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Optimize the establishment of birth support policy system
1. What is the core content of optimizing the birth policy?

We will implement the policy that a couple can have three children, cancel restrictive measures such as social support fees, clean up and cancel relevant punishment regulations, and implement positive fertility support measures, which is referred to as the implementation of the three-child birth policy and supporting measures.

When did the two-child and three-child birth policies come into effect?

The Decision of the Central Committee of the State Council on Optimizing the Birth Policy to Promote the Long-term Balanced Development of Population (hereinafter referred to as the Central Decision) proposes to amend the Population and Family Planning Law, advocate marriage and childbearing at the appropriate age, and implement the three-child birth policy. At present, the State Council has submitted a motion to the National People's Congress Standing Committee (NPCSC), suggesting that a couple can have three children in the Population and Family Planning Law. After deliberation, the National People's Congress Standing Committee (NPCSC) will make a decision to amend the population and family planning law and make arrangements for the three-child birth policy. Provinces (autonomous regions and municipalities directly under the Central Government) will also revise the Regulations on Population and Family Planning, integrate laws and policies according to local conditions, and organize their implementation according to law.

On May 3 1, after the central decision was deliberated and passed at the the Political Bureau of the Communist Party of China (CPC) Central Committee meeting, the National People's Congress Standing Committee (NPCSC) deliberated and made a decision to amend the Law on Population and Family Planning, but before the implementation, the birth of three children can be recognized according to the revised law.

Third, does the implementation of the three-child birth policy cancel family planning?

It is still family planning that implements the three-child birth policy and supporting measures. The decision of the central government has given new meaning to family planning, that is, implementing the three-child birth policy and supporting measures, reforming the service management system, enhancing the family development ability, promoting the moderate birth level and promoting the long-term balanced development of the population.

4. Are there any restrictive measures such as social support payments in the future?

The central "Decision" proposes to abolish restrictive measures such as social support payments, clean up and abolish relevant punishment regulations, and completely decouple household registration, enrollment, employment and individual fertility.

5. For those who have given birth to three children in violation of laws and regulations before, is social support still levied?

If a decision on expropriation has been made according to law and the execution is completed, it shall be maintained; If a collection decision has been made but has not been completed, the part that has been collected will not be returned, and the part that has not been collected will not continue to be collected; Those who have not been investigated or have not made a decision on collection will no longer be accepted and dealt with. All localities should do a good job in policy convergence, strengthen publicity and interpretation, and promote the implementation of the work in a steady and orderly manner.

6. How to establish and improve the population service system?

Focus on the elderly and young people, and establish and improve the population service system covering the whole life cycle. Strengthen the grass-roots service management system and capacity building, and enhance the function of supporting the elderly. Implement the birth registration system and do a good job in birth consultation and guidance. Promote birth medical certificate, child vaccination, household registration, medical insurance, social security card application and other birth events.

Seven, how to apply for birth registration?

Couples who have children shall register their births and enjoy maternal and child health care, prenatal and postnatal care and other services in accordance with regulations. Birth registration can be carried out at the domicile and current residence. Health departments at all levels should optimize the process and implement online and inter-provincial management. Carrying out the birth registration service system is the basic work to scientifically grasp the birth population and accurately provide maternal and child health care, prenatal and postnatal care and other services.

8. What are the five systems of maternal and child safety?

The five systems of maternal and infant safety include pregnancy risk screening and assessment, high-risk maternal project management, critical care, maternal death case report and interview notification system. The five systems run through the whole process of service and management during pregnancy and delivery, focusing on prevention, keeping the bottom line, strengthening responsibilities, ensuring the safety of pregnant women from the system, and providing appropriate and targeted intervention services for different risk groups.

Nine, how to classify pregnant women's pregnancy risk management?

According to the requirements of the Regulations on Risk Assessment and Management of Pregnancy, pregnant women are screened and evaluated, classified and managed, and clearly marked in the Handbook of Maternal and Child Health Care and the corresponding information system. For pregnant women with pregnancy risk levels of yellow (general risk), orange (high risk), red (high risk) and purple (infectious disease), it is recommended that they receive maternal health care services and hospital delivery in medical institutions above the second level. Pregnant women who suffer from life-threatening diseases and are not suitable for continuing pregnancy should be evaluated and diagnosed by doctors with the qualifications of deputy chief physician or above, informed of the risks of continuing pregnancy, and put forward scientific and rigorous medical suggestions.

X. What measures are taken to ensure the treatment of critically ill pregnant women and newborns?

The Guide to the Construction and Management of the Rescue Center for Critical Pregnant Women and Newborns (No.40 of the National Health Office [20xx]) puts forward clear requirements for the regional organization and management, internal management, business management, service capacity, facilities and equipment, staffing and working system of the Rescue Center for Critical Pregnant Women and Newborns. Efforts will be made to strengthen the construction and management of emergency centers for critically ill pregnant women and newborns at all levels, set up regional first-aid expert groups, strengthen the protection of key links such as transshipment and blood use, smooth the green channel for referral and treatment, and improve the ability of clinical treatment.

XI。 How to ensure the safety of newborns?

Establish and improve the cooperative network for the treatment of critically ill newborns, and improve the network for the treatment, consultation and referral of critically ill newborns with graded responsibility, up-and-down linkage, orderly response and efficient operation. Strengthen the ability to protect critically ill newborns, cooperate closely with obstetrics and pediatrics, strengthen personnel training, and popularize appropriate technologies such as early basic health care for newborns, kangaroo care for premature infants, and neonatal resuscitation. Strengthen newborn health management, strengthen quality services during pregnancy, prenatal, intrapartum and postpartum, and ensure the health of the fetus and newborn.

Twelve, what measures are there for the prevention and treatment of birth defects?

Improve the prevention and control network of birth defects and implement three-level preventive measures. Strengthen the popularization and consultation of birth defect prevention knowledge, strengthen pre-marital health care, promote pre-pregnancy eugenics health examination, strengthen prenatal screening and diagnosis, and promote integrated management services and multidisciplinary cooperation during pregnancy, childbirth and postpartum. Expand the scope of neonatal disease screening and promote early screening, early diagnosis and early treatment. Do a good job in basic medical care and rehabilitation assistance for children with birth defects.

Thirteen, what measures are included in the three-level prevention of birth defects?

Primary prevention is to carry out health education, pre-marital health care, prenatal eugenics examination and consultation before pregnancy to prevent and reduce the occurrence of birth defects. Secondary prevention is prenatal screening and prenatal diagnosis during pregnancy to reduce the birth of fatal and severely disabled children. Tertiary prevention is to screen and diagnose congenital diseases of newborns, treat and rehabilitate children with birth defects, and prevent and reduce children's disabilities.

14. What services does the prenatal eugenics health check include?

Since 20xx, China has started to implement the national free pre-pregnancy eugenics health check-up project, providing 19 pre-pregnancy eugenics services such as health education, health check-up, risk assessment, consultation and guidance for rural planned pregnant couples to prevent and reduce the risk of birth defects. At present, the free pre-pregnancy eugenics health examination has been included in the national basic public health service project, which is widely implemented in counties (cities, districts) throughout the country. Eligible planned pregnant couples can enjoy the pre-pregnancy eugenics health check-up service free of charge.

Fifteen, what are the diseases of neonatal disease screening?

According to the Administrative Measures for Neonatal Disease Screening, the diseases of neonatal disease screening in China include congenital hypothyroidism, phenylketonuria and other neonatal genetic and metabolic diseases and hearing impairment. The health department shall, according to the needs, adjust the national screening diseases for neonatal diseases. The health administrative departments of the people's governments of provinces, autonomous regions and municipalities directly under the Central Government may, according to the actual situation of medical resources, the needs of the masses and the incidence of diseases in their respective administrative areas, increase the number of diseases for neonatal screening in their respective administrative areas.

Sixteen, how to establish and improve the child care service support policy and standard system?

Incorporate care services for infants aged 0-3 into economic and social development plans, strengthen policy guidance, and guide social forces to actively participate by improving support policies such as land, housing, finance, finance and talents. Take the municipal administrative region as the unit to formulate the overall solution, establish the working mechanism, and promote the healthy development of child care services. Strengthen the training of professional talents and gradually implement the system of professional qualification access for employees according to law. Develop new formats such as intelligent nursery, and cultivate national brands such as nursery service, milk powder and dairy products industry, animation design and production.

Seventeen, how to vigorously develop various forms of inclusive pension services?

Give play to the guiding and inciting role of investment in the central budget, and promote the construction of a number of convenient, affordable and quality-guaranteed child care service institutions. Support qualified employers to provide childcare services for employees. Encourage state-owned enterprises and other subjects to actively participate in the construction of universal nursery service system promoted by governments at all levels. Strengthen the construction of community child care service facilities, and improve the infant activity places and service facilities in residential communities. Formulate measures for the management of family nurseries. Support intergenerational care, family mutual assistance and other care models. Support domestic enterprises to expand child care services. Encourage and support qualified kindergartens to recruit children aged 2 to 3.

What are the goals of infant health care in the 18 and 14 five-year plans?

In the outline of the Tenth Five-Year Plan, the number of child care institutions is one of the 20 main indicators, and it is proposed that the number of infant care institutions under the age of 3 per thousand population should be increased from the current 1.8 to 4.5 in 20xx.

During the "Ninth Five-Year Plan" and "Fourteenth Five-Year Plan" periods, how many demonstration places of Pratt & Whitney are expected to increase?

During the "Fourteenth Five-Year Plan" period, the construction project of public child care institutions and the expansion project of universal child care services were implemented, and more than 500,000 demonstration universal child care places were supported in 150 cities.

20. What measures are there for maternity leave and maternity insurance?

Strict implementation of maternity leave, breastfeeding leave and other systems. Support qualified places to carry out parental leave pilot projects and improve the holiday labor cost sharing mechanism. Continue to do a good job in maternity insurance to ensure maternity medical expenses and maternity allowance for female employees, do a good job in ensuring maternity medical expenses for urban and rural residents insured by medical insurance, and reduce the burden of maternity medical expenses.

Twenty-one, can the previous family planning families still enjoy the relevant treatment?

For the one-child families and rural family planning families who gave birth to two daughters before the adjustment of the universal two-child policy, the existing reward and assistance system and preferential policies will continue to be implemented. Explore the establishment of a nursing leave system for parents of only children.

Twenty-two, how to adjust the standard of special assistance for family planning special families?

According to the level of economic and social development and other factors, the standard of special assistance system is dynamically adjusted. Since 20xx, the standard of assistance has been raised four times. At present, the standard of special assistance for disability and death of the only child is 350 yuan and 450 yuan per person per month.

Twenty-three, how to build a new marriage and childbearing culture?

Carry forward the traditional virtues of the Chinese nation, attach importance to family building, pay attention to family, family education and family style, respect the social value of childbirth, advocate equality between men and women, marriage and childbearing at the right age, and prenatal and postnatal care, encourage couples to take responsibility for childcare, and get rid of stereotypes and bad habits such as sky-high bride price.