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Childbirth and Child Care

Maternal and Child Health Handbook (Boshi Kenko Techo)

Once you learn you are pregnant, please submit a completed Notification of Pregnancy (Ninshin Todokesho) to the city office. Upon submission, you will be issued a Maternal and Child Health Handbook. The handbook is used to record the health of the mother and child. English, Portuguese, Spanish, Chinese, Thai and Korean versions of the handbook are available for foreign residents. In addition to this handbook, you will also obtain 14 antenatal checkup coupons and a Certificate of Beneficiary of Medical Aid for Expectant and Parturient Women.

Eligibility Individuals who are pregnant and those who have given birth
Documentation Requirements Notification of Pregnancy, health insurance certificate, bankbook and personal stamp (Inkan)
Where to Apply Children and Family Division, One-stop Health and Welfare Consultation Services, Kami-kawachi District Jichi Center, Kawachi District Jichi Center, Hiraishi District Shimin Center, Tomiya District Shimin Center, Sugatagawa District Shimin Center
Inquiries Children and Family Division
Phone 028-632-2388

Medical Aid for Pregnant and Parturient Women (Ninsampu Iryohi Josei)

This medical aid is available for pregnant or parturient women residing in Utsunomiya City. The aid covers the portion of medical expenses to be paid individually when they receive inpatient or outpatient medical services covered by health insurance.

Eligibility Holders of Certificate of Beneficiary of Medical Aid for Expectant and Parturient Women
Coverage Period From the first day of the month in which you obtained a Maternal and Child Health Handbook to the end of the month after next of the month in which you gave birth or had a miscarriage
How to Use the Program
  1. Pay self-bearing medical expenses to the medical institution.
  2. Submit a completed application and itemized receipts from the medical institution to the Children and Family Division.
  3. The medical subsidy will be deposited into your bank account.
Inquiries Children and Family Division
Phone 028-632-2296

Vaccinations

Vaccination is one of the most effective ways to prevent infectious diseases, ameliorate the effects of infection, and contain the spread of epidemics. The City of Utsunomiya provides the vaccinations listed below free of charge for children of eligible age with a registered address in the city. A notice of vaccination is sent out to parents of eligible children. When your child gets vaccinated, please make sure to bring a vaccination coupon and your Maternal and Child Health Handbook. To have your child vaccinated at a medical institution, please call it ahead of time to confirm its vaccination schedule and make an appointment.

<Individual Vaccinations>
The vaccinations listed below are given at medical institutions in Utsunomiya City.

Type Stage/Frequency Target Age Range/ Procedures
DPT (Diphtheria, Pertussis and Tetanus combined) 1st Stage Initial (three times) 3 months to less than 7 years and 6 months old Three times with an interval of 3 to less than 8 weeks (Standard vaccination age: 3 to 12 months old)
1st Stage Booster (once) 3 months to less than 7 years and 6 months old At least 12 months after the initial vaccinations (three times) for the 1st stage (Standard vaccination age: 24 to 36 months old)
DT (Diphtheria and Tetanus combined 2nd Stage (once) 11 to less than 13 years old
(Standard vaccination age: 11 years old)
MR (Measles and Rubella combined) 1st Stage (once) 12 to less than 24 months old
2nd Stage (once) Within one year (April 1 to March 31) before entering elementary school
3rd Stage (once) Within the 1st year of junior high school (April 1 to March 31)
4th Stage (once) Within the 3rd year of senior high school (April 1 to March 31)
Japanese Encephalitis 1st Stage Initial (twice) 6 months to less than 7 years and 6 months old
Twice with an interval of 1 to less than 4 weeks
(Standard vaccination age: 3 years old)
1st Stage Booster (once) 6 months to less than 90 months old
At least 12 months after the initial vaccinations (twice) for the 1st stage (Standard vaccination age: 4 years old)
2nd stage (once) 9 years to less than 13 years old
(Standard vaccination age: 9 years old)
BCG Once Less than 6 months old
(Standard vaccination age: 3 to less than 6 months)

The following vaccinations are given at 222 designated medical institutions in Utsunomiya City.

Type Frequency Target Age Range/ Procedures
Cervical Cancer Vaccine Three times Girls at the age corresponding to the 1st grade of junior high school to the 1st grade of senior high school
Once, one month after the initial vaccination;
Once, 6 months after the 2nd vaccination
Hib (Hemophilus influenza vaccine) Four times In the case of receiving the initial vaccination between 2 months to less than 7 months after birth
Three times with an interval of 4 to 8 weeks
Once, roughly one year after the 3rd vaccination
Three times In the case of receiving the initial vaccination between 7 months and less than 12 months after birth
Twice with an interval of 4 to 8 weeks
Once, roughly one year after the 2nd vaccination
Once In the case of receiving the initial vaccination between 12 months and 4 years after birth
Pediatric Pneumococcal Vaccine Four times In the case of receiving the initial vaccination between 2months and less than 7 months after birth
Three times with an interval of at least 27 days
(the 3rd vaccination should be completed before the child's 1st birthday);
Once, at least 60 days after the 3rd vaccination
Three times In the case of receiving the initial vaccination between 7months and less than 12 months after birth
Twice with an interval of at least 27 days
Once, with an interval of at least 60 days after the 2nd vaccination following the child's 1st birthday
Twice In the case of receiving the initial vaccination between 12months and less than 2 years after birth
Twice with an interval of at least 60 days
Once In the case of receiving the initial vaccination between 2 and 4 years

<Group Vaccinations>
The following vaccination is given at the Nighttime and Holiday Emergency Clinic, Utsunomiya City Health Center, Kami-kawachi Health Center, Kawachi Health Center and District Shimin Centers.

Type Frequency Target Age Range
Polio Twice 3 months to less than 7 years and less than 6 months　old (Standard vaccination age: 3 to 18 months old)
Inquiries Division of Public Health and Disease Control and Prevention
Phone 028-626-1114

Medical Aid for Children (Kodomo Iryohi Josei)

The Medical Aid for Children is available for children residing in Utsunomiya City who have not completed the 6th grade of elementary school. The aid covers the portion of medical expenses to be paid individually when they receive inpatient or outpatient medical services covered by health insurance.
In the case of children under 3 years of age receiving medical treatment within Tochigi Prefecture: Simply present the child's health insurance certificate and Certificate of Beneficiary of Medical Aid for Children to the medical institution. You will be exempted from the personally borne medical cost. When receiving medical treatment outside of Tochigi Prefecture, pay the medical fees to the medical institution. Then apply for reimbursement of the medical expenses paid.
In the case of children aged 3 or older receiving medical treatment within Utsunomiya City:
Simply present the child's health insurance certificate and Certificate of Beneficiary of Medical Aid for Children to the medical institution. You will be exempted from the personally borne medical cost. When receiving medical treatment outside of Utsunomiya City, pay the medical fees to the medical institution. Then apply for reimbursement of the medical expenses paid. When using this program, a Certificate of Beneficiary of Medical Aid for Children is required. Please apply for the certificate.

Documentation Requirements The child's health insurance certificate, personal stamp (Inkan) and bankbook
Where to Apply Children and Family Division, One-stop Health and Welfare Consultation Services, Kami-kawachi District Jichi Center, Kawachi District Jichi Center, Hiraishi District Shimin Center, Tomiya District Shimin Center, Sugatagawa District Shimin Center
Reimbursement of Medical Expenses Paid
  1. Submit a completed application and itemized receipts from the medical institution.
  2. The medical subsidy will be deposited into your bank account.
Inquiries Children and Family Division
Phone 028-632-2296

Medical Aid for Single-Parent Families (Hitorioya Katei Iryohi Josei)

This medical aid is available for members of single-mother or single-father families (parents and their children). The aid covers the portion of medical expenses to be paid individually when they receive medical services covered by health insurance. The aid is provided up to the first March 31 after children have reached 18 years of age.

Eligibility Members of single-parent families (parents and children)
Documentation Requirements for Application for Eligibility Screening Health insurance certificate, bankbook, personal stamp (Inkan)
Where to Apply for Eligibility Screening Children and Family Division, District Jichi Centers
Where to Apply for Reimbursement of Medical Expenses Paid Children and Family Division, One-stop Health and Welfare Consultation Services, District Jichi Centers, District Shimin Centers, Branch Offices
Inquiries Children and Family Division
Phone 028-632-2296