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Good practice Imported

With You Osaka — From an NPO Pilot to Japan's Institutionalised 24-Hour One-Stop Centre for Sexual Assault Survivors

Japan · Osaka · See the Japan profile · See the Osaka profile

Evidence: Observational / pre–post Top 42% 74/100 · Ask Evidence Copilot about this practice

Osaka's dedicated one-stop centre for sexual-violence survivors, opened October 2025, replaces the NPO-run SACHICO pilot (est. 2010) with a 24-hour, prefecture-run facility linked to ~40 hospitals — the culmination of Japan's 2011 push for one-stop centres in all 47 prefectures.

12,036 visits
Total visits to SACHICO (2010-2021)
3,189 consultations
First-time consultations (2010-2021)
3,100 examinations
Initial medical examinations conducted (2010-2021)
2.7 %
Visits that skipped an initial exam (2010-2021)
3.7 x increase
Increase in initial exams, 2010 to 2021 (2010-2021)
60 %
Examined victims under age 19 (2010-2021)
~40 institutions
Referral network of medical institutions (With You Osaka) (2025)
With You Osaka — From an NPO Pilot to Japan's Institutionalised 24-Hour One-Stop Centre for Sexual Assault Survivors

Details

Maturity
Established
Promoter
Osaka Prefectural Government (successor to SACHICO / Sexual Assault Crisis Healing Intervention Center Osaka)
Period
2010–present (With You Osaka opened October 2025)
Keywords
health, justice, sexual violence response, public health

Context

SACHICO was founded in 2010 as Japan's first rape crisis center, established by a non-governmental organisation inside a private hospital in Osaka, offering integrated medical, police and legal support in one location. The national Cabinet Office policy of 2011 called for at least one one-stop support centre in each of Japan's 47 prefectures; that goal is now met nationwide.

Activities

A peer-reviewed 12-year fact-finding study (Kusumoto et al., International Journal of Gynecology & Obstetrics, 2025) compared SACHICO's 2010–2021 visitor data against National Police Agency statistics.

Results

The study recorded 12,036 total visits, 3,189 first-time consultations, 3,100 initial medical examinations conducted (only 2.7% skipped an exam), and a 3.7-fold increase in initial exams from 2010 to 2021. 60% of examined victims were under 19.

Conclusions

Despite this growth, the original NPO/private-hospital model became unsustainable: SACHICO faced a shortage of on-call obstetrician-gynaecologists and difficulty maintaining round-the-clock hospital cooperation. In response, Osaka Prefecture took over direct operation in October 2025, launching 'With You Osaka' in Sumiyoshi Ward as a dedicated, government-commissioned, 24-hour facility with shower and evidence-preservation rooms and a referral network of roughly 40 medical institutions across the prefecture — addressing the earlier model's staffing fragility rather than repeating it.

Implementation
Indicative cost
Medium (€50k–€500k)
Time to results
Long (> 3 years)
Staffing & skills
Originally NPO-run inside a private hospital (SACHICO, from 2010), Since October 2025, run directly by Osaka Prefecture as a dedicated, government-commissioned 24-hour facility ('With You Osaka') in Sumiyoshi Ward, Referral network of roughly 40 medical institutions across the prefecture

Conditions for success

  • National Cabinet Office 2011 policy calling for at least one one-stop centre in each of Japan's 47 prefectures
  • Shower and evidence-preservation rooms integrated into the facility
  • A broad referral network of partner hospitals for medical follow-up

Common failure modes

  • The original NPO/private-hospital model faced a shortage of on-call obstetrician-gynaecologists and difficulty maintaining round-the-clock hospital cooperation, which is why the government took over direct operation

Where it fits

Governance type
prefectural government (after an NPO-to-government transition)
Scale
prefecture-wide (Osaka), part of a national 47-prefecture network

Commonly funded by

National / regional programmes

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Data sources

Where this practice's information was retrieved from, and when.

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