Promotion System of Maternal and Child Health Services

Municipalities (Health centers) ○ Basic maternal and child health services	Prefectures (Health centers) ○ Specialized maternal and child health services
Health checkups, etc.	·Health checkups for expectant or nursing mothers, infants and toddlers (those aged 1 year and 6 months, those aged 3)	·Screening for congenital dysbolism, etc
Health care guidance, etc.	·Issuance of the Maternal and Child Health (MCH) handbook ·Pre-marital class, mothers' class, child-rearing class, etc.	Technical assistance	·Infertility counseling, health care education for women, etc.
Home-visit guidance	·Home-visit guidance for expectant or nursing mothers and newborns	·Home-visit guidance for premature infants
Medical aid, etc.	·Medical care for premature babies, medical aid projects for specific chronic pediatric diseases, etc.

Detailed Data 1 Changes in Maternal and Child Health Indices

Year	Live birth rates (per 1,000 population)	Infant mortality rate (per 1,000 live births)	Neonatal mortality rate (per 1,000 live births)	Perinatal death rate (per 1,000 total births $ ^{1)} $ )	Maternal mortality rates (per 100,000 total births $ ^{2)} $ )	Foetal death rates (per 1,000 total births $ ^{2)} $ )
1965	18.6	18.5	11.7	...	80.4	81.4
1975	17.1	10.0	6.8	...	27.3	50.8
1985	11.9	5.5	3.4	15.4	15.1	46.0
1995	9.6	4.3	2.2	7.0	6.9	32.1
1997	9.5	3.7	1.9	6.4	6.3	32.1
1998	9.6	3.6	2.0	6.2	6.9	31.4
1999	9.4	3.4	1.8	6.0	5.9	31.6
2000	9.5	3.2	1.8	5.8	6.3	31.2
2001	9.3	3.1	1.6	5.5	6.3	31.0
2002	9.2	3.0	1.7	5.5	7.1	31.1
2003	8.9	3.0	1.7	5.3	6.0	30.5
2004	8.8	2.8	1.5	5.0	4.3	30.0
2005	8.4	2.8	1.4	4.8	5.7	29.1
2006	8.7	2.6	1.3	4.7	4.8	27.5
2007	8.6	2.6	1.3	4.5	3.1	26.2
2008	8.7	2.6	1.2	4.3	3.5	25.2
2009	8.5	2.4	1.2	4.2	4.8	24.6
2010	8.5	2.3	1.1	4.2	4.1	24.2
2011	8.3	2.3	1.1	4.1	3.8	23.9
2012	8.2	2.2	1.0	4.0	...	23.4

Source: "Vital Statistics", Statistics and Information Department, Minister's Secretariat, MHLW

(Note) 1. The figures denote the sum of the number of live births and that of foetal deaths at 22 completed weeks and over of gestation.

2. The figures denote the sum of the number of live births and that of foetal deaths.

3. The figures for 2012 are preliminary numbers.

Status of Screening for Inborn Error of Metabolism, etc. (FY2010)

Number of births (A) (person)	Screening for inborn error of metabolism	Screening for cretinism
Screened (B) (person)	Screening rate (B/A) (%)	Screened (B) (person)	Screening rate (B/A) (%)
1,062,077	1,139,246	107.3	1,133,310	106.7

Source: Equal Employment, Children and Families Bureau, MHLW

(Note) The screening rates may exceed 100% because rescreened low-weight children with 2,000 g or less are included in the number of those screened.

## Detailed Data 3 Number of Cases of Medical Care Benefits for Premature Babies, etc

Home-visit guidance	Number of cases where provision of benefits for medical aid for premature infants was decided
Actual number of persons received guidance	Cumulative number of persons received guidance
59,056	74,275	29,744

Source: “Report on Regional Public Health Services and Health Promotion Services” (FY2011), Statistics and Information Department, Minister's Secretariat, MHLW

“FY2011 Report on Social Welfare Administration and Services”, Statistics and Information Department, Minister's Secretariat, MHLW for the number of cases where provision of benefits for medical aid for premature infants was decided.