Machizukuri making everyone to live healthily with a smile

1. Child care support (health and welfare relations)

(1) Child-rearing support project

In child care support, based on the Niseko Town Child and Child Care Support Project Plan and the Child and Child Care Support Law, we will promote the sound development of children who will be the key players in the future society and the creation of an environment where children can be raised and raised with peace of mind. I will continue.
In order to protect the health of the child and to prevent the outbreak of infectious diseases, we will carry out comprehensively the public expenses burden of the regular vaccination based on the law and any vaccination of mumps and influenza town vaccination.
In town, influenza vaccination is implemented from 6 months after birth to prevent serious prevention and spread, and we will continue calling for vaccination in the future.
In order to reduce the burden on parents of child-rearing households on child medical benefits, we are expanding medical expenses until 18 years of age free, and we will continue to continue providing benefits for premature baby care and nurturing medical expenses We will carry out.
In addition, as child welfare measures, we establish director in schoolchild childcare "Niseko child hall" for balance support of work and child care and plan cooperation reinforcement with security measures and protector.
In addition, we plan reinforcement of chief support staff, supporting support staff and plan security of secure, safe place of child and, although it is trial, carry out paid open center of Sunday and public holidays. We will continue to carry out the child benefit payment office work.
From last year, we have been examining the measures for the distribution (or a considerable amount of payment) of garbage bags that process diapers at birth, but we did not reach to see the method of distribution. We will continue the examination and make efforts to carry it out early.
 
(2) Maternal and child health program

Strive to improve health checkup and health guidance in pregnancy, childbirth, neonatal period and early childhood period, plan comprehensive, continuous consultation, secure instruction system, promote health maintenance of mother and environment creation where children grow up healthy You
In this year, we support the expense of neonatal hearing examination to the upper limit of 8,000 yen to detect hearing loss early at the newborn period immediately after birth.
In addition, we will promote support for childcare anxiety during pregnancy and childcare and cooperation with related organizations, and strive for early support.
We will continue to subsidize 14 maternal health checkups and 6 ultrasonic examinations for distribution of maternal and child health notebooks for proper health management during pregnancy and we will promote health maintenance of pregnant women by consultation with special medical institutions .
As continuing business, we hold daddy mom seminar by the midwife for pregnant women and plan the spread of necessary knowledge in pregnancy, delivery, interchange.
For mothers after childbirth, we will carry out midwife visits postpartum care, and prepare a child care environment through the business of consulting and eliminating problems of child care and child care. You will be required to pay some expenses when using the service.
We set certain standard for infertility, infertility treatment and support and aim at reduction of economic burden, but we support for non-funding target in the North Sea degree this year, and infertility, upbringing We support couples who are troubled by
Also this year we will cook cooking lessons by controlled nutritionists, baby food lessons, nutritional guidance to infants and announcement on seasonal nutrition.

2. The welfare of elderly people and people with disabilities (health and welfare)

(1) Welfare measures for the elderly

Based on the 7th Phase Niseko Town Elderly Health and Welfare Plan, which is integrated with the Long-Term Care Insurance Business Plan of the Shimo Shigeki, we will work on various welfare measures so that all elderly people can live safely and with peace of mind. .
Niseko Town Council of Social Welfare plays a central role in supporting and cooperating with nursing care for the elderly at home and transport services that are a means of transportation for the elderly.
In addition, the Niseko Town Life Support Center established last year protects the rights of people who have insufficient judgment skills due to dementia or intellectual disability, etc., and provides them with a legal and life-like lifestyle as needed. We will actively support the use of the adult guardianship system and the training of citizen guardians.
A small number of elderly people with dementia live in a communal life, and the residential facilities “Guru-Phumu-Kirari” operated by the Niseko Welfare Association are established for the purpose of alleviating the progression of dementia and preventing functional decline. , 2 units 18 floors, a facility where 18 people can move in, we will continue to support in the future.
In addition, as measures for at-home elderly people, we will increase the food distribution service for one meal a week to two meals this year, and plan to strengthen shopping support and watching.
In addition, we will continue to carry out life day services, mild life support, welfare kerosene assistance business, snow removal service business, Niseko Ekimae hot spring admission service, housing repair cost subsidies, emergency call system business, etc.
In terms of health, we will continue to make the screening costs free of charge for specific health checkups for people over the age of 65 and people over the age of 75 with certain disabilities.
 
(2) Welfare measures for persons with disabilities

Based on the Disability General Support Act, we will promote community welfare where the human rights of persons with disabilities are respected and can live independently as themselves according to the Fifth Disability Welfare Plan (fiscal year 2030).
It was opened and opened in Honcho by a private company as a workplace for people with disabilities who can not participate in general work, but unfortunately it has been closed. In cooperation with related municipalities and business establishments, while securing employment opportunities for people with disabilities, and for the purpose of securing a place for daytime activities of people with disabilities who wish to live at home, and support for families Continue to support the temporary support project, including assistance for disabled people based on the law, assistance to disabled welfare groups, visiting hospitals and other places to hospitals etc, welfare allowance for taxis, taxi fare assistance, Niseko station hot spring admission fee assistance, home improvement We carry out assistance such as assistance, severe disability medical care payment, local activity support center administration costs assistance continuously.
At Niseko Living Homes, users and their parents are at an advanced age, but it is necessary to accept new users and improve employee treatment and secure personnel.
As an institution that plays a central role in disabled people, we will continue to support operations and education programs for disabled people this year.
 
(3) Long-term care insurance, care prevention business

Based on the 7th Care Insurance Plan, we will carry out and promote the business while planning collaboration with the Koshi Wide Area Alliance.
About long-term care premium, it is run by unified premium of Goshi wide area association 16 municipalities, and needs of elderly person to run independent daily life according to ability in the area where elderly person lived as much as possible In response, medical services, care, prevention, housing, life support services are continuously provided, and comprehensive support and service offer for the area is provided.

3. Health promotion (health and welfare relations)

(1) Measures against lifestyle diseases
Along with lifestyle changes and aging, the proportion of lifestyle-related diseases caused by lifestyle habits such as daily eating habits and exercise, such as malignant neoplasms, heart disease, cerebrovascular disease, diabetes, etc. in the entire disease is also increasing in Honcho. You are We review daily lifestyles and actively promote health, place emphasis on preventing the onset of lifestyle-related diseases and other diseases, and promote health promotion.
Because health promotion during the work-up phase is very important, the frequency of implementation of health exercise classes utilizing local resources is increased to continue health management, individual support for dietary habits improvement by a dietitian, and holding regular cooking classes We will strive to promote health promotion.
 
(2) Medical examination / disease prevention measures
As the number of people with lifestyle-related diseases such as diabetes and the number of spare groups increase, specific medical checkup and specific health guidance are required based on the law.
In Honcho, too, it is important to know the condition of one's own body, to practice exercise and improve eating habits, aiming for early detection and improvement of metabolic syndrome (visceral fat syndrome).
In addition, it is 40 years old so that it is easy to receive for the purpose of planning early detection, prevention of aggravation by early treatment, health maintenance promotion by carrying out various examination business (gastric lung large intestine cancer examination, gynecology cancer examination) Distribute free colorectal cancer screening coupons for those aged 5 to 5 years of age from age 60 to 40, and for those aged 40 to 60 with uterine cancer screening free coupons for those aged 5 to 20 years of age We distribute breast cancer screening free coupon coupon to people of 5 years of age until age, and promote cancer prevention.
To promote disease prevention from a sickness not to be sick, to promote disease prevention as well as to widely disseminate the awareness of health promotion to townspeople, to cooperate with concerned organizations in cooperation with concerned organizations in order to notify consultation to unadjusted persons and to improve the examination rate We will advance educational activities.
 
(3) Measures to control echinococcus
Echinoccocus extermination measures were carried out with cooperation of volunteer by townsman since 2009 and 10 years passed in this year.
Every year from May to November, the monthly Bait (Feather of foxes mixed with insects) spray is carried out, and the results are shown.
In these bait dispersal, although a positive reaction from one sample in fiscal 2016, a negative response in fiscal 2017, and more than 10 insect eggs are not discharged in fiscal 2017, it is a result that there is a fox which has become an echinocox host The
There is also the possibility of a moving fox from a town etc. where the action range of the fox is wide and the distribution of the bait has not been done, and it is judged that the control measures are necessary in the future.
We will carry out extermination measures in the future and try for extermination of echinocox and work on steady continuation of business to protect health of townsmans from now on while calling out extermination measures conduct in neighboring towns and villages and taking cooperation.

4. Security of community medicine (health and welfare relations)

For regional medical care, the environment surrounding regional medicine is placed in a very tough situation, such as restraint of medical expenses by medical system reform and shortage of doctors accompanying reform of the clinical training doctor system. Under such circumstances, Kutchan Welfare Hospital, which is the core of regional medicine including Honmachi, requires financial support.
Recently, improvement has been seen in securing doctors by starting the sponsorship association and disseminating regional information at the Kutchan Public Health Hospital, and management is improving.
Maintaining community medical care is an important task of the town, so that town residents can secure medical treatment services of high quality with a sense of security, centered on Kutchan cho, doctors secured by Mt. Yotei and hospital management, hospital administration, holidays We will continue to support you in the future such as the emergency night illness center.
 

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