Japan's infant mortality rate in 1991 was four per 1,000, the lowest i
n the world. Contributing factors are the universal use of the Boshi K
enko Techo (maternal-child health handbook) and universal access to ca
re. Most births occur to women aged 25-29 years and there are few unma
rried mothers. Ninety-nine and seven-tenths percent of births are atte
nded by qualified professionals either in hospitals or private clinics
, with an average stay of one week postpartum. Abortion is available w
hen contraceptives fail. There are government subsidies for medical, o
bstetric, and pediatric complications. Japanese citizens are highly li
terate and seek out medical advice, and their society is organized to
support children. Efficient systems of community support, public healt
h education, and excellent medical care encompass events from concepti
on to school age.