妇女儿童健康权益保障水平不断提高。新中国成立前,孕产妇死亡率高达1500/10万,婴儿死亡率高达200‰,妇女的平均预期寿命仅有36.7岁。新中国成立后,妇女儿童健康水平不断提高,2015年妇女平均预期寿命达79.43岁;2018年孕产妇死亡率下降到18.3/10万,婴儿死亡率下降到6.1‰。2012年起,实施贫困地区儿童营养改善项目,改善贫困地区儿童营养健康状况,截至2018年,项目覆盖21个省(自治区、直辖市)14个国家集中连片特殊困难地区715个贫困县,共有722万儿童受益。实施妇女宫颈癌和乳腺癌免费检查项目,将宫颈癌和乳腺癌纳入国家大病救治范围,截至2018年,累计开展宫颈癌免费检查近1亿人次,乳腺癌免费检查超过3000万人次。按照每人救助1万元的标准,累计发放中央专项彩票公益金和筹集的社会资金13亿多元,救助贫困患病妇女13.22万名。增加农村和边远地区妇幼卫生经费投入,实施农村孕产妇住院分娩补助项目,累计补助7400余万人。实施“母亲水窖”供水工程和“母亲健康快车”医疗卫生健康项目,着力解决西部干旱地区妇女安全饮水及贫困地区妇女儿童健康服务等问题。
The protection of women and children’s right to health is improving. Before the founding of the PRC in 1949, the maternal and perinatal mortality rate was over 1,500 per 100,000, the infant mortality rate was 200 per 1,000, and the anticipated life expectancy of women was only 36.7 years. After 1949, the situation improved considerably. The anticipated life expectancy of women in 2015 rose to 79.43 years. In 2018 the maternal and perinatal mortality rate dropped to 18.3 per 100,000, and the infant mortality rate fell to 6.1 per 1,000. Nutritional improvement projects for children in impoverished areas were launched in 2012, benefiting 7.22 million children from 715 impoverished counties in 14 national contiguous impoverished regions of 21 provinces and equivalent administrative units. The government has launched a program of free cervical and breast cancer checkups for women, and brought the two into the scope of national subsidies for serious illnesses. By 2018 China had provided free cervical cancer checkups for 100 million and free breast cancer checkups for 30 million, and subsidized 132,200 impoverished rural women with diseases using over RMB1.3 billion collected through public welfare lotteries and social funds, to the sum of RMB10,000 each person. It has increased the investment for health care of women and children in rural, remote or border areas, and has subsidized more than 74 million rural women for their expenses of hospitalization during childbirth. The government has initiated the “Water Cellar for Mothers” program to provide reliable sources of drinking water for people, especially women, in the western regions of China, and the “Health Express for Mothers” program to provide medical and health services to the women and children in impoverished areas.
切实保障妇女参与公共事务管理和经济社会发展的权利。保障妇女参政议政权,十三届全国人大代表中有742名女性,占比24.9%,比1954年第一届全国人大女性代表占比提高12.9个百分点;十三届全国政协委员中有440名女性,占比20.4%,比1949年第一届全国政协女性委员占比提高14.3个百分点。20世纪90年代以来,历次党代会报告都明确要求重视培养选拔女干部。1950年全国干部队伍中女干部人数为6.5万人;2018年全国公务员中女干部人数为192.8万人,占比26.8%。
Women’s rights to participation in the administration of public affairs and social and economic development are protected. Women are guaranteed the right to participate in the administration and deliberation of state affairs. The 13th NPC has 742 female deputies, accounting for 24.9 percent of the total, 12.9 percentage points higher than the figure for the First NPC in 1954. And the 13th CPPCC National Committee has 440 female members, making up 20.4 percent of the total, 14.3 percentage points higher than that for the First CPPCC National Committee in 1949. Since the 1990s, every CPC National Congress has attached importance to training and selecting female officials. The number of female civil servants was 65,000 in 1950; this figure had increased to 1.93 million, or 26.8 percent of all civil servants, by 2018.
老年人权益保障机制逐步健全。中国发展老龄事业,在全社会弘扬中华民族敬老、养老、助老的美德。截至2018年,中国60周岁及以上老年人口24949万人,占总人口的17.9%。制定并修订老年人权益保障法,建立养老法规政策体系。养老服务逐步从以机构集中照料为主,拓展到以居家为基础、社区为依托、机构为补充、医养相结合的养老服务体系建设和以家庭养老支持、互助养老为新突破点的融合发展。全国各类养老服务机构和设施从1978年的7000个增长到2019年3月的16.81万个,各类养老服务床位合计732万张。2018年,2972.3万老年人享受高龄补贴,74.8万老年人享受护理补贴,521.7万老年人享受养老服务补贴,3.0万老年人享受其他老龄补贴。
The mechanism for protecting the rights and interests of the elderly is improving. China works to ensure the interests of the elderly, and advocates the virtues of respecting, providing for and assisting the elderly. In 2018, some 249 million Chinese were aged 60 or above, accounting for 17.9 percent of the total population. China formulated and amended the Law on the Protection of the Rights and Interests of the Elderly, forming a legal and policy framework for old-age care.
Many of China’s elderly were cared for in nursing homes previously. Now, a new system for the elderly is taking shape, where the elderly are provided with home care, taken care of by community and supported by social services, featuring a combination of nursing at home and mutual help. In March 2019, China had 168,100 institutions and facilities with 7.32 million beds to provide old-age services, in contrast with just 7,000 in 1978. In 2018, 29.72 million senior citizens received advanced age subsidies, 748,000 nursing subsidies, 5.2 million old-age service subsidies, and 30,000 other old-age subsidies.
残疾人社会保障体系不断完善。全面建立困难残疾人生活补贴和重度残疾人护理补贴制度,2018年,受益残疾人超过2100万人次。截至2018年,2561.2万城乡残疾人参加城乡社会养老保险,1024.4万残疾人领取养老金,924.8万残疾人享受城乡最低生活保障;595.2万重度残疾人中有576万人得到政府参保补助,代缴养老保险费比例达到96.8%;另有298.4万非重度残疾人享受全额或部分代缴养老保险费的优惠政策。
The social security system for persons with disabilities is improving. China has established a subsidy system to provide for the living expenses of disabled persons in need and to pay the nursing costs of persons with severe disabilities. In 2018, this system benefitted over 21 million. A total of 25.61 million persons with disabilities were covered in old-age insurance schemes in both urban and rural areas, with 10.24 million receiving old-age pensions, and 9.25 million people with disabilities received urban or rural minimum living subsidies. And 5.76 million (96.8 percent) out of the 5.95 million people with severe disabilities received insurance subsidies from the government, which paid for their premiums. The government also paid fully or partly for premiums for another 2.98 million people with mild or moderate disabilities.