Issued by the state council general office on the national disability prevention action plan (2016-2020)

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

The 2016-09-07

Countries do hair [2016] no. 66

The provinces, autonomous regions and municipalities directly under the central government, ministries under the state council, directly affiliated institutions:

The national disability prevention action plan (2016-2020) have agreed to under the state council, hereby printed and distributed to you, please implement seriously.

The state council general office

On August 25, 2016

National disability prevention action plan (2016-2020)

Disability risk associated with everyone, disability prevention and personal health, family happiness, healthy development of economic society is closely linked. Has more than 8500 disabled people in our country, the number, the burden is heavy, take appropriate measures can effectively prevent the happening of the majority of disability. In recent years, in the party and the government attaches great importance to and the whole society joint efforts, our medical and health, safety, traffic safety, disabled rehabilitation work continuously strengthen, infectious disease, malnutrition, and drug poisoning caused by the sharply reduce disability, disability prevention work has made significant achievements. But at the same time, our disability prevention system is not perfect, disability prevention ability, innovation ability of science and technology, public participation of public service ability still to be improved. Our country is in an aging population, industrialization, urbanization, genetic, congenital disability has not been effective control, chronic diseases, mental disorders, such as accident harm to cause disability in a significant increase in the risk of further measures to intensify disability prevention work urgent and necessary.

For the implementation of the \"the central committee of the communist party of China, the state council on promoting the development of undertakings for disabled persons opinion\", \"the opinions of the state council on accelerating the well-off process for the disabled\" (guo fa [2015] no. 7), to further strengthen disability prevention, effectively reduce the occurrence, development, control of disability, pushing forward the construction of the health of China formulated a plan of action.

First, general requirements

(a) the guiding ideology.

Comprehensively implement the party's 18 large and 18th session of 2, 3, 4, fifth plenary session of the spirit, with deng xiaoping theory and \"three represents\" important thought, the concept of scientific development as guidance, thoroughly implement the general secretary xi series of important speech spirit, earnestly implement the CPC central committee and the state council decision deployment, according to the overall layout and the \"five one\" \"four comprehensive\" strategic layout, firmly establish and implement the innovation, coordination, new development of the green, open, sharing ideas, to safeguard people's health, guarantee the healthy development of economy and society as the fundamental starting point and the foothold, adhere to the mark for the forward, prevention first, center of gravity down, mobilized, advance in accordance with the law, scientific ShiCe, efforts to improve the whole social disability risk comprehensive prevention and control ability, effectively control and reduce disability.

(2) the basic principles.

Adhere to government-led, universal participation. To strengthen the government responsibility, establish and improve the disability prevention policies and regulations system, strengthening the disability prevention knowledge propaganda and education and social mobilization, forming the government, unit and individual individual, coordinate the prevention and control of the system.

Insist on basing on the basic, comprehensive intervention. Extensively developed on the basis of community and family, with an emphasis on primary prevention of tertiary prevention, the integrated use of the means such as medical, economic, legal, social, emphatically on the main causes damage factors, high-risk groups, to take special measures to implement key prevention and control.

Based on the actual, adhered to scientific advance. Based around the basic national conditions and practice, give full play to the role of modern science and technology, to promote appropriate effective prevention measures and techniques, improve the work of disability prevention, specialization, informationization, the scientific level.

(3) the work target.

By 2020, disability prevention system and control network to be more perfect, the whole society's awareness of disability prevention and markedly enhance its capability, comparable caliber incidence of disability in the same level in low income countries.

Second, the main action

(a) the effective control of birth defects and developmental disorders cause damage.

Strengthen the premarital, pregnancy health check. Actively promote pre-marital medical examination, strengthen the serious genetic diseases, infectious diseases specified, severe mental disorder examination and medical advice is put forward. Implementation of eugenics health examination before childbirth, for pregnant couple plan to provide health education, medical examination, risk assessment, pregnancy eugenics services such as consulting guidance, promote take folic acid to prevent neural tube defects. Pregnancy health examination rate above 80%. Led (national health and family planning commission, the all-china women's federation, the China disabled persons' federation responsible for according to the division of duties)

Prenatal screening and diagnosis. Management, the implementation of the prenatal diagnosis technology for down syndrome, severe surface deformity of prenatal screening and diagnosis of major birth defects, gradually achieve pregnant women pregnant 28 weeks ago to accept at least once in the case of voluntary birth defects in prenatal screening. Prenatal screening rate above 60%. (the national health and family planning commission is responsible for)

Strengthen the newborn babies and children's screening and intervention. Management of the implementation of the neonatal disease screening for newborn disease screening, gradually expanding the scope of the diseases and disease screening. To do a good job of child care, extensive neonatal supervision, nutrition and feeding guidance, growth monitoring, health advice and guidance, establish the newborn and children disabling disease screening, diagnosis, and birth defects intervention integration work mechanism, improve screening coverage and referral rate and the follow-up rate, rate of intervention. Newborn babies and children's disability screening rate is above 85%, intervention rate above 80%. (the national health and family planning commission, the China disabled persons' federation in responsibility division of labor)

(2) focus on disease prevention and control of disability.

Effective control of infectious diseases. Strengthen the infectious disease surveillance, outbreak report, epidemiology investigation and prevention and control measures, such as medical treatment of patients with infectious diseases. Full implementation of national immunization programmes, continue to disabling infectious diseases such as polio, epidemic encephalitis b vaccine coverage to maintain at a high level, timely adjust into national immunization programmes kinds of vaccine. The implementation of the regulations on the administration of circulation of vaccines and vaccination, ensure the safety of the vaccine. School-age children national immunization planning vaccination rates above 90%. (the national health and family planning commission is responsible for)

Effective control of endemic diseases. Against the epidemic condition of endemic diseases, and implementation of iodine supplement, change furnace stove to change water, migration, food consumption of the ward, school-age children beyond the prevention and control measures, such as raising basic elimination of iodine deficiency disorders, kashin-beck major endemic diseases such as disability. Control and elimination of major endemic diseases of county (city, area) of more than 95%. Led (national health and family planning commission, the people's government at the provincial level according to the division of duties is responsible for)

Strengthening prevention and control of chronic diseases. To carry out the health life style action, to promote scientific diet, the national fitness, tobacco control limit of wine. Advocate the residents health check-up regularly, leading to encourage government agencies, enterprises and institutions, social organizations, such as establishing healthy check-up system. Begin the screening high-risk groups such as stroke, cardiovascular disease, provide health advice and intervention guide, hypertension, diabetes treatment, and management. Deafness, blinding disease early diagnosis and intervention. Have high blood pressure, diabetes management GuanLiLv above 60%; Millions of cataract surgery operation rate (CSR) above 2000 a year. (the national health and family planning commission, general administration of sport, China disabled persons' federation responsible for according to the division of duties)

Strengthening prevention and control of mental illness. Actively carry out mental health promotion, strengthen the schizophrenia, alzheimer's disease, depression, the main disabling psychiatric disorders such as autism screening identification and treatment of rehabilitation, focus on women, children, adolescents, the elderly, the disabled community mental health services, etc. Psychological aid should be brought into the emergency contingency plans for a public emergency group psychological assistance service. Severe mental disorders cure relief work, implement the regulatory responsibilities. Registered with severe mental disorders GuanLiLv above 80%. Led (national health and family planning commission, the comprehensive management of public, the ministry of public security, the ministry of civil affairs, China disabled persons' federation responsible for according to the division of duties)

(3) to make efforts to reduce the damage causes damage.

Strengthen the supervision of production safety. Enhance workplace occupational safety and health management, to carry out the occupational safety and health education, improving worker safety and health protection. Focus on open couple, pregnant women, labor protection, avoid contact with toxic or harmful substances, reduce occupational hazards. To carry out the hidden perils in mine enterprise production safety management, improve the accident, the accident rescue and emergency disposal ability to prevent risks, inductrial injury prevention, pneumoconiosis, occupational poisoning and other disabilities. In order to strengthen the management of fire safety, flammable and explosive unit screening regulation and nursing homes, nursing homes, welfare homes, hospitals, minors protection center, aid station, primary and secondary schools, kindergartens and other personnel intensive place fire hazards. Production safety accident happens), a decrease in the number of casualties more than 10%. (led by safety supervision bureau, the ministry of public security, ministry of education, the ministry of civil affairs, human resources, social security, health and family planning commission in responsibility division of labor)

Strengthen the management of road traffic safety. To carry out the hidden perils in road management, to ensure the road and its affiliated facilities has always been in good technical condition. Optimize the structure of motor vehicle products, improve vehicle safety standards. Strengthen the education of the driver education, popularize the traffic safety propaganda education of primary and middle school students, promote the use of car child safety seats. Strengthen tourism charter, class line bus, truck, bus and shuttle students vehicles of dangerous goods safety management, strictly implement the transport enterprise main responsibility. Is investigated in accordance with the serious traffic violations. Improve the road traffic accident emergency rescue mechanism, improve the level of rescue. Road traffic than 6% decline in death rates as a car. (ministry of education, ministry of industry and information technology, the ministry of public security, ministry of transport, state health and family planning commission, general administration of quality supervision, inspection and quarantine, safety supervision, the national tourism administration in accordance with the division of duties is responsible for)

Strengthen the supervision of agricultural products and food and drug safety. Strengthen the agricultural and food products of pathogenic microorganisms, pesticide residues, veterinary drug residues, heavy metals, pollutants and other substances that endanger human body health inspection and supervision, effective prevention, properly deal with food safety incidents. Investigate producing fake medicines and medicines of inferior quality behavior, the standard of clinical medicine, strengthen the monitoring of adverse drug reactions. (the food and drug supervision bureau, national health and family planning commission, the ministry of agriculture, quality supervision, inspection and quarantine according to the division of duties is responsible for)

Strengthen management of drinking water and air pollution intervention. Strictly protect the good water and drinking water sources, comprehensively strengthen the national urban and rural drinking water health monitoring, timely grasp the basic situation of drinking water to ensure drinking water hygiene standards. The project of rural drinking water safety to consolidate enhance guidance wading ward water instead. On air pollution and other environmental pollution impact on people health monitoring, governance intervention in time. (environmental protection department, ministry of water resources, health and family planning commission in responsibility division of labor)

Enhance the ability of disaster prevention and reduction. Perfect weather, floods, ocean, seismic, geological disasters, such as monitoring and early warning and forecasting system, give play to the role of national emergency early warning information release system, improve the sudden natural disasters in the scene emergency disposal ability and level. Perfecting the community, schools, hospitals, railway stations, factories and other personnel intensive place disaster prevention facilities and measures. Strengthen the evacuation escape and save your rescue and so on propaganda and training, emergency drill in the disaster prevention and mitigation and treatment. (led by the ministry of civil affairs, the ministry of education, ministry of land and resources, the ministry of transport, ministry of water resources, state health and family planning commission, the China seismological bureau, responsible for the China meteorological administration, etc. According to the division of duties)

Reduce the fall in the accident and the elderly disabled children. To carry out the children's accident harm to communities, families, a comprehensive intervention creating children's safe living environment. Actively developing children walk, bus, bike and guard against the risk of drowning, falling and eating safety education. Perfect product risk and injury surveillance system, the implementation of product safety early warning and intervention measures, such as risk communications reduce children's accidental injury occurred. To strengthen the quality supervision of toys, electronics, and hierarchical management, reduce the child and adolescent eyesight, hearing and mental damage. Modification is easy to fall risk environment, improve the elderly and their caregivers falls prevention consciousness and ability. (ministry of education, ministry of public security, the ministry of civil affairs, quality supervision, inspection and quarantine, according to the division of duties is responsible for the all-china women's federation)

(4) improve rehabilitation services.

To strengthen the rehabilitation services. Build system of rehabilitation aid for disabled children, common in the early rehabilitation for disabled children. To promote disease early rehabilitation therapy, reduce disability occurs, reduce the degree of disability. Health management for the disabled and the community rehabilitation should be brought into the national basic public services listing, for the disabled to provide registration administration, health guidance and rehabilitation guidance, regular follow-up service. Accurate basic rehabilitation services for the disabled list should be formulated to rehabilitation service action. Basic rehabilitation services for the disabled rate is above 80%. (ministry of education, the ministry of civil affairs, health and family planning commission, the China disabled persons' federation in responsibility division of labor)

Promoting equipment services. Key equipment for the disabled individual adaptation, popularization of hearing AIDS, devices and prosthetic urgently needed equipment for the disabled. Poor basic equipment for the disabled subsidies into the basic public services listing, encourage conditional place to give subsidies to the basic equipment for the disabled adaptation. Community services such as equipment leasing and recycling, nearby handy to meet short-term and emergency equipment requirements for the disabled. People with disabilities, basic equipment adaptation rate above 80%. (the ministry of civil affairs, China disabled persons' federation in responsibility division of labor)

Promote the barrier-free environment construction. Promote government agency, public service, public transportation, community and other places, facilities of barrier-free reconstruction, new (change, expanding) to build roads, buildings and residential area strictly implements national barrier-free design specification. Conditional place for poor families barrier-free renovation subsidies for the disabled. To strengthen the construction of information accessibility and encourage the provinces (autonomous regions and municipalities), municipalities (ground) television opened sign language column, city level (ground) or government website accessibility service ability construction at the basic level. (central office, the ministry of industry and information technology, network letter of housing urban and rural development, the ministry of transport, general administration of press and publication, radio and television, according to the division of duties such as China disabled persons' federation are responsible for)

Three, safeguard measures

(a) to strengthen organizational leadership, perfect the work mechanism.

The disability prevention work into the overall economic and social development planning and related department job responsibilities. Relevant departments to do within the scope of their respective responsibilities genetic and developmental, prevention disease, injury factors such as the disabled. At all levels of government working committee to be responsible for the organization for the disabled to prevent disability and rehabilitation work for disabled persons, as a whole the implementation plan of action. (working committee for the disabled at various levels and their member units, the provincial people's government in accordance with the division of duties is responsible for)

(2) improve the laws, regulations and policies, increase the investment.

Promote disability prevention legislation, improve maternal and infant health care, disease prevention and control, production safety, road traffic safety, food and drug safety, environmental protection, disabled rehabilitation in key areas such as laws and regulations. Make perfect disability prevention related technical specifications and standards. Continuously improve equipment management of inductrial injury insurance system. Well implement the comprehensive evaluation of 20 medical rehabilitation projects included in the basic medical insurance to pay limits policy. Strengthen groups of treatment in patients with significant deformity disease.the rescue, all patients with severe mental disorders will conform to the conditions of poverty into the medical treatment. Implement key rehabilitation projects, for disabled persons, rural and urban poor severely disabled provide basic rehabilitation services. When arranging of major public health services to the appropriate disability prevention areas. (national development and reform commission, the ministry of education, ministry of science and technology, the ministry of civil affairs, ministry of finance, human resources, social security, national health and family planning commission, general administration of quality supervision, inspection and quarantine, safety supervision, the state council legislative affairs office, the China disabled persons' federation in responsibility division of labor)

(3) improve the service system, strengthen the talent team.

Focusing on grass-roots health emergency, medical service, strengthen the public health, safety and regulatory, emergency rescue, environmental pollution control, agricultural products and food and drug safety supervision, rehabilitation services, such as system construction, improve infrastructure, improve the service ability. Give full play to the important role of the professional services firm, to guide the community do disability prevention, family, and form a comprehensive and social disability prevention service network. Strengthen the education of the medical staff disability prevention knowledge skills education, increase the intensity of disability prevention related personnel training, completes the relevant professional degree education and continuing education. To speed up the field of disability prevention discipline leaders, innovative talents and technical skills training, support of higher schools and vocational schools offer rehabilitation related. Strengthen professional social workers, assistive volunteer training, build a talent team to satisfy the needs of the disability prevention work. (national development and reform commission, the ministry of education, the ministry of civil affairs, human resources, social security, total bureau of national health and family planning commission, safety supervision, food and drug supervision bureau, the China disabled persons' federation in responsibility division of labor)

(4) to optimize the support policies, guide the social participation.

Promotion of the government and social capital cooperation mode, attract social capital to participate in the disability prevention project investment, operation management, improve the disability prevention service supply capacity and efficiency. Propulsion by civilian, through investment, discount loans and operating subsidies, subsidies, support social forces to establish medical, rehabilitation, auxiliary equipment and other related services, and to encourage their participation in government purchase services, in terms of subject construction, talent cultivation and enjoy equal policy treatment with public institutions. Encourage all kinds of venture investment organizations and financing guarantee institutions for disability prevention areas of innovative new formats, small micro enterprises to do business. Encourage the elderly, the disabled, high-risk groups such as professional practitioners insurance health insurance, long-term care insurance, accident insurance and other insurance products, encourage and guide the commercial insurance company to carry out the relevant business. Advocacy of all kinds of enterprises and social organizations to carry out various forms of charitable activities, donated by donations, volunteer service, set up the foundation, support and participate in disability prevention work. (national development and reform commission, the ministry of civil affairs, ministry of finance, human resources, social security, health and family planning commission, insurance regulatory commission, the China disabled persons' federation in responsibility division of labor)

(5) to strengthen scientific research, implement key monitoring.

Strengthening science and technology deployment, according to the plan of science and technology (and funds, etc.) special management reform, overall layout and disability prevention related research work. Encourage colleges and universities, scientific research institutions such as actively disabling reason, mechanism and prevention strategies and intervention technology research, promote advanced and appropriate technologies and product applications in the field of disability prevention promotion. Promote comprehensive experimental zone pilot disability prevention, strengthen the disability prevention basic information collection, analysis and research, to establish a unified disability reporting system, using the Internet, the Internet of things, such as information technology, promote disabled to prevent large data capacity, timely grasp the characteristic features and changes of disability trend, targeted for the adoption of countermeasures. For birth defects, chronic disease, accident harm, environmental pollution, food and drug safety in key areas such as implementation of dynamic monitoring and warning information in a timely manner. (central network department, the ministry of education, ministry of science and technology, the ministry of civil affairs, ministry of finance, human resources, social security, total bureau of national health and family planning commission, safety supervision, food and drug supervision bureau, the China disabled persons' federation in responsibility division of labor)

(6) to strengthen publicity and education, raise awareness of prevention.

Set up a \"national disability prevention day\" to promote. Strengthen disability prevention propaganda and education of law, improve the government departments, medical institutions, enterprises and institutions, social organizations, family and personal disability prevention law idea, the responsibility consciousness. Using the national ear-care day, held across the country, the international day of disaster reduction, the national disaster prevention and reduction day, the national primary and middle school students' safety education day, national fire day, National Day traffic safety propaganda node, release information disability prevention, preach disability prevention knowledge, extensive disability prevention \"into the community, into the campus, into the family\" publicity and education activities, enhance the self protection consciousness and the ability of whole society. Areas prone to take targeted measures, completes the disabled, domain and perinatal pregnancy women, children, adolescents, the elderly, high-risk profession practitioners focus groups such as publicity and education work. (the central propaganda department, the central office, the ministry of education, ministry of industry and information technology, the ministry of public security, the ministry of civil affairs, human resources, social security, ministry of environmental protection, national health and family planning commission, the general administration of press and publication, radio and television, the safety supervision bureau, the national federation of trade unions, communist youth league central committee and the all-china women's federation, the China disabled persons' federation responsible for according to the division of duties)

Four, the supervision inspection

The state council working committee timely organization for the disabled to carry out the supervision inspection, implement a midterm examination in 2020. Disabled persons working committee at all levels be responsible for the supervision of local inspection.