Revitalizing the Aging City: Kadokawa Nursing Care Prevention Center

Toyama City Kadokawa Care Prevention Center,
Published: 21 October 2020
Last edited: 21 October 2020
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Preventive care in Japan aims to reduce the number of elderly people who need nursing care and insurance support by improving the quality of elderly life through encouraging them in making efforts to maintain their health and physical mobility, and participate in social and community activities. This would thereby relieves the financial burden on the government and also reduce the burden faced by the younger generation who support the elderly.


Kadokawa Care Prevention Center is a country’s leading example of preventive care that provides special facilities and unique programs specialized in improving and maintaining the health condition and physical mobility of the elderly. The center was established by Toyama City through unique physical and financial arrangements. It received various monetary and facility donations from the citizens, converting old public facilities due to the shrinking and aging demographic context, and collaborating with private sector in the operation.


East Asia
Scale of implementation
Area-wide development
Buildings and facilities
Connective infrastructure, networks and corridors
Urban ecosystem and build environment
Sustainable financing
Terrestrial spatial planning
Urban planning
Other theme
Aging communities
Lack of access to long-term funding
Lack of alternative income opportunities
Sustainable development goals
SDG 3 – Good health and well-being
SDG 11 – Sustainable cities and communities
Aichi targets
Target 20: Mobilizing resources from all sources


Toyama Shi, Toyama Prefecture, Japan


Japan has the highest proportion of elderly citizens in the world. This “hyper-aging” trend will continue for the next decades due to the current falling birthrate and rising life expectancy. This salient situation has been imposing unprecedented economic and social difficulties on the Japanese government. In particular, the accumulating expenses of annuity, medical treatment, and long-term health care programs are a critical consideration, while tax revenues are declining due to a shrinking labor-force. Nevertheless, the situation of aging communities varies by national region, and the City of Toyama has been going through faster aging and shrinking of population compared to other cities in Japan with similar population size. The proportion of elderly citizens over the age of 65 is currently 28% (2016), and is estimated to reach about 30% by 2020.


  • Residents of Toyama City
  • Local land owners

How do the building blocks interact?

The inclusive care prevention and health maintenance system is expected to help elderly citizens live actively. Accompanied by the promotion of urban revitalization that cost-effectively offers easier access to public services, safer neighborhoods, and more interactive social spaces for enhancing the quality of elderly life, the Center plays an important public role. It is a hub of local health networks to promote integrated and inclusive care services through community-based approaches. To materialize this revitalization plan in the broad sense, local governments need to seek for possible financial arrangement for the project. The arrangement may include utilizing existing asset, such as converting unused sites or old facilities into the new development in light of changing needs in the aging society.


Economic Impact: Decrease in the elderly population who need major support from the Long-term Care Insurance System and also the Health Insurance System. This decrease would in turn reduce the cost of the public insurance system.


Social Impact: The Care Prevention Center helps elderly people keep active and live long, self-reliant lives. In fact, one assessment of 141 members of the center over three months proved that there was a positive influence of exercise on their physical and mental condition. This result also revealed that their standing and walking abilities had noticeably improved and they became aware of improved physical and mental conditions.


Environmental Impact: As the roof top and side walls are covered in greenery and equipped with a solar power generator (3kW), these facilities contribute to alleviating heat-island effects and saving energy. The facility location in the city center can be easily accessed by public transportation rather than private vehicles so that it contributes to reducing road traffic congestion, accidents, and, in turn, CO2 emissions.





Contributed by

TDLC / DRM Hub Japan World Bank