By 2025, the policy system of active birth support will be basically established, the downward trend of population birth will be alleviated, the service management system will be improved and optimized, and the service level of prenatal and postnatal care will be significantly improved. The maternal mortality rate, infant mortality rate and the mortality rate of children under 5 years old in the city were controlled below 8/65438+ 10,000, ‰ and ‰ respectively. The construction of universal nursery service system has been accelerated, with 5 places for every 1,000 infants under 3 years old, and the policy support system, standardized management system and service supply system have been basically established. Strengthen support in childbirth, child care, education, housing, medical insurance, etc., and greatly reduce costs. The sex ratio at birth dropped below 1 10, and the population quantity, quality and structure were gradually optimized.

By 2035, the system of policies and regulations to promote long-term balanced population development will be more perfect, the fertility level will be more moderate, the service management mechanism will operate efficiently, and the population structure will be further improved. The service level of prenatal and postnatal care and early childhood education is in line with the needs of people's better life in the new era and the level of building a strong socialist modernization province, and people's all-round development has made more obvious substantive progress.

Second, the main tasks and measures

(1) Implementing the three-child birth policy according to law.

1. Cancel restrictive measures such as social support. Implement the Regulations on Population and Family Planning in Shandong Province, vigorously advocate marriage and childbearing at school age, have good children, implement the three-child birth policy according to law, and build a birth-friendly society. Cancel social support, re-birth approval and related penalties. Family, school, employment, credit, etc. It has nothing to do with individual fertility. Properly handle the problems left over from history in accordance with the law and regulations, and promote the effective connection between the relevant policies of benefiting the people and the birth policy. (Lead department: Municipal Health and Wellness Commission, responsible departments: Municipal Commission for Discipline Inspection, Organization Department of Municipal Party Committee, Municipal Bureau of Justice, Municipal Public Security Bureau, Municipal Education Bureau, Municipal Human Resources and Social Security Bureau, Municipal Development and Reform Commission, and Municipal Finance Bureau)

2. Improve the level of reproductive information services. Implement online birth registration and remote management. Promote the joint handling of "one thing for birth" such as birth medical certificate, child vaccination, household registration, medical insurance participation, and social security card application. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Public Security Bureau, Municipal Human Resources and Social Security Bureau, Municipal Medical Insurance Bureau and Municipal Big Data Bureau)

3. Strengthen the research of population development planning and the construction of population monitoring system. Pay attention to the study of regional medium and long-term population development planning, and constantly optimize the spatial layout of the city's population. We will implement the life registration management system and the population forecast and early warning system, and improve the long-term balanced population development index system and the population monitoring system covering the whole population and the whole life cycle. Relying on Jinan's integrated big data platform, according to the requirements of policies and regulations, we will integrate, share and dynamically update the basic information of population services such as education, public security, civil affairs, health care, medical insurance, social security and statistics. (Lead department: Municipal Development and Reform Commission, Municipal Health and Wellness Commission, responsible department: Municipal Education Bureau, Municipal Public Security Bureau, Civil Affairs Bureau, Municipal Human Resources and Social Security Bureau, Municipal Statistics Bureau, Municipal Medical Insurance Bureau, Municipal Big Data Bureau)

(b) Improve the level of prenatal and postnatal health care services.

4. Improve the overall service of prenatal and postnatal care. We will continue to implement the five systems of pregnancy risk prevention, project management of high-risk pregnant women, intensive care, death case report and maternal and child safety interview notification, adhere to the "weekly report and monthly notification" system of high-risk pregnancy, and build a service model of "Internet plus maternal and child safety" based on Jinan Maternal and Child Health Information Management System. Implement the responsibilities of the city, district and county three-level emergency centers for critically ill pregnant women and newborns, and strengthen integrated nursing and collaborative treatment. Promote the high-standard construction and high-quality development of maternal and child health care institutions in the city. The Maternal and Child Health Hospitals in Pingyin County and Shanghe County reached the second-class first-class standards, and the health indicators of women and children continued to improve. Strengthen the comprehensive prevention and control of birth defects, improve the prevention and control network of birth defects, implement three-level preventive measures, promote one-stop services of pre-marital health care, pre-pregnancy health care and marriage registration, standardize prenatal screening, prenatal diagnosis and neonatal disease screening, and improve the screening, diagnosis, basic medical care and rehabilitation assistance mechanisms. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Development and Reform Commission, Municipal Finance Bureau, Civil Affairs Bureau)

5. Improve the quality of children's health services. Implement the action plan for healthy children, standardize the health management of children aged 0-6, and carry out the standardization construction of child health clinics and vaccination clinics in primary medical and health institutions. Actively promote the construction of intelligent vaccination clinics. In 2025, the completion rate of intelligent vaccination clinics in the city will reach 100%. We will carry out the standardization construction of children's health clinics in primary medical and health institutions, strengthen the screening, diagnosis and intervention of children's nutrition, abnormal psychological behavior and other risk factors and diseases, and focus on special actions such as reducing the prevalence of anemia in children, "little iron man", eye care and vision examination, and fluoride prevention for preschool children. We will do a good job in ensuring children's basic medical care, promote the sinking of high-quality pediatric medical resources, build women's and children's friendly hospitals, and implement a mandatory reporting system for cases against minors. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Women's Federation, Municipal Procuratorate, Municipal Public Security Bureau, Municipal Education Bureau and Municipal Family Planning Association)

6. Optimize reproductive health services. Expand the pilot of labor analgesia and standardize the relevant diagnosis and treatment behavior. Promote medical institutions to improve the level of infertility prevention and treatment through health education, psychological counseling, Chinese medicine services, drug surgery and assisted reproductive technology. Strengthen fertility counseling and guidance, prevent and reduce unwanted pregnancy, and do a good job in nursing after induced abortion. Severely crack down on non-medical fetal sex identification and sex-selective artificial termination of pregnancy. Implement comprehensive prevention and control measures to promote the elimination of mother-to-child transmission of AIDS, syphilis and hepatitis B. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Women's Federation, Municipal Public Security Bureau, Municipal Science and Technology Bureau, Municipal Family Planning Association)

(3) Improve the inclusive child care service system.

7. Promote the planning and layout of child care service facilities. Focusing on "one old and one young", we will strengthen the service system and capacity building for supporting the elderly at the grassroots level. Prepare the Special Plan for Kindergarten Service Facilities in Jinan City (2022-2035) and formulate implementation opinions to promote the development of inclusive kindergarten services. The child care service facilities will be included in the allocation index of residential public service facilities in our city, and will be included in the special plan of 15 minute living circle, which will be strictly implemented in the implementation of planning, management and construction, and will be handed over to the health departments of counties (functional areas, the same below) free of charge as required. The child care service facilities supporting the construction of new urban residential areas shall be accepted and delivered simultaneously with the residential buildings. If the old city and the built urban residential areas have not planned to build child care institutions, or the built child care institutions cannot meet the service demand, they shall be solved by means of supplementary construction, reconstruction, purchase, replacement and lease. (Lead department: Municipal Health and Wellness Commission, responsible department: Civil Affairs Bureau, Municipal Natural Resources and Planning Bureau, Municipal Housing and Urban-Rural Development Bureau, Municipal Development and Reform Commission, Municipal Finance Bureau)

8. Improve the infant care service support policy. Improve supporting policies, establish working mechanism and formulate overall solutions. A one-time operating subsidy of 50,000 yuan will be given to the child care institutions that have been filed by the health department according to law and reached the relevant standards. Encourage social capital to enter the field of child care, explore the establishment of child care service development industry guidance fund, and give guidance financial support. Infant physical examination is free, and the specific measures shall be formulated by all districts and counties. The water, electricity, gas and heat used by child care service institutions shall be implemented according to the living price of residents. Encourage and support qualified kindergartens to recruit children aged 2 to 3. The fees charged by public and inclusive private child care service institutions shall be subject to government-guided price management, and the charging standards shall be formulated by the development and reform department in conjunction with health and other relevant departments. Promote vocational colleges and domestic enterprises to train baby nurses, and gradually implement the professional qualification access system for employees according to law. Develop new formats such as smart parenting and cultivate characteristic brands of Jinan parenting service industry. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Development and Reform Commission, Municipal Education Bureau, Municipal Finance Bureau, Municipal Human Resources and Social Security Bureau, Municipal Housing and Urban-Rural Development Bureau)

9. Enrich the forms of child care services. Make good use of the funds invested in the construction of inclusive child care services in the central and provincial budgets to promote the construction of inclusive child care services. Support qualified organs, enterprises, institutions and communities to provide child care services for employees and residents. Employers with more female employees in public places should be equipped with maternal and child facilities, strengthen the construction of "mother huts" for trade unions in hospitals, supermarkets, stations, schools and other places, and provide convenient, warm and safe breastfeeding places for female employees. Develop family-style child care centers and build a "trinity" child care service model for communities, institutions and families. Support intergenerational care, family mutual assistance, domestic enterprises and other care models, and expand child care services. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Federation of Trade Unions, Municipal Development and Reform Commission, Municipal Finance Bureau, Municipal State-owned Assets Supervision and Administration Commission, and Municipal Family Planning Association)

10. Improve the supervision and management mechanism. Institutions providing nursery services are mainly responsible for the safety and health of babies. Improve the filing, publicity and evaluation system of nursery service institutions, strengthen supervision and management, improve the emergency mechanism for special circumstances such as institution closure, give play to the role of industry associations, and strengthen industry self-discipline and social supervision of nursery service institutions. (Lead department: Municipal Health and Wellness Commission, responsible departments: Municipal Development and Reform Commission, Municipal Public Security Bureau, Civil Affairs Bureau, Municipal Emergency Bureau, Municipal Market Supervision Bureau, and Municipal Fire Rescue Detachment)

(D) to build a diversified support system

1 1. Strengthen the support of birth policy. Couples who have children in line with the policy enjoy 65,438+058 days of maternity leave, no less than 65,438+05 days of paternity leave for their spouses, and no less than 65,438+00 days of parental leave for parents of infants under 3 years old. Improve the holiday labor cost sharing mechanism. Maternity allowance during maternity leave stipulated by the state shall be implemented according to the relevant provisions of the state, province and city. Maternity leave, paternity leave and parental leave are regarded as attendance, wages are paid as usual, and welfare benefits remain unchanged. Incorporate the implementation of maternity leave, paternity leave, parental leave and related benefits into the evaluation of enterprises with harmonious labor relations in Jinan, and actively guide enterprises to implement the relevant provisions of the Regulations on Population and Family Planning in Shandong Province. Strengthen law enforcement inspection to ensure that the maternity treatment of female employees in enterprises is guaranteed. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Finance Bureau, Municipal Medical Insurance Bureau, Municipal Human Resources and Social Security Bureau, Municipal Federation of Trade Unions, Municipal Women's Federation)

12. Strengthen the support of parenting costs. Implement the national special additional deduction policy for personal income tax on infant care expenses under 3 years old. For families with two or three children born after June 65438+1 October1in 2023, if the household registration in this city conforms to the birth policy, 600 yuan's one-child allowance will be paid monthly, and 200 yuan's one-child allowance will be paid monthly to the subsistence allowances, destitute dependents and pregnant women during the period of receiving unemployment insurance benefits until their children reach the age of three. According to the inclusive guidance price, the filing and foster care service institutions for infants under the age of 3 will be subsidized according to the actual number of children received, and the standard is 400 yuan per person per month. (Lead department: Municipal Health and Wellness Commission, responsible department: Civil Affairs Bureau, Municipal Human Resources and Social Security Bureau, Municipal Finance Bureau, Municipal Taxation Bureau)

13. Strengthen support for educational resources. For the children of families with two or three children according to the policy, according to the actual situation and family wishes of the enrolled children, coordinate and support the children of different ages in the same family who meet the admission requirements to enroll in the same school district. We will implement the pre-school education funding system for children with financial difficulties and orphans and disabled children, and encourage priority to ensure that three children enter inclusive kindergartens. We will improve the school-running mechanisms such as education collectivization and urban-rural school development communities, promote the balanced and high-quality development of compulsory education, and run more "good schools at home". (Lead department: Municipal Education Bureau, responsible department: Municipal Development and Reform Commission, Municipal Finance Bureau, Civil Affairs Bureau, Municipal Disabled Persons' Federation)

14. Strengthen housing security support. Families with two or more children who meet the conditions for applying for public rental housing are given priority in applying for public rental housing; If it is necessary to change public rental housing due to the increase of family population, employment, children's schooling, etc. According to the housing situation, the normalization application and unified replacement will be implemented; Meet the application conditions for rental housing subsidies, and raise the standard of guaranteed area. For each additional child, the standard of guaranteed area will be increased by15m2. According to the national policy, if the employee families who have given birth to two children apply for housing provident fund loans to buy the first set of self-occupied housing, the maximum loanable amount of the employee family who has paid the housing provident fund will be raised to 600,000 yuan, and the maximum loanable amount of the employee family who has paid the housing provident fund will be raised to 900,000 yuan; If an employee's family with three children applies for a housing provident fund loan to buy the first set of self-occupied housing, the maximum loanable amount of the employee's family with one person paying the housing provident fund will be raised to 600,000 yuan, and the maximum loanable amount of the employee's family with two or more people paying the housing provident fund will be raised to 654.38+00,000 yuan. Families with two children and above who have no self-owned housing or rented housing in our city can withdraw the housing provident fund according to the actual rental expenses. (The Municipal Housing and Urban-Rural Development Bureau and the Jinan Housing Provident Fund Center are implemented according to the division of responsibilities)

15. Strengthen medical insurance policy support. The medical expenses for hospitalization and delivery of residents' medical insurance insured personnel shall be paid in a fixed amount, and the standard is 3000 yuan. The reimbursement rate of medical expenses for hospitalization and delivery of employees with maternity insurance within the scope of medical insurance policy is 100%. Flexible female employees who participate in the basic medical insurance for employees can enjoy the treatment of maternity medical expenses, and the reimbursement rate of hospitalization and childbirth medical expenses within the scope of medical insurance policy is 50%. On the existing basis, the proportion of reimbursement for children's hospitalization medical insurance will be increased by 5 percentage points. If two or three children born after June 65438+ 10/day in 2023 participate in the basic medical insurance for residents in our city within six months from the date of birth, the individual contributions in the registration year will be fully subsidized by the finance; If their grandparents participate in long-term care insurance in our city, the annual individual contribution will be fully subsidized by the financial sector. (Lead department: Municipal Medical Insurance Bureau, responsible department: Municipal Health and Wellness Commission, Municipal Finance Bureau)

(5) Accelerate the construction of an environment conducive to fertility.

16. Protect the legitimate rights and interests of employed women. Improve the interview mechanism of gender discrimination in employment and promote women's equal employment. Supervise the employing units to give special labor protection to female employees during pregnancy, childbirth and lactation. Public services to provide re-employment training for women whose employment is interrupted due to childbirth. Strengthen the care service for employees' children in winter and summer vacations, and solve their worries. (Lead department: Municipal Human Resources and Social Security Bureau, responsible department: Municipal Federation of Trade Unions, Municipal Women's Federation and Municipal Education Bureau)

17. Encourage and support scientific and technological innovation. Conscientiously implement the relevant provisions of the state and province, and further increase the support and guarantee for eugenics-related scientific research projects. Actively recommend female researchers who have given birth to apply for national and provincial natural science foundation projects and support them to undertake various scientific and technological projects at or above the municipal level. Support the construction of various scientific and technological innovation platforms such as maternal and child health and clinical medical research centers for prenatal and postnatal care, and implement relevant support policies such as scientific and technological cooperation, talent introduction and achievement transformation. The acceptance of scientific research projects undertaken by female researchers during pregnancy and lactation can be postponed 1 year according to the actual situation. (Lead department: Municipal Science and Technology Bureau, responsible department: Municipal Health and Wellness Commission, Municipal Women's Federation)

18. Increase marriage and love guidance services. Using the "Youth Jinan" youth service comprehensive cloud platform, we will continue to build a "Youth League" youth social service brand with tangible positions and normal services, effectively broaden youth communication channels, strengthen departmental linkage and online and offline integration, and carry out targeted and personalized youth marriage and dating services. Establish a marriage and family counseling room and a family education guidance service station, build a platform for dating, get through the "last mile" to serve the needs of single young people in marriage and love, carry out reproductive health education for "young and healthy" unmarried young people, and strengthen the guidance of marriage, family and fertility education. Strengthen the construction of new marriage and childbearing culture, strengthen the social value of childbearing on the premise of respecting the family's right of independent childbearing, form marriage and childbearing concepts and family concepts that attach importance to marriage and childbearing, active marriage and childbearing, early-age marriage and childbearing, prenatal and postnatal care, shared marriage and childbearing, and civilized marriage and childbearing, actively participate in the creation of youth-friendly cities, alleviate social anxiety and boost fertility wishes. (Lead department: Communist Youth League Committee, responsible department: Civil Affairs Bureau, Municipal Federation of Trade Unions, Municipal Family Planning Association)

(6) Effectively protect the rights and interests of family planning.

19. safeguard the legitimate rights and interests of family planning families. 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. Implement the implementation mechanism of the old-age subsidy policy for the only-child parents of enterprise retired employees. Implement nursing leave for parents of only children. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Human Resources and Social Security Bureau, Municipal Finance Bureau, Municipal Bureau of Industry and Information Technology, Municipal State-owned Assets Supervision and Administration Commission)

20. Increase family planning assistance. We will implement the special support system for family planning families and dynamically adjust the support standards. Implement a one-time rescue system and an inpatient care subsidy insurance system. To meet the requirements of family planning special family members, the implementation of basic pension, basic medical security related policies; Give priority to staying in public pension institutions, enjoy free or low-cost nursing services, and fully implement the subsidy policy of 1.5 million yuan and 1.0 million yuan per person per month for disabled and semi-disabled elderly people with special family planning; Implement the subsidy policy of setting up family beds for the aged in 450 yuan per person per month. Family planning special family members who meet the conditions of subsistence allowances, assistance and support for destitute people, temporary assistance, subsidies for the elderly with financial difficulties, and assistance for the disabled will be included in the corresponding assistance scope and care service system in a timely manner. Housing difficulties, should give priority to housing security. Scientifically guide fertility and give necessary help to those who really need to implement assisted reproductive technology. (Lead department: Municipal Health and Wellness Commission, responsible departments: Civil Affairs Bureau, Municipal Finance Bureau, Municipal Human Resources and Social Security Bureau, Municipal Housing and Urban-Rural Development Bureau, Municipal Medical Insurance Bureau, Municipal Disabled Persons' Federation and Municipal Family Planning Association)

2 1. Improve the working mechanism of all-round assistance and care. Through public bidding, support qualified social organizations to accept the entrustment of family planning special families, and provide them with services such as life care, spiritual comfort, admission to old-age care institutions, medical care and other legal agents. Carry out the "Warm Heart Action" in depth, and build 1-3 "warm heart homes" with standardized management and frequent activities in all districts and counties every year until the streets (towns) are fully covered. Establish a regular medical system to achieve full coverage of family planning special family contact system, family doctor contract service and priority convenience medical services. The established family planning public welfare fund or population care fund is mainly used to help family planning special families and promote family health, harmony and happiness. (Lead department: Municipal Health and Wellness Commission, responsible department: Civil Affairs Bureau, Municipal Finance Bureau, Municipal Family Planning Association)

Third, safeguard measures.

(1) Improve the leadership mechanism. Party committees and governments at all levels should earnestly strengthen leadership, insist that the top leaders personally take overall responsibility, and adhere to and improve the target management responsibility system. Improve the working mechanism of promoting long-term balanced population development at all levels, clarify the responsibilities of units, improve departmental cooperation, and strengthen policy convergence and information sharing. Party committees and governments of all districts and counties shall, in accordance with the requirements of this implementation plan, formulate implementation measures and do a good job of implementation, and report to the municipal party Committee and the municipal government on the population work in this district and county every year. (Lead department: General Office of the Municipal Party Committee and General Office of the Municipal Government; Responsible departments: Municipal Commission for Economic Restructuring, Municipal Health and Health Commission)

(2) Mobilize social participation. Strengthen the coordinated governance of the government and society, and actively play the important role of mass organizations such as trade unions, the Communist Youth League and women's federations in promoting population development, family building, maternity support and caring for empty nesters and left-behind women and children. Accelerate the construction of child-friendly cities, promote the implementation of the "Jinan Child-friendly City Construction Plan", and achieve new promotion in seven aspects: social policy, public services, rights protection, growth space, development environment, industrial development, and openness and tolerance. Give full play to the role of the Family Planning Association, strengthen the organizational network and service capacity building of the Family Planning Association, and do a good job in publicity and education, reproductive health consulting services, prenatal and postnatal care guidance, family planning assistance, rights protection, and family health promotion. Establish eugenics guidance centers (stations), parent-child cabins, family health service centers and other positions to carry out publicity and service activities. Encourage social organizations and volunteers to carry out public welfare activities such as popularizing health knowledge, infant care services, and safeguarding the rights and interests of women and children. Actively participate in the activities of vigorously developing urban construction. (Lead department: Municipal Health and Wellness Commission, responsible department: Municipal Development and Reform Commission, Municipal Housing and Urban-Rural Development Bureau, Municipal Federation of Trade Unions, Communist Youth League Committee, Municipal Women's Federation and Municipal Family Planning Association)

(3) Strengthen the grass-roots foundation. Deeply integrate rural public health, population and family planning, and old-age services. Improve the dynamic revision mechanism of village rules and regulations, and enrich the contents of reproductive health care, prenatal and postnatal care, family health, civilized marriage and childbirth. Strengthen the training and capacity improvement of service teams, make overall plans to solve the problems of remuneration and old-age security for village (community) service personnel, and ensure that there are directors, officers and money at the grassroots level. (Lead department: Municipal Health and Wellness Commission, responsible department: Civil Affairs Bureau, Municipal Finance Bureau, Municipal Human Resources and Social Security Bureau, and Municipal Family Planning Association)

(4) Strengthen publicity and guidance. Give full play to the advantages of mainstream media and new media, strengthen the publicity and interpretation of population situation and birth policy, and respond to social concerns in a timely and proper manner. Strengthen the construction of family style and build a new marriage and childbearing culture. Strengthen the propaganda of the socialist rule of law and the traditional virtues of the Chinese nation, and create a good environment for actively implementing the three-child birth policy.