馬善高國會陳述：新加坡出台48項舉措促進婦女和兒童健康，涉及産前、産中和産後

2024年3月6日，新加坡社會及家庭發展部長兼衛生部第二部長馬善高在國會就加強對兒童及其家庭健康成長的支援議題回複議員質詢。

以下内容為新加坡眼根據國會英文資料翻譯整理：

我們正在為我們的老年人提供更多的支援，我們同時也在加強給予年輕家庭的支援，讓他們過上健康快樂的生活。

2021年，我們成立了兒童和孕産婦健康與福祉工作小組，簡稱CAMH。該小組由衛生、社會和教育領域的決策者和從業者組成的跨學科團隊，旨在探讨兒童及其家庭如何獲得健康和幸福。

我感謝過去三年來工作組成員的辛勤工作。他們與父母和看護者進行交流，與合作夥伴開展讨論，并制定了合理的建議。依靠基于證據的研究，如《新加坡兒童健康發展研究》（GUSTO）等，我們制定了改善兒童和家庭健康的方式。

我很高興地宣布，任務小組已經完成了《兒童和孕婦健康福祉戰略和行動計劃》（以下簡稱《戰略》）的制定。

《戰略》中的建議已經轉化為行動計劃下的48項舉措。目前，48項舉措中的28項已經或正在實施，其餘舉措正在進行審查，準備啟動。詳細報告将在今年晚些時候公布。

現在讓我談談兩項建議，這兩項建議充分展現了我們加強對兒童及其家庭支援的承諾。

其中一項建議是加強對夫婦從孕前、孕期，再到育兒階段的支援。

許多即将為人父母的人意識到，産前護理對于他們為孩子的出生做準備是重要的。然而，并非所有父母都能獲得資源和支援。

是以，我們已經着手增加産前護理的途徑。我很高興地宣布，我們将在社群内試行為父母舉辦産前教育課程。參加這些課程的人将獲得補貼産前支援。

夫婦們可以學習孕期和産後的營養和運動知識，并且掌握照顧新生兒的技能。這些課程将采用混合模式進行，包括線上講座和視訊，以便父母們可以輕松地通過虛拟方式擷取這些有用的資源。

我們正在與凝聚家庭理事會和好爸爸中心合作，加強父親在學校家長支援組的參與力度。這将為父親提供更多管道，分享和學習寶貴的育兒心得和技巧。

我們将繼續支援在育兒之旅中可能需要更多幫助的父親。

在去年的國會撥款委員會辯論中，我分享了國立大學醫院如何擴充女性情緒健康服務試點項目，将心理健康支援服務延伸到有需要的父親身上。這種支援在産前和産後階段至關重要，因為他們要承擔起父親的新角色。該試點項目還将對母親的支援從産後一年延伸至産後六年。

我們希望夫妻雙方在為人父母的過程中，尤其是在面對困難時，能夠感到支援和安心。

讓我分享S女士和她丈夫是如何從這個項目中受益的。由于S女士經曆了産後抑郁和焦慮，團隊定期跟進，提供情緒支援，確定她能夠很好地應對一切。團隊還確定她的丈夫得到及時的幫助和治療。

現在他們倆都過得很好，好消息是S女士正在懷第二胎。我很高興這個項目給了他們信心和保證，讓他們在人生旅程中得到了充分的支援和安慰。

随後，S女士和她丈夫将能夠過渡到家庭援助站，該項目支支援0至6歲兒童的家庭，使他們能夠在靠近家的一站式社群接觸并擷取跨領域服務。

去年，我宣布在淡濱尼群眾設施綜合站啟動了家庭援助站試點項目。我很高興地宣布家庭援助站試點項目已經擴充到新加坡的另外三個地點，即蔡厝港、榜鵝和三巴旺診所，為更多家庭提供支援。

在孩子成長的關鍵階段幫助他們養成良好的習慣，可以為他們的長期健康鋪平道路。是以，我們希望為父母提供更多資源和資訊，幫助他們培養孩子健康習慣的能力。這也是工作組的建議之一。

許多父母分享了他們正在尋找可靠、容易擷取資訊的管道來幫助他們養育孩子。我們在2022年介紹了家長專區，這是一個一站式資源門戶，為家庭提供有關懷孕和育兒的及時資訊。自推出以來，家長專區已經吸引了超過300萬次的浏覽量，每月浏覽量超過10萬次。我們将繼續擴充這些資源，比如在門戶上提供新的基于證據的資訊，涵蓋培養兒童健康飲食等相關主題。

為了更好地讓孩子年幼時培養健康飲食習慣，我很高興地分享，竹腳婦幼醫院和新加坡皇家兒科和兒童健康學院上個月推出了《新加坡嬰幼兒喂養與飲食指南》。這些指南支援參與照顧0至2歲兒童的人士培養健康飲食習慣，提供從嬰兒喂養過渡到幼兒飲食的目标和裡程碑。我呼籲父母、照顧者和醫療保健專業人士參考這些指南，為幼兒養成更健康的飲食習慣營造積極的環境，這對他們今後的成長大有裨益。

我們将在幼兒期後繼續提供更多資源。今年，學生們将能夠通過教育部的“學生學習空間線上”（SLS)獲得互動資源。這些資源将幫助學生們了解更多關于更健康的飲食習慣和如何獲得平衡膳食的方法。這些努力與新加坡健康成長追蹤研究一緻，該研究顯示兒童的飲食行為，如份量大小、食物選擇和營養，是導緻兒童肥胖的關鍵風險因素。請允許我用馬來語總結一下。

（馬來語）衛生部已經為老年人、兒童和母親的健康和福祉制定了政策和計劃。

我們已完成了兒童和孕産婦健康與福祉計劃（CAMH)，該計劃側重于從産前到青春期的各個階段，制定了支援兒童和家庭的倡議，涉及産前護理、父母支援和健康飲食習慣等領域。

這些舉措将增強和支援我們的家庭在照顧老年人和兒童方面的能力。

總之，家庭是讓老年人安享晚年的基礎，也是為我們的孩子營造一個健康茁壯成長和良好學習環境的基礎。我們将繼續加強對家庭的支援。通過共同努力，我們可以建設一個讓每個家庭都能健康成長、安度晚年、每個人都能享受健康和幸福生活的社會。

以下是英文質詢内容：

Even as we are investing in more support for our seniors, we are also enhancing support for our young families to have healthy and happy lives.

In 2021, we set up the task force on Child and Maternal Health and Well-being, or CAMH in short. Comprising an interdisciplinary team of policymakers and practitioners from across the health, social and education domains, the task force came together to explore how children and their families can attain good health and well-being.

I thank the task force members for their hard work over the past three years. They engaged parents and caregivers, brainstormed with partners and developed sound recommendations. Relying on evidence-based research, such as the Growing Up in Singapore Towards Healthy Outcomes, or GUSTO, study, we were able to formulate ways to improve the health of our children and families.

I am glad to announce that the task force has completed the development of the CAMH Strategy and Action Plan.

Recommendations under the Strategy have been translated into 48 initiatives under the Action Plan. Currently, 28 out of the 48 initiatives have been or are being implemented, while the remainder are under review in preparation for launch. A detailed report will be shared later this year.

Let me now speak on two recommendations that exemplify our commitment to strengthen support for children and their families.

One of these recommendations is to enhance support for couples from pre-conception and pregnancy, through to parenthood.

Many parents-to-be recognise that antenatal care is important as they prepare for the birth of their child. However, not all parents have access to resources and support.

Therefore, we have looked into increasing access to antenatal care, and I am pleased to share that we will be piloting antenatal education classes for parents within the community. Those who attend these classes will have convenient access to subsidised antenatal support close to their homes.

Couples can look forward to learning about nutrition and exercises during pregnancy and after delivery and be equipped to care for their newborn. The classes will be conducted via a hybrid model, incorporating online lectures and videos, so that parents can easily access these useful resources virtually.

It is important that we support and celebrate active fathering too. In collaboration with the Families for Life Council and Centre for Fathering, we are strengthening the participation of fathers in parents’ support groups in schools. This will provide more avenues for fathers to share and learn valuable parenting insights and tips.

We will continue to support fathers who may require more support in their parenthood journey.

11.15 am

At the COS debate last year, I shared how the National University Hospital (NUH) expanded the Women’s Emotional Health Service Plus (WEHS+) pilot, extending mental health support services to fathers in need. This support is important at the antenatal and postnatal stages as they take on the new role of a father. This pilot has also since extended support for mothers up to six years postnatal, up from the previous one year.

We want couples to feel supported and assured during their parenthood journey, even and especially when they meet challenges.

Let me share how Ms S and her husband benefited from the programme. As Ms S experienced postnatal depression and anxiety, the team followed up with regular check-ins and emotional support to ensure she was coping well. The team also ensured that her husband received timely assistance and treatment.

Both are faring better now, and the good news is that Ms S is expecting another baby. I am glad that this programme has given them the confidence and reassurance that they are well-supported in their journey.

Over time, Ms S and her husband will be able to transit to Family Nexus, which supports families with children aged zero to six, enabling them to access cross-domain services at a one-stop community touchpoint near their homes.

Last year, I announced the launch of the Family Nexus pilot at Our Tampines Hub. I am delighted to update that the Family Nexus pilot has been rolled out to three more sites in Singapore, at Choa Chu Kang, Punggol and Sembawang polyclinics, to extend support to more families.

Helping our children pick up good habits for good health during their formative years paves the way for better long-term health. Therefore, we want to empower parents with more resources and information to nurture healthy habits in their children. This, too, is one of the task force’s recommendations.

During our engagements, many parents shared that they were on the lookout for accessible and reliable information to support them in nurturing their children. We shared about Parent Hub in 2022, a one-stop resource portal to provide timely information on pregnancy and parenting to families. Since its launch, Parent Hub has garnered over three million views, with over 100,000 page views monthly. We will continue to expand on these resources, such as by making new interactive evidence-based resources on nurturing healthy eating in childhood and other relevant topics available on the portal.

To better support individuals in nurturing healthy eating habits in children from young, I am happy to share that KK Women’s and Children’s Hospital and the College of Paediatrics and Child Health Singapore, launched the Singapore Guidelines for Feeding and Eating in Infants and Young Children last month. These guidelines support those involved in the care of children aged zero to two in nurturing healthy eating habits, providing goals and milestones in the transition from infant feeding to eating as a young child. I urge parents, caregivers and healthcare professionals to refer to these guidelines to promote a positive environment for the adoption of healthier eating habits in our young children, which would be beneficial to them in years to come.

We will make resources available beyond the early years. Students will be able to access online interactive resources through MOE’s Student Learning Space this year. These resources will help students learn more about healthier eating habits and ways to have a balanced meal. These efforts are aligned with the GUSTO research study which shows that children’s eating behaviours, such as portion size, food choice and nutrition, are key risk factors for childhood obesity. Allow me to summarise in Malay.

(In Malay): The MOH has developed plans for strategies and action for the health and well-being of seniors, as well as children and mothers.

We have completed the development of CAMH, which focuses on various stages from prenatal to adolescence, developing initiatives to support children and families in areas, such as prenatal care, parental support and healthy eating habits.

These initiatives will empower and support our families in caring for our seniors and children.

(In English): In closing, families are fundamental to enabling our seniors to age well and to fostering a nurturing environment for our children to grow, learn and thrive. We will continue to strengthen support for families. Together, we can build a society where every family is empowered to grow and age well and enjoy a life of health and well-being.

CF丨編輯

CF丨編審

新加坡國會丨來源

新加坡國會丨圖源

1.凡本網站注明文章類型為“原創”的所有作品，版權屬于看南洋和新加坡眼所有。其他媒體、網站或個人轉載使用時必須注明：“文章來源：新加坡眼”。

2.凡本網站注明文章類型為“轉載”、“編譯”的所有作品，均轉載或編譯自其他媒體，目的在于傳遞更多有價值資訊，并不代表本公衆号贊同其觀點和對其真實性負責。