近日農業農村部(bu)等(deng)14部(bu)門(men)聯合發布《關(guan)于(yu)推進健康鄉村建設的指導意見(jian)》，意見(jian)指出：（五）改(gai)善鄉村健康環境。整治提升農(nong)村(cun)(cun)人居環境。推(tui)動有(you)條件的農(nong)村(cun)(cun)穩步普及衛生(sheng)(sheng)廁(ce)(ce)所，科(ke)學選擇改廁(ce)(ce)技(ji)術模(mo)式。分(fen)區分(fen)類重點治理(li)(li)人口居住集中區域農(nong)村(cun)(cun)生(sheng)(sheng)活(huo)污水，全面提升農(nong)村(cun)(cun)生(sheng)(sheng)活(huo)垃圾治理(li)(li)水平，協同(tong)推(tui)進農(nong)村(cun)(cun)有(you)機(ji)(ji)生(sheng)(sheng)活(huo)垃圾、廁(ce)(ce)所糞污、農(nong)業生(sheng)(sheng)產有(you)機(ji)(ji)廢棄物資源(yuan)化處理(li)(li)利用。
國衛財務(wu)發〔2024〕28號
各(ge)省、自治區、直(zhi)轄市(shi)及新(xin)疆生產(chan)建(jian)設兵團衛生健(jian)康委、愛衛辦(ban)、發(fa)展改(gai)革委、民政廳(ting)（局(ju)(ju)）、財政廳(ting)（局(ju)(ju)）、生態(tai)環境廳(ting)（局(ju)(ju)）、住(zhu)房城鄉建(jian)設廳(ting)（局(ju)(ju)）、農(nong)(nong)(nong)業農(nong)(nong)(nong)村（農(nong)(nong)(nong)牧）廳(ting)（局(ju)(ju)、委）、文化和旅游廳(ting)（局(ju)(ju)）、市(shi)場(chang)監(jian)管局(ju)(ju)（廳(ting)、委）、體育行(xing)政部門、醫保局(ju)(ju)、中醫藥局(ju)(ju)、疾(ji)控局(ju)(ju)：建設健(jian)康(kang)鄉(xiang)村(cun)(cun)(cun)是實施鄉(xiang)村(cun)(cun)(cun)振(zhen)興(xing)戰略(lve)的(de)重要內容，是健(jian)康(kang)中國(guo)建設在(zai)農村(cun)(cun)(cun)地(di)區的(de)具體實踐(jian)，是實現(xian)衛生(sheng)健(jian)康(kang)事業高(gao)質量發展和鄉(xiang)村(cun)(cun)(cun)全面(mian)振(zhen)興(xing)的(de)必然要求。當前，我國(guo)農村(cun)(cun)(cun)地(di)區衛生(sheng)健(jian)康(kang)事業發展與農村(cun)(cun)(cun)居民需求還存在(zai)不小差距，健(jian)康(kang)環境亟待改善(shan)，健(jian)康(kang)生(sheng)活方式尚需進(jin)一步普及。為全面(mian)協調可持(chi)續助(zhu)力建設宜居宜業和美鄉(xiang)村(cun)(cun)(cun)，提高(gao)人民群眾健(jian)康(kang)水平，現(xian)就推進(jin)健(jian)康(kang)鄉(xiang)村(cun)(cun)(cun)建設提出如下意見。堅持(chi)大衛生、大健(jian)(jian)(jian)康(kang)理(li)念，遵(zun)循(xun)鄉村發展和衛生健(jian)(jian)(jian)康(kang)事業(ye)發展規律，以鄉村兩級為重(zhong)點，補齊農(nong)村衛生健(jian)(jian)(jian)康(kang)服務短板，從健(jian)(jian)(jian)康(kang)影響因素的廣(guang)泛性、社會(hui)性、整體性出(chu)發，踐(jian)行新時代(dai)黨的衛生與健(jian)(jian)(jian)康(kang)工作(zuo)方針，統籌各方面(mian)力(li)量和政策措施協同(tong)推進(jin)，更好地(di)維護農(nong)村居民健(jian)(jian)(jian)康(kang)，實現人民對美好生活的向(xiang)往。健(jian)康鄉(xiang)村建設的總體目標是，為建設宜居(ju)宜業(ye)和(he)(he)美(mei)鄉(xiang)村、推進鄉(xiang)村全(quan)面(mian)振興(xing)提(ti)供堅實健(jian)康保障(zhang)。到(dao)2030年，鄉(xiang)村健(jian)康服務能(neng)力(li)大幅提(ti)升，居(ju)民能(neng)夠便捷獲得優質的醫療(liao)衛生(sheng)服務，個(ge)人醫療(liao)衛生(sheng)負擔可承受；健(jian)康生(sheng)活方式(shi)得到(dao)普及(ji)，重大疾病危(wei)害(hai)和(he)(he)主要健(jian)康危(wei)險因素得到(dao)有(you)效控制，居(ju)民健(jian)康水(shui)平(ping)持續提(ti)升。到(dao)2035年，建成健(jian)康鄉(xiang)村，基本公共衛生(sheng)服務均等化(hua)水(shui)平(ping)明顯(xian)提(ti)高，城鄉(xiang)衛生(sheng)健(jian)康事(shi)業(ye)發展差距和(he)(he)居(ju)民健(jian)康水(shui)平(ping)差距顯(xian)著縮小。推進健康鄉(xiang)村(cun)(cun)建(jian)設的(de)(de)(de)基本原(yuan)則(ze)：一是(shi)(shi)(shi)堅持以人為本，協(xie)調發(fa)展。將健康理(li)念融(rong)入鄉(xiang)村(cun)(cun)公(gong)共政(zheng)策(ce)制(zhi)定實(shi)施的(de)(de)(de)全(quan)過程(cheng)，服務(wu)人民群眾(zhong)生命全(quan)周期(qi)(qi)、健康全(quan)過程(cheng)，完善政(zheng)府、社(she)會、個人多方參與、合力推進的(de)(de)(de)體(ti)制(zhi)機制(zhi)，加快形成有(you)利于(yu)健康的(de)(de)(de)生產(chan)生活方式(shi)、生態環(huan)境(jing)和(he)鄉(xiang)村(cun)(cun)發(fa)展模(mo)式(shi)，實(shi)現健康與經濟社(she)會良性協(xie)調發(fa)展。二是(shi)(shi)(shi)堅持因(yin)地制(zhi)宜，分(fen)類(lei)指導。遵循發(fa)展規律，突出重點、分(fen)類(lei)施策(ce)、典型引路，分(fen)區分(fen)類(lei)明確目標任務(wu)，合理(li)確定實(shi)施路徑(jing)，推動(dong)建(jian)成符合地方實(shi)際、群眾(zhong)可感可及的(de)(de)(de)健康鄉(xiang)村(cun)(cun)。三是(shi)(shi)(shi)堅持循序漸進，久(jiu)久(jiu)為功。學習運用“千萬工程(cheng)”經驗，堅持以人民為中心，從農民期(qi)(qi)盼中找準工作出發(fa)點和(he)落(luo)腳點，做好頂(ding)層設計，加強政(zheng)策(ce)統籌(chou)，一以貫之、狠抓落(luo)實(shi)、穩扎穩打，不(bu)斷提升健康鄉(xiang)村(cun)(cun)建(jian)設實(shi)效。（一(yi)）提升鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)療(liao)(liao)(liao)服(fu)務水(shui)平(ping)。全面貫徹落實中共中央辦(ban)(ban)公廳、國務院辦(ban)(ban)公廳《關于進(jin)(jin)(jin)一(yi)步(bu)(bu)完善(shan)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)服(fu)務體系(xi)的意見》《關于進(jin)(jin)(jin)一(yi)步(bu)(bu)深(shen)化(hua)改(gai)革促(cu)進(jin)(jin)(jin)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)體系(xi)健(jian)康發展的意見》，進(jin)(jin)(jin)一(yi)步(bu)(bu)深(shen)化(hua)縣域(yu)綜合醫(yi)改(gai)，強化(hua)和拓展縣域(yu)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)體系(xi)服(fu)務功(gong)能(neng)；進(jin)(jin)(jin)一(yi)步(bu)(bu)改(gai)善(shan)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)服(fu)務基礎設施(shi)條件，優化(hua)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)服(fu)務機(ji)構功(gong)能(neng)布局，推進(jin)(jin)(jin)遠程醫(yi)療(liao)(liao)(liao)向鄉(xiang)村(cun)(cun)(cun)(cun)覆蓋(gai)，建(jian)立(li)遠程影(ying)像(xiang)、心電、會診等中心；發展壯大(da)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)人(ren)才隊伍，穩(wen)步(bu)(bu)擴大(da)農村(cun)(cun)(cun)(cun)訂單定向免費(fei)醫(yi)學生(sheng)(sheng)(sheng)(sheng)招生(sheng)(sheng)(sheng)(sheng)規模，實施(shi)大(da)學生(sheng)(sheng)(sheng)(sheng)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)生(sheng)(sheng)(sheng)(sheng)專項計劃，著力(li)提升人(ren)員(yuan)素(su)質，優化(hua)人(ren)員(yuan)結構，合理保障(zhang)待遇水(shui)平(ping)，分(fen)類解決(jue)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)生(sheng)(sheng)(sheng)(sheng)養(yang)老(lao)和醫(yi)療(liao)(liao)(liao)保障(zhang)問題；改(gai)革完善(shan)鄉(xiang)村(cun)(cun)(cun)(cun)醫(yi)療(liao)(liao)(liao)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)體系(xi)運行機(ji)制，建(jian)立(li)健(jian)全城市支(zhi)援健(jian)康鄉(xiang)村(cun)(cun)(cun)(cun)建(jian)設機(ji)制；創(chuang)造條件將村(cun)(cun)(cun)(cun)衛(wei)(wei)生(sheng)(sheng)(sheng)(sheng)室納入基本醫(yi)保定點范圍；加大(da)醫(yi)保基金支(zhi)持(chi)力(li)度，優化(hua)醫(yi)療(liao)(liao)(liao)保障(zhang)管理服(fu)務。（二）提升(sheng)鄉村(cun)(cun)公(gong)(gong)共(gong)衛(wei)生(sheng)(sheng)(sheng)服(fu)(fu)務(wu)(wu)能(neng)(neng)力(li)。加(jia)強農村(cun)(cun)地(di)(di)區重點傳(chuan)(chuan)染(ran)病(bing)、地(di)(di)方病(bing)、寄生(sheng)(sheng)(sheng)蟲病(bing)等(deng)(deng)(deng)重點疾(ji)病(bing)防治(zhi)，健(jian)(jian)全城鄉一體、上(shang)下聯(lian)動(dong)、功(gong)能(neng)(neng)完備的(de)疾(ji)控(kong)網絡，探索建立(li)疾(ji)病(bing)預(yu)防控(kong)制(zhi)監(jian)督員(yuan)制(zhi)度，促(cu)進(jin)醫(yi)(yi)防協同、醫(yi)(yi)防融合機(ji)制(zhi)落地(di)(di)見效(xiao)。村(cun)(cun)衛(wei)生(sheng)(sheng)(sheng)室(shi)(shi)按(an)照《村(cun)(cun)衛(wei)生(sheng)(sheng)(sheng)室(shi)(shi)服(fu)(fu)務(wu)(wu)能(neng)(neng)力(li)標準》加(jia)強能(neng)(neng)力(li)建設，提升(sheng)村(cun)(cun)衛(wei)生(sheng)(sheng)(sheng)室(shi)(shi)醫(yi)(yi)務(wu)(wu)人員(yuan)疫情(qing)早期識別和應急(ji)處置(zhi)水平，持續推進(jin)農村(cun)(cun)基(ji)(ji)本(ben)公(gong)(gong)共(gong)衛(wei)生(sheng)(sheng)(sheng)服(fu)(fu)務(wu)(wu)均等(deng)(deng)(deng)化，提升(sheng)基(ji)(ji)本(ben)公(gong)(gong)共(gong)衛(wei)生(sheng)(sheng)(sheng)服(fu)(fu)務(wu)(wu)質效(xiao)。發揮村(cun)(cun)民委員(yuan)會及(ji)其公(gong)(gong)共(gong)衛(wei)生(sheng)(sheng)(sheng)委員(yuan)會作用，鄉鎮(zhen)衛(wei)生(sheng)(sheng)(sheng)院、村(cun)(cun)衛(wei)生(sheng)(sheng)(sheng)室(shi)(shi)協調聯(lian)動(dong)，提供基(ji)(ji)本(ben)公(gong)(gong)共(gong)衛(wei)生(sheng)(sheng)(sheng)服(fu)(fu)務(wu)(wu)，開展(zhan)傳(chuan)(chuan)染(ran)病(bing)和重大疫情(qing)防控(kong)處置(zhi)等(deng)(deng)(deng)工作；開展(zhan)衛(wei)生(sheng)(sheng)(sheng)健(jian)(jian)康政策宣(xuan)傳(chuan)(chuan)、居民健(jian)(jian)康教育等(deng)(deng)(deng)活動(dong)，初步(bu)建立(li)起(qi)常態化管(guan)理(li)和應急(ji)管(guan)理(li)動(dong)態銜接的(de)基(ji)(ji)層公(gong)(gong)共(gong)衛(wei)生(sheng)(sheng)(sheng)治(zhi)理(li)機(ji)制(zhi)。（三）強化鄉(xiang)村(cun)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)服(fu)(fu)務(wu)(wu)。堅持中(zhong)(zhong)西醫(yi)(yi)(yi)并重，擴大鄉(xiang)村(cun)醫(yi)(yi)(yi)療衛生機(ji)構中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)服(fu)(fu)務(wu)(wu)供(gong)給(gei)，完善基層中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)服(fu)(fu)務(wu)(wu)網絡，提升基層中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)服(fu)(fu)務(wu)(wu)能(neng)力(li)(li)。力(li)(li)爭實現全部鄉(xiang)鎮(zhen)衛生院(yuan)設(she)置中(zhong)(zhong)醫(yi)(yi)(yi)館(guan)、配(pei)備中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)師，加(jia)強基層中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)適(shi)宜技(ji)術推廣。80%以上的村(cun)衛生室能(neng)夠提供(gong)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)服(fu)(fu)務(wu)(wu)。創造(zao)條件開展中(zhong)(zhong)醫(yi)(yi)(yi)館(guan)、中(zhong)(zhong)醫(yi)(yi)(yi)閣(ge)服(fu)(fu)務(wu)(wu)內(nei)涵建設(she)。推進(jin)縣級中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院(yuan)“兩專科(ke)一中(zhong)(zhong)心”項目建設(she)，提高縣級中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院(yuan)中(zhong)(zhong)醫(yi)(yi)(yi)特(te)色優勢專科(ke)服(fu)(fu)務(wu)(wu)能(neng)力(li)(li)、急(ji)診急(ji)救能(neng)力(li)(li)和基層中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)適(shi)宜技(ji)術推廣能(neng)力(li)(li)。推進(jin)普遍將中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)服(fu)(fu)務(wu)(wu)納入家庭(ting)醫(yi)(yi)(yi)生簽(qian)約服(fu)(fu)務(wu)(wu)內(nei)容，加(jia)強中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)簽(qian)約人員配(pei)置。（四）加強(qiang)重(zhong)點(dian)(dian)人群健(jian)(jian)康(kang)服(fu)(fu)(fu)(fu)務(wu)。強(qiang)化(hua)癌(ai)癥、心腦血管(guan)疾(ji)(ji)病等早期篩查和早期發(fa)(fa)(fa)現，擴(kuo)大受(shou)益人群覆(fu)蓋面(mian)。加強(qiang)預(yu)防接種服(fu)(fu)(fu)(fu)務(wu)，積(ji)極推進遏制(zhi)微生(sheng)物耐(nai)藥。加強(qiang)出生(sheng)缺陷(xian)防治知識普(pu)及和健(jian)(jian)康(kang)教育(yu)(yu)，推進孕(yun)前優生(sheng)健(jian)(jian)康(kang)檢查、增補葉酸(suan)預(yu)防神經管(guan)缺陷(xian)、地(di)(di)中(zhong)海(hai)貧(pin)(pin)血防控(kong)服(fu)(fu)(fu)(fu)務(wu)，促(cu)進健(jian)(jian)康(kang)孕(yun)育(yu)(yu)。鼓勵積(ji)極開(kai)(kai)展(zhan)嬰幼(you)兒(er)(er)(er)早期發(fa)(fa)(fa)展(zhan)指導(dao)服(fu)(fu)(fu)(fu)務(wu)，提高科學育(yu)(yu)兒(er)(er)(er)能力。深入實(shi)施農村(cun)(cun)適齡婦(fu)女宮(gong)頸癌(ai)和乳腺癌(ai)檢查、脫(tuo)貧(pin)(pin)地(di)(di)區(qu)新生(sheng)兒(er)(er)(er)疾(ji)(ji)病篩查、脫(tuo)貧(pin)(pin)地(di)(di)區(qu)兒(er)(er)(er)童(tong)營(ying)養(yang)(yang)(yang)改善等項目。鞏固完善以(yi)縣級婦(fu)幼(you)保健(jian)(jian)機(ji)(ji)(ji)構(gou)為(wei)龍頭，鄉(xiang)鎮衛(wei)(wei)生(sheng)院、社區(qu)衛(wei)(wei)生(sheng)服(fu)(fu)(fu)(fu)務(wu)中(zhong)心為(wei)樞紐，村(cun)(cun)衛(wei)(wei)生(sheng)室為(wei)基礎(chu)的(de)基層婦(fu)幼(you)健(jian)(jian)康(kang)服(fu)(fu)(fu)(fu)務(wu)網(wang)絡。發(fa)(fa)(fa)展(zhan)普(pu)惠托(tuo)育(yu)(yu)服(fu)(fu)(fu)(fu)務(wu)體系(xi)，鼓勵縣級及以(yi)上(shang)婦(fu)幼(you)保健(jian)(jian)機(ji)(ji)(ji)構(gou)、基層醫(yi)療衛(wei)(wei)生(sheng)機(ji)(ji)(ji)構(gou)與轄區(qu)內(nei)托(tuo)幼(you)機(ji)(ji)(ji)構(gou)建立(li)聯系(xi)，定期上(shang)門(men)對(dui)(dui)接，加強(qiang)衛(wei)(wei)生(sheng)保健(jian)(jian)指導(dao)。推動落(luo)實(shi)《兒(er)(er)(er)童(tong)青(qing)(qing)少年(nian)肥(fei)胖(pang)防控(kong)實(shi)施方案》，將兒(er)(er)(er)童(tong)青(qing)(qing)少年(nian)肥(fei)胖(pang)納入特定健(jian)(jian)康(kang)問題哨(shao)點(dian)(dian)監(jian)測項目重(zhong)點(dian)(dian)監(jian)測內(nei)容。推動落(luo)實(shi)《兒(er)(er)(er)童(tong)青(qing)(qing)少年(nian)近(jin)視(shi)防控(kong)實(shi)施方案》，建立(li)視(shi)力健(jian)(jian)康(kang)檔案，有重(zhong)點(dian)(dian)地(di)(di)開(kai)(kai)展(zhan)近(jin)視(shi)干預(yu)活動。組織開(kai)(kai)展(zhan)老(lao)年(nian)口腔健(jian)(jian)康(kang)、營(ying)養(yang)(yang)(yang)改善、癡(chi)呆防治、心理關愛和聽力健(jian)(jian)康(kang)促(cu)進5項行動。鼓勵鄉(xiang)鎮衛(wei)(wei)生(sheng)院開(kai)(kai)展(zhan)醫(yi)養(yang)(yang)(yang)結合(he)服(fu)(fu)(fu)(fu)務(wu)，提升醫(yi)養(yang)(yang)(yang)結合(he)服(fu)(fu)(fu)(fu)務(wu)能力。做實(shi)做細家(jia)庭醫(yi)生(sheng)簽約服(fu)(fu)(fu)(fu)務(wu)，全面(mian)落(luo)實(shi)國(guo)家(jia)基本公共衛(wei)(wei)生(sheng)服(fu)(fu)(fu)(fu)務(wu)，對(dui)(dui)0—6歲兒(er)(er)(er)童(tong)、孕(yun)產婦(fu)、老(lao)年(nian)人等重(zhong)點(dian)(dian)人群，以(yi)及原發(fa)(fa)(fa)性高血壓、2型糖尿病、肺(fei)結核、嚴重(zhong)精神障礙等慢性病患者開(kai)(kai)展(zhan)針對(dui)(dui)性健(jian)(jian)康(kang)服(fu)(fu)(fu)(fu)務(wu)。（五）改善鄉村健康環境。整治提升農村人居環境。推動有條件的農村穩步普及衛生廁所，科學選擇改廁技術模式。分區分類重點治理人口居住集中區域農村生活污水，全面提升農村生活垃圾治理水平，協同推進農村有機生活垃圾、廁所糞污、農業生產有機廢棄物資源化處理利用。分類(lei)管控鄉(xiang)(xiang)村(cun)(cun)噪聲(sheng)(sheng)污染，加強對(dui)噪聲(sheng)(sheng)污染防治法律法規和相關(guan)知(zhi)識的宣傳，引導村(cun)(cun)民(min)自覺減少噪聲(sheng)(sheng)排(pai)放，嚴控噪聲(sheng)(sheng)污染嚴重的工(gong)(gong)業企業向(xiang)鄉(xiang)(xiang)村(cun)(cun)居住區(qu)域轉移。實施(shi)鄉(xiang)(xiang)村(cun)(cun)清(qing)潔(jie)能源建設(she)工(gong)(gong)程，逐步提(ti)高(gao)清(qing)潔(jie)能源在滿足(zu)農村(cun)(cun)燒飯、取(qu)暖等日常(chang)生活(huo)需求(qiu)以及種植、養(yang)殖、農副產品加工(gong)(gong)等農業生產和加工(gong)(gong)領域的比重。按照(zhao)《健(jian)康村(cun)(cun)建設(she)規范（試行）》《健(jian)康鄉(xiang)(xiang)鎮建設(she)規范（試行）》要求(qiu)，有序推進健(jian)康村(cun)(cun)、健(jian)康鄉(xiang)(xiang)鎮建設(she)。充分發(fa)揮基(ji)層群眾性自治組織(zhi)作(zuo)用，共同做好農村(cun)(cun)健(jian)康環境建設(she)工(gong)(gong)作(zuo)。（六）普(pu)(pu)及鄉村健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)生(sheng)(sheng)(sheng)活(huo)(huo)(huo)方(fang)式。把(ba)轉變農(nong)村居民(min)(min)思想觀(guan)念、推(tui)(tui)行(xing)文明健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)生(sheng)(sheng)(sheng)活(huo)(huo)(huo)方(fang)式作(zuo)為(wei)(wei)農(nong)村精神文明建設的重要內容。深入(ru)(ru)推(tui)(tui)進(jin)(jin)實施全民(min)(min)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)生(sheng)(sheng)(sheng)活(huo)(huo)(huo)方(fang)式行(xing)動(dong)(dong)。圍繞(rao)公(gong)眾(zhong)普(pu)(pu)遍關注的衛生(sheng)(sheng)(sheng)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)熱點問(wen)題，聚(ju)焦重點人(ren)群，開(kai)展(zhan)(zhan)(zhan)系列(lie)科(ke)普(pu)(pu)活(huo)(huo)(huo)動(dong)(dong)。制(zhi)定鄉村健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)公(gong)約和(he)(he)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)守(shou)則等行(xing)為(wei)(wei)規范，大(da)力開(kai)展(zhan)(zhan)(zhan)講衛生(sheng)(sheng)(sheng)、樹新風、除陋習活(huo)(huo)(huo)動(dong)(dong)。推(tui)(tui)進(jin)(jin)“健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)知識進(jin)(jin)萬(wan)家”，推(tui)(tui)動(dong)(dong)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)知識入(ru)(ru)腦(nao)入(ru)(ru)心，引導(dao)(dao)廣大(da)人(ren)民(min)(min)群眾(zhong)做好自己健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)的第一責任人(ren)，鼓勵(li)和(he)(he)引導(dao)(dao)鄉村居民(min)(min)加(jia)強(qiang)(qiang)個人(ren)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)管理，積極參加(jia)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)有益(yi)的體育活(huo)(huo)(huo)動(dong)(dong)，開(kai)展(zhan)(zhan)(zhan)“體重管理年”活(huo)(huo)(huo)動(dong)(dong)，降(jiang)低人(ren)群超重肥胖率。加(jia)強(qiang)(qiang)農(nong)村地區(qu)全民(min)(min)健(jian)(jian)(jian)(jian)(jian)(jian)身(shen)公(gong)共服務體系建設，開(kai)展(zhan)(zhan)(zhan)針對(dui)青少年近視等問(wen)題的體育干預，配備適(shi)合學齡前兒童大(da)動(dong)(dong)作(zuo)發展(zhan)(zhan)(zhan)和(he)(he)身(shen)體鍛(duan)煉的設施設備。舉辦鄉村體育賽事(shi)活(huo)(huo)(huo)動(dong)(dong)，促進(jin)(jin)三大(da)球、乒乓球、太(tai)極拳、八段錦等項目在農(nong)村推(tui)(tui)廣普(pu)(pu)及。強(qiang)(qiang)化農(nong)村地區(qu)營養指(zhi)導(dao)(dao)員、社會體育指(zhi)導(dao)(dao)員隊伍建設，開(kai)展(zhan)(zhan)(zhan)農(nong)村地區(qu)全民(min)(min)健(jian)(jian)(jian)(jian)(jian)(jian)身(shen)志愿服務，推(tui)(tui)動(dong)(dong)居民(min)(min)合理膳食和(he)(he)健(jian)(jian)(jian)(jian)(jian)(jian)身(shen)生(sheng)(sheng)(sheng)活(huo)(huo)(huo)化、普(pu)(pu)及化。推(tui)(tui)動(dong)(dong)各地將健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)促進(jin)(jin)與教育工作(zuo)納入(ru)(ru)對(dui)地方(fang)衛生(sheng)(sheng)(sheng)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)行(xing)政部門、醫療衛生(sheng)(sheng)(sheng)機構目標管理。（七）因地制宜發展鄉(xiang)(xiang)村(cun)(cun)健(jian)(jian)康(kang)產(chan)(chan)業(ye)。積(ji)極(ji)促進(jin)健(jian)(jian)康(kang)與(yu)養老、旅游(you)、互聯(lian)網、健(jian)(jian)身休閑、食(shi)品(pin)融合(he)(he)，圍繞鄉(xiang)(xiang)村(cun)(cun)旅游(you)、中草藥種植加工等，指導有條件的地方探(tan)索發展鄉(xiang)(xiang)村(cun)(cun)健(jian)(jian)康(kang)產(chan)(chan)業(ye)。開(kai)展鄉(xiang)(xiang)村(cun)(cun)旅游(you)餐飲提升(sheng)行(xing)動，帶動提升(sheng)鄉(xiang)(xiang)村(cun)(cun)居民在食(shi)品(pin)衛(wei)生(sheng)、營(ying)養健(jian)(jian)康(kang)、飲食(shi)烹飪等方面知識(shi)、技術的普及，促進(jin)形成(cheng)與(yu)當地氣候、物產(chan)(chan)、文(wen)化、風(feng)俗等相(xiang)適應的，特色鮮明、科學合(he)(he)理、衛(wei)生(sheng)健(jian)(jian)康(kang)的飲食(shi)習(xi)慣(guan)。（八(ba)）防(fang)止規模(mo)性因病(bing)返(fan)(fan)貧致貧。防(fang)止規模(mo)性因病(bing)返(fan)(fan)貧致貧是鞏固(gu)拓展脫貧攻堅成果、推(tui)進(jin)鄉村振興(xing)的長期性、底線性任務。要進(jin)一步健全(quan)防(fang)止因病(bing)返(fan)(fan)貧致貧動態監測和精準(zhun)幫(bang)扶機制，及時做好分類(lei)救治等健康服務，按照規定落(luo)實醫療(liao)保障政策和社會救助措施，引(yin)導社會力量(liang)予以幫(bang)扶。樹牢底線思維，繼續(xu)精準(zhun)施策，堅決守住(zhu)不(bu)發生規模(mo)性因病(bing)返(fan)(fan)貧致貧的底線。（一）健(jian)(jian)全工(gong)(gong)作(zuo)(zuo)機制。國家衛生(sheng)健(jian)(jian)康(kang)(kang)委會同(tong)農業農村(cun)部(bu)(bu)等(deng)(deng)部(bu)(bu)門(men)(men)(men)(men)建立健(jian)(jian)全工(gong)(gong)作(zuo)(zuo)機制，加(jia)(jia)強統籌協調，形成工(gong)(gong)作(zuo)(zuo)合力，落實工(gong)(gong)作(zuo)(zuo)任(ren)(ren)務(wu)。發展改(gai)革部(bu)(bu)門(men)(men)(men)(men)將有關建設(she)任(ren)(ren)務(wu)納入全面推(tui)(tui)(tui)進(jin)鄉村(cun)振興規劃，推(tui)(tui)(tui)進(jin)鄉村(cun)健(jian)(jian)康(kang)(kang)服(fu)務(wu)提升。民(min)政(zheng)(zheng)(zheng)部(bu)(bu)門(men)(men)(men)(men)指(zhi)導(dao)落實社會救助(zhu)等(deng)(deng)政(zheng)(zheng)(zheng)策(ce)措施(shi)。財政(zheng)(zheng)(zheng)部(bu)(bu)門(men)(men)(men)(men)加(jia)(jia)強經(jing)費保障(zhang)。生(sheng)態環(huan)境(jing)(jing)、住房城鄉建設(she)、農業農村(cun)等(deng)(deng)部(bu)(bu)門(men)(men)(men)(men)加(jia)(jia)強指(zhi)導(dao)，推(tui)(tui)(tui)進(jin)健(jian)(jian)康(kang)(kang)環(huan)境(jing)(jing)建設(she)等(deng)(deng)重點工(gong)(gong)作(zuo)(zuo)。文化和旅(lv)游(you)、市場監管(guan)等(deng)(deng)部(bu)(bu)門(men)(men)(men)(men)按職責指(zhi)導(dao)健(jian)(jian)康(kang)(kang)產業相關工(gong)(gong)作(zuo)(zuo)。體(ti)(ti)育部(bu)(bu)門(men)(men)(men)(men)支持農村(cun)全民(min)健(jian)(jian)身場地設(she)施(shi)建設(she)，推(tui)(tui)(tui)廣全民(min)健(jian)(jian)身，推(tui)(tui)(tui)進(jin)體(ti)(ti)衛融(rong)合、運(yun)動(dong)康(kang)(kang)養發展。醫(yi)保部(bu)(bu)門(men)(men)(men)(men)落實醫(yi)保政(zheng)(zheng)(zheng)策(ce)，優化鄉村(cun)醫(yi)療保障(zhang)經(jing)辦服(fu)務(wu)。中(zhong)醫(yi)藥(yao)管(guan)理部(bu)(bu)門(men)(men)(men)(men)加(jia)(jia)強中(zhong)醫(yi)藥(yao)服(fu)務(wu)體(ti)(ti)系、服(fu)務(wu)能力建設(she)。疾控部(bu)(bu)門(men)(men)(men)(men)依(yi)職責推(tui)(tui)(tui)進(jin)鄉村(cun)兩級公共衛生(sheng)工(gong)(gong)作(zuo)(zuo)。（二）開(kai)展(zhan)成(cheng)效(xiao)(xiao)監(jian)(jian)(jian)測(ce)。充分(fen)利(li)用現有(you)監(jian)(jian)(jian)測(ce)平臺，明確健康(kang)鄉村建(jian)設的(de)階段性目標、監(jian)(jian)(jian)測(ce)指標、監(jian)(jian)(jian)測(ce)方(fang)(fang)法，組織開(kai)展(zhan)監(jian)(jian)(jian)測(ce)。強(qiang)化監(jian)(jian)(jian)測(ce)結果運用，對于建(jian)設成(cheng)效(xiao)(xiao)顯著的(de)省份，在相(xiang)關項目資(zi)金安(an)排方(fang)(fang)面予(yu)以傾斜支(zhi)持(chi)，并予(yu)以通報表揚；對于建(jian)設進展(zhan)滯后、成(cheng)效(xiao)(xiao)不明顯的(de)省份加(jia)強(qiang)督促指導。各(ge)有(you)關部門、地方(fang)(fang)和單(dan)位要充分(fen)利(li)用監(jian)(jian)(jian)測(ce)平臺和監(jian)(jian)(jian)測(ce)結果，加(jia)強(qiang)對健康(kang)鄉村建(jian)設工作的(de)科學(xue)研判和規范管理，有(you)針對性完善推(tui)進措施，推(tui)動健康(kang)鄉村建(jian)設取得更加(jia)扎實的(de)進展(zhan)和成(cheng)效(xiao)(xiao)。（三）加強(qiang)(qiang)(qiang)交(jiao)流(liu)宣傳(chuan)。通過舉辦(ban)培訓班、推廣健康(kang)鄉(xiang)村典(dian)型案(an)例、組織現場觀摩、編發工作簡(jian)報(bao)等形(xing)式，加強(qiang)(qiang)(qiang)健康(kang)鄉(xiang)村建設(she)經驗做法交(jiao)流(liu)學(xue)習，點面結合，指導各地(di)推進健康(kang)鄉(xiang)村建設(she)。廣泛(fan)深入宣傳(chuan)健康(kang)鄉(xiang)村建設(she)行動取(qu)得的進展成效，強(qiang)(qiang)(qiang)化政策(ce)解(jie)讀，及時回應社(she)會(hui)關切，形(xing)成全社(she)會(hui)推進健康(kang)鄉(xiang)村建設(she)的良好氛圍。國家(jia)衛生健康委???????全國愛衛辦(ban)
國家(jia)發展改(gai)革委???????????民政(zheng)部
財政部(bu)???????????????生態環境部(bu)
住房城鄉建設部???????農(nong)業農(nong)村部
文化和旅(lv)游部???????市(shi)場監管總(zong)局
體(ti)育總局?????????????國家(jia)醫保局
國(guo)家(jia)中醫藥(yao)局(ju)?????????國(guo)家(jia)疾控局(ju)
