Experience from China Yan Hong Deputy Director General Department - PowerPoint PPT Presentation

Experience from China Yan Hong ， Deputy Director General Department of Services and Management for Migrant Population , National Health and Family Planning Commission of the PRC Senegal 28 November 2016of China 1

Situation of China's Migrant Population  China has the largest internal migrant population in the world 247  In 2015, there were 247 million migrants million in China, about 17% of total population.  Around 75% of migrants are from rural to urban. Source ： National Bureau of Statistics of China 2 1

Situation of China's Migrant Population migrant population size (100 million) Source ： National Bureau of Statistics of China 3

The Principal of China’s Migrant -Sensitive Policy and Programs(CMSPP) • Human-oriented urbanization • Providing primary public services to all inhabitants • Ensure equal access 4

The Main contents of CMSPP Promote the primary public healthcare service for all migrants Strengthen the work of disease prevention and control for migrant population Improve the level of medical security for migrants Conduct health education and promotion among migrants 5

1. Promotion of the primary public healthcare services for all migrants • Medical reform in 2009: • National primary public healthcare service program • Major public healthcare service program 6

1. Promotion of the primary public healthcare service for all migrants National funding for primary public healthcare service - 45RMB(6.5USD) per capita per year in 2016 Types of Service —— 12 7

1. Promotion of the primary public healthcare service for all migrants 12 types of Services Elderly health care Establishment of health Health education records Health management for TB Patients Chronic disease health Maternal health care management Health management for patients with serious mental Traditional Chinese Medicine disorders health management Child health care Infectious diseases & public Sanitation supervision & sub- health emergencies reporting cooperation Vaccination & handling 8

1. Promotion of the primary public healthcare service for all migrants primary public health service for pregnant woman Migrant pregnant women are able to enjoy the equal access to antenatal care, postnatal care and health checkups at 42 days after delivery as local residents in cities 9

2. Strengthen disease prevention and control for migrant population – HIV/AIDS Include the migrant workers in the "Four Frees and One Care" Policy policy, a national HIV/AIDS policy. Migrant workers are entitled to equal access to HIV/AIDS services Carry out health education on HIV/AIDS prevention into the Health Education factories and construction site. 10

2. Strengthen the work of disease prevention and control for migrant population – HIV/AIDS Now the proportion of migrants HIV/AIDS knowledge having basic knowledge of HIV/AIDS reached 89%. 89% Source ： National Bureau of Statistics of China 11

2. Strengthen disease prevention and control for migrant population -Tuberculosis Included migrants in the national TB prevention and control program to ensure free access to TB diagnosis and treatment 12

2. Strengthen the work of disease prevention and control for migrant population-Tuberculosis As a result, the proportion of migrant TB patient with successful 80% treatment keeps higher than 80%. 13

3. Improve the level of medical security for migrants  China's migrant population are mainly rural workers, and most of them enroll in the new rural cooperative medical scheme (RCMS)in their hometown.  In 2016, China has increased government subsidies for this scheme to 420 yuan (61 US dollars) per capita per year. 14

3. Improve the level of medical security for migrants By the end of 2016 , we will achieve the intra- provincial transfer of RCMS for migrants. By the end of 2017 , the cross-provincial transfer will be successfully achieved for in-patient services for migrants. 15

3. Improve the level of medical security for migrants The measures we are taking —— Merging the two primary medical insurance systems for rural and non-working urban residents Working towards full coverage of the serious disease insurance scheme Building of a nationwide network for primary medical insurance so that medical expenses can be settled where they are incurred 16

4. Health education and promotion among migrants  Launched national health education and promotion program focusing on migrant population  Developed core messages for migrants’ health  Conducted activities to promote health literacy of young migrant workers born after 1980, adolescent migrants and women at childbearing age 17

4. Health education and promotion among migrants  Started a demonstration program in 22 cities to promote the integration of migrants in cities 18

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And I wish all of you could share your great experiences and provide valuable recommendations. 20

THANK YOU 21