China announced Thursday a five-year initiative to build a “childbirth‑friendly society” aimed at reversing the country’s falling birth rates and addressing the challenges of an ageing population. The plan focuses on improving social services and incentives for families to marry and have children.
Authorities said the initiative will expand support in employment, education, healthcare, income, and housing, aiming to reduce barriers to marriage and childbearing. The government pledged to improve population services, strengthen social security, and encourage positive societal attitudes toward family growth.
As part of the plan, pregnant women will face no out-of-pocket medical costs in 2026, with maternity and in-vitro fertilization (IVF) expenses fully covered by the national medical insurance fund. Childcare subsidies will continue, and trial childcare services will be broadened. Education capacity at preschool and secondary levels will be increased, with spending on education required to remain above 4% of GDP.
China has experienced a population decline for four consecutive years, with birth rates hitting record lows in 2025. Analysts warn that without targeted policies, the trend could continue, creating economic and social challenges. The report also highlighted plans to develop the “silver economy,” expand elderly care services, and refine pension and wellness programs to support the country’s growing senior population.