Output A: Work under Output A is complete.
(1.1) Preparatory work commenced following the finalization of health sector policy reforms in April 2009. ADB discussed implementation arrangements for this component with the Government in August 2009 and consultants were fielded in November 2009 and April 2010. In June 2010, agreement on the policy framework of TA implementation was reached: (i) analysis of status of implementation of healthcare system reform; and (ii) select 4 ongoing experiments on subsidy mechanism on grassroots healthcare facilities.
(1.2) The Senior Health Evaluation Specialist was recruited in November 2009. The Health Economics and Financing Specialist and the Senior Health Reform and Evaluation Specialist (team leader) were recruited in April 2010 and May 2010, respectively.
(1.3) Consultants were fielded in June 2010 to work on analysis of status of implementation of health care system reform. The research work plan and budget for strengthening the evaluation component of the 4 ongoing experiements on reforming subsidy mechanisms for grassroot facilities was approved in January 2011. The health monitoring and evaluation specialist started work in February 2011. Consultants implemented the research plan: (i) survey instruments were
developed; and (ii) initial drafts of some reports in Chinese were available, with macro-analysis on the current fiscal investment in the health sector completed.
(1.4) Field survey was conducted in Tieling, Liaoning Province in April 2011. This was followed by the survey work in Suqian, Jiangsu Province in May 2011. Survey work in Zhichang was done in October 2011.
(1.5) A midterm workshop on health sector reform, with 20 participants, was held in July 2011 to discuss preliminary findings of the study and health policy issues in PRC.
(1.6) A study tour of health officials to Canada was conducted on 16-21 October 2011 to learn from the Canadian experience and best practices. The study tour included Vancouver, Ottawa, and Toronto.
(1.7) The final English language report titled "Government Investment Model and Compensation Mechanism for Healthcare Facilities" was received in September 2012 and was endorsed by the Government.
Output B - Work under Output B is complete.
(2.1) Progress in implementing Output B was achieved. The draft inception report was discussed with MOF in August 2009 and recommended changes in the report. The revised inception report was submitted in March 2010 and accepted by ADB as the interim/draft report.
(2.2) The final report on the blueprint for better management of subnational government implicit and explicit debt was submitted in December 2010 and presented/discussed in January 2011. Agreement was reached on the preparation of a publication on the policy recommendations and the conduct of an international workshop on local government indebtedness by early 2012. Due to sensitivity of issues on local government debt, the publication was not pursued and only the international workshop pushed through in June 2012.
Output C - Work on Output C is complete.
(3.1) Output C has progressed well and is complete. The report on international treasury cash management was submitted in April 2010. The report (English version) on domestic treasury cash management was submitted in October 2010 (Chinese version was done in June 2010). An updated and combined treasury cash management report was completed in September 2011. A policy note on local treasury cash management was prepared and published as ADB's Observations and Suggestions.
(3.2) Pilot research visits were conducted in June-September 2010. Draft reports on the pilot research visits were submitted in October 2010 and key findings were presented in January 2011.
(3.3) Two conferences on local treasury cash management (Sanya, Hainan and Guilin, Guangxi) and one expert group meeting had been conducted.