Issued by the health ministry about 2011-2020 years to carry out the program for the development of Chinese women and children implementation plan of the notice

Health ministry of China www.moh.gov.cn the 2012-02-23 17:11:09

        Women who SheFa [2012] no. 12

        All provinces, autonomous regions, municipalities directly under the central government health TingJu, xinjiang production and construction corps and the state plan health bureau: for the purpose of implementing the program for the development of Chinese women (2011-2020) "and" the program for the development of Chinese children (2011-2020) ", and promote the maternal and child health work, and strive to improve maternity and child hygiene service fairness and accessibility, unceasingly improves the women and children health level, our organization has formulated the implementation of health in China during 2011-2020, the program for the development of women and children implementation plan ". Hereby printed and distributed to you, please combining with practice, earnest implementation.

The health ministry to carry out 2011-2020

The program for the development of Chinese women and children and implementation plan

        Women and children health reflects the health level, quality of life, and social civilization. To speed up the development of the cause of maternal and child health, to enhance the whole nation the health quality, promote economic development, constructing the harmonious society to have the important meaning. Since the 2001-2010 promulgated by the state council of China since the program for the development of women and children, the health administrative departments at all levels closely around the women and children health objectives, implement the maternal and infant health care ", to improve the maternity and child hygiene service level, maternal, infant and mortality of children under five years old continues to decline, women and children health have been improved obviously. But, by the development level of economy and society, and many other factors, our country in protecting and promoting women's children's health is still faced a serious challenge. Women and children health level there is significant difference between urban and rural areas, regions and the crowd, maternity and child hygiene service fairness and accessibility improved urgently; Reduce the maternal mortality of children under five years old and the task is still arduous, must be much lower on maternal mortality rate can realize the UN millennium development goals; Birth defects, nutritional diseases, such as psychological disorders has become a threat to women and children health of prominent public health problem; Maternity and child hygiene service ability and the health of women and children growing demand does not adapt, fully realize the women and children health goal attainment.

        For the purpose of implementing the program for the development of Chinese women (2011-2020) "and" the program for the development of Chinese children (2011-2020) "(hereinafter referred to as the two key link), promote deepening medical health system reform, promote to realize the national economy and social development 12 five year plan for" relevant target, improve the maternity and child hygiene service fairness and accessibility, unceasingly improves the women and children health level, make this plan.

        A, the guiding ideology and the basic principle

        (1) the guiding principle. Implement the maternal and infant health care "and other laws and regulations, deepen the reform of the medical care system, with women and children health as the center, insists that the children of priority, mother of security purposes, to the women and children to provide a safe, effective, convenient and quality of medical care, achieve two classes of children's health goal put women.

        (2) the basic principle.

        1. To adhere to the people-oriented, in order to safeguard the rights of women and children health for the purpose, the demand oriented, for women and children provide standard of medical and health care services.

        2. Adhere to care for the center, in order to ensure the reproductive health for the purpose, health and clinical practice, the group, the grassroots and prevention maternity and child hygiene working policy.

        3. Insist on overall coordination, classification guidance, struggled to close in between urban and rural areas, and between the crowd of between women and children health disparities, the maternal and child health promoting career and the coordinate development of the economic society.

        4. Insist on both Chinese and western medicine, give full play to the traditional Chinese medicine (national medicine) in women and children health care services in the role.

        Two, the goal

        (1) the total target. Establish covering both urban and rural women and children's basic medical health system and the maternity and child hygiene service system, ensure the equality of women and children enjoy basic medical and health services, and constantly improve the health level of women and children. In 2015, the maternal mortality rate dropped to 22/10, the babies and children under the age of five mortality were down to 12 ‰ and 14 per thousand. In 2020, the maternal mortality rate dropped to 20/10, the babies and children under the age of five mortality were down to 10 ‰ and 13).

        (2) specific goals.

        1. The protection of women's children's life safety.

        (1) to reduce the maternal, infant and mortality of children under five years old.

        (2) the national maternal hospital childbirth achieve 98% above, rural maternal hospital childbirth achieve 96% above, tetanus to county for the unit rates down to 1 ‰ of the following.

        (3) maternal system GuanLiLv above 85%. Children under the age of 3 GuanLiLv system and 7 years old the following child health care GuanLiLv were above 80%.

        (4) improve the maternal and floating population of children's health GuanLiLv, lower among the floating population, babies and maternal mortality of children under five years old.

        (5) reduce children's deaths from damage and disability. Children under the age of 18 damage mortality take 2010 as the base down 1/6.

        2. Improve birth population quality.

        (6) improve the level of health care before marriage, pre-marital medical examination rate above 50%.

        (7) improve prenatal the screening rate and prenatal diagnosis level.

        (8) gradually expand the newborn screening disease is planted, neonatal congenital thyroid function reduce disease, benzene acetone urine disease the screening rate above 80%, the newborn hearing screening rate above 60%.

        (9) severe multiple disability of birth defect rate drop gradually, reduce birth defects caused by disability.

        3. The women and children disease prevention and control.

        (10) women's common diseases the screening rate above 80%.

        (11) improve the cervical cancer and breast cancer had conducted rate, reduce mortality.

        (12) control diseases among children and AIDS, syphilis, tuberculosis, hepatitis b and other major infectious diseases.

        (13) control AIDS and venereal women new infections. Maternal AIDS and syphilis detection rates were 80% and 70%, and syphilis infection AIDS maternal and child born to prevent mother-to-child transmission ratio intervention measures were above 90%.

        (14) into expand the state planning of the vaccine immune rate at the township (street) for the unit is up to 95%.

        (15) reduce children's psychological behavior and mental illness incidence rates.

        (16) the improvement of women's mental health knowledge and spirit of knowledge about disease prevention.

        4. To improve nutritional status of women and children.

        (17) low birth weight rate of 4% in the control the following, control great son incidence.

        (18) 0-six months baby pure mother's milk feeding rate above 50%.

        (19) children under the age of five growth ChiHuanLv control under 7%, low weight rate dropped below 5%, control childhood obesity incidence.

        (20) children under the age of five anemia prevalence of 12% in the control the following, the elementary and middle school students anemia in 2010 as base rates drop by one-third.

        (21) reduce the maternal morbidity moderate to severe anemia.

        5. Sound maternity and child hygiene service network.

        (22) provincial, city and county level 3 are 1, standardization of construction government held maternity and child health care organization.

        (23) maternity and child care centers and second class above general hospital setting obstetrics and pediatrics.

        (24) the basic medical and health institutions maternal and child health care facilities equipment and personnel allocation to construction standards.

        Three, the main task

        (1) security maternal and infant security. Implement the state's basic public health service project of maternal health management and standardize the antenatal examination and postpartum visit, improve maternal GuanLiLv system. Continue to implementation of rural maternal inpatient delivery subsidies, and perfect and the new rural cooperative medical treatment and medical assistance system of cohesive devices, and gradually raise allowance standard, and promote the improvement of childbirth in hospital and stable.

        Strengthen aiding technology access and management and standardize the pregnant period medical and health care services, and promote natural childbirth, reducing cesarean section rate. Implement high-risk pregnancy classification management, implement the critical review and maternal and newborn maternal death death review. Improve maternal and newborn medical first aid ability, establish the maternal and newborn critical first aid the green channel. Improve maternal and newborn critical in rural areas, preterm delivery and low birth weight of the emergency treatment, transshipment and management ability, reduce the maternal and newborn mortality.

        Column 1 maternal and infant security operations

        1. Continue to implementation of rural maternal inpatient delivery subsidies and "reduce the maternal mortality rate, eliminate trismus nascentium" project.

        2. In first-aid network maternal and newborn strengthen first aid ability construction, establishment of maternal and newborn critical first aid the green channel.

        3. Support the maternal and child deaths monitoring network construction.

        (2) control birth defects. Implement birth defects comprehensive prevention and control measures. Implementation of primary prevention and control measures, reduce the occurrence of birth defects. Widespread birth defects of the prevention and control of publicity and health education society. Strengthen and related departments of the coordination and cooperation, conducting extensive health care and before marriage counselling, the promotion of free pre-marital medical examination, the perfect service mode, improve the pre-marital medical examination rate and service quality. Standard pregnant consulting and pregnant early stages of pregnancy, medical and health care services. Guide urban and rural women of child-bearing age pregnant and early stages of pregnancy and various nutrients folic acid supplemented, prevent neural tube defects. Strengthen labor protection of female workers, to avoid pregnancy and pregnant women contact poisonous and harmful material and radiation. Implementation secondary prevention and control measures, increase the rate of birth defects found during pregnancy. Set up and perfect the prenatal screening and prenatal diagnosis network, improve prenatal screening service coverage and prenatal diagnosis level, gradually realize pregnant women at 28 weeks ago in voluntary at least 1 times accept birth defects prenatal screening. Strengthen the level 3 prevention and control measures, reduce the occurrence of congenital blemish. Newborn screening of disease, and improve the newborn genetic metabolic disease and hearing obstacles screening network, and gradually improve the newborn congenital hypothyroid function, newborns benzene acetone urine sickness and so on genetic screening rate and metabolic disease newborn hearing screening rate, strengthen the confirmed cases treatment and intervention, improve treatment rates confirmed cases. Strengthen the birth defects prevention science research and professional technology personnel training, improve birth defects monitoring network, and carry out the birth defects epidemiological study, grasps the birth defects and the change trend of the present, to provide the scientific basis for prevention and control of the birth defects and technical support.

        Column 2 birth defects comprehensive prevention and control action

        1. The birth defects prevention education on health and social promotion action.

        2. For the rural women of child-bearing age pregnant early stages of pregnancy and free supplement and various nutrients folic acid.

        3. Strengthen prenatal diagnosis ability construction and improve prenatal diagnosis network.

        4. Support provincial neonatal illness screening center construction and improve screening network, the implementation of neonatal illness screening subsidies.

        5. Support birth defects monitoring network construction.

        (3) promote reproductive health and prevention and control of women's common diseases. For women's physiological characteristics, popularize the reproductive health and women's common diseases prevention knowledge, improving women's individual health care consciousness and ability. Standard adolescence, were of reproductive age, menopause, old age reproductive health services and family planning technical services, the corresponding solution women special physiological period of health problems. Common women established regular screening system, gradually expand the cervical cancer, breast cancer free inspection coverage, increase women's common diseases the screening rate and had conducted rate, improve women's health care, and a woman's breast, cervical cancer gradually in major disease treatment range. Improve the prevention and control of AIDS and venereal mechanism, will prevent AIDS, syphilis and hepatitis b mother-to-child transmission comprehensive service into the maternity and child care routine jobs, carry out the maternal AIDS, syphilis and hepatitis b testing and counseling for maternal and child born infected provide standard intervention and treatment, and carry out the feeding, psychological, and other aspects of the guidance, a tracking management. (4) strengthen children's disease prevention and control and prevent damage. Strengthen the health education and health promotion, popular children's health basic knowledge. Continue to expand national immunization program, strengthen cold chain system construction and maintenance, strengthen the floating children and remote and poor areas to children's vaccination management and standardize the vaccination behavior. Expand a children's major disease treatment range. Regulate the child health care and pediatric diagnosis and treatment behavior, promote children's disease comprehensive management and appropriate technology, key improve rural medical and health institutions diseases among children, the first aid, diagnosis and treatment for emergency and severe cases of children of the processing and referral ability. Guide school, child-care agencies in the prevention and control of infectious diseases among children and. Encourage children to special drug research and development and the production, expand the state basic drugs in the pediatric drug directory varieties and dosage form range, perfect the children about usage and dosage.

        Implementation of the comprehensive plan of action damage children's intervention, improve the children's damage detection system and reporting system. Strengthen prevent children of publicity and social damage health education, primary and middle schools, child-care agencies guidance and community care, save the children improve the consciousness and ability. Improve disasters and emergencies to children's protection consciousness and ability, for the affected children provide effective medical and mental rehabilitation services. To strengthen the heavy metals such as lead, cadmium pollution harm children's health monitoring and treatment.

        (5) strengthen child care service and management. Implement the state's basic public health service project of children's health management, conduct extensive neonatal care, growth monitoring, nutrition and feeding instruction, comprehensive development, psychological behavior early development evaluation and guidance, etc. Strengthen children's vision, listening and oral health care, to prevent and control the bad vision, hearing loss, dental caries, the happening of the disease. Strengthen the child-care institutions, middle and primary school health care management, carry out in-depth children nutrition and diet, disease prevention, mental health, growth and development, adolescence care and reproductive health, and other aspects of the education guidance, and help children develop healthy behavior and way of life, and to improve the health level of literacy, and prevent and reduce disease. Improve child-care institutions, small and medium-sized school health environment and conditions. Improve the rural area school health drink and harmless sanitation toilets coverage.

        (6) to improve nutritional status of women and children. Vigorously developing the nutrition and health knowledge propaganda and popularization, strengthen the reasonable dietary guidance, advocate science reasonable dietary structure and eating habits. For pregnant and lactating women were such key group with specific nutrition guidance, reasonable added nutrients, the prevention and treatment of diseases such as maternal anemia, reduce low birth weight and great son occurs. Implement infant feeding strategy, strengthen the love child hospital management, promoting breastfeeding; Developing scientific feeding and nutrients added guidance, to promote rational addition to assist food, prevent and treat malnutrition, anemia, obesity children's nutrition disease. Focusing on the poor district children nutrition and health intervention. Increase the prevention and control of the geological knowledge popularizing strength, improve lack iodine area DianYan qualified edible rate. To strengthen nutrition strengthen supervision of food production and circulation.

        Column 3 women and children disease prevention and control action

        1. Continue to implement and gradually expand rural women's breast, cervical cancer check-up and preventive HIV/AIDS, syphilis and hepatitis b mother-to-child transmission and the important public health service project.

        2. Continue to expand national immunization planning project.

        3. Implementing the Midwest nutrition intervention projects, and to develop social propaganda, for preschool children in poor areas extend nutrients supplements, prevent and treat malnutrition, anemia and other children's nutrition disease.

        4. The full implementation of the rural children with leukemia, congenital heart disease and other major medical security work, and gradually expand the scope of disease. Will the new farm and newborn into the scope of protection, promote children's medical treatment to ensure all the coverage.

        (7) strengthen the mental health service in women and children. Set up and perfect the urban and rural areas, the function is perfect mental health prevention and rehabilitation service network. In the spirit of the conditions of the specialized subject hospital and a comprehensive hospital, maternity hospital, children's hospitals, maternity and child care centers psychiatric set (outpatient service), equipped with specialist. To strengthen health related knowledge of mental health personnel training. School established guidance counseling program, equipped with full-time mental health education teachers. Conduct psychological consultation and related services, strengthen the psychological health problems common in women and children early detection and intervention. (8) improve flow of the population health of women and children. Strengthen the maternity and child care management of the floating population, will flow maternal and children into the maternal and child health defined management, and gradually realize the migrant women and children enjoy equal health care services. Strengthen the floating population maternity and child care knowledge propaganda and health education, improve self-health care, to improve maternal and child health. Attention left-behind children health problems, and actively take effective intervention measures.

        Four, security measures

        (1) improving maternal and child health laws and regulations. According to the maternal and infant health care ", "food safety", "the infectious diseases prevention law" and other relevant laws, combining two classes appear in the process of the implementation of the new situation, the new question, improve maternal and child health laws and regulations and the professional technical standard, perfecting supervision, assessment system and standard. Promote health law enforcement supervision work of maternal and infant health care. Strengthen the maternal and infant health care law documents management, strict maternal and infant health care technical service organizations and members of the access. Strengthen the maternal and infant health care technology service daily supervision and management, and resolutely and practicing medicine without a license, illegal, the medical need to deliver the fetus gender identification and selective other illegal activities such as to abort a pregnancy. Strengthen the maternal and infant health care law laws and regulations propaganda and education, for maternal and child health development to create a good legal environment.

        (2) strengthening the maternal and child health care the funds investment. Adjust the health the funds investment structure, and optimize the health the allocation of resources, increase maternity and child health expenditure, and establishing a scientific and stability of the compensation mechanism for maternity and child care centers. Reasonable arrangement of major public health service the funds required for the project, in view of the serious harm to women children's health problems, expand the implementation of major public health programs for women and children. Increase the central finance in the central and western regions to pay dynamics, gradually to increase the rural areas and LaoShaoBianQiong maternal and child health funds. Explore to establish the flow of women and children the public health service funds compensation mechanism to promote urban and rural women enjoy the equal access to the children of health care services.

        (3) improving the maternity and child hygiene service network. Sound the country, city community health service as the foundation, maternity and child care professional organizations as the core, large and medium-sized comprehensive medical institutions and the relevant teaching research institutions for the technical added maternity and child hygiene service system. According to the provinces and cities and county level 3 maternity and child care centers of the corresponding function orientation, perfect the institution construction standards. Strengthen national maternity and child care center construction, in the province, city and county levels are set to 1, the government held the standardization maternity and child health care organization. Strengthen county and township government health care institutions obstetrics and gynaecology, pediatrics and maternity and child care clinic standardization construction and improve grassroots maternity and child hygiene service network, and give full play to the basic medical and health institutions in the maternity and child care in the role. Strengthen medical service ability construction of the women and children, in the maternity and child care centers and second class above general hospital according to provisions set obstetrics and pediatric, provincial and municipal construction of children's medical center, reasonable increase number the children's hospital, regulating the newborn room construction.

        Column 4 maternity and child hygiene service system construction action

        1. Support provincial, city and county level 3 set 1, the government held standardization maternity and child health care organization.

        2. Strengthen maternity and child care centers and second class above general hospital obstetrics and gynaecology, pediatric construction.

        3. Construction the provincial and municipal level children's medical center.

        4. Support the maternity and child health care institutions necessary equipment purchase.

        (4) strengthen the management of maternity and child care centers. Maternity and child care institution shall adhere to the health care as the center, health care and clinical practice the development direction, take the group health care work as the foundation, basic-level prevention, to carry out preventive care, women's diseases among children screening, maternal and child health care information management of the public health service and the women and children health closely related medical services. The maternity and child care centers to strengthen the professional guidance to lower the institutions, personnel training and technical support. To strengthen internal management institutions, regulating the service behavior, improve the performance assessment, and promote the construction of connotation, gradually set up sound reasonable, perfect equipment, equipment is complete, and the efficient operation of the maternity and child hygiene service network. (5) strengthen the maternal and child health team construction. In order to meet the needs of women and children health service as the foundation, study, formulate the maternal and child health professional agency personnel standards. Give full play to the higher school discipline construction and talents training in advantages and strengthen the maternal and child health care teachers team construction and the discipline construction. Women's health care, child care to strengthen key specialty construction, and develop the key discipline evaluation, training key discipline leaders. Through the higher education, clinical study, focus on training, job training and education, remote education and to continue the maternal and child health professional talent training mode. Strengthen the midwife education, strengthen the construction of the contingent of midwife to explore an effective way. Establish national remote education system maternity and child care, at various levels of maternity and child care persons to carry out medical education and jobs continue to skills training.

        Strengthening primary maternal and child health care team construction. Community health service center and rural hospitals have full-time personnel maternity and child care. Will the maternal and child health knowledge and skills training into primary health personnel training plan; Relying on maternal and child health management, women's diseases among children and birth defects prevention and control measures of prevention and control level 3 as the main contents of the special training. Encourage and guide the university graduates and excellent maternity and child care professional technicians to the grassroots and remote and poor areas to work or to provide services.

        (6) push the maternal and child health information construction. Sound levels maternal and child health care information network, strengthening the maternal and child health information standardization construction. Strengthen the maternal and child health care information monitoring, maternal and child health statistics annals, the national monitoring maternity and child care centers, facilitate critical disease monitoring and maternal child nutrition and health monitoring and enrich the connotation of maternal and child health information work. Improve maternal and child health care information collection, statistics and management system, gradually realize the maternal and child health information network straight news, strengthen the maternal and child health and regional health information platform of between the interchange, and constantly improve the maternal and child health information management and use level for maternal and child health development and two classes monitoring and evaluation provide powerful support information.

        (7) strengthen the scientific research. Fully rely on scientific and technological progress, as a whole and optimize the allocation of resources of science and technology, the organization a multi-sector area, interdisciplinary collaborative scientific research, strengthen the women and children to significant health concerns the influence factors and the intervention measures of research, to provide the scientific basis for evidence-based decision-making. Encourage women and children disease prevention and control technology research and development, to speed up the achievements, promote women's children's health promotion of new technology and appropriate technology.

        Five, organization and implementation

        (1) strengthen leadership. The maternal and child health career development, the protection of women's children's health, is the important responsibility of the government at all levels. The local people's government at or above the county level shall be based on two key link target request, and combining with actual formulate local women and children health development planning, and will the maternal and child health indicators and work tasks into place the national economic and social development planning, overall plan, synchronous implementation. To strengthen the organization and implementation work two classes leadership, establish and perfect the government leading, department cooperation, society participation of cooperation mechanism, carry out medical health system reform policies and measures, and promote the development of the cause of maternal and child health. The public health administrative departments shall enhance two classes propaganda, do well in public policy propaganda and health education, mobilize social, family and individual actively participate in related activities, in order to promote women's children's health to create a good public opinion atmosphere and social environment.

        (2) clear responsibilities. The implementation of the two classes of health established leadership team, according to the department duties and two classes task decomposition book, in combination with the deepening of medical and health system reform policy measures, formulate the implementation plan and supervise the implementation of the indicators, research and solve two classes in time in the implementation of the new situation and new problems. Local health administrative departments at all levels shall, according to the local women and children development plan and the implementation plan, combined with the actual implementation of the two areas of the curriculum for specific plan, and will work together into the maternal and child health health overall development plan, deepen the reform of the medical care system, optimize the health the allocation of resources, and promote the maternal and child health service system construction. Carry out the city supporting rural eastern, western support the maternal and child health work, key support in remote and poor area and Tibet, xinjiang southern xinjiang three and four provinces such as ground state Tibetan minority areas of maternal and child health career development. Classification guidance, demonstration first, summarize the promotion experience, two classes of smooth implementation, ensure duly realize all kinds of index.

        (3) strengthen the monitoring and evaluation. This plan to strengthen the implementation of the whole process monitoring and stage and eventually period evaluation. Through the monitoring and evaluation, the timely discovery and the analysis question, promote the scientific decision and take effective intervention measures to ensure the smooth implement two classes. The health department at all levels to make two classes on the implementation of the monitoring and evaluation and dynamic analysis work, according to the requirements collecting, sorting and analyzing related data and submit to the statistical departments. According to their needs, and carry out the relevant index points gender statistics. Can't get through to the index data monitoring, shall organize special investigation.

        The health ministry make two classes monitoring and evaluation scheme, strengthen the two classes of target task monitoring and evaluation and information management, regularly report two classes on progress and the change trend of the target. The organization carries out supervision inspection, promote carry out all tasks. 2016 organizations mid-term assessment and monitoring data collection and analysis system, assessment of the two classes implementation process, summing up experience and suggested some further advance the two classes of the implementation of the suggested measures. In 2021, the organization carries out the eventually period evaluation, comprehensive summarization women and children health standards index, to determine the next phase of women and children health priority areas, adjust strategy measures to provide basis for decision-making. The health administrative departments at the provincial level to strengthen the two classes of the implementation of supervision inspection, in time for the year monitoring, evaluation and eventually period the middle of health assessment report.

On 17 February 2012