近日農業農村(cun)部等14部門聯(lian)合(he)發布《關于推進健康鄉村(cun)建設的指(zhi)導意見(jian)(jian)》，意見(jian)(jian)指(zhi)出：（五）改(gai)善鄉村健康環(huan)境。整治(zhi)提升農(nong)(nong)村人居環(huan)境。推動有(you)(you)條(tiao)件的農(nong)(nong)村穩步普及衛生(sheng)(sheng)(sheng)廁(ce)所，科學選(xuan)擇改(gai)廁(ce)技術模式(shi)。分區分類重(zhong)點治(zhi)理(li)人口(kou)居住集中(zhong)區域農(nong)(nong)村生(sheng)(sheng)(sheng)活污水(shui)，全面提升農(nong)(nong)村生(sheng)(sheng)(sheng)活垃圾治(zhi)理(li)水(shui)平，協同推進農(nong)(nong)村有(you)(you)機(ji)生(sheng)(sheng)(sheng)活垃圾、廁(ce)所糞(fen)污、農(nong)(nong)業生(sheng)(sheng)(sheng)產(chan)有(you)(you)機(ji)廢(fei)棄物(wu)資源化處理(li)利用。
國衛財務(wu)發〔2024〕28號
各省、自治區(qu)、直轄市(shi)及(ji)新(xin)疆生(sheng)產建(jian)設兵團衛生(sheng)健(jian)康(kang)委、愛衛辦、發展改(gai)革委、民政(zheng)(zheng)廳(ting)（局(ju)(ju)(ju)）、財(cai)政(zheng)(zheng)廳(ting)（局(ju)(ju)(ju)）、生(sheng)態環境廳(ting)（局(ju)(ju)(ju)）、住房(fang)城鄉建(jian)設廳(ting)（局(ju)(ju)(ju)）、農(nong)(nong)業農(nong)(nong)村（農(nong)(nong)牧(mu)）廳(ting)（局(ju)(ju)(ju)、委）、文(wen)化和旅游廳(ting)（局(ju)(ju)(ju)）、市(shi)場監管局(ju)(ju)(ju)（廳(ting)、委）、體育行政(zheng)(zheng)部門、醫(yi)保局(ju)(ju)(ju)、中醫(yi)藥(yao)局(ju)(ju)(ju)、疾控局(ju)(ju)(ju)：建設健(jian)康(kang)鄉(xiang)(xiang)村(cun)(cun)(cun)是實(shi)施鄉(xiang)(xiang)村(cun)(cun)(cun)振(zhen)興(xing)戰略的(de)重要內容，是健(jian)康(kang)中(zhong)國建設在農村(cun)(cun)(cun)地區的(de)具體實(shi)踐(jian)，是實(shi)現衛(wei)生(sheng)健(jian)康(kang)事業(ye)高質量發展(zhan)和鄉(xiang)(xiang)村(cun)(cun)(cun)全面(mian)振(zhen)興(xing)的(de)必(bi)然要求。當前，我(wo)國農村(cun)(cun)(cun)地區衛(wei)生(sheng)健(jian)康(kang)事業(ye)發展(zhan)與農村(cun)(cun)(cun)居(ju)民需(xu)求還存(cun)在不小差距，健(jian)康(kang)環境亟待改善，健(jian)康(kang)生(sheng)活方(fang)式尚需(xu)進一(yi)步普及。為全面(mian)協調可持續助力建設宜(yi)居(ju)宜(yi)業(ye)和美鄉(xiang)(xiang)村(cun)(cun)(cun)，提高人民群眾健(jian)康(kang)水平(ping)，現就推進健(jian)康(kang)鄉(xiang)(xiang)村(cun)(cun)(cun)建設提出如下意見(jian)。堅(jian)持(chi)大(da)衛(wei)生(sheng)(sheng)、大(da)健(jian)康(kang)理(li)念，遵循鄉村(cun)發(fa)(fa)展(zhan)(zhan)和衛(wei)生(sheng)(sheng)健(jian)康(kang)事業發(fa)(fa)展(zhan)(zhan)規律，以鄉村(cun)兩級(ji)為重點，補(bu)齊(qi)農村(cun)衛(wei)生(sheng)(sheng)健(jian)康(kang)服務短(duan)板，從健(jian)康(kang)影響因素的(de)廣泛性、社(she)會性、整體性出發(fa)(fa)，踐行(xing)新時代黨(dang)的(de)衛(wei)生(sheng)(sheng)與健(jian)康(kang)工作(zuo)方(fang)針(zhen)，統籌各方(fang)面力量和政策措施(shi)協(xie)同推(tui)進，更好地維護農村(cun)居民健(jian)康(kang)，實(shi)現人民對(dui)美好生(sheng)(sheng)活的(de)向往(wang)。健(jian)康(kang)(kang)(kang)鄉村建設(she)的總體(ti)目標(biao)是，為(wei)建設(she)宜居宜業和美鄉村、推進鄉村全面振興提(ti)供堅實健(jian)康(kang)(kang)(kang)保障(zhang)。到(dao)2030年，鄉村健(jian)康(kang)(kang)(kang)服(fu)務(wu)能力(li)大幅提(ti)升(sheng)，居民能夠便捷獲得(de)優質的醫療(liao)衛(wei)生(sheng)服(fu)務(wu)，個人(ren)醫療(liao)衛(wei)生(sheng)負擔可承(cheng)受；健(jian)康(kang)(kang)(kang)生(sheng)活方式(shi)得(de)到(dao)普及，重大疾病危害(hai)和主要健(jian)康(kang)(kang)(kang)危險(xian)因素得(de)到(dao)有(you)效控制，居民健(jian)康(kang)(kang)(kang)水(shui)平(ping)持(chi)續提(ti)升(sheng)。到(dao)2035年，建成健(jian)康(kang)(kang)(kang)鄉村，基本公共衛(wei)生(sheng)服(fu)務(wu)均等化水(shui)平(ping)明顯提(ti)高，城鄉衛(wei)生(sheng)健(jian)康(kang)(kang)(kang)事業發展差距和居民健(jian)康(kang)(kang)(kang)水(shui)平(ping)差距顯著縮(suo)小。推(tui)(tui)進(jin)健(jian)(jian)康(kang)鄉(xiang)(xiang)村(cun)建設(she)的(de)基本原則(ze)：一是堅(jian)持以人(ren)為(wei)本，協調發展。將健(jian)(jian)康(kang)理念融入鄉(xiang)(xiang)村(cun)公共政(zheng)策制(zhi)定實(shi)施(shi)的(de)全過(guo)程(cheng)，服(fu)務人(ren)民(min)群眾生(sheng)(sheng)(sheng)命全周(zhou)期、健(jian)(jian)康(kang)全過(guo)程(cheng)，完善政(zheng)府、社會(hui)、個(ge)人(ren)多方(fang)(fang)參與(yu)、合(he)力推(tui)(tui)進(jin)的(de)體制(zhi)機制(zhi)，加快形(xing)成有(you)利于(yu)健(jian)(jian)康(kang)的(de)生(sheng)(sheng)(sheng)產生(sheng)(sheng)(sheng)活方(fang)(fang)式、生(sheng)(sheng)(sheng)態(tai)環境和(he)鄉(xiang)(xiang)村(cun)發展模式，實(shi)現健(jian)(jian)康(kang)與(yu)經(jing)濟社會(hui)良性協調發展。二是堅(jian)持因地制(zhi)宜，分(fen)類(lei)指導(dao)。遵(zun)循發展規律(lv)，突出重點(dian)、分(fen)類(lei)施(shi)策、典型引路(lu)，分(fen)區分(fen)類(lei)明確目(mu)標任(ren)務，合(he)理確定實(shi)施(shi)路(lu)徑，推(tui)(tui)動建成符合(he)地方(fang)(fang)實(shi)際、群眾可感(gan)可及的(de)健(jian)(jian)康(kang)鄉(xiang)(xiang)村(cun)。三是堅(jian)持循序漸進(jin)，久(jiu)久(jiu)為(wei)功(gong)。學習運用(yong)“千萬工(gong)程(cheng)”經(jing)驗，堅(jian)持以人(ren)民(min)為(wei)中心，從農民(min)期盼中找準工(gong)作出發點(dian)和(he)落腳點(dian)，做好頂(ding)層設(she)計，加強(qiang)政(zheng)策統(tong)籌，一以貫之、狠抓落實(shi)、穩扎穩打，不斷提升健(jian)(jian)康(kang)鄉(xiang)(xiang)村(cun)建設(she)實(shi)效。（一(yi)）提升鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)療(liao)服(fu)(fu)務(wu)水平(ping)。全面貫(guan)徹落實中(zhong)共中(zhong)央(yang)辦公廳、國務(wu)院(yuan)辦公廳《關于(yu)進一(yi)步(bu)(bu)完(wan)善(shan)(shan)醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)體系的(de)意見》《關于(yu)進一(yi)步(bu)(bu)深化(hua)(hua)(hua)改(gai)革(ge)促進鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)體系健康發展的(de)意見》，進一(yi)步(bu)(bu)深化(hua)(hua)(hua)縣域綜合醫(yi)(yi)改(gai)，強化(hua)(hua)(hua)和拓展縣域醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)體系服(fu)(fu)務(wu)功能(neng)；進一(yi)步(bu)(bu)改(gai)善(shan)(shan)鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)基(ji)礎設施條件，優(you)化(hua)(hua)(hua)鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)機構功能(neng)布(bu)局，推進遠(yuan)程(cheng)(cheng)醫(yi)(yi)療(liao)向(xiang)鄉(xiang)(xiang)村(cun)(cun)覆蓋，建(jian)立遠(yuan)程(cheng)(cheng)影像、心電、會診(zhen)等中(zhong)心；發展壯大(da)(da)鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)人(ren)才(cai)隊伍，穩步(bu)(bu)擴大(da)(da)農村(cun)(cun)訂(ding)單(dan)定向(xiang)免費醫(yi)(yi)學(xue)生(sheng)(sheng)招生(sheng)(sheng)規模(mo)，實施大(da)(da)學(xue)生(sheng)(sheng)鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)生(sheng)(sheng)專項計(ji)劃，著力(li)提升人(ren)員素質，優(you)化(hua)(hua)(hua)人(ren)員結(jie)構，合理(li)保(bao)障待遇水平(ping)，分(fen)類解(jie)決鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)生(sheng)(sheng)養(yang)老和醫(yi)(yi)療(liao)保(bao)障問題；改(gai)革(ge)完(wan)善(shan)(shan)鄉(xiang)(xiang)村(cun)(cun)醫(yi)(yi)療(liao)衛(wei)(wei)(wei)生(sheng)(sheng)體系運(yun)行機制(zhi)(zhi)，建(jian)立健全城市支援健康鄉(xiang)(xiang)村(cun)(cun)建(jian)設機制(zhi)(zhi)；創造條件將村(cun)(cun)衛(wei)(wei)(wei)生(sheng)(sheng)室納入基(ji)本醫(yi)(yi)保(bao)定點范圍；加(jia)大(da)(da)醫(yi)(yi)保(bao)基(ji)金支持(chi)力(li)度(du)，優(you)化(hua)(hua)(hua)醫(yi)(yi)療(liao)保(bao)障管理(li)服(fu)(fu)務(wu)。（二）提(ti)升鄉(xiang)村(cun)(cun)公(gong)(gong)共(gong)(gong)(gong)衛(wei)(wei)生(sheng)(sheng)服務(wu)(wu)能(neng)力(li)。加(jia)強農(nong)(nong)村(cun)(cun)地(di)區重點(dian)傳(chuan)染病(bing)、地(di)方病(bing)、寄(ji)生(sheng)(sheng)蟲病(bing)等重點(dian)疾(ji)(ji)病(bing)防治(zhi)，健全(quan)城鄉(xiang)一體、上下聯動(dong)、功(gong)能(neng)完備(bei)的疾(ji)(ji)控(kong)網絡，探索建(jian)立(li)疾(ji)(ji)病(bing)預防控(kong)制監督(du)員制度，促進醫(yi)防協同、醫(yi)防融合(he)機制落地(di)見效。村(cun)(cun)衛(wei)(wei)生(sheng)(sheng)室按(an)照《村(cun)(cun)衛(wei)(wei)生(sheng)(sheng)室服務(wu)(wu)能(neng)力(li)標準》加(jia)強能(neng)力(li)建(jian)設，提(ti)升村(cun)(cun)衛(wei)(wei)生(sheng)(sheng)室醫(yi)務(wu)(wu)人(ren)員疫情早(zao)期識別(bie)和應急處(chu)置水平(ping)，持續推進農(nong)(nong)村(cun)(cun)基本(ben)(ben)公(gong)(gong)共(gong)(gong)(gong)衛(wei)(wei)生(sheng)(sheng)服務(wu)(wu)均等化，提(ti)升基本(ben)(ben)公(gong)(gong)共(gong)(gong)(gong)衛(wei)(wei)生(sheng)(sheng)服務(wu)(wu)質效。發揮村(cun)(cun)民委員會及其(qi)公(gong)(gong)共(gong)(gong)(gong)衛(wei)(wei)生(sheng)(sheng)委員會作用，鄉(xiang)鎮衛(wei)(wei)生(sheng)(sheng)院、村(cun)(cun)衛(wei)(wei)生(sheng)(sheng)室協調(diao)聯動(dong)，提(ti)供基本(ben)(ben)公(gong)(gong)共(gong)(gong)(gong)衛(wei)(wei)生(sheng)(sheng)服務(wu)(wu)，開展傳(chuan)染病(bing)和重大疫情防控(kong)處(chu)置等工作；開展衛(wei)(wei)生(sheng)(sheng)健康政策宣傳(chuan)、居民健康教育等活動(dong)，初步建(jian)立(li)起常態(tai)(tai)化管(guan)理和應急管(guan)理動(dong)態(tai)(tai)銜接的基層公(gong)(gong)共(gong)(gong)(gong)衛(wei)(wei)生(sheng)(sheng)治(zhi)理機制。（三）強化(hua)鄉村(cun)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)服(fu)(fu)務(wu)(wu)(wu)。堅持中(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)并重，擴大鄉村(cun)醫(yi)(yi)(yi)(yi)(yi)療衛(wei)生機構(gou)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)服(fu)(fu)務(wu)(wu)(wu)供給(gei)，完善基層中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)服(fu)(fu)務(wu)(wu)(wu)網絡，提(ti)升(sheng)基層中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)服(fu)(fu)務(wu)(wu)(wu)能力(li)。力(li)爭(zheng)實現全部鄉鎮衛(wei)生院設置中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)館(guan)、配備中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)師，加強基層中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)適宜(yi)技術推廣。80%以上的村(cun)衛(wei)生室能夠提(ti)供中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)服(fu)(fu)務(wu)(wu)(wu)。創造條件開展(zhan)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)館(guan)、中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)閣服(fu)(fu)務(wu)(wu)(wu)內(nei)涵建(jian)設。推進(jin)縣級中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)院“兩專科一中(zhong)(zhong)(zhong)心”項目建(jian)設，提(ti)高縣級中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)院中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)特色優勢專科服(fu)(fu)務(wu)(wu)(wu)能力(li)、急診(zhen)急救(jiu)能力(li)和基層中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)適宜(yi)技術推廣能力(li)。推進(jin)普遍將(jiang)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)服(fu)(fu)務(wu)(wu)(wu)納(na)入家庭醫(yi)(yi)(yi)(yi)(yi)生簽約服(fu)(fu)務(wu)(wu)(wu)內(nei)容，加強中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)簽約人員配置。（四）加(jia)強(qiang)(qiang)重(zhong)點人(ren)群(qun)健(jian)(jian)康(kang)(kang)服(fu)(fu)(fu)務(wu)(wu)。強(qiang)(qiang)化癌癥、心腦血(xue)(xue)管疾病(bing)等(deng)早(zao)期篩查和早(zao)期發現，擴大受益人(ren)群(qun)覆(fu)蓋面。加(jia)強(qiang)(qiang)預防(fang)接種服(fu)(fu)(fu)務(wu)(wu)，積極推進(jin)遏制微生物耐(nai)藥。加(jia)強(qiang)(qiang)出(chu)生缺陷防(fang)治知識普及和健(jian)(jian)康(kang)(kang)教育(yu)(yu)，推進(jin)孕(yun)(yun)前優生健(jian)(jian)康(kang)(kang)檢查、增(zeng)補葉酸預防(fang)神經管缺陷、地中海貧血(xue)(xue)防(fang)控(kong)服(fu)(fu)(fu)務(wu)(wu)，促進(jin)健(jian)(jian)康(kang)(kang)孕(yun)(yun)育(yu)(yu)。鼓(gu)勵積極開(kai)(kai)展(zhan)(zhan)(zhan)嬰幼兒(er)早(zao)期發展(zhan)(zhan)(zhan)指(zhi)導服(fu)(fu)(fu)務(wu)(wu)，提高科(ke)學育(yu)(yu)兒(er)能力。深入實(shi)施(shi)農村適齡婦(fu)女宮頸癌和乳腺癌檢查、脫貧地區(qu)新生兒(er)疾病(bing)篩查、脫貧地區(qu)兒(er)童(tong)(tong)(tong)營養(yang)改善(shan)等(deng)項(xiang)目(mu)。鞏固(gu)完善(shan)以(yi)縣級婦(fu)幼保(bao)健(jian)(jian)機構(gou)為龍頭，鄉鎮衛(wei)生院、社區(qu)衛(wei)生服(fu)(fu)(fu)務(wu)(wu)中心為樞紐，村衛(wei)生室(shi)為基(ji)(ji)礎的基(ji)(ji)層婦(fu)幼健(jian)(jian)康(kang)(kang)服(fu)(fu)(fu)務(wu)(wu)網絡。發展(zhan)(zhan)(zhan)普惠托育(yu)(yu)服(fu)(fu)(fu)務(wu)(wu)體系(xi)，鼓(gu)勵縣級及以(yi)上婦(fu)幼保(bao)健(jian)(jian)機構(gou)、基(ji)(ji)層醫(yi)療(liao)衛(wei)生機構(gou)與(yu)轄區(qu)內托幼機構(gou)建立聯(lian)系(xi)，定期上門對(dui)接，加(jia)強(qiang)(qiang)衛(wei)生保(bao)健(jian)(jian)指(zhi)導。推動(dong)(dong)(dong)落(luo)(luo)實(shi)《兒(er)童(tong)(tong)(tong)青(qing)(qing)少年肥(fei)胖(pang)防(fang)控(kong)實(shi)施(shi)方案(an)》，將兒(er)童(tong)(tong)(tong)青(qing)(qing)少年肥(fei)胖(pang)納入特(te)定健(jian)(jian)康(kang)(kang)問題哨點監測項(xiang)目(mu)重(zhong)點監測內容。推動(dong)(dong)(dong)落(luo)(luo)實(shi)《兒(er)童(tong)(tong)(tong)青(qing)(qing)少年近視(shi)防(fang)控(kong)實(shi)施(shi)方案(an)》，建立視(shi)力健(jian)(jian)康(kang)(kang)檔案(an)，有(you)重(zhong)點地開(kai)(kai)展(zhan)(zhan)(zhan)近視(shi)干(gan)預活動(dong)(dong)(dong)。組(zu)織(zhi)開(kai)(kai)展(zhan)(zhan)(zhan)老(lao)年口腔健(jian)(jian)康(kang)(kang)、營養(yang)改善(shan)、癡呆防(fang)治、心理關愛(ai)和聽力健(jian)(jian)康(kang)(kang)促進(jin)5項(xiang)行動(dong)(dong)(dong)。鼓(gu)勵鄉鎮衛(wei)生院開(kai)(kai)展(zhan)(zhan)(zhan)醫(yi)養(yang)結合服(fu)(fu)(fu)務(wu)(wu)，提升醫(yi)養(yang)結合服(fu)(fu)(fu)務(wu)(wu)能力。做(zuo)實(shi)做(zuo)細家庭醫(yi)生簽約服(fu)(fu)(fu)務(wu)(wu)，全面落(luo)(luo)實(shi)國家基(ji)(ji)本公共(gong)衛(wei)生服(fu)(fu)(fu)務(wu)(wu)，對(dui)0—6歲兒(er)童(tong)(tong)(tong)、孕(yun)(yun)產(chan)婦(fu)、老(lao)年人(ren)等(deng)重(zhong)點人(ren)群(qun)，以(yi)及原發性(xing)高血(xue)(xue)壓、2型糖尿(niao)病(bing)、肺結核、嚴重(zhong)精神障礙等(deng)慢(man)性(xing)病(bing)患(huan)者開(kai)(kai)展(zhan)(zhan)(zhan)針對(dui)性(xing)健(jian)(jian)康(kang)(kang)服(fu)(fu)(fu)務(wu)(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(fen)類管控(kong)鄉村(cun)(cun)(cun)噪(zao)聲(sheng)污(wu)染，加強對噪(zao)聲(sheng)污(wu)染防(fang)治法律法規和相關知識的宣傳，引(yin)導村(cun)(cun)(cun)民自覺減少噪(zao)聲(sheng)排放，嚴控(kong)噪(zao)聲(sheng)污(wu)染嚴重(zhong)的工業(ye)企業(ye)向鄉村(cun)(cun)(cun)居住區(qu)域轉移(yi)。實施鄉村(cun)(cun)(cun)清潔能(neng)源(yuan)建(jian)(jian)(jian)設(she)工程，逐步提(ti)高清潔能(neng)源(yuan)在(zai)滿足農(nong)村(cun)(cun)(cun)燒飯、取暖等(deng)日常生活需求(qiu)以(yi)及(ji)種(zhong)植(zhi)、養殖、農(nong)副產品加工等(deng)農(nong)業(ye)生產和加工領域的比重(zhong)。按照(zhao)《健(jian)康(kang)村(cun)(cun)(cun)建(jian)(jian)(jian)設(she)規范（試行(xing)）》《健(jian)康(kang)鄉鎮建(jian)(jian)(jian)設(she)規范（試行(xing)）》要求(qiu)，有序(xu)推進健(jian)康(kang)村(cun)(cun)(cun)、健(jian)康(kang)鄉鎮建(jian)(jian)(jian)設(she)。充(chong)分(fen)發揮基層群(qun)眾性自治組織作用，共同做好農(nong)村(cun)(cun)(cun)健(jian)康(kang)環境建(jian)(jian)(jian)設(she)工作。（六）普及(ji)鄉(xiang)(xiang)村(cun)(cun)(cun)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)生(sheng)(sheng)活(huo)(huo)(huo)方式(shi)。把轉(zhuan)變(bian)農村(cun)(cun)(cun)居(ju)民(min)(min)(min)(min)思想觀念、推行文(wen)明(ming)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)生(sheng)(sheng)活(huo)(huo)(huo)方式(shi)作為農村(cun)(cun)(cun)精神文(wen)明(ming)建(jian)(jian)(jian)設(she)的(de)(de)重要內(nei)容(rong)。深入推進(jin)(jin)實(shi)施(shi)全民(min)(min)(min)(min)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)生(sheng)(sheng)活(huo)(huo)(huo)方式(shi)行動(dong)。圍繞公(gong)(gong)眾普遍(bian)關注(zhu)的(de)(de)衛生(sheng)(sheng)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)熱點問題(ti)，聚焦(jiao)重點人(ren)群(qun)，開(kai)展(zhan)(zhan)系列科(ke)普活(huo)(huo)(huo)動(dong)。制定鄉(xiang)(xiang)村(cun)(cun)(cun)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)公(gong)(gong)約和健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)守則(ze)等行為規范，大力開(kai)展(zhan)(zhan)講(jiang)衛生(sheng)(sheng)、樹新(xin)風、除(chu)陋習活(huo)(huo)(huo)動(dong)。推進(jin)(jin)“健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)知(zhi)識進(jin)(jin)萬家”，推動(dong)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)知(zhi)識入腦入心，引導廣大人(ren)民(min)(min)(min)(min)群(qun)眾做好自(zi)己健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)的(de)(de)第一責任人(ren)，鼓勵(li)和引導鄉(xiang)(xiang)村(cun)(cun)(cun)居(ju)民(min)(min)(min)(min)加強個人(ren)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)管(guan)理，積(ji)極(ji)參加健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)有益的(de)(de)體(ti)育(yu)(yu)活(huo)(huo)(huo)動(dong)，開(kai)展(zhan)(zhan)“體(ti)重管(guan)理年”活(huo)(huo)(huo)動(dong)，降低人(ren)群(qun)超(chao)重肥胖率。加強農村(cun)(cun)(cun)地(di)(di)區(qu)全民(min)(min)(min)(min)健(jian)(jian)(jian)(jian)身公(gong)(gong)共(gong)服(fu)務體(ti)系建(jian)(jian)(jian)設(she)，開(kai)展(zhan)(zhan)針(zhen)對青少年近(jin)視等問題(ti)的(de)(de)體(ti)育(yu)(yu)干預，配備適合學齡前兒(er)童大動(dong)作發展(zhan)(zhan)和身體(ti)鍛煉(lian)的(de)(de)設(she)施(shi)設(she)備。舉辦(ban)鄉(xiang)(xiang)村(cun)(cun)(cun)體(ti)育(yu)(yu)賽事(shi)活(huo)(huo)(huo)動(dong)，促進(jin)(jin)三大球(qiu)、乒(ping)乓(pang)球(qiu)、太極(ji)拳(quan)、八(ba)段(duan)錦等項目在(zai)農村(cun)(cun)(cun)推廣普及(ji)。強化農村(cun)(cun)(cun)地(di)(di)區(qu)營養(yang)指(zhi)導員、社會體(ti)育(yu)(yu)指(zhi)導員隊伍建(jian)(jian)(jian)設(she)，開(kai)展(zhan)(zhan)農村(cun)(cun)(cun)地(di)(di)區(qu)全民(min)(min)(min)(min)健(jian)(jian)(jian)(jian)身志愿(yuan)服(fu)務，推動(dong)居(ju)民(min)(min)(min)(min)合理膳(shan)食和健(jian)(jian)(jian)(jian)身生(sheng)(sheng)活(huo)(huo)(huo)化、普及(ji)化。推動(dong)各地(di)(di)將健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)促進(jin)(jin)與教育(yu)(yu)工(gong)作納入對地(di)(di)方衛生(sheng)(sheng)健(jian)(jian)(jian)(jian)康(kang)(kang)(kang)行政部門、醫療(liao)衛生(sheng)(sheng)機構目標管(guan)理。（七）因(yin)地(di)制宜發展(zhan)鄉(xiang)村(cun)(cun)健(jian)康產業(ye)(ye)。積極促(cu)進健(jian)康與養老、旅(lv)游(you)、互聯網(wang)、健(jian)身(shen)休閑、食品融合，圍繞(rao)鄉(xiang)村(cun)(cun)旅(lv)游(you)、中草藥種(zhong)植加工等，指導有條(tiao)件的地(di)方探(tan)索發展(zhan)鄉(xiang)村(cun)(cun)健(jian)康產業(ye)(ye)。開展(zhan)鄉(xiang)村(cun)(cun)旅(lv)游(you)餐(can)飲(yin)(yin)提升(sheng)(sheng)行動，帶動提升(sheng)(sheng)鄉(xiang)村(cun)(cun)居民在食品衛(wei)生、營養健(jian)康、飲(yin)(yin)食烹飪等方面知識、技術的普及，促(cu)進形(xing)成與當地(di)氣候、物產、文化、風俗等相(xiang)適應的，特(te)色鮮明(ming)、科學合理、衛(wei)生健(jian)康的飲(yin)(yin)食習慣。（八）防止(zhi)(zhi)規(gui)模(mo)性因病(bing)返貧(pin)(pin)致(zhi)貧(pin)(pin)。防止(zhi)(zhi)規(gui)模(mo)性因病(bing)返貧(pin)(pin)致(zhi)貧(pin)(pin)是鞏(gong)固拓展脫貧(pin)(pin)攻堅(jian)成(cheng)果、推進鄉村振興的(de)長期性、底線(xian)性任務(wu)。要進一步(bu)健全防止(zhi)(zhi)因病(bing)返貧(pin)(pin)致(zhi)貧(pin)(pin)動(dong)態(tai)監測和(he)精(jing)(jing)準幫扶(fu)機制，及時做好(hao)分類救治等健康服(fu)務(wu)，按照規(gui)定落實醫療保障政策和(he)社(she)(she)會(hui)(hui)救助措施(shi)，引導社(she)(she)會(hui)(hui)力量(liang)予以幫扶(fu)。樹牢(lao)底線(xian)思維，繼續精(jing)(jing)準施(shi)策，堅(jian)決守住不發(fa)生規(gui)模(mo)性因病(bing)返貧(pin)(pin)致(zhi)貧(pin)(pin)的(de)底線(xian)。（一）健(jian)(jian)全工(gong)作機制(zhi)(zhi)。國家衛生(sheng)(sheng)健(jian)(jian)康委(wei)會(hui)同農(nong)(nong)業(ye)農(nong)(nong)村(cun)部(bu)等(deng)部(bu)門(men)(men)建(jian)(jian)(jian)立健(jian)(jian)全工(gong)作機制(zhi)(zhi)，加(jia)強(qiang)統籌協調，形成工(gong)作合力，落(luo)實(shi)工(gong)作任務。發(fa)展改革部(bu)門(men)(men)將有關建(jian)(jian)(jian)設(she)任務納入全面推(tui)(tui)(tui)進(jin)(jin)鄉村(cun)振興規劃，推(tui)(tui)(tui)進(jin)(jin)鄉村(cun)健(jian)(jian)康服(fu)務提升。民政部(bu)門(men)(men)指導(dao)落(luo)實(shi)社會(hui)救(jiu)助(zhu)等(deng)政策措(cuo)施(shi)。財政部(bu)門(men)(men)加(jia)強(qiang)經(jing)費保障。生(sheng)(sheng)態環(huan)境、住房(fang)城(cheng)鄉建(jian)(jian)(jian)設(she)、農(nong)(nong)業(ye)農(nong)(nong)村(cun)等(deng)部(bu)門(men)(men)加(jia)強(qiang)指導(dao)，推(tui)(tui)(tui)進(jin)(jin)健(jian)(jian)康環(huan)境建(jian)(jian)(jian)設(she)等(deng)重點工(gong)作。文化(hua)和旅游、市(shi)場(chang)監管等(deng)部(bu)門(men)(men)按職(zhi)責(ze)指導(dao)健(jian)(jian)康產業(ye)相關工(gong)作。體育部(bu)門(men)(men)支(zhi)持農(nong)(nong)村(cun)全民健(jian)(jian)身場(chang)地設(she)施(shi)建(jian)(jian)(jian)設(she)，推(tui)(tui)(tui)廣(guang)全民健(jian)(jian)身，推(tui)(tui)(tui)進(jin)(jin)體衛融(rong)合、運動康養發(fa)展。醫(yi)(yi)(yi)保部(bu)門(men)(men)落(luo)實(shi)醫(yi)(yi)(yi)保政策，優化(hua)鄉村(cun)醫(yi)(yi)(yi)療(liao)保障經(jing)辦服(fu)務。中醫(yi)(yi)(yi)藥管理部(bu)門(men)(men)加(jia)強(qiang)中醫(yi)(yi)(yi)藥服(fu)務體系、服(fu)務能力建(jian)(jian)(jian)設(she)。疾控部(bu)門(men)(men)依職(zhi)責(ze)推(tui)(tui)(tui)進(jin)(jin)鄉村(cun)兩(liang)級公共衛生(sheng)(sheng)工(gong)作。（二(er)）開展(zhan)(zhan)(zhan)(zhan)成(cheng)(cheng)效監(jian)(jian)測(ce)。充(chong)(chong)分利(li)(li)用現(xian)有監(jian)(jian)測(ce)平(ping)臺，明(ming)確健(jian)(jian)康鄉村建(jian)設的(de)(de)階段性目標、監(jian)(jian)測(ce)指(zhi)標、監(jian)(jian)測(ce)方(fang)法(fa)，組(zu)織開展(zhan)(zhan)(zhan)(zhan)監(jian)(jian)測(ce)。強化監(jian)(jian)測(ce)結果運用，對(dui)于建(jian)設成(cheng)(cheng)效顯著(zhu)的(de)(de)省份，在相(xiang)關(guan)項目資(zi)金(jin)安排方(fang)面予以傾斜(xie)支持，并予以通報表揚(yang)；對(dui)于建(jian)設進(jin)(jin)展(zhan)(zhan)(zhan)(zhan)滯后、成(cheng)(cheng)效不明(ming)顯的(de)(de)省份加強督促指(zhi)導。各有關(guan)部(bu)門、地(di)方(fang)和(he)(he)(he)單位要充(chong)(chong)分利(li)(li)用監(jian)(jian)測(ce)平(ping)臺和(he)(he)(he)監(jian)(jian)測(ce)結果，加強對(dui)健(jian)(jian)康鄉村建(jian)設工(gong)作的(de)(de)科學研(yan)判和(he)(he)(he)規(gui)范管理，有針對(dui)性完善推進(jin)(jin)措施，推動健(jian)(jian)康鄉村建(jian)設取(qu)得(de)更(geng)加扎實的(de)(de)進(jin)(jin)展(zhan)(zhan)(zhan)(zhan)和(he)(he)(he)成(cheng)(cheng)效。（三(san)）加(jia)強(qiang)交(jiao)流宣傳。通(tong)過舉(ju)辦培訓班、推(tui)廣健康(kang)(kang)(kang)鄉(xiang)村典(dian)型案(an)例(li)、組織現場觀摩、編發工作簡報等形式，加(jia)強(qiang)健康(kang)(kang)(kang)鄉(xiang)村建設經(jing)驗做法交(jiao)流學習，點面結合(he)，指導各地推(tui)進(jin)健康(kang)(kang)(kang)鄉(xiang)村建設。廣泛深入宣傳健康(kang)(kang)(kang)鄉(xiang)村建設行動取得的進(jin)展成(cheng)(cheng)效，強(qiang)化政策(ce)解讀(du)，及時回應社會(hui)關切，形成(cheng)(cheng)全社會(hui)推(tui)進(jin)健康(kang)(kang)(kang)鄉(xiang)村建設的良好氛圍。國家(jia)衛生健康委???????全國愛衛辦
國家發展改革委???????????民政部
財政(zheng)部???????????????生態環(huan)境(jing)部
住房城鄉建(jian)設部(bu)???????農(nong)(nong)業(ye)農(nong)(nong)村部(bu)
文化和(he)旅游部???????市(shi)場監管總局
體育(yu)總(zong)局?????????????國家醫(yi)保局
國家(jia)中醫藥局(ju)?????????國家(jia)疾控(kong)局(ju)
