National NPHCC about print and distribute "about the healthy city health guidance for the construction of villages and towns" notification

The national health and family planning commission of the People's Republic of China

The 2016-08-03

All love WeiFa [2016] no. 5

The provinces, autonomous regions and municipalities directly under the central government, the relevant departments under the state council:

"About the healthy city health guidance for the construction of villages and towns, NPHCC plenary meeting examined and approved by the nation, and agreed to by the state council, printed and distributed to you now, please the earnest implementation.

Health cities and towns construction is an important carrier of patriotic health campaign in the new period, is also China's important construction health gripper, everywhere, departments should attach great importance to and strengthen the organization and leadership, combined with working practice, pays special attention to the implementation, convert the target of health of China as the health of urban health indicators of the village, new results to patriotic hygiene work to accelerate the process of health of China's construction.

The national patriotic health campaign committee

On July 18, 2016

About the village and town construction of healthy city health guidance

Healthy city is the updated version of health city, through perfecting the urban planning, construction and management, improve the natural environment, social environment and the health service, universal access to a healthy lifestyle, meet the residents' health demand, realize the coordinated development of urban construction and people's health. Health town is based on the health of the construction of villages and towns, to improve rural infrastructure, improving living environment health, improve the health service system, promote the civilization health quality, realize rural mass production, living environment and human health coordinated development. Construction of healthy cities and villages, is an important carrier of patriotic health campaign in the new period, is an important objective of human-centered new urbanization, is to promote health an important content of China's construction, build a well-off society in an all-round way. According to the state council on further strengthening the views of the patriotic health work in the new period "(guo fa [2014] no. 66) deployment, agreed to by the state council, the national patriotic health campaign committee decided to carry out health cities and towns in the national construction, we put forward the following opinions:

First, general requirements

(a) the guiding ideology. Thoroughly implement the party's eighteen big eighteen class 3, 4, and fifth plenary session of the spirit, firmly establish and earnestly implement the innovation, the coordination, the development of green, open, sharing ideas, to safeguard and promote the health of the people for the purpose, all blend in health policy, through the construction of healthy city, health villages, to create a healthy environment and constructing a healthy society, optimization of health service, develop health culture, improve the level of population health, promote the sustainable economic and social development, promote the health of China construction, make great contribution to build a well-off society in an all-round way.

(2) the basic principles. Adhere to the people-oriented, health first. Adhere to people's health as the center, focus on the main health problems and health needs of local residents, is advantageous to the health of the public policy, health related content into urban and rural planning, construction and management policies, fair, and of health services.

Adhere to government-led, co-construction and sharing. Giving full play to the advantages of the government organization, and promote the department cooperation, encourage, organize and guide the organs, enterprises and institutions, communities, families and residents to participate in the activities of health city, health, rural construction, improve the participation of the whole society, make the health welfare benefit the masses.

Adhere to the urban and rural areas as a whole, a typical example. Promoting balanced urban and rural public resources allocation, promote infrastructure and public services to the rural areas, the weak link tilt, narrow the gap between urban and rural, gradually realize the urban and rural health service equalization. By cultivating and promoting the typical experience, strengthen the demonstrative leading, expand coverage for healthy cities, healthy village, enhance the level of construction.

Adhere to the problem oriented, innovation and development. Get the key difficult problem of health impact in the urban and rural development, scientific ShiCe, comprehensive treatment. Adjust measures to local conditions, and actively explore and innovation of the construction of the strategy, method, mode, step by step to promote health, healthy rural sustainable development city.

(3) the work target. By building livable environment, social harmony, people health and service is convenient, healthy, vibrant health city villages, realize the coordinated development of urban and rural construction and people's health. By 2017, establish and improve the health cities and towns construction management mechanism, formed a set of scientific, effective and feasible index and evaluation system, promote the construction of provinces (autonomous regions and municipalities) to carry out the pilot and basic form construction mode which can be promoted. Built in 2020, a group of healthy city health ShiFan and demonstration village, the village in a typical demonstration promote national health cities and towns construction in-depth, China to lay the solid foundation for the construction of health.

Second, the key construction field

(a) to create a healthy environment. In order to satisfy the masses of the people's growing health needs as a starting point, according to the resources and environment carrying capacity, build a scientific and rational urban layout, overall planning of urban and rural sewage treatment plant, waste harmless treatment, public toilets and other sanitation infrastructure planning, design and construction, scientific and reasonable, both in the long run. The main pollutant emissions, clean production and the development of circular economy. Strengthen the drinking water source protection, deepening water ecological environment management and prevention and cure of soil pollution, environmental governance innovation concept and method, forming the government, enterprises, public work system of environmental governance, realize the atmosphere, water, soil and other environmental quality will improve overall. Developing green building and low-carbon, convenient and safe transport system, improve the level of energy saving. Increasing efforts in comprehensive environmental health management, carry out waste source reduction and classified collection processing, scavenging vector breeding sites, strive to solve the problem of urban and rural environment considered, to create a clean and orderly, healthy livable environment.

(2) building a healthy society. Security of urban and rural residents in such aspects as education, housing, employment, security of the basic requirements, continuously improve people's living standard. To build a more fair and more sustainable social security system, enlarge the coverage of social security, the basic pension, basic medical insurance people realize the basic coverage, gradually reducing the social security between urban and rural, regional, group treatment difference. Establishing and perfecting the basic public service system, and promote the equal basic public services, and strive to achieve a complete coverage of the population of permanent residents in cities and towns basic public service. Overall urban and rural old-age resources, and promote the balanced development of basic pension service. Construction on the basis of that occupy the home, community based, institutions for supplement multi-level old-age service system. Strive to safeguard the special difficult old man endowment service requirements, to ensure that everyone will have access to basic pension services. Set up covering the whole process of agricultural products and food and drug supervision system, and ensure food safety. Improve the social assistance system, support the development of philanthropy, gradually expand the scope of social welfare, security special groups such as the elderly, the disabled, orphans live with dignity and equal participation in social development.

(3) the optimization of the health service. Establish and improve the basic medical and health service system, the realization of everyone will have access to basic medical and health services. We will deepen reform of the medical and health system, the establishment of the modern hospital management system and grading system, to strengthen the construction of grass-roots health talents especially the general practitioners team, make up the short board to the medical and health services. To strengthen the construction of disease prevention and control system, improve the ability of disease surveillance and intervention, active prevention and treatment of infectious diseases and parasitic diseases, chronic, occupational and endemic diseases and mental illness and other major diseases. Perfect emergency health emergency response mechanism, improve the health emergency ability, strengthen the monitoring and early warning of infectious diseases, timely treatment of infectious disease outbreaks. Strengthen construction of ability of the port health and quarantine fight imported foreign major communicable diseases. The promotion of traditional Chinese medicine health service ability, development of traditional Chinese medicine health care services, to explore traditional Chinese medicine and provide for the aged, tourism, culture and other industry coordinated development of new formats.

(4) foster healthy people. Strengthen the women's and children's health and family planning service work, the implementation of comprehensive intervention measures, improve the level of birth population quality and the women's and children's health. Promoting gender equality, improve the supporting measures and the implementation of good comprehensive two child policy, promote the population long-term balanced development. To carry out the national fitness activities, to improve the physical quality. Perfect the national fitness public service system, to strengthen the construction of the national fitness facilities, construction of health trails, health square, theme park and supportive environment. P.E. class, ensure juvenile extracurricular sports activities, vigorously strengthen the youth sports skills training. To strengthen health education and health promotion, popularization of health literacy knowledge and skills, regular monitoring of health literacy survey, evaluation of intervention effect. Guide residents to establish rational diet, exercise, quit smoking limit wine and psychological balance of healthy lifestyles, enhance people's ability to maintain and promote their health.

(5) developing healthy culture. Make full use of all kinds of mass media, multi-angle, multi-level and comprehensive health knowledge propaganda, to advocate the correct health concept in the whole society. To enhance the health consciousness, transforming social traditions, the change rule and an unhealthy lifestyle, health science knowledge into the masses can accept, easy to understand the practice of good behavior habits. Strengthen the TCM science popularization, spreading of traditional Chinese medicine health culture, improve the health care quality in TCM. Vocal supporters of healthy culture, encourage and support the healthy development of cultural industry to create healthy, more popular forms of work, constantly meet people's growing demand of multi-level health culture. Sound of village public convention, social norms, such as propaganda of socialist core values, advocacy, disgraceful consideration for health concept is deeply rooted in the hearts of the people.

Three, the key task for the construction of healthy city

(a) to carry out health "cell" project construction. To health, health units and families in communities focus, with neat and livable environment, for the convenience of the high quality service, the harmonious culture as the main content of civilization, promote health "cell" project construction, to families and individuals to provide physical, psychological and social services, such as unity harmonious interpersonal relationships and raise the level of family health. To schools, businesses, government agencies and public institutions as the key point, such as perfecting the tobacco control measures, the implementation of physical examination, occupational health examination, occupational protection, safe management system, build mutual respect, harmonious inclusive unit culture, create a healthy environment.

(2) to establish a health management mode. To strengthen prevention and control, establish and improve the whole life cycle of the whole population, health management organization system. Accelerate the health service information construction, the realization of medical services, public health and health care information such as the Internet sharing, with big data support group disease prediction and individualized service. Giving full play to the advantages of TCM prevention health care, and promote medical service from pay attention to the disease treatment to pay attention to health maintenance, development does not cure disease, characteristics of traditional Chinese medicine rehabilitation services, to explore the characteristics of traditional Chinese medicine health management. Advancing the preventive health care services, health risk factors and health status of residents comprehensive monitoring, analysis, evaluation, prediction, through disease prevention and treatment of disease treated early, not disease prevention first.

(3) to improve environmental health infrastructure. To strengthen the construction of urban sewage and garbage disposal facilities, and gradually realize the urban sewage "complete collection, complete processing," city of concentrated disposal of medical wastes, city life garbage reduction, recycling and harmless. Accelerate the construction of urban public toilets, form a rational layout, abundant, facilities, standardized management of urban public service system. Promotion of low dust, dust cleaning practices, expanding the scope of the mechanized cleaning cleaning operations, promote urban municipal public utility construction and management level.

(4) strengthen the management of the safety of drinking water. Drinking water sources protection, strictly in accordance with the law, outlet of clean drinking water sources protection zones for illegal buildings and carry out drinking water source of standardization construction of safety assessment on a regular basis. Whole process from water to water drinking water safety regulation, regular monitoring, testing and evaluating the local drinking water sources, water supply unit factory users tap water and drinking water safety and water condition, and regularly publish to the society. Put water environment quality and function meet the national requirements, implement the disinfection hygiene measures, strengthen the drinking water health monitoring, detection, improve water quality, to ensure the water quality health security.

(5) improve the environment quality. Strengthen the comprehensive prevention and control of atmospheric pollution, source control, reducing emissions, vigorously promotes the fine particulate matter, and comprehensive control of particulate matter and ozone. Renovation of industrial waste gas, speeds up the key industries desulfurization and denitration, dust removal project construction. Actively develop urban public transport, in order to strengthen the management of environmental protection, improve the quality of fuel, and strengthen the mobile source pollution control. Strengthen the atmospheric environment monitoring, regular open city ambient air quality. To improve water environment quality as the core, the river basin, region, stage of scientific management, promoting prevention and control of water pollution and water ecological conservation and water resources management. To protect and improve soil environment, strengthen the risk of soil pollution control, explore the implementation of construction land access management, prevent environment risks. Vigorously implement greening, beautification project, promote ecological landscape construction, to strengthen the wetlands and other natural resources protection, create a good ecological environment.

(6) improving the public security system. To strengthen public security prevention and control, traffic and fire fighting management, improve the public security management mechanism, perfect the emergency system, promoting the construction of emergency medical rescue network, improve the ability of public emergency disposal. Implement the responsibility system for production safety, occupational hazards prevention and control of risk, improve the level of laborer occupational health and safety. Improving the agricultural products quality and safety supervision system, strengthen the food and drug safety management, prevent food and drug safety incidents. Improve the safety awareness and emergency self-help ability, reduce damage, especially for teenagers.

Four, the key task for the construction of rural health

(a) improve rural infrastructure conditions. Improve roads, sanitation, electricity, communications, fire control, such as infrastructure, full implementation of "hardening, greening, lighting, beautification, purification", promote the radio and television, communications and other coverage and broadband penetration. To vigorously develop the rural passenger transport. Promoting rural garbage management, intensify the building of rural trash pickup equipment and transit facilities, the villages and towns should be built in refuse transfer station, popularize airtight transportation vehicles, modification or deactivate open-air cesspit open garbage collection sites, such as facilities, adjust measures to local conditions to promote simple living garbage classification and recycling use. Taking urban pipeline extension, centralized treatment and dispersion, such as a variety of ways, to speed up the rural sewage treatment.

(2) strengthening the rural water supplier. To speed up the implementation of rural drinking water safety to consolidate advance engineering, strengthening the protection of water sources, outstanding project management mechanism construction, supplemented by new renovation measures, further improve the rural drinking water rate of centralized water supply, tap water, water supply reliability and quality success rate. To promote the urban and rural areas as a whole water supply, urban water supply network and service extending to the countryside. Accelerate the reform of non-hazardous sanitary toilets in rural areas, rural construction of new housing to form a complete set of non-hazardous sanitary toilets. Township government is located, primary and secondary schools, towns and townships, rural fairs, along the road area to build non-hazardous sanitary toilets. To encourage the construction of four ecological toilet format, increase the utilization level of waste disposal and resource recovery. To concentrated, the whole village to promote the overall implementation of improvement of water supplier, sewage treatment projects, such as for rural residents to drink clean water and sanitation toilets.

(3) to conduct environmental sanitation clean action. Fully carry out the comprehensive improvement of the rural environmental health, cleaning the heap of the place, the demolition of illegal structures, dredging pits or river. Build system of village cleaning, hire a cleaner by way of buying services. Strengthen agricultural non-point source pollution management, strengthen the comprehensive utilization of livestock and poultry breeding pollution, pollution prevention and control of livestock and poultry breeding, strengthening die innocent treatment of livestock and poultry. Promotion of biological organic fertilizer, high-efficiency, low residual pesticide, straw burning, guide to carry out the comprehensive utilization of straw, standardize the collection, disposal of pesticide packaging, such as agricultural waste. Strengthen standard planting and green breeding, improve the quality and safety of agricultural products, standardize the market for agricultural products circulation. Work hard to build livable beautiful countryside, protect the natural landscape, strengthen afforestation, the construction of historical memory, the beauty of the rural characteristics, local characteristics and national style habitable villages and towns. Deepening health villages and towns to create activities, improve the long-term effective mechanism of health management, to the rural village of belt, belt, with the village crack rural health management problem effectively.

(4) strengthen the rural medical and health services. Full implementation of the residents of a serious illness insurance system, improve the system of medical treatment. Strengthening the disease prevention and control, maternal and child health care and other public health work, the full implementation of major basic public health services, and the key to control the major diseases which cause serious damage to the rural residents. In accordance with the permanent population scale and scientific layout of the basic medical service resources, service radius of each administrative villages shall be set up a village clinics, each villages and towns hold 1 standardization construction of towns and townships, convenient for rural residents to see on the spot or in the vicinity. Strengthened in towns and townships to basic medical and health service ability, improve the emergency rescue, second class the following routine operation, normal childbirth, high risk of maternal screening and pediatric medical service capacity, to strengthen the construction of general medicine and set up a comprehensive service of traditional Chinese medicine in towns and townships (TCM), in the village clinic comprehensive promotion services of traditional Chinese medicine. Strengthen the team construction of rural doctors, to ensure the normal operation of village clinics, enhancing population of rural health service system.

(5) to improve the civilization and health quality. Extensive health education activities, popularize knowledge of disease prevention and health care, superstition, advocating scientific and civilized and healthy way of life, to guide and help rural residents to develop good health habits, relying on the rural community comprehensive service facilities to expand health care, health education and environmental renovation services. Improve rural culture activity room, library, cultural square and other places, organize rich and colorful culture of the masses, healthy life, develop rural culture characteristics. Construction of rural sports fitness venues and facilities, develop rural style backbone and sports fitness volunteers, easy mass fitness activities.

Fifth, strengthen to organize the implementation

(a) to strengthen organization and leadership. The provinces (autonomous regions and municipalities) to healthy city, included in the agenda of the government important health village construction, strengthen the overall planning, clear the responsibilities and tasks, promoting construction work. The patriotic health campaign committee at various levels shall give full play to the organization and coordination function, establishing and perfecting the government leading, departments, the working mechanism of collaboration, social participation to ensure all tasks measures put in place. Departments in formulating public policy, should fully consider and assess the impact on the health, explore the health effects of public policy evaluation mechanism is established.

(2) make development plans. All regions should combine practice, study and formulate health urban and rural development plans. Through the investigation of residents' health status evaluation and health factors affecting, analyze the local urban and rural construction and residents health status evaluation, the main health problems and the main factors affecting health, determine the targeted intervention strategy and feasible periodic goal, formulate the corresponding implementation plan, determine the periodic evaluation index and departments responsibility division of labor, phases and steps to complete the work target.

(3) social mobilization. Each region should vigorously develop mass patriotic health campaign, enhance the promotion of healthy city, the health concept of towns and villages, increase public awareness and support, to promote social forces to actively participate in, healthy, support the healthy city construction of villages and towns. Guarantee finance basic input to the medical and health undertakings, guide and support social capital to participate in the project construction, fully give play to the role of social organizations and volunteers, to form the parties power orderly participation, health good pattern of village and town construction of healthy city.

(4) strengthen effect evaluation and supervision inspection. The national patriotic health campaign committee office jointly with relevant departments to draw lessons from international experience, to establish suitable for China's national conditions of healthy city, health indicators and evaluation system, the village organization healthy city construction effect evaluation on the third party professional organizations, to guide the local health and effect evaluation; To strengthen the supervision inspection, swap typical experience, summed up to promote health, healthy effective mode of village and town construction of city. The provinces, autonomous regions and municipalities directly under the patriotic health campaign committee and its offices to strengthen health cities within their respective administrative areas, village and town construction of health guidance and inspection, organization to carry out the assessment on the construction of villages and towns to health.