BEIJING, PEOPLE’S REPUBLIC OF CHINA (25 September 2019) — The Asian Development Bank (ADB) has approved a $100 million loan for a pilot project in Guangxi Zhuang Autonomous Region (GZAR) in the People’s Republic of China (PRC) that will showcase how coordinated old-age care and health care can be developed to provide better, long-term services for the elderly.

“With the population of both the PRC and many other countries in Asia aging fairly rapidly, the region urgently needs more effective and more comprehensive health care services that are coordinated with elderly care,” said ADB Senior Social Sector Specialist for East Asia Ms. Hiroko Uchimura-Shiroishi. “ADB’s project in Guangxi will set an example of a well-functioning system of integrated elderly care in the PRC and beyond, complemented by a strong collaboration with the private sector through public–private partnerships (PPPs).”

Currently in the PRC, just over 158 million people—or about 11.4% of the country’s entire population—are 65 years of age or older. By 2025, the elderly rate is expected to be 14% and to hit 21% in 2035. This underlines the need for seamless and continuous care services, especially for older people who are suffering from multiple chronic diseases as well as physical and cognitive disabilities.

The project is also the first initiative in the province to introduce internationally accepted public–private partnership principles and standards in the elderly care sector. This is in line with the Government of the PRC’s view of the importance of the private sector in complementing efforts to provide social services, including elderly and health care.

The Demonstration of Guangxi Elderly Care and Health Care Integration and PPP Project will build an elderly care facility in Hezhou municipality through a PPP modality, which will include arrangements to build, operate, and maintain the facility. It will also improve coordinated care services and facilities in the municipalities of Nanning and Hezhou by building four elderly care facilities and a medical institution with age-friendly designs.

The project will improve the hospital discharge management system, which will be the basis for coordination between medical institutions and elderly care institutions. Finally, it will improve the knowledge and technical capacity of government agencies in various elderly care areas such as physical rehabilitation and other care services focused on daily living as well as mental health.

ADB is committed to achieving a prosperous, inclusive, resilient, and sustainable Asia and the Pacific, while sustaining its efforts to eradicate extreme poverty. In 2018, it made commitments of new loans and grants amounting to $21.6 billion. Established in 1966, it is owned by 68 members—49 from the region.

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