An analysis of the reasons for Japan's low infant mortality rate.

Journal Article (Journal Article)

Japan's infant mortality rate in 1991 was four per 1,000, the lowest in the world. Contributing factors are the universal use of the Boshi Kenko Techo (maternal-child health handbook) and universal access to care. Most births occur to women aged 25-29 years and there are few unmarried mothers. Ninety-nine and seven-tenths percent of births are attended by qualified professionals either in hospitals or private clinics, with an average stay of one week postpartum. Abortion is available when contraceptives fail. There are government subsidies for medical, obstetric, and pediatric complications. Japanese citizens are highly literate and seek out medical advice, and their society is organized to support children. Efficient systems of community support, public health education, and excellent medical care encompass events from conception to school age.

Full Text

Duke Authors

Cited Authors

  • Leppert, PC

Published Date

  • November 1993

Published In

Volume / Issue

  • 38 / 6

Start / End Page

  • 353 - 357

PubMed ID

  • 8295019

International Standard Serial Number (ISSN)

  • 0091-2182

Digital Object Identifier (DOI)

  • 10.1016/0091-2182(93)90017-b


  • eng

Conference Location

  • United States