Exclusive article by China's well-off network.
Text|"Well-off", reporter Guo Xu, reporter of China's well-off network.
In recent years, Fengning has actively promoted six major health actions, and the health level of local people has been significantly improved.
The construction of a healthy city is an important starting point and an effective way to implement the Healthy China strategy and promote the Healthy China Initiative. In the context of "great health", it is very important to vigorously promote the construction of healthy cities, healthy villages and towns and healthy cells, promote the "integration of health into all policies", and integrate the concept of health management into the whole process of urban planning, construction and management, so as to form a more healthy production and living environment, which is very important for ensuring people's health.
Not long ago, the National Health Commission and the National Health Office issued a notice announcing the excellent cases and typical experiences of the construction of healthy counties and districts in the country in 2022. The construction case of Fengning Manchu Autonomous County, Chengde City, Hebei Province was rated as an excellent case of national healthy county construction in 2022, and its construction experience was also rated as a typical experience of national healthy county construction in 2022.
In recent years, Fengning has actively promoted six major health actions, held a variety of publicity actions, established a comprehensive publicity system, and carried out targeted training actions, and the health level of local people has been significantly improved.
Carry out the 6+N health promotion project.
Attach importance to the creation of a provincial-level health promotion county as the starting point, and gradually build a leading health promotion work mechanism with departmental linkage, social mobilization and national participation.
It is understood that Fengning County has 338 medical and health institutions at all levels. Among them, there are 2 second-level hospitals, 1 Center for Disease Control and Prevention, 1 comprehensive supervision and law enforcement office, 1 maternal and child health hospital, 26 township health centers and 3 branch hospitals, and 305 village clinics that meet the standards for township integration construction.
Xiao Wang, a worker in his 40s, has been obese for many years and has "three highs" at the same time. In the process of creating a health institution, the county conducts health check-ups for each person, establishes files, analyzes health status, looks for unhealthy lifestyles and health problems, and tailors health intervention strategies for Xiao Wang.
After communication, it was learned that Xiao Wang likes to stay up late to play games and brush his mobile phone. "I also don't want to stay up late, I don't want to sleep at night, I can't get up in the morning, I'm sleepy during the day, I can't concentrate on my work, and I'm inefficient," he said. If you can't sleep at night, you will stay up again with a vengeance, and for a long time, you will fall into a vicious circle. ”
After listening to the lecture in the health science lecture hall of the bureau, Xiao Wang learned that his current physical condition was caused by irregular work and rest. Soon after he changed his work and rest routine and lifestyle, the "three highs" were gone, and people became "slim", and he also took the initiative to join the health promotion office as a health lecturer, and went to the community and village health lecture hall to preach to residents about the harm of staying up late to the body, so that everyone knew that staying up late may lead to memory loss, poor concentration, slow response, decreased immunity, endocrine dysfunction, and slow metabolism. A series of problems such as poor nutrient absorption, especially fat, can easily accumulate in the body, leading to obesity and even sudden cardiac death. Driven by preachers like Xiao Wang, a "chain reaction" occurred between "fat people" and families, and the body mass index of residents gradually decreased.
In response to the county's health promotion work and the call for creating healthy villages and healthy families, and to create a comfortable, clean and livable village environment, the Women's Federation of Anying Village, Wangying Township also organized and established a team of women's volunteers, and the activities to help health have never stopped. They traveled to every household in the village, not afraid of being dirty or tired, and carried out indoor and outdoor hygiene for the frail and physically disabled families. Through hard work, the village has created more than 20 exquisite courtyards and more than 40 beautiful courtyards, and passed the joint acceptance of the township, village and village working groups.
Since 2019, health promotion staff have carried out household condiment weighing questionnaire surveys in 17 ditches and 5 ditches in Wudaoying Township, 3 rooms and 4 rooms in Tucheng Township to monitor residents' intake of salt and oil condiments. During the period, the basic information of family members, personal questionnaires and dietary questionnaires are entered, and through the records of these scientific ** and data, we can better understand the nutritional health of the villagers and the intake of various nutrients, and conduct medical examinations and laboratory tests. In the process of creating a healthy family, the health literacy monitoring survey showed that the health literacy rate of Fengning residents in 2019 was 22%, smoking rate 3348%, and the overweight rate is 3222%, and the myopia rate of student vision monitoring was 543%。
Fengning also listed unhygienic, dirty and messy environment, garbage indiscriminately, smoking, alcoholism, gambling, irregular work and rest, high salt, high oil, high sugar, fried food, overwork, lack of exercise, eating leftovers, eating "rotten apples", and irrational use of drugs as a "self-check list of unhealthy behaviors" and sent them to residents' homes. Focusing on important health influencing factors, focusing on key populations, and focusing on some prominent problems affecting the health of residents in the county, more than 60 health policies have been formulated and health interventions have been carried out.
In addition, Fengning has created a "6+N" healthy family model that improves the family's various living Xi, established a new mechanism of "health integration into all policies", and promoted it from the first-class, social and individual levels to form a healthy lifestyle, ecological environment and social environment, so that the county's residents can grasp what a healthy lifestyle is, so as to improve the health literacy level of residents. Integrate the concept of health into the life of residents for cultivation, let residents carry out self-examination against healthy lifestyles, and health guides and grid members will follow up and supervise the changes in the living Xi habits of each family and fill in the "Healthy Lifestyle Tracking and Supervision Service Form", which will be used as an effective basis for selecting healthy families and promoting residents to improve their poor living Xi.
At the same time, Fengning has created a kitchen culture, switch culture, and table culture, and distributed beautifully made meal pagoda refrigerator magnets, health reminder switch stickers, and napkins to residents' homes, advocating residents to use salt-limited spoons, so that residents can see health tips at all times, gradually form a health concept, and develop healthy behaviors.
Promote propaganda actions and establish a propaganda system.
In accordance with the concept of "great health and great publicity", Fengning has established a comprehensive propaganda system integrating traditional, new and traditional propaganda methods, multi-department cooperation and the participation of the whole society. First, the county TV station has created a "health appointment" column, inviting experts from county-level hospitals to talk about health on a regular basis, and 32 issues have been completedThe second is to place health knowledge display boards in 309 health squares, 4 health trails, and 336 health self-test huts for residents to learn at any timeThe third is to organize nearly 10,000 families to participate in the online "Learning Health and Running to a Well-off" selection and health understanding person prize competition held by the Hebei Provincial Health CommissionFourth, more than 200 periods of health science popularization have been carried outFifth, for residents over 60 years old who are left behind in rural areas, more than 200 medical staff in the county have conducted more than 700 face-to-face health knowledge training sessions in rural areas.
The sound of loudspeaker broadcasting will be regularly transmitted to all corners of the county, and the large screens in various squares in the county will be timed for three periods of time every day, pushing health knowledge and reporting health promotion work trends with high frequency and full coverage. Relying on "Healthy Fengning" WeChat, Douyin, Fengning mobile phone station, building TV, Jiyun Fengning, Jiyun Health Fengning, to carry out health science popularization and bad habits strong prohibition activities, and carry out more than 200 health science popularization activities. Organize propaganda teams to go deep into towns (streets), communities, and institutions to conduct demonstration and propaganda, benefiting more than 300,000 people.
At the same time, the first station was set up on the big screen of Fengning News and the square, and uncivilized phenomena such as uncivilized phenomena such as non-standard hygiene, littering, throwing cigarette butts, and smoking in public places were timed. Health knowledge and healthy behaviors have been brought into rural areas, families, institutions, enterprises, and schools.
Fengning also regularly carries out targeted training actions. In the lecture hall of the county's leading cadres, Dr. Qian Ling, a professor from the National Health Education Center, was invited to conduct training on "integrating health into all policies" for more than 600 cadres at or above the deputy section level in the county. Cheng Aijun, director of the Health Education Institute of the Provincial Center for Disease Control and Prevention, was invited to conduct business training on the creation of health promotion counties and health promotion hospitals for the creation of places and health education professionals in the county. Zhou Lanhua, a municipal-level health science popularization expert, was hired to conduct construction business training on the work network of the county's health promotion sites, health guides and health instructors, and the network training coverage rate reached 100%.
Fengning widely popularized the knowledge and skills of emergency ambulance, and the county Red Cross Society deeply popularized the knowledge of emergency ambulance, continuously expanded the content and scope of first aid knowledge training, and comprehensively promoted the training of emergency ambulance into enterprises, schools, rural areas and families. Improve the people's emergency rescue ability, so that each family can master the basic knowledge of emergency rescue, and can save themselves and each other in family and public places, so as to achieve the goal of everyone learning first aid and first aid for everyone. In 2023, a total of 996 people will be trained.
Relying on county, township and village medical staff, family doctor contract teams, and volunteer service teams, the healthy life guides in each village make full use of platforms such as health huts (gas stations, activity rooms, clubs) to provide targeted health guidance to residents in a combination of centralized guidance and individual guidance, and more than 20,000 families in the county receive health guidance.
With the support of three county-level hospitals, Fengning has set up a team of health instructors of doctors + village doctors in grassroots hospitals to find health problems, do a good job in health education for different residents, cultivate people who understand family health, and carry out targeted work in popularizing health knowledge, answering questions from the masses, and providing health examinations for the masses on a regular basis, and formulating health intervention strategies. Each township will set up a competent leader + health and family planning specialist + healthy family representatives, carry out targeted health publicity, spread a healthy and civilized lifestyle, organize and carry out cultural and sports activities conducive to health, and timely transmit the health needs of the masses to relevant departments, solve doubts and doubts for the masses, family doctors sign contracts to perform health examinations, establish health electronic file services, and conduct one-on-one health education for residents on four types of chronic diseases, so that they can improve their lifestyles.
Fengning Health Promotion Office, Culture and Tourism Bureau, Women's Federation, Civilization Office, Health Bureau, and TV Station jointly carried out activities to bring traditional health culture such as filial piety, inspiration, and virtue into the family. 453 community and rural aerobics performance teams, 32 Tai Chi teams, 1 marathon team, and 300 square dance teams have been cultivated, which has greatly enriched the cultural life of families. In the process of creating a healthy family, Chenggenying Village, Tucheng Town, organized the "Quilt Drying" activity, and selected filial sons and daughters, good daughters-in-law, good mothers-in-law and healthy family demonstration households by drying quilts for the elderly in the square.
In order to increase the economic income of residents' families, improve the quality of life, and enhance the ability to resist risks, the Health Bureau, the Human Resources and Social Security Bureau, and the Women's Federation jointly carried out health skills into the family activities. Since its establishment, a total of 60 sessions of hand-weaving, paper-cutting, confinement and bricklayer have been trained, benefiting more than 8,000 families.
In order to meet the fitness needs of residents in the county, led by the first generation, the Housing and Urban-Rural Development Bureau, the Culture and Tourism Bureau, and the Education and Sports Bureau are responsible for the comprehensive renovation and upgrading of the county's fitness venues, and the county has built 680 outdoor fitness squares and equipped with 3,856 pieces of fitness equipment. It has realized that every natural village has a fitness square, and there are 43 outdoor squares in the county alone, which provides a strong guarantee for the residents of the county to go out for outdoor fitness.
Objective: Establish the concept of great health and great health, take people's health as the center, and pay attention to the whole life cycle and the whole process of health.
National action to create a healthy Fengning.
In recent years, Fengning has taken the creation of a provincial-level health promotion county as the starting point, and gradually built a health promotion working mechanism with first-class leadership, departmental linkage, social mobilization and national participation, so as to build a healthy Fengning.
In order to provide a good environment for the elderly to live and seek medical care for the elderly, and enhance the atmosphere of solidarity and mutual assistance, the two houses of the military camp have created a "moral bank + love supermarket" model, established a ledger, and implemented a point system, which effectively encouraged the whole village to respect and love the elderly, and created a national demonstration age-friendly community, so that the happiness of the elderly can be further improved.
Xiaobeigou Village, Datan Town, adjacent to Hailiutu National Wetland Park, has an average summer temperature of 174. It is a summer resort that many tourists are fascinated by. Since being rated as a provincial-level health village in 2021, Xiaobeigou Village has taken the construction of beautiful villages as the starting point in promoting green development, vigorously promoted the construction of tourism infrastructure and the improvement of human settlements, and built a national-level health village and healthy village.
Protect the ecological environment like protecting your eyes, and treat the ecological environment like life. "Xiaobeigou Village has 30,000 acres of woodland, more than 4,000 acres of wetlands and more than 20,000 acres of hilly grassland, with a green coverage rate of 40%. In order to protect lucid waters and lush mountains, more than 20 projects that are not conducive to ecological and environmental protection have been rejected. The "double 10,000 mu" afforestation project on Qiansong Dam and Zhangcheng Dam has been implemented here, and nearly 20,000 acres of grassland enclosure project is also under construction, and more than 6,000 acres of flowering ornamental crops have been planted, including sunflowers, red peony, alfalfa, etc.
Establish the concept of great health and great health, take people's health as the center, and pay attention to the whole life cycle and the whole process of health. With this as the goal, Xiaobeigou Village actively renovates the living environment and strives to create a livable, workable and beautiful village. The village has implemented unified management of domestic garbage, village collection, town transfer, county treatment, Nissan Nissin;In addition, Chengde Water Group was introduced to build a village-level sewage treatment plant, which purified the villagers' domestic water and then discharged it, reducing environmental pollution.
It is understood that Fengning currently has 4 primary and secondary school students80,000. In view of the current situation of spinal health of primary and secondary school students, Fengning has established a comprehensive prevention and control work mechanism led by the first leader, organized by the Health Bureau, led by the Hospital of Traditional Chinese Medicine, cooperated with the township health centers, participated by the school, and practiced by the family, and completed the scoliosis screening task of primary and secondary school students in the county before the end of June, and found more than 1,200 abnormalities. At the screening site, the medical staff found that some students had high and low shoulders and hunched back due to incorrect standing and sitting postures, so they carried out extensive health publicity and education at the same time as the comprehensive screening, so that the popularization of spine health science into the campus and family, and guided the students to strengthen physical exercise, avoid frequent use of shoulder backpacks or heavy objects with one hand, maintain a correct writing posture, and develop a good Xi and life Xi habits every day.
While creating a healthy family, Fengning also promotes the construction of healthy villages, healthy schools, health institutions, healthy hospitals, healthy enterprises, healthy canteens and other healthy places, and builds a health promotion work mechanism that is leading, departmental linkage, social mobilization, and national participation, and forms a model of quantitative scoring, supervision, evaluation, announcement, and reward. At the same time, a special fund of 1 million yuan was set aside for publicity, training, teaching, and rewards for healthy family demonstration households.
In addition, county-level hospitals have established a specialty alliance with Beijing to promote the construction of specialty services for the elderly. The Hospital of Traditional Chinese Medicine signed cooperation agreements with Dongzhimen Hospital of Beijing University of Chinese Medicine, and the County Hospital signed cooperation agreements with Anzhen Hospital and Rocket Army Hospital. The two county-level hospitals have all set up geriatric departments and first-class wards, and strengthened the construction of outpatient clinics, optimized the medical treatment process for the elderly in accordance with the construction standards of age-friendly medical institutions, and established green channels for the elderly. Tanghe Township Central Health Center takes advantage of the resource advantages of Hongtangsi Hot Spring such as sufficient water volume and good water quality to create a brand of "tourism hot spring, health care and leisure". The physiotherapy hall was rebuilt to 46 square meters, training professional and technical personnel, and giving full play to the practical role of "hot spring + medical care, hot spring + traditional Chinese medicine, hot spring + moxibustion", which is used to carry out acupuncture, cupping, hot compress, massage, scraping, facial health care and other traditional Chinese medicine. Fengshan Central Health Center and Fengshan Civil Affairs Service Center reached a cooperation service agreement and invested 9790,000 yuan, set up a medical and elderly care ward, 15 beds, to provide diagnosis and treatment services for the elderly over 65 years old. Regularly organize personnel to carry out physical examinations in nursing homes, establish health records for the elderly, and so far a total of 80 hospitalized elderly people have been admitted, and 850 physical examinations and door-to-door services have been carried out for the elderly.
Through the six major health actions, the health level of Fengning residents has been significantly improved. By the end of 2022, the health literacy level of residents in the county was 2525%, an increase of 23 compared to before creation05 percentage points;Smoke-free party and government organs reached 90%;6% of overweight people lose weight;The myopia rate of student vision monitoring was 5319%, down 1 from before creation11 percentage points;There are more than 8,000 healthy families, 95 healthy villages, 3 healthy communities, 23 healthy hospitals, 43 healthy schools, 26 health institutions, and 10 healthy enterprises in the county25,000 households have changed more than 2 undesirable living behaviorsThere has been a significant increase in the number of households that use salt and oil spoons and oil cans, and purchase sporting goods such as key balls and skipping ropes.
The relevant person in charge of the Fengning Health Bureau said that over the years, the county and relevant departments have formulated public policies that are conducive to the health of residents, such as medical and health care, environmental governance, food and drinking water safety, health education, and fitness environment construction, and multi-department joint health promotion actions. Build healthy communities (villages), healthy families, health-promoting hospitals, schools, institutions and enterprises, give play to the exemplary role of health-promoting places, and build a supportive environment for health-promotion. Implement the 15 specific actions of the Healthy China Initiative, mobilize ** and extensive social participation, so that the health literacy level of the county's residents exceeds the provincial average.
Moderately Prosperous", China Well-off Network Exclusive Article).
This article was published in the early December 2023 issue of Xiaokang.