Video Upload Options

The Healthy China 2030 Plan and Recommendations on Implementing the Healthy China Action are China’s essential health policies at the Central Government level. In 2016, China’s State Council issued the Healthy China 2030 Plan, a grand blueprint to promote a healthy China and implement major initiatives promised in the 2030 Agenda for Sustainable Development. At the core of the Healthy China 2030 Plan are four principles: health priority, innovation, scientific development, and fairness and justice. Strategies applied in this plan include a people’s health center; taking reform and innovation as the driving force and prevention as the primary strategy; integrating health into all policies; targeting health-related risk factors, such as behavior, production, and living environments; targeting medical and health services; adhering to a combination of Government leadership and the mobilization of society and individuals; encouraging community participation; and strengthening early diagnosis, early treatment, and early recovery. This plan proposes thirteen goals, of which three goals, closely related to the prevention and control of non-communicable and chronic diseases (NCDs), were to reduce the premature mortality of major NCDs (30% reduction in 2030 compared with 19.1% in 2015), to improve residents’ health literacy level (reaching 30% in 2030), and to increase the number of residents regularly participating in physical exercise (530 million in 2030).

In 2019, the State Council issued Recommendations on Implementing the Healthy China Action, which was supposed to facilitate the implementation of the Healthy China 2030 Plan. This document proposed 15 specific actions related to the prevention and control of chronic diseases, including (a) healthy diet action, (b) national fitness action, (c) tobacco control action, (d) health environment promotion action, (e) cardiovascular and cerebrovascular disease prevention action, (f) cancer prevention action, (g) COPD prevention and control action, and (h) diabetes prevention action. Detailed targets have been proposed in several particular actions for the prevention and control of major NCDs, such as the decline in the mortality from cardiovascular and cerebrovascular diseases to 190.7/100,000 or lower in 2030, the five-year survival rate of overall cancer no lower than 46.6%, a decrease in COPD mortality rate to 8.1/100,000 or lower, and the standardized management rate of diabetes patients to reach 70% and above. The introduction of Recommendations on Implementing the Healthy China Action has increased the transformability of the Healthy China 2030 Plan.

The National Health Commission, the National Development and Reform Commission, the Ministry of Education, the Ministry of Ecology and the Environment, the Ministry of Finance, and ten other ministries or commissions in China jointly launched the Health China Action-Cancer Prevention and Control Implementation Plan (2019–2022). This plan outlines the overall goal of curbing the rise in cancer morbidity and mortality, with the hope of increasing the overall five-year survival rate of cancer by 3% from 2015 to 2022. This plan advocates corresponding actions in eight areas, including: health promotion, vaccination, water quality improvement, soil and atmospheric environment, regulation of tumor patient registration, tumor screening and early diagnosis, and standardized treatment.

To address the physical activity promotion issue, which is one of the four risk factors of NCDs, it is proposed in the National Fitness Plan (2021–2025) that, by 2025, the public service system for national fitness will be substantially improved, people’s physical fitness will be more conveniently achieved, the enthusiasm for fitness will be further improved, the number of participants in various sports projects will continue to increase, and the proportion of people who regularly participate in physical exercise will reach 38.5%. Community 15 min fitness circles will be established to achieve full coverage, with 2.16 social sports instructors per 1000 people. The plan also proposes promoting the development of national fitness in three aspects: deepening the integration of sports and education, promoting the integration of sports and health, and promoting the integration of sports and tourism. It is necessary to explore the establishment of an exercise-promoting health model in which sports, health, and other departments are involved. Moreover, integrated exercise and health services are planned to be delivered at the community level.

Three nationwide initiatives and projects have been implemented to realize the blueprint of Healthy China 2030. These projects are the Patriotic Health Campaign project, the Construction of the National Demonstration Areas for Non-communicable Diseases Comprehensive Prevention and Control project (NDAP), and the National Healthy Lifestyle Action project.

Opinions on Deepening the Patriotic Health Campaign and Recommendations of the State Council on Further Strengthening Patriotic Health Campaign in the New Period are focused on the governance of environmental sanitation and improving population health literacy. Management Measures on the Construction of the National Demonstration Areas for Noncommunicable Diseases Comprehensive Prevention and Control puts forward straightforward management methods for several demonstration areas built at the district/county level, requiring the implementation of Health in All Policies (HiAP), the construction of a supportive environment, the integrated system for NCDs prevention and treatment, health education and health promotion, and carrying out work on NCDs management. National Healthy Lifestyle Action Plan (2017–2025) is a policy document jointly issued by the National Health and Family Planning Commission, the General Administration of Sports, the National Federation of Trade Unions, the Communist Youth League, and the Women’s Federation. This document advocates the development of NCD-related risk factors control, such as diet, exercise, tobacco control, the reduction in harmful alcohol consumption, mental health projects, and improving the population’s health literacy.

The 14th Five-Year National Health Plan and China’s Medium- and Long-Term Plan for the Prevention and Treatment of Chronic Diseases (2017–2025) are two health care system development and reform policies. One of the missions of the 14th Five-Year National Health Plan is to implement a comprehensive prevention and control strategy for NCDs. Key points in this policy include improving the Government-led comprehensive prevention and control mechanism, establishing a community-based NCDs prevention and control system, and strengthening the implementation of NDAP with a coverage of 20% in the counties (cities, districts) in 2025. China’s Medium- and Long-Term Plan for the Prevention and Treatment of Chronic Diseases (2017–2025) is under the framework of the Healthy China 2030 Plan and is mainly applied in the field of NCDs prevention and control. The policy sets 16 specific work goals, focusing on four significant NCDs and three behavioral risk factors (tobacco use, high level of salt intake, and low physical activity). This document advocates projects in four areas: health promotion projects, health management projects, supportive environmental construction projects, and NCDs science and technology research projects. It also proposes to increase the coverage of the NDAP to 20% by 2025.