One, the overall goal

By 2025, the positive birth support policy system is basically established, the declining trend of births is eased, the service management system is improved and optimized, the level of eugenics services is significantly improved, the city's maternal mortality rate, infant mortality rate, child mortality rate of children under 5 years of age, respectively, is controlled at 8/100,000, ‰, ‰, ‰, the following. The construction of a universal child-care service system has been accelerated, with the number of child-care spaces for infants and young children under the age of 3 reaching 5 per 1,000 population, and the policy support system, standardized management system and service supply system basically established. Support for childbearing, parenting, education, housing and medical insurance has been strengthened, and costs have been significantly reduced. The sex ratio at birth will be reduced to below 110, and the number, quality and structure of the population will be gradually optimized.

By 2035, the system of policies and regulations to promote the long-term balanced development of the population will be more complete, the fertility level will be more moderate, the service and management mechanism will operate efficiently, and the population structure will be further improved. The level of eugenics and childcare services will be commensurate with the people's need for a better life and the level of construction of a strong socialist modernized provincial capital in the new era, and the overall development of human beings will have made more significant and substantial progress.

Second, the main tasks and measures

(a) the implementation of the three-child birth policy in accordance with the law

1. Elimination of social maintenance fees and other constraints. Implement the Regulations on Population and Family Planning of Shandong Province, vigorously advocate age-appropriate marriage and parenthood, optimal parenthood, implement the three-child policy in accordance with the law, and build a birth-friendly society. The regulations on social maintenance fees, approval for further births and related penalties have been abolished. The rules on household registration, school enrollment, employment, credit and so on have been completely de-linked from one's birth status. Appropriately deal with historical problems in accordance with laws and regulations, and promote the effective connection between the relevant policies for the benefit of the people and the birth policy. (Lead department: Municipal Health Commission, responsible departments: Municipal Commission for Discipline Inspection and Supervision, Municipal Party Committee Organization Department, Municipal Bureau of Justice, Municipal Public Security Bureau, Municipal Education Bureau, Municipal Human Resources and Social Security Bureau, Municipal Development and Reform Commission, Municipal Finance Bureau)

2. Enhancement of the level of information services in childbirth. Implementing online registration of births, and the use of different places for the same purpose. Promote birth medical certificates, children's preventive vaccination, household registration, medical insurance, social security card application and other "birth one thing" joint office. (Lead department: Municipal Health Commission, responsible departments: Municipal Public Security Bureau, Municipal Human Resources and Social Security Bureau, Municipal Health Insurance Bureau, Municipal Big Data Bureau)

3. Strengthening population development planning and research and the construction of population monitoring system. Focusing on the study of medium and long-term development planning for regional population, the city's spatial distribution of population has been optimized. The city has implemented a life registration and management system and a population forecasting and early warning system, and has improved the indicator system for long-term balanced development of the population and a population monitoring system that covers the whole population and the whole life cycle. Relying on Jinan City's integrated big data platform, the city will realize the integration of basic information on population services such as education, public security, civil affairs, health, health insurance, social security, statistics and other services in accordance with the requirements of policies and regulations*** and dynamic updating. (Lead department: Municipal Development and Reform Commission, Municipal Health Commission, responsible departments: Municipal Education Bureau, Municipal Public Security Bureau, Municipal Civil Affairs Bureau, Municipal Human Resources and Social Security Bureau, Municipal Statistics Bureau, Municipal Health Insurance Bureau, Municipal Big Data Bureau)

(2) Improve the level of eugenics services

4. Improve eugenics services. We will continue to implement the five systems of pregnancy risk prevention, high-risk maternal case management, critical care treatment, death case reporting, and interviews and notifications on mother and child safety, adhere to the "weekly report, monthly notification" system for high-risk pregnancies, and create an "Internet + mother and child safety" service model relying on the Jinan Maternal and Child Health Information Management System. The service model of "Internet + Maternal and Infant Safety" has been developed based on Jinan Maternal and Child Health Information Management System. Implementing the responsibilities of municipal, district and county-level rescue centers for critically ill pregnant women and newborns, and strengthening collaborative rescue and treatment. The city's maternal and child health care institutions have been promoted to high standards of construction and high-quality development, and the maternal and child health care centers in Pingyin and Shanghe counties have reached Grade 2A standards, so that women's and children's health indicators have continued to improve. Strengthen the comprehensive prevention and treatment of birth defects, improve the birth defects prevention and treatment network, implement three-tier preventive measures, promote pre-marital health care, pre-pregnancy health care and one-stop service for marriage registration, standardize prenatal screening, prenatal diagnosis and screening of newborn diseases, and improve the mechanism of screening, diagnosis, basic medical care and rehabilitation assistance. (Lead department: Municipal Health Commission, responsible departments: Municipal Development and Reform Commission, Municipal Finance Bureau, Municipal Civil Affairs Bureau)

5. Improve the quality of children's health services. Implement the Healthy Children Action Enhancement Plan, standardize the health management of children aged 0-6, and carry out the standardized construction of child health care clinics and vaccination clinics in primary medical and health care institutions. The city will actively promote the construction of intelligent vaccination clinics, and the completion rate of intelligent vaccination clinics in the city will reach 100% by 2025. The city will carry out the standardized construction of child health care clinics in primary medical and health care institutions, strengthen the screening, diagnosis and intervention of children's nutrition, mental and behavioral abnormalities and other risk factors and diseases, and focus on reducing the prevalence of anemia in children through the "Little Iron Man", eye care and vision checkups by the "Little Pupil" and preschool children through the "Little Iron Man". The focus is on reducing the prevalence of anaemia in children, "Little Iron Man", "Little Pupil" for eye care and eyesight examination, and special actions to prevent caries by applying fluoride to preschool children. Do a good job of children's basic medical protection, promote the sinking of high-quality pediatric medical resources, to carry out the construction of mother and child-friendly hospitals and child-friendly hospitals, the implementation of mandatory reporting system for cases of violations of minors. (Lead department: Municipal Health Commission, responsible departments: Municipal Women's Federation, Municipal Procuratorate, Municipal Public Security Bureau, Municipal Education Bureau, Municipal Family Planning Association)

6. Optimize reproductive health services. Expand the pilot program of labor analgesia, and standardize the related diagnostic and treatment behaviors. Promote medical institutions to improve infertility prevention and treatment through health education, psychological counseling, traditional Chinese medicine services, medication and surgical treatment, and assisted reproductive technology. Strengthening fertility counseling and guidance, preventing and reducing unwanted pregnancies, and providing good post-abortion care. It has also cracked down on the identification of the sex of fetuses for non-medical purposes and sex-selective artificial termination of pregnancy. Implement comprehensive prevention and treatment measures, and promote the elimination of mother-to-child transmission of AIDS, syphilis and hepatitis B. (Lead department: Municipal Health Commission, responsible departments: Municipal Women's Federation, Municipal Public Security Bureau, Municipal Science and Technology Bureau, Municipal Family Planning Association)

(C) Improvement of inclusive childcare service system

7. Promote the planning and layout of childcare service facilities. Focusing on "one old and one young", the city has strengthened the service system and capacity building of grass-roots child care and elderly care. The city has prepared a special plan for childcare service facilities (2022-2035) and formulated implementation opinions on promoting the development of inclusive childcare services. Childcare service facilities into the city's residential public **** service facilities configuration indicators, into the 15-minute living circle special planning, in the planning and management of the construction of the implementation of the strict implementation, and in accordance with the requirements of the free transfer of districts and counties (functional districts, hereinafter the same) health sector. New urban residential areas supporting the construction of child care service facilities should be synchronized with the acceptance of residential, synchronized delivery and use. Old urban areas and completed urban residential areas are not planning to build child care institutions, or have built child care institutions can not meet the demand for services, through supplementary construction, reconstruction, purchase, replacement, lease and other ways to be resolved. (Lead department: Municipal Health Commission, responsible departments: Municipal 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. Improvement of infant and child care services to support policies. Improve supporting policies, establish working mechanisms, and formulate overall solutions. Within the city, by the health department in accordance with the law for the record and in line with the relevant standards of child care institutions to give a one-time 50,000 yuan operating subsidies. Encourage social capital to enter the field of child care, explore the establishment of child care service development industry guidance fund, to give guidance financial support. Medical check-ups for infants and young children are free of charge, with specific measures to be formulated by each district and county. Water, electricity, gas and heat for child-care service organizations will be implemented in accordance with the price of residential living. Kindergartens that are in a position to do so are encouraged and supported to enroll children between the ages of 2 and 3. Fees charged by public and inclusive private childcare service organizations are subject to government-guided price management, and the fees are set by the development and reform departments in conjunction with health and other relevant departments. Vocational colleges and universities and home economics enterprises are being pushed to train child-care personnel, and a system of professional qualifications for practitioners is being gradually implemented in accordance with the law. The development of intelligent child care and other new business, cultivate child care service industry Jinan characteristics of the brand. (Lead department: Municipal Health Commission, responsible departments: 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. Make good use of the central and provincial budgets to invest in the construction of inclusive childcare services funds to promote the construction of inclusive childcare services. Support for conditional institutions, enterprises, institutions and communities to provide child-care services for in-service workers and residents. Public ****places and employers with a large number of female workers should be equipped with mother and baby facilities, and the construction of trade union "mother's huts" should be strengthened in hospitals, superstores, stations, schools and other places, in order to provide female workers with convenient, warm and safe places to breastfeed their babies. Family-type child-care centers are being developed, and a "three-in-one" model of child-care services is being established among communities, institutions and families. Support for intergenerational care, family mutual assistance, and the expansion of childcare services by domestic enterprises are also being promoted. (Lead department: Municipal Health Commission, responsible departments: Municipal Federation of Trade Unions, Municipal Development and Reform Commission, Municipal Finance Bureau, Municipal State-owned Assets Supervision and Administration Commission, Municipal Family Planning Association)

10. Improve the supervision and management mechanism. Provide child care services for infants and young children's safety and health of the organization is the main responsibility. Improve the record of child care service institutions, publicity, assessment system, strengthen supervision and management, improve the institution shut down and other special circumstances of the emergency response mechanism, play the role of industry associations, strengthen the child care service institutions industry self-regulation and social supervision. (Lead department: Municipal Health Commission, responsible departments: Municipal Development and Reform Commission, Municipal Public Security Bureau, Municipal Civil Affairs Bureau, Municipal Emergency Response Bureau, Municipal Market Supervision Bureau, Municipal Firefighting and Rescue Detachment)

(D) Building a multi-faceted support system

11. Strengthening of reproductive policy support. Couples who give birth to a child in accordance with the provisions of the policy, the woman enjoys 158 days of maternity leave, the spouse enjoys no less than 15 days of paternity leave, and the parents of infants and young children under the age of 3 are each entitled to a cumulative total of no less than 10 days of parental leave per year. A sound mechanism is in place for sharing the cost of employment during the leave period. The maternity allowance during maternity leave provided by the State shall be implemented in accordance with the relevant provisions of the State, provinces and municipalities, and the period of maternity leave, paternity leave and childcare leave shall be regarded as an attendance period, with the same salary and unchanged benefits. The implementation of maternity leave, paternity leave, parental leave and related benefits will be included in the evaluation of enterprises with harmonious labor relations in Jinan City, and enterprises will be actively guided to implement the relevant provisions of the Regulations on Population and Family Planning of Shandong Province. Law enforcement and inspection efforts will be strengthened to ensure that the maternity treatment of female workers in enterprises is guaranteed. (Lead department: Municipal Health Commission, responsible departments: Municipal Finance Bureau, Municipal Health 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. The implementation of the national infant care costs under the age of 3 years of age individual income tax special additional deduction policy. Families with two or three children born after January 1, 2023 under the birth policy of the city's household registration will be given a childcare subsidy of 600 yuan per month per child, and an additional 200 yuan per month will be given to the childcare subsidy for those who have given birth during the period of the minimum subsistence guarantee, the special hardship support personnel and the unemployment insurance benefits until the child reaches the age of 3 years old. Recorded child-care service organizations that enroll infants and toddlers under the age of 3 in accordance with the universal guideline price will be given subsidies for child-care fees based on the actual number of enrolments, at a rate of 400 yuan per person per month. (Lead department: Municipal Health Commission, responsible departments: Municipal Civil Affairs Bureau, Municipal Human Resources and Social Security Bureau, Municipal Finance Bureau, Municipal Taxation Bureau)

13. Strengthen the support of educational resources. For the policy of giving birth to two children, three children of the family, according to the actual situation of the children enrolled in school and the wishes of the family, coordinated to support the children of the same family of different ages who meet the conditions for enrollment in the same school district. A system of subsidies for pre-school education for children from economically disadvantaged families, orphans and children with disabilities is being implemented, and priority is being given to ensuring that children with three children are enrolled in inclusive kindergartens. Improve the education group to run schools, urban and rural school development **** the same body and other school-running mechanisms, to promote balanced and high-quality development of compulsory education, to do a better job of "good schools at home". (Lead department: Municipal Education Bureau, responsible departments: Municipal Development and Reform Commission, Municipal Finance Bureau, Municipal Civil Affairs Bureau, Municipal Disabled Persons' Federation)

14. Strengthening support for housing security. Meet the public rental housing application conditions of the minor policy within the two children and above families, in the application for public rental housing will be given priority in the allocation; due to the increase in family size, employment, children's schooling and other reasons need to switch public rental housing, according to the housing situation to implement the normalization of the application, the unified switch; meet the conditions of the application of subsidies for rental housing, to increase the area of the standard guarantee, each additional child guarantee area standard increase of 15 square meters. According to the national policy to give birth to two children of the paid-up employee families, apply for housing fund loans to buy the first owner-occupied housing, one person to contribute to the housing fund of the employee's family maximum loan amount to 600,000 yuan, two or more people to contribute to the housing fund of the employee's family maximum loan amount to 900,000 yuan; giving birth to three children of the paid-up employee families, apply for housing fund loans to buy the first owner-occupied housing, one person to contribute to the housing fund of the employee's family, one person to apply for housing fund loans to buy the first owner-occupied housing, one person to contribute to the housing fund of the family. The maximum loan amount is increased to 600,000 yuan for the family of an employee who has contributed to the housing fund, and to 1 million yuan for the family of two or more employees who have contributed to the housing fund. Families with two or more children who do not own a home in the city and are renting a home can withdraw their housing provident fund according to the actual rental expenses. (Municipal Housing and Urban-Rural Development Bureau, Jinan Housing Provident Fund Center in accordance with the division of responsibilities to implement)

15. Strengthen the medical insurance policy support. Resident medical insurance participants hospitalized delivery medical expenses medical insurance implementation of fixed payment, the standard is 3,000 yuan. Employee maternity insurance participants hospitalized delivery medical expenses within the policy scope of the medical insurance reimbursement rate of 100%. Flexibly employed women who are insured under the Employees' Basic Medical Insurance are entitled to maternity medical treatment, and the reimbursement rate for hospitalized childbirth medical expenses within the scope of the medical insurance policy is 50 per cent. The reimbursement rate for children and adolescents hospitalized under the medical insurance policy will be increased by 5 percentage points on top of the existing rate. On January 1, 2023 after the birth of two children, three children, from the date of birth within six months to participate in the city's residents of basic health insurance, the year of registration of individual contributions by the financial to be fully subsidized; their grandparents to participate in the city's grandparents in the long-term care insurance, the year's individual contributions by the financial to be fully subsidized. (Lead department: Municipal Health Insurance Bureau, responsible departments: Municipal Health Commission, Municipal Finance Bureau)

(E) accelerate the construction of a birth-friendly environment

16. To protect the legitimate rights and interests of women in employment. Improve the mechanism for interviews on gender discrimination in employment, and promote equal employment for women. Supervising employers to provide special labor protection for female workers during pregnancy, childbirth and breastfeeding. Re-employment training services are provided for women whose employment is interrupted by childbirth. Strengthening the summer and winter vacation care services for employees' children, so as to solve their worries. (Lead department: Municipal Human Resources and Social Security Bureau, responsible departments: Municipal Federation of Trade Unions, Municipal Women's Federation, Municipal Education Bureau)

17. Encourage support for scientific and technological innovation. Seriously implement the relevant national and provincial regulations, and further increase the eugenics-related scientific research projects to support the guarantee. Actively recommend that women researchers have given birth to apply for national and provincial natural science fund projects, and support them to undertake various types of science and technology programs above the municipal level. Support the construction of various scientific and technological innovation platforms such as clinical medical research centers in the fields of maternal and child health and eugenics, and implement relevant support policies in the areas of scientific and technological cooperation, talent attraction and achievement transformation. Scientific research projects undertaken by female researchers during pregnancy and nursing can be extended for one year according to the actual situation. (Lead department: Municipal Science and Technology Bureau, responsible department: Municipal Health Commission, Municipal Women's Federation)

18. Increase marriage guidance services. Using the "Youth Jinan" youth service integrated cloud platform, continue to build a position tangible, service normalization online and offline, "group edge" youth social service brand, effectively broaden the channels of youth exchanges, strengthen departmental linkage and online and offline combination, carry out targeted, personalized marriage youth dating. Targeted and personalized dating services for married youth. We have set up marriage and family counseling rooms and family education guidance service stations, built a platform for marriage and dating, opened up the "last kilometer" for serving the marriage needs of single young people, carried out "youth health" reproductive health education for unmarried young people, and strengthened educational leadership in the concepts of marriage and dating, family, and procreation. Education and guidance. We will strengthen the construction of a new type of marriage and parenthood culture, respect the family's right to independent parenthood as a prerequisite, strengthen the social value of parenthood, form the concepts of marriage and family that emphasize marriage and parenthood, positive marriage and parenthood, age-appropriate marriage and parenthood, optimal parenthood, and civilized marriage and parenthood, and actively participate in the creation of a youth-friendly city to alleviate social anxieties and boost the willingness to procreate. (Lead department: Municipal Youth League Committee, responsible departments: Municipal Civil Affairs Bureau, Municipal Federation of Trade Unions, Municipal Family Planning Association)

(VI) Effectively safeguarding the rights and interests of family planning families

19. Protecting the legitimate rights and interests of family planning families. For one-child families and families with two daughters in rural areas before the adjustment of the two-child policy, the current incentive and support system and preferential policies will continue to be implemented. Mechanisms are being put in place to implement the policy of providing old-age subsidies to one-child parents of retired enterprise workers. Implementing nursing leave for parents of one-child children. (Lead department: Municipal Health Commission, responsible departments: Municipal Human Resources and Social Security Bureau, Municipal Finance Bureau, Municipal Industry and Information Technology Bureau, Municipal State-owned Assets Supervision and Administration Commission)

20. Increase the efforts to help family planning families. A special support system for family planning families is being implemented, and dynamic adjustment of support standards is being carried out. It has also implemented a system of one-time support payments and an insurance system of hospitalization care subsidies. For eligible members of special family-planning families, basic old-age and basic medical insurance policies are implemented; priority arrangements are made for admission to public institutions for the elderly to enjoy free or low-fee child-care services; the subsidy policy of RMB 1,500 yuan and RMB 1,000 yuan per person per month per month per person for disabled and partially-disabled elderly people from special family-planning families who are admitted to institutions is fully implemented; the subsidy policy of RMB 450 yuan per person per month per person per month per person is implemented for the establishment of a bed in a family home for the elderly. The policy of subsidizing the establishment of family nursing beds is being implemented. Family members of special family planning families who meet the requirements for low-cost insurance, assistance and sustenance for persons in special hardship, temporary assistance, subsidies for the elderly in financial difficulty, and assistance for persons with disabilities are promptly included in the scope of the corresponding assistance and protection and in the system of care and services. For those who have housing difficulties, priority is given to incorporating them into the housing security system. Scientific guidance on reproduction, for those who really need to implement assisted reproductive technology, to give the necessary assistance. (Lead department: Municipal Health Commission, responsible departments: Municipal 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, Municipal Family Planning Association)

21. Improvement of all-around support and care work mechanism. Through public bidding, qualified social organizations are supported to accept commissions from families with special family planning needs to provide services such as life care, spiritual comfort, and legal representation in nursing homes and medical care. In-depth "warm heart actions" are being carried out, with one to three "warm heart homes" with standardized management and regular activities being constructed in each district and county each year, until full coverage of streets (towns) is achieved. A system of regular visits has been established, and full coverage has been achieved in the form of a contact person system for families with special family-planning needs, contracted family doctor services, and prioritized and convenient medical services. The public welfare funds for family planning or the Population Care Fund that have been set up will be used to help families with special family planning needs and to promote family health, harmony and happiness. (Lead department: Municipal Health Commission, responsible departments: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Family Planning Association)

Third, safeguard measures

(a) Improve the leadership mechanism. Party committees and governments at all levels should effectively strengthen leadership, insist that a hand personally responsible for the overall responsibility, adhere to and improve the target management responsibility system. Improve the working mechanism for promoting long-term balanced population development at all levels, clarify unit responsibilities, improve departmental cooperation, and strengthen policy convergence and information **** enjoyment. Party committees and governments in all districts and counties should, in accordance with the requirements of this implementation program, formulate and implement measures, and report annually to the municipal party committee and municipal government on the work of population in their districts and counties. (Lead department: General Office of the Municipal Party Committee, General Office of the Municipal Government, responsible departments: Municipal Party Committee Reform Office, the Municipal Health Commission)

(ii) Mobilize social participation. Strengthen the government and social governance, and actively play the important role of trade unions, **** Youth League, Women's Federation and other organizations in the promotion of population development, family building, reproductive support and care for the empty-nested elderly, left-behind women and children. We will accelerate the construction of child-friendly cities, promote the implementation of the Jinan Child-Friendly City Construction Program, and achieve new improvements in seven major areas: social policy, public services, rights protection, space for growth, development environment, industrial development, and openness and inclusiveness. It will give effective play to the role of family planning associations, strengthen their organizational network and service capacity, and do a good job in publicity and education, reproductive health counseling services, eugenics guidance, family planning family support, rights and interests protection, and family health promotion. It has built eugenics guidance centers (stations), parent-child huts and family health service centers to carry out publicity and service activities. Social organizations and volunteers are encouraged to carry out public welfare activities such as popularizing health knowledge, infant and child care services, and safeguarding the rights and interests of women and children. Actively participate in the construction of dynamic development cities. (Lead department: Municipal Health Commission, responsible departments: Municipal Development and Reform Commission, Municipal Housing and Urban-Rural Development Bureau, Municipal Federation of Trade Unions, Municipal Youth League Committee, Municipal Women's Federation, Municipal Family Planning Association)

(C) Strengthening grass-roots foundations. Deeply integrate rural public **** health, population planning, aging services and other work. Improve the dynamic revision mechanism of village rules and regulations and residents' conventions, and enrich the contents of birth care, eugenics, family health, marriage and civilization. Strengthen the training and capacity of service teams, and solve the problems of compensation and pension security for village (community) service personnel, so as to ensure that the grassroots have rules and regulations, people to work, and money to do their work. (Lead department: Municipal Health Commission, responsible departments: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Human Resources and Social Security Bureau, Municipal Family Planning Association)

(d) Strengthen publicity and guidance. Give full play to the advantages of mainstream media and new media, strengthen the population situation, reproductive policy publicity and interpretation, timely and appropriate response to social concerns. Strengthen the construction of family education and family culture, and build a new type of marriage and parenting culture. Strengthen the socialist rule of law and the traditional virtues of the Chinese nation, and create a favorable environment for the active implementation of the three-child policy.