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Kitajima Town: child medical expense subsidy

Tokushima Prefecture

In Kitajima Town, Tokushima Prefecture, the child medical expense subsidy covers both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: outpatient yes, inpatient no. (As of April 1, 2025, Children and Families Agency survey.)

In Tokushima Prefecture, 24 of 24 municipalities cover outpatient care through age 18, and Kitajima Town is one of them.

Kitajima Town does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Tokushima Prefecture, 16 of 24 municipalities meet all three.

Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".

Covered until (Outpatient)
Age 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
No(April 1, 2025)
Co-payment
outpatient yes, inpatient no(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
23,682(Resident register, 2024)
Share under 15
15.0%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Kitajima Town.

Official websiteFilter by conditions

Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Age 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Income limitNoNo
Co-paymentYesNo

No change since April 1, 2024

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last checked September 24, 2026

The national survey records conditions as of April 1 and is published in December. Some municipalities have expanded coverage since then. Confirm the current conditions on the municipality's official website.

Frequently asked questions

Until what age does Kitajima Town subsidize child medical expenses?

Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).

A co-payment is charged at the counter.

Are high school students covered in Kitajima Town?

Yes. Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (the end of the third year of high school).

Does Kitajima Town apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Kitajima Town?

Yes. Outpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (income limit: no; co-payment: yes); inpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (income limit: no; co-payment: no).

Has Kitajima Town changed its conditions since last year?

No. The national surveys as of April 1, 2024 and April 1, 2025 record the same conditions.

How does Kitajima Town compare with other municipalities in Tokushima Prefecture?

In Tokushima Prefecture, 24 of 24 municipalities cover outpatient care through age 18, and Kitajima Town is one of them.

Kitajima Town does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Tokushima Prefecture, 16 of 24 municipalities meet all three.

If I move out of Kitajima Town, do the same conditions apply?

No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.

Nursery and after-school club waiting lists in Kitajima Town

Kitajima Town had 2 children on the nursery waiting list as of April 1, 2026 (674 applicants, 661 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 20 registered).

Nursery and after-school club waiting lists in Kitajima Town
ItemValueAs of
Nursery waiting list2Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants674Apr 1, 2026
Children enrolled in nurseries661Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations20May 1, 2026 (prelim.)

"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.

Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)

Parks, libraries, community centers and nursery schools in Kitajima Town

Kitajima Town has 23 urban parks (9.9 ha), or 4.3 m² per resident (Rank 13 of 24 in the prefecture). It has 1 libraries, 1 community centers, 8 nursery schools and 3 elementary schools.

Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.

Places for children: Kitajima Town
ItemValueRank in prefectureAs of
Urban parks23Rank 4 of 24 in the prefectureMar 31, 2025
Urban park area9.9 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)4.3 m²Rank 13 of 24 in the prefectureMar 31, 2025
Libraries1Rank 14 of 24 in the prefecture2021
Community centers1—2021
Nursery schools8Rank 12 of 24 in the prefecture2023
Kindergartens3—2024
Elementary schools3—2024

Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

Population, share of children, net migration and doctors in Kitajima Town

PopulationResident register, 2024
23,682Rank 10 of 24 in the prefecture2024
Share under 15
15.0%Rank 1 of 24 in the prefecture2020 census
Share 65 and over
25.5%2020 census
Share of foreign residents
0.5%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+15Rank 3 of 24 in the prefecture2024
Births per 1,000 residents
8.3Rank 1 of 24 in the prefecture2023
Nursery schools
82023
Nursery schools per 1,000 children under 15
2.35Rank 12 of 24 in the prefecture2023
Kindergartens
32024
Elementary schools
32024
Doctors per 10,000 residents
40.1Rank 4 of 24 in the prefecture2022
Clinics per 10,000 residents
8.02023
General hospitals
22023
Owner-occupied homes
66.4%2023
Floor area per dwelling
108.9 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.74Rank 4 of 24 in the prefecture2022
Restaurants
692021

Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).

Compare with similar-sized municipalities in Tokushima Prefecture

Compare with similar-sized municipalities in Tokushima Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Kitajima Town23,682Age 18NoYes / No2
Komatsushima City34,604Age 18NoNo / No0
Awa City34,188Age 18NoNo / No0
Mima City26,264Age 18NoNo / No0
Ishii Town24,567Age 18NoYes / No0
Miyoshi City22,225Age 18NoYes / No0
Matsushige Town14,356Age 18NoNo / No0
Higashimiyoshi Town13,205Age 18NoNo / No0
Itano Town12,812Age 18NoNo / No0

Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.

All 24 municipalities in Tokushima Prefecture

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.