖺ௨㝆ẖᖺቑຍࡢ୍㏵ࢆࡓ࡝ࡗ࡚࠾ࡾࠊ
ᖹᡂ 28 ᖺ 6 ᭶ᮎ࠿ࡽᖹᡂ 29 ᖺ 6 ᭶ᮎࡲ࡛ࡢ 1 ᖺ࡛ࠊ࠾ࡼࡑ 16 ୓ 5,000 ேࡢቑຍࢆぢࡏ࡚
࠸ࡿ2ࠋᅾ␃㈨᱁ู࡟ࡣỌఫ⪅ࡀ᭱ࡶࡑࡢ๭ྜࡀ኱ࡁࡃࠊ඲యࡢ 30㸣ࢆ༨ࡵࡿ 2ࠋෆヂ࡛ࡣ୰ᅜ(711,486)ࡀ᭱ࡶከࡃࠊḟ࠸࡛㡑ᅜ(452,953)ࠊࣇ࢕ࣜࣆࣥ(251,934)ࠊ࣋ࢺࢼ࣒(232,562)ࠊ
ࣈࣛࢪࣝ(185,967)ࡀ⥆ࡃ 2ࠋࡇ࠺ࡋࡓᾏእ࠿ࡽࡢゼၥ⪅ࡀቑ࠼ࡿ୰࡛ࠊ⾨⏕⾜ᨻᴗົࡢ୰࡛
ᜏᖖⓗ࡟እᅜே࡟≉໬ࡋࡓᑐᛂࢆࡋ࡚࠸ࡃࢽ࣮ࢬࡣᑡ࡞࠿ࡽࡎ⏕ࡲࢀ࡚ࡃࡿࡶࡢ࡜ᛮࢃࢀ
ࡿࠋእᅜேᑐᛂࡣࠊ⮬㌟ࡀᾏእ࡛ࠕእᅜேࠖ࡜ࡋ࡚⏕άࡋࡓ⤒㦂ࢆ⾨⏕⾜ᨻࡢ୰࡛ࣇ࢕࣮
ࢻࣂࢵࢡࡍࡿ⤯ዲࡢᶵ఍࡜࡞ࡿୖࠊㄒᏛࡸࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊࢆ᭦࡟ྥୖࡉࡏࡿᶵ఍
࡜ࡶ࡞ࡿࠋࡲࡓࠊᴗົୖࡲࡓࡣ⮬ᕫ⟶⌮ࡢ㠃࠿ࡽࠊ㏵ୖᅜ࡛ࡢ⏕ά࡟࠾ࡅࡿ⑌⑓ண㜵࣭ᑐ⟇ࢆ⤒㦂ࡋ࡚࠸ࡿࡇ࡜ࡣࠊ᪥ᮏ࡟࠾࠸࡚㥆ᰁࡳࡢ࡞࠸᪂⯆࣭෌⯆ឤᰁ⑕࡬ࡢᑐ⟇࡟ࡶά࠿ࡏࡿ࡜⪃࠼ࡽࢀࡿࠋ
1-4. ൢᆅ་⒪࡞࡝≉Ṧࢣ࣮ࢫ⛥࡞ࢣ࣮ࢫ࡛ࡣ࠶ࡿࡀࠊ౛࠼ࡤൢᆅ་⒪࡞࡝ࠊᾏእ࡜ఝࡓᆅᇦ≉ᛶࡢሙྜࠊᆅᇦ࡬ࡢ࠿࠿
ࢃࡾ᪉࡞࡝࡟ඹ㏻ࡍࡿࡶࡢࡀ࠶ࡿࡢ࡛ࡣ࡜࠸࠺ពぢࡀ࠶ࡗࡓࠋ
2. ⌧⫋ཧຍ2-1. ⌧⫋ཧຍࡢㄢ㢟㏵ୖᅜ࡛ࡢ⤒㦂ࢆ᪥ᮏࡢ⾨⏕⾜ᨻ࡟ά⏝ࡍࡿࡓࡵ࡟ࠊᖐᅜ┤ᚋ࡟ඖࡢ⫋ሙ࡟ᡠࡿࡇ࡜ࡀ࡛
ࡁࡿ⌧⫋ཧຍไᗘࡣ኱ࡁ࡞ᙺ๭ࢆᢸ࠺࡜⪃࠼ࡽࢀࡿࠋ⫋ሙ࡟⡠ࢆṧࡋࡓࡲࡲᾏእ࡛ࡢ⤒㦂ࢆ✚ࡴࡇ࡜ࡢ࡛ࡁࡿ⌧⫋ཧຍไᗘ࡛࠶ࡿࡀࠊIV ❶㸲࡛㏙࡭ࡽࢀࡓⅬࢆᩚ⌮ࡍࡿ࡜ࠊୗグ࡟ᣲࡆࡿㄢ㢟ࡀᾋ࠿ࡧୖࡀࡿࠋ
➨୍࡟ࠊ⫋ሙࡢ⌮ゎࡀᚓࡽࢀ࡞࠸ࢣ࣮ࢫ࡛࠶ࡿࠋඛࡢࢣ࣮ࢫ࡜ࡣู࡟ࠊཷ㦂᫬࡟ࡣୖྖࡢ
チྍࡀᚓࡽࢀࡓࡶࡢࡢࠊᐇ㝿࡟ྜ᱁ࡍࡿ࡜཯ᑐࡉࢀࡓ஦౛ࡸࠊ཯ᑐࡣࡉࢀ࡞ࡃ࡜ࡶࠕබົ
ဨ࡜ࡋ࡚ࡢ࢟ࣕࣜ࢔ࢆᤞ࡚ࡿࠖ࡜࠸ࡗࡓ࿘ᅖࡢពぢࡶ࠶ࡾࠊ⫋ሙࠊ≉࡟ୖྖࡢ⌮ゎࡀ࠶ࡿ࠿࡞࠸࠿ࡣࠊ⌧⫋ཧຍ࡟኱ࡁ࡞ᙳ㡪ࢆ୚࠼ࡿࡶࡢ࡜ᛮࢃࢀࡿࠋ
➨஧࡟ࠊ⌧⫋ཧຍ࡛ࡶ᭷⤥࣭↓⤥ࡢᕪࡀ࠶ࡾࠊ↓⤥ఇ⫋ࡢሙྜࡣࡑ࠺࡛࡞࠸ཧຍ࡟ẚ࡭࡚㔠㖹ⓗ࡞㈇ᢸࡀ኱ࡁࡃ␗࡞ࡿࠋ
➨୕࡟ࠊ⌧⫋ཧຍᚋࡢ⫋ሙ᚟ᖐࡢ᭷↓ࡀᣲࡆࡽࢀࡿࠋ⌧⫋ཧຍࢆ᥎㐍ࡍࡿ୍ࡘࡢ⌮⏤࡟ࡣࠊ㏵ୖᅜ࡛ࡢ⤒㦂ࢆὴ㐵ඖࡢ⤌⧊࡟㑏ඖࡍࡿࡇ࡜ࡀᮇᚅࡉࢀࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿࡀࠊཧຍࡋ
ࡓᚋࡇ࠺ࡋࡓᶵ఍ࡀ࡞࠸ࡲࡲ㏥⫋ࡍࡿࢣ࣮ࢫࡀ㢖Ⓨࡋࡓ⮬἞య࡟࠾࠸࡚ࡣࠊ⌧⫋ཧຍ࡟ᑐࡍࡿ୙Ᏻࡢኌࡀୖࡀࡗ࡚࠸ࡓࠋ
2-2. ⌧⫋ཧຍ࡬ࡢᥦ᱌
⌧⫋ཧຍࢆᕥྑࡍࡿࡢࡣࠊᡤᒓඛࡢୖྖࡢ㔗㓄࡟ࡼࡿ࡜ࡇࢁࡀ኱ࡁ࠸ࠋJICA ࡟㛵ࢃࡾࡢ࠶ࡿᐙ᪘ࢆࡶࡘୖྖࡀ⌧⫋ཧຍ࡛ࡁࡿࡼ࠺ྲྀࡾィࡽࡗࡓࡾࠊ⮬㌟ࡶᅜ㝿༠ຊ࡟ᦠࢃࡗ࡚࠸ࡿ
ୖྖࡀ✚ᴟⓗ࡟⾜ࡁࡸࡍ࠸⎔ቃࢆᩚ࠼ࡓࡾࡋࡓ⤖ᯝࠊ⌧⫋ཧຍ࡟⮳ࡗࡓ࡜࠸࠺஦౛ࡀぢࡽ2

http://www.moj.go.jp/content/001238032.pdf 
13
 

ࢀࡓࠋࡼࡗ࡚ࠊ⾨⏕⾜ᨻᴗ⏺඲య࡜ࡋ࡚⌧⫋ཧຍࡢㄆ▱ᗘࢆ㧗ࡵࡘࡘࠊὴ㐵᮲౛ࡸ⿵࡚ࢇ
ไᗘࡢᩚഛ࡞࡝ࠊ⫋ሙ୍࡛ேࡢேᮦࡀ 2 ᖺ㛫ࡢᾏእὴ㐵ࢆࡍࡿ㛫ࡢᴗົ࡟⪏࠼ࡽࢀࡿయไ
ࢆಖ㞀ࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋࡲࡓࠊ⌧⫋ཧຍ࡛ࡶ᭷⤥࣭↓⤥ࡢᕪࡀ࠶ࡾࠊࡇ࠺ࡋࡓ㔠㖹ⓗ㈇ᢸࡀᾏእάືࡢཧຍࢆ㜼ࡴせᅉ࡟࡞ࡾᚓࡿࡇ࡜࡟ࡶὀ┠ࡋࡓ࠸ࠋేࡏ࡚ࠊ⌧⫋ཧຍࡋࡓேᮦࡀࠊ㈐௵ࢆᣢࡗ࡚ὴ㐵ඖ࡟ᡠࡿ࡜࠸࠺ࡇ࡜ࡶ㔜せ࡛࠶ࡿࠋ
3. ᪥ᮏ࡜ᾏእ࡛ാࡃ㝿࡟ồࡵࡽࢀࡿ㈨㉁3-1. ᪥ᮏᅜࡢ⾨⏕⾜ᨻ࡛ാࡃ㝿࡟ồࡵࡽࢀࡿ㈨㉁࡜㏵ୖᅜࡢ໅ົ࡛ᇵࢃࢀࡿ⤒㦂ࡢඹ㏻
ⅬIV ❶ 9 ࡞ࡽࡧ࡟ 10 ࡛⤂௓ࡉࢀ࡚࠸ࡿ㏻ࡾࠊ᪥ᮏ࡜ᾏእ࡛ാࡃ㝿࡟ồࡵࡽࢀࡿ㈨㉁࡜ࡋ࡚ඹ
㏻ࡍࡿࡢࡣࠊ(ಖ೺ᖌ࡜ࡋ࡚ࡢ)ጼໃࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊ࡜࠸ࡗࡓᑐே⬟ຊࠊ⌧ᆅࡢၥ㢟ࢆぢᴟࡵࡿ⬟ຊ࡛࠶ࡿࠋࡇࢀࡽࡣ⾨⏕⾜ᨻ࡟㛵ࢃࡽࡎࠊ࠶ࡽࡺࡿᴗ✀࡟࠾࠸࡚ᚲせ࡜࡞ࡿࡶࡢ࡛࠶ࡿࠋࡋ࠿ࡋࡇࡇ࡛ὀពࢆࡋ࡞ࡃ࡚ࡣ࡞ࡽ࡞࠸ࡢࡣࠊᾏእ࡜᪥ᮏ཮᪉࡛ࡇ࠺ࡋࡓ
ጼໃࡸ⬟ຊࡀ㔜せ࡛࠶ࡿ࡜࠸࠺ᣦ᦬ࡀ࠶ࡿ୍᪉࡛ࠊ≉࡟᪥ᮏࡢ⾨⏕⾜ᨻࡢ(ಖ೺ᖌࡢ)⫋ົࡢ୰࡛ࡇ࠺ࡋࡓ⌧ሙ࡟⾜ࡁࠊே࡜㛵ಀࢆᣢࡘᶵ఍ࡀ࡞࠸ࡇ࡜ࡀᣲࡆࡽࢀ࡚࠸ࡿⅬ࡛࠶ࡿࠋே
࡜㛵ࢃࡿ࡜ࡁࡢጼໃࡸ⌧ᆅࡢၥ㢟ࢆぢᴟࡵࡿ⬟ຊࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ⬟ຊ࡞࡝ࡣࠊᐇయ
㦂ࢆ㏻ࡌ࡚ᇵࢃࢀࡿࡶࡢ࡛࠶ࡾࠊࡇ࠺ࡋࡓᶵ఍ࢆᢸಖࡍࡿࡇ࡜ࡣࠊ᪥ᮏࡢ⌧ሙ࡛≉࡟㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋ
ຍ࠼࡚ࠊ᪥ᮏࡢ⾨⏕⾜ᨻᴗົ࡛ㄢ㢟࡜ࡋ࡚ᣲࡆࡽࢀ࡚࠸ࡓࠕ๓౛ࡀศ࠿ࡽ࡞࠸≧ែ࡛௙஦ࡀ୚࠼ࡽࢀࡿࠖ࡜࠸࠺஦౛ࡶࠊ຾ᡭࡢศ࠿ࡽ࡞࠸㏵ୖᅜ࡛άືࢆ⾜࠺ୖ࡛ࡣඹ㏻ࡋ࡚せồࡉࢀࡿ⬟ຊࡢ୍ࡘ࡜ࡶゝ࠼ࡿࠋࡲࡓࠊ⎔ቃࡸ⫋ົせㄳෆᐜࡢ␗࡞ࡿᾏእ࡛ᬑ㐢ⓗ࡟㏻⏝ࡍࡿࡶࡢ࡛ࡣ࡞࠸ࡓࡵࠊ཮᪉࡛ᚲ
せ࡜ࡉࢀࡿ⬟ຊ࡜ࡣゝ࠸㞴࠸࠿ࡶࡋࢀ࡞࠸ࡀࠊࢹ࣮ࢱศᯒࡸ࢖࣋ࣥࢺᐇ⾜ࡢᐇົ⤒㦂ࡶࠊᾏእ࡛ά࠿ࡏࡿࡶࡢ࡛࠶ࡿࠋ
3-2.

᪥ᮏᅜࡢ⾨⏕⾜ᨻ࡛ാࡃ㝿࡟ồࡵࡽࢀࡿ㈨㉁࡜㏵ୖᅜࡢ໅ົ࡛ᇵࢃࢀࡿ⤒㦂ࡢ┦㐪Ⅼᾏእࡢ໅ົ࡛ᇵࢃࢀࡿ⤒㦂ࡣෆ㠃ⓗ࡞ࡶࡢࡀከࡃࠊጼໃࡸ⪃࠼᪉࡞࡝ࢆ㝖࠸ࡓࠕᢏ⾡ࠖ࡜ࡋ࡚┤᥋᪥ᮏࡢ⾨⏕⾜ᨻࡢ⌧ሙ࡛ά࠿ࡍࡇ࡜ࡀ㞴ࡋ࠸ࠊ࡜ከࡃࡢᅇ⟅⪅ࡀ⟅࠼࡚࠸ࡿࡇ࡜
ࡣඛ࡟㏙࡭࡚࠸ࡿ㏻ࡾ࡛࠶ࡿࠋ㏵ୖᅜ࡜᪥ᮏࡢࢩࢫࢸ࣒ࡀ኱ࡁࡃ␗࡞ࡿࡇ࡜ࡶ࠶ࡾࠊไᗘ
ࡢᩚࡗ࡚࠸࡞࠸㏵ୖᅜ࡛ࡢᴗົ⤒㦂ࡀࠊ᪤࡟ไᗘࡢ࠶ࡿ᪥ᮏ࡛ά࠿ࡏࡿ࠿࡜࠸࠺࡜㞴ࡋ࠸࡛࠶ࢁ࠺ࡇ࡜ࡣ᝿ീ࡟㞴ࡃ࡞࠸ࠋ4. ⤒㦂⪅ࡀឤࡌࡿᅔ㞴ࠊᚲせ࡜ࡍࡿᨭ᥼
4-1. ཧຍࡋࡸࡍ࠸⎔ቃ୪ࡧ࡟ᖐᅜᚋࡢ㌟ศಖ㞀᪤࡟ᮏ❶ 2 ࡛㏙࡭ࡓࡼ࠺࡟ࠊᅜෆࡢ⾨⏕⾜ᨻ࡟ᚑ஦ࡍࡿ⪅ࡀࠊᾏእ࡟⾜ࡁࡸࡍࡃࡍࡿࡓࡵ
࡟ࡣࠊཧຍࡋࡸࡍ࠸⫋ሙ⎔ቃ࡙ࡃࡾࠊᖐᅜᚋࡢ㌟ศಖドࡀ୙ྍḞ࡛࠶ࡿࠋ⌧⫋ཧຍࡢㄆ▱ ᗘྥୖࠊ⾨⏕⾜ᨻ඲య࡜ࡋ࡚ࡢேᮦಖ㞀࡞࡝ࡀࠊࡇ࠺ࡋࡓ⎔ቃ࡙ࡃࡾࢆಁ㐍ࡍࡿ࡜⪃࠼ࡽࢀࡿࠋຍ࠼࡚⌧⫋ཧຍࡢሙྜ࡛࠶ࡗ࡚ࡶࠊ↓⤥ࡢሙྜࡣࠊ㔠㖹ⓗ㈇ᢸࡀ᭷⤥ࡢሙྜ࡜␗࡞
ࡿࡓࡵࠊཧຍࢆᛮ࠸࡜࡝ࡲࡿせᅉࡢ୍ࡘ࡟࡞ࡾᚓࡿࠋ
4-2. ᖐᅜ᫬ᨭ᥼
⌧⫋ཧຍࢆࡋࡓᅇ⟅⪅ࡢ࠺ࡕࠊᖐᅜࡋ࡚࠿ࡽ᪥ᮏࡢࣜࢬ࣒࡟ࡘ࠸࡚࠸ࡃࡇ࡜࡟ᅔ㞴ࢆぬ࠼ࡓ࡜࠸࠺ពぢࡀఱⅬ࠿ᣲࡆࡽࢀࡓࠋᖐᅜ᫬࢝ࣝࢳ࣮ࣕࢩࣙࢵࢡࡣࠊ≉࡟ࡍࡄ࡟⌧ሙ࡟᚟ᖐࡋ࡞ࡃ࡚ࡣ⾜ࡅ࡞࠸⌧⫋ཧຍ࡟࡜ࡗ࡚ࡣࢣ࢔ࢆᚲせ࡜ࡍࡿሙ㠃࡜࡞ࡿࠋ5. 㐍㊰タィ
5-1. ᪥ᮏ࡛ࡢ㐍㊰タィ᭱ᚋ࡟ࠊࡇ࠺ࡋࡓᾏእ࡛ࡢ⤒㦂ࢆ㐍㊰ࡢ୍ࡘ࡟㑅ࡪࡇ࡜࡟ࡘ࠸࡚ᐤࡏࡽࢀࡓពぢࢆ⤂௓ࡍࡿࠋ(JOCV ࡟ཧຍࡍࡿࡇ࡜࡟ᑐࡋ࡚)ࠕ࢟ࣕࣜ࢔࢔ࢵࣉ࡜࠸࠺ࡢࡣࠊ᪥ᮏ࡛ࠊᕷࡢ⫋ဨ࡛᭱⤊ⓗ࡟ࡣ㒊㛗࣭ಀ㛗࡟࡞ࡾࡓ࠸࡜࠿ࠊ
᪼⣭ࢆࡋࡓ࠸ࡗ࡚࠸࠺࡛ࣞ࣋ࣝࡢ࢟ࣕࣜ࢔࢔ࢵࣉ࡛࠶ࢀࡤࠊ⚾ࡣ࠾່ࡵࡋ࡞࠸ࠋࠖ
(᫬㛫ࡢ↓㥏࡜࠸࠺ࡇ࡜㸽)ࠕ᫬㛫ࡢ↓㥏࡜࠸࠺ࡼࡾࠊࡑࢀࢆᾏእ࡟⾜ࡗ࡚࠸ࡿ㛫࡟ࠊ᪥ᮏࡢไᗘࡗ࡚ኚࢃࡗ࡚࠸ࡃࡢ
࡛ࠊࡑࡗࡕࢆຮᙉࡋ࡚࠸ࡃ᪉ࡀࠊᕷ⏫ᮧࡢಖ೺ᖌࡉࢇ࡜ࡋ࡚⬟ຊࡣࡘ࠸࡚࠸ࡃࢇࡌࡷ࡞࠸
࠿࡜ࠋ⚾ࡀ㞳ࢀ࡚࠸ࡿ㛫ࡢ᪥ᮏࡢኚ໬ࡗ࡚ṇ┤ࡼࡃࢃ࠿ࡗ࡚࠸࡞࠸࡛ࡍࡋࠊ௓ㆤಖ㝤ไᗘ࡜࠿࡝ࢇ࡝ࢇኚࢃࡗ࡚࠸ࡃ࡜ᛮ࠺ࡢ࡛ࠊࡑࡇࢆຮᙉࡋࡓ᪉ࡀࡼࡗࡱ࡝᪥ᮏ࡛ࡣ㌟࡟࡞ࡿࢇࡌࡷ࡞࠸࠿࡜ࠋࡓࡔࠊࡑࡢேࡀᑗ᮶ⓗ࡟ࡣᾏእࢆぢᤣ࠼࡚ಖ೺ᖌ࡜ࡋ࡚ࡢሙࢆ᪥ᮏࡔࡅ࡛
࡞ࡃ࡚ᾏእ࡜࠿㏵ୖᅜ࡜࠿ࡑ࠺࠸࠺ᡤ࡟ᗈࡵ࡚࠸ࡁࡓ࠸ࡗ࡚࠸࠺᪉ྥ࡞ࡢ࡞ࡽࡤ࠾່ࡵࡋ
ࡲࡍࠋࠖࡇࡢࡼ࠺࡟ࠊ᪥ᮏࡢ⾨⏕⾜ᨻ࡛⥅⥆ࡋ࡚ാࡃࡇ࡜ࢆぢᤣ࠼ࡓሙྜࠊᾏእࡢᴗົࡼࡾࡶ᪥ᮏ
࡛ᴗົࢆ✚ࡴࡇ࡜ࡢ᪉ࡀࡼࡾຊ࡟࡞ࡿ࡜࠸࠺ㄆ㆑ࡀ⌧ሙ࡟࠶ࡿࡇ࡜ࡣࠊ௚ࡢᅇ⟅⪅࠿ࡽࡶ
ᚓࡽࢀࡓࠋ

 






ኚㇺ䛩䜛ୡ⏺䛾䛺䛛䛷ᯝ䛯䛩ᆅ᪉⾜ᨻ䛾㈐ົ䛸␿Ꮫ

Kagoshima Prefecture, attractive land
䕿1600 Km to Kagoshima Prefecture/ Haneda to Kagoshima plane

Characteristics and EpidemiologicalWorks of Public Health Centers (PHCs)
in Japan

1hr 30min/ Tokyo St. – Kagoshima-Chuo(central) St.
Shinkansen Bullet Train
6hr 30min
Yakushima(World Natural Heritage)

Chairman of Japanese Association of
Public Health Center Directors (JAPHCD)

WCE2017
Saitama CityTokyo
HanedaSakurajima
volcanoDirector of Ijuin Public Health Center,
Kagoshima Prefectural Government

Ijuin PHC,

Hidenori Uda, MD., PhD.

Kurobuta-shabu(Kurobuta (Black Berkshire) pork)(PHC: Public Health Center)11㼀㼔㼞㼑㼑㻙㼀㼕㼑㼞㼑㼐㻌㻭㼐㼙㼕㼚㼕㼟㼠㼞㼍㼠㼕㼢㼑㻌㻿㼠㼞㼡㼏㼠㼡㼞㼑㻌㼛㼒㻌㻼㼡㼎㼘㼕㼏㻌㻴㼑㼍㼘㼠㼔㻌㼕㼚㻌㻶㼍㼜㼍㼚

Characteristics of The Public Health Center(PHC)•

Public health centers (PHCs) are public health administrative agencies
specialized in public health established by local governments

National
Government

according to the PHC Act enacted in 1947 (later in 1994 amended to the current Regional
Health Law).
••

There are 481 PHCs nationwide in Japan as of April 1, 2017.
The goal of the PHC is health promotion and protection, and disease prevention. PHCs do
provide preventative
other countries.

Local Government
47 Prefectures

medicine, but not curative medicine like

M. Environment(MOE)
Pref. Environ.
Dept.
Regional
Instituteof Public
Health(RIPH)• PHC director was legally required to be an MD with a 3 or more-year
experience in public-health field. However, due to difficulties in finding such MDs andthanks to the trend of deregulation, the requirement was abolished in 2005. Now,

Municipalities
Cites, towns,
villages
1,718(April 2014)

there have been only a few non-MDs since the law revision; and all of themwere and are dentists.

• Health personnel : Medical doctors, dentists, pharmacists, public health nurses,
veterinarians, nutritionists, food hygiene inspectors, environmental inspectors, X-ray
technicians, hygiene technicians are working.

M. Education, Culture,
Sports, Science andTechnology (MEXT)

M. Health, Labor andWelfare (MHLW)
Labor
BureauPref. Health & Social
Welfare Dept.

Pref.
Board of Education

Labor
Standards
inspection
OfficePublic Health Center(481: PHC)
Prefecture (363)
Big City(118)
Municipal HealthCenter (MHC)
2,456(4/1/17)

Municipal B.
Education
SchoolEnviron.
HealthCommunity
HealthOccupational
HealthSchoolHealthCitizen

The Role Sharing of the National and Local
Governments

Characteristics of PHC and MHC, RIPH
㻼㼡㼎㼘㼕㼏 㻴㼑㼍㼘㼠㼔㻌㻯㼑㼚㼠㼑㼞㻌㻔㻼㻴㻯㻕㻱㼟㼠㼍㼎㼘㼕㼟㼔㼑㼐㻌㼎㼥㻼㼞㼑㼒㼑㼏㼠㼡㼞㼑㻌㻘㻌㻮㼕㼓㻌㼏㼕㼠㼕㼑㼟㻌㻔㻼㼛㼜㼡㼘㼍㼠㼕㼛㼚㻌㼚㼡㼙㼎㼑㼞㻪㻩㻞㻜㻜㻘㻜㻜㻜㻕㻹㼡㼚㼕㼏㼕㼜㼍㼘㼕㼠㼕㼑㼟㻔㻯㼕㼠㼕㼑㼟㻘㻌㼠㼛㼣㼚㼟㻘㻌㼢㼕㼘㼘㼍㼓㼑㼟㻕

㻠㻤㻝

㻞㻘㻠㻡㻢

㻺㼡㼙㼎㼑㼞
•㻹㼍㼕㼚㻌㼣㼛㼞㼗㼟
•

㻿㼠㼍㼒㼒

㻹㼡㼚㼕㼏㼕㼜㼍㼘㻌㻴㼑㼍㼘㼠㼔㻌㻯㼑㼚㼠㼑㼞㻌㻔㻹㻴㻯㻕㻿㼜㼑㼏㼕㼍㼘㼕㼦㼑㼐㻌•㼜㼑㼞㼟㼛㼚㼍㼘㻌㼟㼑㼞㼢㼕㼏㼑㼟㻌㻔㼕㼚㼒㼑㼏㼠㼕㼛㼡㼟㻌㼐㼕㼟㻚㻚㻘㻌㼕㼚㼠㼞㼍㼏㼠㼍㼎㼘㼑㻌㼐㼕㼟㻚㻌㼑㼠㼏㻚㻕㻸㼍㼣㻌㻱㼚㼒㼛㼞㼏㼑㼙㼑㼚㼠㻌㻔㼙㼑㼐㼕㼏㼍㼘㻌㼒㼍㼏㼕㼘㼕㼠㼕㼑㼟㻘㻌㼒㼛㼛㼐㻌㼔㼥㼓㼕㼑㼚㼑㻌㼑㼠㼏㻚㻚㻕㼂㼍㼞㼕㼛㼡㼟㻌㼜㼡㼎㼘㼕㼏㻌㼔㼑㼍㼘㼠㼔㻌㻌㻌㼜㼞㼛㼒㼑㼟㼟㼕㼛㼚㼍㼘㻌㼟㼠㼍㼒㼒㻌㻼㼑㼞㼟㼛㼚㼍㼘㻌㼟㼑㼞㼢㼕㼏㼑㼟㻌㼏㼘㼛㼟㼑㼘㼥㻌㼞㼑㼘㼍㼠㼑㼐㻌㼠㼛㻌㼠㼔㼑㻌㼐㼍㼕㼘㼥㻌㼘㼕㼢㼑㼟㻌㼛㼒㻌㼞㼑㼟㼕㼐㼑㼚㼠㼟 㻔㻹㻯㻴㻘㻌㼕㼙㼙㼡㼚㼕㼦㼍㼠㼕㼛㼚㻘㻌㼐㼕㼟㼍㼎㼘㼑㼐㻘㻌㼑㼘㼐㼑㼞㼘㼥㻕㻼㼡㼎㼘㼕㼏㻌㼔㼑㼍㼘㼠㼔㻌㼚㼡㼞㼟㼑㼟㻌㼍㼚㼐㻌㼐㼕㼑㼠㼕㼏㼕㼍㼚㼟㻾㼑㼓㼕㼛㼚㼍㼘㻌㻵㼚㼟㼠㼕㼠㼡㼠㼑㻌㼛㼒㻌㻼㼡㼎㼘㼕㼏㻌㻴㼑㼍㼘㼠㼔㻌㻔㻾㻵㻼㻴㻕• National Government• Insurance (medical, nursing care) compensation, large-scale disaster countermeasure– Nationwide unified activities• Gathering, analysis and publication of various statistical information• Measures against global and/or novel infectious diseases

㻣㻣

•
•
•
•

㻱㼤㼍㼙㼕㼚㼍㼠㼕㼛㼚㻌㼛㼒 㼏㼍㼡㼟㼍㼘㻌㼜㼍㼠㼔㼛㼓㼑㼚㼟㻵㼚㼒㼑㼏㼠㼕㼛㼡㼟㻌㼐㼕㼟㼑㼍㼟㼑㻌㼟㼡㼞㼢㼑㼕㼘㼘㼍㼚㼏㼑㻌㼟㼥㼟㼠㼑㼙㻾㼑㼟㼑㼍㼞㼏㼔
㻱㼐㼡㼏㼍㼠㼕㼛㼚㻌㼍㼚㼐㻌㼠㼞㼍㼕㼚㼕㼚㼓㻱㼚㼢㼕㼞㼛㼚㼙㼑㼚㼠㼍㼘㻌㼙㼛㼚㼕㼠㼛㼞㼕㼚㼓㻌

unification– Measures at national scale and point of view㻼㼞㼑㼒㼑㼏㼠㼡㼞㼑㻌㻘㻌㻻㼞㼐㼕㼚㼍㼚㼏㼑㻌㼐㼑㼟㼕㼓㼚㼍㼠㼑㼐㻌㼏㼕㼠㼕㼑㼟㻌㻔㻮㼕㼓㻌㼏㼕㼠㼕㼑㼟㻦㻦㻌㼜㼚㻚㻪㻩㻣㻜㻜㻘㻜㻜㻜㻕•4– Role of the existence of the state in the international community– Support and advice to local administration• Local Government㻹㻰㻘㻌㻼㼔㼍㼞㼙㼍㼏㼕㼟㼠㻘㻌㻵㼚㼟㼜㼑㼏㼠㼕㼛㼚㻌㼠㼑㼏㼔㼚㼕㼏㼕㼍㼚㻌
㼑㼠㼏㻚㻌

 

diversity– Support residents' self-determination and self-responsibility– Activities closely related to the lives of local residents• Measures against infectious diseases in sporadic and regional units• Measures against food poisoning• Improvement of community medical system (construction of medical collaboration system, medical
and nursing care collaboration)• Living support and support for people with disabilities
6• Mental health welfare measures

Brief history of the Administrative Public Health in Japan

Activities of the Public Health Center (PHC) based on the Law*

䠄Main Acts and systems related to PHC䠅1947 Public Health Center (PHC) Act ,Launch of JAPHCD

Activities for personal services (health of individuals and/or groups)

1945- 1969
issues䞉Matters concerning health of retention and promotion of residents
䞉Demographic Statistics and community health statistics
䞉Health for Intractable diseases
䞉Prevention of infectious diseases and other diseases

measures

Public health (infectious dis, malnutrition, unsanitary environment etc.)
Medical ( accessibility to medical institute, poverty etc. )Health care system (MHW, PHC): UHC (Medical Insurance),
Surveillance System ( demographics, notification of CDs),
Activities for the health of individuals and/or groups.
Activities for the environmental improvement(waste, water, air, medical facilities) etc.

䞉Dissemination of knowledge on community health䞉Matters concerning public health nurse
䞉Maternal and child health and the elderly health䞉Dental health䞉Mental health

Activities to the objects that affect the health of individuals and/or groups䞉Improvement of food hygiene and nutrition
䞉Cleaning and other environmental sanitation including housing, water supply, sewerage, waste disposal
䞉Medical and Pharmaceutical affairs䞉Improvement and promotion of public health care business䞉Examination and inspection on hygiene for hotel, inn, barber, spa, restaurant

1994 Regional Health Act䠄PHC Act revised) ĺ PHC and MHC
1970-1999
issuesmeasures2000issues
measuresageing, NCDs , global infectious dis. Suicide, decentralization
Health care system ( PHC + MHC, decentralization),Long-T care insuranceͤ The following projects can be implemented as necessary䞉 Collection, arrangement, utilization of information on regional healthFrequent disasters, ageing, decline of the population
Healthy Japan 21 (prolongation of healthy life span)
regional comprehensive care

䞉 Survey and research on community health7

Main Health and Medical, Welfare
Statistics related to PHCs’ work

1. Evaluation of health policies and public health activities•

Health statistics on medical facilities / workers etc.
Health statistics on regional health promotion etc.

all

1948䡚

– organization, clinical specialties, machinery and equipment, number of professionals ,number of beds, social insurance medical practice, notification of emergency, medical
practice and examination etc.

2. Evaluation of regional health conditions and health caresituations
1.
2.

Survey of Medical Institutions– the current improvement and distribution of medical institutions(hospitals and clinics)

1. Evaluation of health policies and public health activities
1.
2.

8

* Regional Health Act (PHC Act enacted in 1947, later revised in 1994)– Medical institution ĺ PHC ĺ Prefecture ĺ MHLW

Vital statistics
Patient survey etc.

•

– distribution of medical personnel (hospitals and clinics, sex, )– Dr. Dentist. Ph. ĺ PHC ĺ Prefecturesĺ MHLW

3. Early detection and management of health crisis situations
1. Infectious disease occurrence
2. Food poisoning occurrence

Survey of Physicians, Dentists and Pharmacists all 1948䡚

•

Report on Regional Public Health Services and Health

Promotion Services䠄annually䠅

4. Public health research (optional activities)

all

1954䡚

– Activities of health centers and municipalities

ͤ Health and medical statistics are the foundation
9of public health activities.

(maternal and child health, health promotion, dental health, mental health welfare, hygiene
education, placement situation of staff, etc.)– PHC, Municipality ĺ Prefecture ĺ MHLW

10

2. Evaluation of regional health conditions andhealth care situations• Vital Statistics

annually

all

1899䡚

– Live Birth , Death, Fetal Death, 䠄Marriage ,Divorce䠅– Municipality ĺ PHC ĺ Prefectureĺ Ministry of HLW (MHLW)• Patient Survey䠄Once in 3 years䠅

all/sample

3. Early detection and management of
Health Crisis Situations

1948䡚

– Situation of patients that use medical institutions (“hospitals and clinics”)–

Gender, date of birth, address, date of admission and discharge, name of main diagnosis and otherdiagnoses, payment scheme of medical fee, type of bed etc.

– Medical institutionĺ PHC ĺ Prefecture ĺ MHLW

• Comprehensive Survey of Living Conditions

sample1986䡚

– Living conditions such as health, medical care, welfare, pension, income– Household ĺ Enumerator ĺ Instructor ĺ PHCĺ Prefecture ĺ MHLW• National Health and Nutrition Survey

sample1) ROLE OF PHCS CONCERNING

FOOD SAFETY1946䡚

– (1) physical (body height, weight, abdominal diameter, BP, Hemato Exam)– (2) nutrition (intake, nutrient amount, situation (abstinence, eating out etc.))– (3) Lifestyle (diet, physical activity · sleep, drinking, smoking, dental health etc.
– PHC ĺ Prefectureĺ Ministry of HLW (MHLW)

12

11

 

The Number of Food Poisoning

Risk Management for Health Crisis Events(1981-2015,national)cases

1. Risk Assessment: Assess risk scientifically
2. Risk Management: Facilitate workshops
or exercises for the preparation of health crisis
3. Crisis Management: Implement
necessary measures based on risk assessment

patients

patients,patients,
1996, 46,327
1998, 46,179
patients, 1985, 44,102

patients, 2000, 43,307
patients, 1988, 41,439
patients, 1991, 39,745 patients, 1997, 39,989

patients, 1990, 37,561
patients, 1983, 37,023 patients,
1989, 36,479
patients, 1994, 35,735
patients, 1982, 35,536
patients, 1986, 35,556
patients, 1999, 35,214
patients, 1984, 33,084
patients, 1981, 30,027

cases
patients, 2006, 39,026
patients

patients, 2007, 33,477

patients, 1992, 29,790

patients, 2003, 29,355
2004, 28,175
patients,patients,
2002,
27,629patients,
2005, 27,019
patients, 2012, 26,699
patients, 1995, 26,325 patients, 2001, 25,862
patients, 2010, 25,972
patients, 1987, 25,368 patients, 1993, 25,702
patients, 2008, 24,303
patients, 2015, 22,718
patients, 2011, 21,616
patients, 2013,
20,802
patients, 2009, 20,249
patients,
2016, 20,252
patients, 2014, 19,355

and risk management

4. Risk Communication: Exchange
information and opinions among related people
cases,
1998,
3,010
cases,
1999,
2,697
2000,
2,247
cases, 1997,cases,
1,960
cases,
2001,
1,928
cases,
2002,
1,850
cases,
2004,
1,666
cases,
2003,
1,585
cases,
2005,
1,545
cases,
2006,
1,491
cases,
2008,
1,369
cases,
2007,
1,289
cases,
2010,
1,254
cases,
1996,
cases,
2015,
1,202
cases,
1985,
1,177
cases,
2016,
1,139
cases,
1981,
cases,
1,108
1983,
1,095
cases,
2012,
1,100
cases,
2011,
1,062
cases,
1984,
1,047
cases,
2009,
1,048
cases,
2014,
976
cases,
2013,
931
cases,
1982,923
cases,
cases,
1989,
1990,
927
926
cases,
1986,899
cases,
1987,
840
cases,
1994,
830
cases,
1991,
782
cases,
1988,
724
cases,
1995,
6991,217
cases,
1992,
557
cases,
1993,
550

representing the people including public, government, and academia
13

14

Detection and Measures for
Food Poisoning

Food Business Licensing
open a new restaurant, youneed to get a license.
When you want toConsultation
to the PHC
Get alicenseApplication

Diagnosis offood poisoning
by Drs.

On-siteinspection by
PHC staff

Report to thenearest PHC

PHC• Offering guidance on foodand environmental sanitation
to the business owner• Suspension of business if
needed• Recall of the food• Public relations( Risk communication)

Open yourrestaurant

Even after you opened your restaurant,
PHCs go for inspection regularly and give advice.

Epidemiologicalsurveyby PHC staff

Report to
local gov.
and MHLW
from PHC

16

The Role of PHCs
concerning Food Safety

3. Early detection and management of
Health Crisis Situations

1. Food business licensing
2. On-site inspection, audit and guidance
3. Sampling test
4. Inspection order
5. Disseminations and enlightenment to public onfood sanitation
6. Handling complaints
7. Food poisoning investigation and necessary
measures17

䠎䠅 ROLE OF PHCS CONCERNINGINFECTIOUS DISEASES CONTROL

18

 

Incidents and Accidents* of infectious diseases into JPN㼅㼑㼍㼞㻯㼛㼙㼙㼡㼚㼕㼏㼍㼎㼘㼑㻌㻰㼕㼟㼑㼍㼟㼑㻞㻜㻜㻟㻿㼑㼢㼑㼞㼑㻌㻭㼏㼡㼠㼑㻌㻾㼑㼟㼜㼕㼞㼍㼠㼛㼞㼥㻌㻵㼚㼒㼑㼏㼠㼕㼛㼚㻌㻔㻿㻭㻾㻿㻕㻞㻜㻜㻥㻵㼚㼒㼘㼡㼑㼚㼦㼍㻌㻭㻌㻔㻴㻝㻺㻝㻕㻞㻜㻝㻠㻰㼑㼚㼓㼡㼑㻌㻲㼑㼢㼑㼞㻞㻜㻝㻟䡚㻿㼑㼢㼑㼞㼑㻌㻲㼑㼎㼞㼕㼘㼑㻌㼀㼔㼞㼛㼙㼎㼛㼏㼥㼠㼛㼜㼑㼚㼕㼏㻌㻿㼥㼚㼐㼞㼛㼙㼑㻌㻔㻿㻲㼀㻿㻕㻻㼏㼏㼡㼞㼞㼑㼚㼏㼑㻌㻵㼚㻌㻶㻼㻺㻾㼑㼙㼍㼞㼗㼟

㻭㼏㼠㻌㼛㼚㻌㼠㼔㼑㻌㻼㼞㼑㼢㼑㼚㼠㼕㼛㼚㻌㼛㼒㻌㻵㼚㼒㼑㼏㼠㼕㼛㼡㼟㻌㻰㼕㼟㼑㼍㼟㼑㼟㻌㼍㼚㼐㻌㻹㼑㼐㼕㼏㼍㼘㻌㻯㼍㼞㼑㻌㼒㼛㼞㻌㻼㼍㼠㼕㼑㼚㼠㼟㻌㼣㼕㼠㼔㻌㻵㼚㼒㼑㼏㼠㼕㼛㼡㼟㻌㻰㼕㼟㼑㼍㼟㼑㼟㻚䞉severity㻔㻌䇾㻵㼚㼒㼑㼏㼠㼕㼛㼡㼟㻌㻰㼕㼟㼑㼍㼟㼑㻌㻯㼛㼚㼠㼞㼛㼘㻌㻭㼏㼠䇿㻕䞉mortality
112 diseases

䞉communicabilit䞉 㻤㻘㻜㻥㻢㻌㼕㼚㼒㼑㼏㼠㼑㼐㻌㻒㻌㻣㻣㻠㻌㼐㼑㼍㼐㻌㼙㼍㼕㼚㼘㼥㻌㼕㼚㻌㻭㼟㼕㼍㻌㼍㼚㼐㻌㻯㼍㼚㼍㼐㼍㻘㻌㻱㼍㼟㼠㼑㼞㼚㻌㻵㼚㼐㼕㼍㻚㻌㻱㼟㼜㼑㼏㼕㼍㼘㼘㼥㻌㼕㼚㻌㻯㼔㼕㼚㼍㻌㻔㻝㻞㻛㻝㻛㻞㻜㻜㻟㻕㻻㼢㼑㼞㻌㻥㻌㼙㼕㼘㼘㼕㼛㼚㻌㼕㼚㼒㼑㼏㼠㼑㼐㻌㻘 㻢㻤㻌 䞉㻼㻴㻱㻵㻯㻔㻠㻛㻞㻡㻛㻞㻜㻜㻥㻕㻌㻖㻞㼐㼑㼍㼐㻌㼚㼍㼠㼕㼛㼚㼣㼕㼐㼑㻌㻔㼑㼟㼠㼕㼙㼍㼠㼑㼐㻕㻚 䞉㼛㼢㼑㼞㻌㻢㻜㻜㻘㻜㻜㻜㻌㼕㼚㼒㼑㼏㼠㼑㼐㻘㻌㻝㻤㻘㻜㻜㻜㻌㼐㼑㼍㼐㻌㼣㼛㼞㼘㼐㼣㼕㼐㼑㻝㻢㻜㻌㼜㼍㼠㼕㼑㼚㼠㼟㻌㼞㼑㼜㼛㼞㼠㼑㼐䞉㻲㼕㼞㼟㼠㻌㼐㼛㼙㼑㼟㼠㼕㼏㻌㼟㼜㼛㼞㼍㼐㼕㼏㻌㼕㼚㼒㼑㼏㼠㼕㼛㼚㻌䞉㻡㻜㻌㼠㼛㻌㻝㻜㻜㻌㼙㼕㼘㼘㼕㼛㼚㻌㼜㼑㼛㼜㼘㼑㻌㼕㼚㼒㼑㼏㼠㼑㼐㻌㼣㼛㼞㼘㼐㼣㼕㼐㼑㻔㻝㻜㻛㻟㻝㻛㻞㻜㻝㻠㻕Class 1 (7 diseases): Ebola Virus Disease, Crimea-Congo Hemorrhagic Fever, Smallpox, strong
Plague, Marburg Disease, Lassa Fever, South American Hemorrhagic Fevers㻺㼛㼚㼑㻝㻡㻤㻌㼜㼍㼠㼕㼑㼚㼠㼟㻌㼞㼑㼜㼛㼞㼠㼑㼐㻌㻔㻥㻛㻟㻜㻛㻞㻜㻝㻡㻕㻞㻜㻝㻠㻱㼎㼛㼘㼍㻌㼂㼕㼞㼡㼟㻌㻰㼕㼟㼑㼍㼟㼑㻌

㼚㼛㼚㼑

㻞㻜㻝㻠

㻹㼕㼐㼐㼘㼑㻌㻱㼍㼟㼠㼑㼞㼚㻌㻾㼑㼟㼜㼕㼞㼍㼠㼛㼞㼥㻌㻿㼥㼚㼐㼞㼛㼙㼑㻔㻹㻱㻾㻿㻕

㼚㼛㼚㼑

㻞㻜㻝㻟䡚

㼆㼕㼗㼍 㻲㼑㼢㼑㼞㻟㻌㼏㼍㼟㼑㼟㻌㻔㼕㼚㼎㼛㼡㼐㻕Class 2 (7 diseases): Polio, Tuberculosis (TB),
Diphtheria, SARS, MERS, Avian Influenza (H5N1, H7N9)

㻾㼑㼜㼛㼞㼠㼑㼐㻌㼒㼞㼛㼙㻌㻞㻜㻌㼜㼞㼑㼒㼑㼏㼠㼡㼞㼑㼟㻌㼑㼟㼜㼑㼏㼕㼍㼘㼘㼥㻌㼕㼚㻌㼣㼑㼟㼠㼑㼞㼚㻌㻶㼍㼜㼍㼚Class 3 (5 diseases): Cholera, Shigellosis (Dysentery), Enterohemorrhagic E.
coli Infection (EHEC), Typhoid Fever, Paratyphoid Fever䞉㻼㻴㻱㻵㻯㻔㻤㻛㻤㻛㻞㻜㻝㻠㻕䞉㼛㼢㼑㼞㻌㻞㻤㻘㻜㻜㻜㻌㼕㼚㼒㼑㼏㼠㼑㼐㻘㻌㻝㻝㻘㻜㻜㻜㻌㼐㼑㼍㼐㻌㼙㼍㼕㼚㼘㼥㻌㼕㼚㻌㼣㼑㼟㼠㼑㼞㼚㻌㻭㼒㼞㼕㼏㼍㻌䞉㻝㻘㻟㻢㻤㻌㼕㼚㼒㼑㼏㼠㼑㼐㻌㻒㻌㻠㻤㻥㻌㼐㼑㼍㼐㻌㼣㼛㼞㼘㼐㼣㼕㼐㼑㻧㻌㻝㻤㻢㻌㼕㼚㼒㼑㼏㼠㼑㼐㻌㼍㼚㼐㻌㻟㻢㻌㼐㼑㼍㼐㻌㼕㼚㻌㻷㼛㼞㼑㼍㻌㻔㻣㻛㻟㻝㻛㻞㻜㻝㻡㻕㻌Class 4 (44 diseases): Hepatitis A, Hepatitis E, West Nile Fever, Yellow Fever, Q
Fever, Rabies, Zika Fever, Severe Fever with Thrombocytopenia Syndrome(SFTS), Scrub Typhus, Japanese Spotted Fever, Dengue Fever, Japanese
Encephalitis, Malaria, Legionnaires’ disease, …etc.

䞉㻼㻴㻱㻵㻯㻔㻞㻛㻝㻛㻞㻜㻝㻢㻕䞉㼛㼢㼑㼞㻌㻠㻜㻜㻌㼙㼕㼘㼘㼕㼛㼚㻌㼕㼚㼒㼑㼏㼠㼕㼛㼚㻌㼠㼔㼞㼑㼍㼠㻘㻌㻠㻝㻤㻜㻌㼚㼑㼣㼎㼛㼞㼚㻌㼙㼕㼏㼞㼛㼏㼑㼜㼔㼍㼘㼥㻘㻌㻢㻤㻌㼚㼑㼣㼎㼛㼞㼚㼟㻌㼐㼑㼍㼐㻌㼣㼛㼞㼘㼐㼣㼕㼐㼑Class 5: Large number of diseases(total report, 22 diseases): HIV/AIDS, Measles, Rubella, Varicella, VRE, VRSA,
CRE, CJD, …etc.
(sentinel report, 25 diseases): Infectious Gastroenteritis, Varicella,
Pharyngoconjunctival Fever, Hand-Foot-and-Mouth disease, …etc. 20
weak

*I/A

Incidents: none in JPN, but too close to Japan
Accidents: break out in JPN*2 PHEIC Public Health Emergency of Internal Concern by WHO

IDSC (Infectious Disease Surveillance Center) of NIID(National Institute of Infectious
Disease) :http://www.nih.go.jp/niid/ja/sfts/3143-sfts.html

Surveillance Data

Novel Influenza
Re-emerging Influenza
Infectious Disease19䛂ឤᰁ⑕䛾ண㜵ཬ䜃ឤᰁ⑕䛾ᝈ⪅䛻㛵䛩䜛ἲᚊ䛃1998(ᖹᡂ10ᖺ䠅Designated Infectious Disease: none

2016

Detection and Measures for Outbreak• Class 1: 0
• Class 2: TB 18,280 (data of 2015)• Class 3: EHEC 3,641, Shigellosis 121, Typhoid 52,
Paratyphoid 19, Cholera 10• Class 4: Legionnaires’ disease 1,592, Scrub Typhus 500,
Hepatitis E 354, Dengue Fever 338, Japanese Spotted
Fever 275, Hepatitis A 269, SFTS 60, Malaria 54…
• Class 5: Syphilis 4,518, Invasive Pneumococcal Infection
2,693, CRE 1,555, HIV/AIDS 1,428, Amoebic Dysentery
1,133, Acute Encephalitis 750, Fulminant Hemolytic
Streptococcal Infection 492, Varicella (hospitalization) 313,
Invasive Hib Infection 307, Viral Hepatitis (excluding Hepatitis
A & E) 273, CJD 172, Measles 159, Tetanus 128, Rubella
125, …etc.
21

Infectious Disease Surveillance System
Drs diagnose law-notified
infectious diseases• Representative system(All cases report) 87 dis.
• Sentinel system(from Fixed point) 25 dis.

Report to
the nearest
PHC

Epidemiological investigation
•
•
•
•
•

by the PHC’s staff
Interview
Contact investigation
Collection of specimens(patients, contacts, etc.)
Physical examination(patients, contacts, etc.)
Pathogen research䠄incooperation with RIPH*䠅Treatment and measures by PHC
to prevent infection spread••••

Disinfection
Recommend hospitalization (Class 1, 2 )Prohibition of work (Class1~ 3)
If necessary, restrictions of entering
and/or blocking into buildings, blocking
traffic (Prefectural governor)

Report••To MHLW
Through the infectious
disease surveillance(IDS) system

RIPH*: Regional Institute of Public Health established by local government

Development of Public Health

See

Plan
Do

The role of PHCs will be ever more
important for public health

23

 

22

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥ኚㇺࡍࡿୡ⏺ࡢ࡞࠿࡛ᯝࡓࡍᆅ᪉⾜ᨻࡢ㈐ົ࡜␿Ꮫ㸦ⱥㄒཎ✏㸧
㸦Slide 1㸧㸦Slide 2㸧
Let me introduce myself briefly. I usually work at the Ijuin Public HealthCenter in Kagoshima prefecture, which is located at the south western tip of
the island of Kyushu in Japan. It is about 1600 km away from Tokyo.
Kagoshima is blessed with abundant attractive resources. Rich nature suchas the first World Natural Heritage Yakushima Island, an active volcano
Sakurajima next to highly populated Kagoshima-city, a huge variety of foodingredients such as the Kurobuta pork, Shochu liquor, and a distinct history
and culture.
It is possible to get to Kagoshima in about 1 hour 30 minutes.by plane from
Tokyo, Haneda Airport. Also, if you like ground transportation, you can get
there using Shinkansen bullet train, however it will take about 7 hours or so.
If you have time, please come and visit us.
㸦Slide 3㸧
Well, first of all, I will summarize the main characteristics of the Public
Health Center (PHC) in Japan. PHCs are administrative agencies
specialized in public health, and were established in 1947 according to the
PHC Act enacted in the same year. As of April 1, 2017, there are 481 PHCs
nationwide.
The goal of the PHC is health promotion and, health protection, anddisease prevention. It is a front-line agency practicing preventive medicine.
PHCs do provide preventative medicine, but not curative medicine like othercountries.
Until 2005, the PHC director was legally required to be an MD with a 3 ormore-year experience in public-health field. However, due to difficulties infinding such MDs and thanks to the trend of deregulation, the requirement
was abolished in 2005. Now, non-MDs can take the directorship of a PHC.
However, there have been only a few non-MDs who assumed the director ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

position since the law revision; and all of them were and are dentists.
In a PHC, many technical staff, including medical doctors, dentists,
pharmacists, public health nurses, veterinarians, nutritionists, food hygiene
inspectors, environmental inspectors etc. are working.
㸦Slide 4㸧
The administrative system of public health in Japan has a three-tiered
structure. The three tiers are the national government, local governments
such as 47 prefectures, and 1718 municipalities. All the PHCs are
established by local governments, which are prefectures and large cities witha population of 200,000 or more. There is no national PHC.
㸦Slide 5㸧
Municipalities can establish municipal health centers (MHCs), which aredealing with personal services closely related to the daily lives of residents
such as maternal and child health, health promotion, immunization, healthscreening, and health care of disabled and elderly. There are 2,456 MHCs
across the nation. As a result, in many communities, the community healthcare is provided in cooperation with PHCs and MHCs.
Furthermore, there are 77 Regional Institutes of Public Health (RIPH)
nationwide. These local agencies collaborates with PHCs in fields such as theexamination of causal pathogens, management of infectious disease
information, education and training for public health staff, water and air
environmental monitoring and so on.
㸦Slide 6㸧
Regarding the role sharing of the national and local governments, thecentral government takes nationwide administrative measures and conducts
activities which are unified throughout the nation. On the other hand, local
governments' roles are closely related to residents' daily lives, and are topromptly carry out public health activities for diversified groups living invarious situations. Both national and local governments cooperate to provide
public health in Japan while making full use of their respective
advantageous features.

 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

㸦Slide 7㸧
PHCs were set up nationwide after the World War ϩ in order to tackle
various public health issues such as infectious disease spread, malnutrition
and unsanitary living environment.
Afterwards, the role of PHC changed with changes of population
composition, disease structure, living environment and so on. In 1994, the
PHC Act was revised and renamed the Regional Health Act. This law
stipulates the present framework of public health administration.
㸦Slide 8㸧
The major activities of PHC can be divided into two groups.
The first group of activities consists of so-called personal services such as
health promotion, measures for intractable diseases, measures against
infectious diseases and collection of health and medical statistics etc.
 The second group of activities is to the objects that affect the health ofindividuals and/or groups. These include so-called objective services such asmeasures for food hygiene, environmental hygiene, including water supply
and sewerage and waste disposal. They also include monitoring of medical
institutions and pharmacies, and giving them various guidance.
In addition, as needed, the following projects can be implemented:
࣭Collection, arrangement and utilization of information on regional health;and࣭Survey and research on community health.
㸦Slide 9㸧
Health and medical statistics provides important information useful for
operating health policies, conducting various public health activities, andevaluating the outcomes and issues resulted from implementation of policies
and measures. Health and medical statistics are, I should say, the foundationof public health activities.

 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

Those statistics include the data for:first, evaluation of public health policies and activities;
second, evaluation of regional health conditions and health care situations;third, early detection and management of health crisis situations;and fourth, public health research.
PHCs play an important role in collecting, analyzing and utilizing manystatistics data.
㸦Slide 10㸧
For evaluation of health policies and public health activities, there arethree major groups of statistical surveys.
First, there is the survey of medical institutions in order to know the
distribution of medical institutions. This is so-called a medical examination
function.
The second is the survey of medical doctors, dentists, pharmacists in orderto know the distribution of those medical personnel.
The third group of surveys consists of various surveys on Regional Public
Health Services and Health Promotion Services such as the projects ofcommunity health activities conducted by PHCs and municipalities.
Since 1948, the PHC have been conducting these surveys, and, for many
years, the information thus collected has been used for evaluating the actual
conditions of public health and medical care in the community, and to
improve its public health.
Let me explain more details about the surveys of medical institutions as an
example. In this survey, our activities are not limited to examining theinformation collected by our questionnaire survey. We also carry out on-site
inspections of medical institutions every year; through those activities, we
become aware of the actual conditions of medical facilities, and become able
to establish personal communication networks with medical staff in thosefacilities. Thus, we are able to evaluate the quality of medical care andmedical safety at major hospitals in a community, and are able to give
guidance to them vis-a-vis.
㸦Slide 11㸧 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

Health care statistics for evaluation of regional public health conditions
and health care situations include demographic statistics for risk assessment
to ascertain the current situation of livebirth, death and so on. In addition,such statistics include data obtained from Patient surveys to obtain thenumber of patients using medical facilities, and the sttatus of diseases.
For prevention of Non-Communicable Diseases, the national health andnutrition survey provides important data. It collects information on physicalconditions, nutritional intake, lifestyle habits etc. at approximately 6,000
households in 300 districts which are randomly selected from the entire
nation. The field work of this nationwide survey is mainly conducted by
PHCs.
The data obtained by this survey are compiled and analyzed in thenational government, and the results are published. As I explained, the PHC
plays an important role in collecting and utilizing regional information inthis survey.
㸦Slide 12㸧
The PHC conducts daily surveillance. For example, it collects health andmedical statistics. Another important task of the PHC is crisis management.
When a health crisis event such as a food poisoning case or an infectious
disease outbreak occurs, the PHC is responsible for taking prompt
countermeasures. The crisis management includes early detection of such an
event, and grasping the situation, evaluating possible consequences, andgiving treatment and support to patients. It also includes prevention ofoutbreak expansion.
㸦Slide 13㸧
Management of health crisis consists of four important pillars. Two ofthem are risk assessment and risk management to take preventive measures
on a daily basis in ordinary time. Such preventive measures include holding
workshops and conducting exercises and drills based on risk assessment.
The other two pillars are crisis management at the occurrence of a crisis
event, and risk communication with citizens, administrators and business
operators to prevent expansion of crisis.

 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

㸦Slide 14㸧
In recent years in Japan, 500 to 1,000 cases of food poisoning occur every
year. In total, as many as 20,000 to 40,000 patients are involved in them.
In Japan, nationwide food hygiene measures have been undertaken since1947. The national government enforces standards and rules on food safety,
and local governments practice various regulatory activities on daily basis.
In addition, the national and local governments strongly advise eatery andfood industries to conduct self-management on food safety.
㸦Slide 15㸧
Among others, PHCs plays important roles on food hygiene since it is thefront line agency in this field. Any eateries/restaurants providing foods anddrinks to customers must be sanitary and safe facilities. If you want to open
a new restaurant in Japan, you need to get a license from the PHC. PHC
staff conducts inspections, and then the director of the PHC gives a businesslicense to the owner. Only after getting that license, the owner can open arestaurant. In addition, PHC staff regularly conducts inspection and gives
guidance to them even after the start of business.
㸦Slide 16㸧
In the event of food poisoning, prompt responses should be taken. A medical
doctor is legally required to report any food poisoning cases and suspectedfood poisoning cases to the nearby PHC. In most of food poisoning cases, the
PHC in the corresponding area comes to know the case by such a report.
However, even when no report is filed by a doctor, we may handle the event
as a food poisoning case on the basis of the results of a survey conducted in
response to residents' complaints.
Upon receipt of notification, the PHC carries out an epidemiologicalinvestigation of patients, causal facilities, the users of the causal facilities
and so on. Based on investigation results, it gives guidance to the restaurant.
If necessary, the PHC orders suspension of its operation, and/or a recall offaulty foods. In addition, the PHC releases information on the incident to the
public through the media, and conducts various activities to raise awareness 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥of customers and local residents.
In recent years, most common causative pathogens are Norovirus andCampylobacter, which account for approximately 30% of cases, respectively.
In addition, Anisakis infection is responsible for about 10% of cases. Theselaboratory examinations to determine the causative agents are carried out incollaboration with the Regional Institute of Public Health, which has various
laboratories for detecting infectious agents and conducting bioassays. It also
has laboratories to determine environmental contaminants.
(Slide 17)
In summary, the major roles of PHC in food hygiene are as follows.
First, giving an official permission to open a restaurant or to start a foodcompany after inspecting its hygiene conditions. Second, monitoring andgiving them guidance after the start of their operations. Third, conducting
sampling test. Fourth, giving them a strong advice to self-check their
hygiene conditions. Fifth, disseminating information to residents and giving
them educational opportunities for enlightenment. Sixth, handlingcomplaints from residents. And lastly, taking various measures to control
food poisoning outbreaks.
㸦Slide 18㸧
Next, I will explain the role of PHC on infectious disease control.
㸦Slide 19㸧
This slide shows the list of infectious diseases that were accidentally
imported into our country, and of those alarmed health authorities for fear ofimportation into our country in recent years,
In Japan, there have been increasing concerns over the importation of
infectious diseases from overseas that may be accompanying globalization,and outbreaks of infectious diseases caused by overcrowding population in
urban areas.
㸦Slide 20㸧
The “Act on the Prevention of Infectious Diseases and Medical Care for 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

Patients with Infectious Diseases” (Infectious Disease Act) is the basis ofmeasures against infectious diseases in Japan. It was revised from"Infectious Disease Prevention Act", which was enacted in 1898 more than
one century ago. Into the new law, "AIDS Prevention Act" and "Tuberculosis
Prevention Act" were integrated.
This law divides 110 infectious diseases into five classes on the basis ofseverity and communicability. In total, 112 diseases together with new
emerging infectious diseases are subject to the infectious disease
surveillance (IDS) system. In addition, Ministry of Health, Labor andWelfare (MHLW) can issue a governmental ordinance designating an
infectious disease which is subject to IDS for up to one year.
This IDS system covers two groups of infectious diseases:for diseases classified in the first group, the system intends to detect all
the cases diagnosed by medical doctors across the nation. Any medical
doctors who diagnose those diseases are required to report to the nearest
PHC. In other words, they are the diseases subjected to complete
enumeration or census.
The other group of infectious diseases is subject to sentinel monitoring at
designated medical institutions. The medical doctors working at those
medical facilities are required to report to the nearest PHC when diagnosing
those diseases.
Diseases subject to complete enumeration are rare diseases or highly
contagious diseases that require special attention to prevent the spread of
infection. All the infectious diseases belonging to classes 1 to 4 and 22
diseases belonging to class 5 are included in this group. This group also
includes a novel influenza.
The rests of class 5 infectious diseases, which numbers 25, are subject to thesentinel monitoring survey. They are diseases with a large number ofpatients. These diseases are not considered to require complete enumeration.
㸦Slide 21㸧 

ᖹᡂ 30 ᖺ 4 ᭶ 3 ᪥

For your information, I prepared this slide showing the number of major
infectious diseases in Japan during the last year.
㸦Slide 22㸧
A doctor who diagnosed a disease listed in the Infectious Disease
Prevention Act is required to notify the nearest PHC. Upon receipt of
notification, in case of fear of outbreak, or in need of epidemiological survey
and medical examination, the PHC will conduct an epidemiological survey
and take measures to prevent expansion of the infection. In addition, in
cooperation with the Regional Institute of Public Health (RIPH), the PHC
makes a search for the causative pathogen.
If it is a class 1 or 2 infectious disease, the PHC advises patient to behospitalized. If it is a disease of any other classification, it will issue
instructions such as prohibition of work or prohibition of food contact. In thecase of a class 1 infectious disease or a novel infection, we will take necessary
actions with the help of MHLW and National Infectious Diseases ResearchInstitute.
(Slide 23)
Public health activities are based on the Plan-Do-See cycle, which grasps
the current situation and implements appropriate actions with thecommunity network in the region based on proper plans.
The PHC is an agency specialized in public health. It collects and analyzes
data on the regional public and environmental health and sanitation on adaily basis. The information thus obtained is used for maintaining andimproving the public health of the region. It also makes every effort to detect
health crisis events as early as possible, so that prompt measures can betaken. I think that the role of PHCs will be ever more important for publichealth in the world with globalization and rapid transformation of societies.
Thank you for your listening.

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