China, People's Republic of : Hebei Elderly Care Development Project

Sovereign Project | 49028-001

The project supports the PRC''s Twelfth Five-Year Plan (2011-2015) and the Hebei Provincial Twelfth Five-Year Plan (2011-2015), which develop a three-tiered system of services, stimulate investment in the sector, and define roles and responsibilities for government and the private sector. The project is aligned with ADB''s country partnership strategy (2011-2015) pillar on inclusive growth, the focus in the midterm review of Strategy 2020 on supporting social protection and health, and the Operational Plan for Health (2015-2020), which has development of elderly care systems (ECS) and services as a focus area.

Project Details

  • Project Officer
    Bai, Jie
    East Asia Department
    Request for information
  • Country/Economy
    China, People's Republic of
  • Modality
  • Sector
    • Health

Related Projects

Project Name
Hebei Elderly Care Development Project
Project Number
49028-001
Country / Economy
  • China, People's Republic of
Project Status
Closed
Project Type / Modality of Assistance
  • Technical Assistance
Source of Funding / Amount
TA 8996-PRC: Hebei Elderly Care Development Project
Source Amount
Technical Assistance Special Fund US$ 800,000.00
Strategic Agendas
  • Inclusive economic growth
Drivers of Change
  • Gender Equity and Mainstreaming
  • Governance and capacity development
  • Partnerships
Sector / Subsector
  • Education / Education sector development - social protection initiatives

  • Health / Health sector development and reform - Health system development

Gender
Effective gender mainstreaming
Description
The project supports the PRC''s Twelfth Five-Year Plan (2011-2015) and the Hebei Provincial Twelfth Five-Year Plan (2011-2015), which develop a three-tiered system of services, stimulate investment in the sector, and define roles and responsibilities for government and the private sector. The project is aligned with ADB''s country partnership strategy (2011-2015) pillar on inclusive growth, the focus in the midterm review of Strategy 2020 on supporting social protection and health, and the Operational Plan for Health (2015-2020), which has development of elderly care systems (ECS) and services as a focus area.
Project Rationale and Linkage to Country/Regional Strategy

The most significant demographic challenge facing the PRC today is aging of the population, and the social and economic impacts that will occur as a result of the rapid pace and huge scale. The proportion of people above the age of 60 across the PRC is expected to grow from roughly 12% in 2010 to 34% by 2050. Combined with fast urbanization, internal migration of youth away from rural areas, and the one child policy, traditional family support systems are stressed and increasingly unable to meet the elderly care (EC) needs. The PRC''s population is aging rapidly at a time when the country''s per capita income remains modest and social security systems are still insufficient to meet the financial needs of senior citizens. The growing demand for quality and affordable ECS exceeds current supply and is an urgent issue that must be addressed.

The PRC has been tackling the consequences of its aging population since the late 1970s, with successive policies to finance old age care, stimulate private sector participation, define the responsibilities of families, and organize community-wide responses to support the elderly. The PRC''s Twelfth Five-Year Plan, 2011-2015 supports developing a three-tiered old

age care system (home, community, and institutional); expanding grassroots associations; encouraging volunteerism for senior citizens; and improving geriatric care and health delivery services. The 2013 Opinions of the State Council to accelerate the development of the EC service industry recognizes the progress made and significant challenges that remain, including improving services and human resources; developing the EC market; addressing unbalanced rural-urban development; and outlining responsibilities for public, private, and civil society stakeholders.

Hebei Province entered into an 'aging society status in 1999 when it passed the 10% threshold of population over the age of 60. By the end of 2013, it had risen to 14.46%, is projected to be 15% in 2015, and will continue to rise by 3% annually. Within the province, there is diversity in the distribution of elderly and their care needs. The significant increase of the elderly is creating pressure to develop an ECS that expands coverage of home and community care, and can serve rural and urban populations, and low and middle income households. At the institutional nursing care level, only 50% (210,000) of the projected need for beds is currently available. Government facilities which target and subsidize the poorer older population are limited, and affordable quality private sector institutional care is underdeveloped. Human resources to provide care services are insufficient, and incentives and policies to retain and train staff are just being initiated. Planning for expansion of EC services is not systematic, and home and community care services are underdeveloped. The private sector does not yet play a significant role and affordability of services is a key constraint to uptake and sustainability. The major challenge is to develop EC into a financially sustainable system that provides quality and affordable care, and creates replicable models. A sound ECS can create significant employment and business opportunities.

Impact

Project Outcome

Description of Outcome
Progress Toward Outcome

Implementation Progress

Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location

Summary of Environmental and Social Aspects

Environmental Aspects
Involuntary Resettlement
Indigenous Peoples

Stakeholder Communication, Participation, and Consultation

During Project Design
Main stakeholders are the elderly, elderly care service providers (government, private sector, and nongovernment organizations), health and social care providers and local government officials (health, civil affairs, labor, social security, education, construction, finance bureau, etc.). Extensive consultation were conducted with all groups during project design to ensure that their needs and perspectives are addressed in the project.
During Project Implementation
Using a participatory consultative approach, the PPTA consultants worked closely with, and reported to designated focal points of the executing and implementing agencies, and the project leading group. Civil society, private sector, and other development partners involved in the elderly care sector were consulted during PPTA processing and implementation. A set of stakeholder workshops were organized (i) at the beginning of PPTA implementation to gather initial inputs for the work to be carried out under the PPTA, and (ii) towards the midterm of PPTA implementation to report on the work accomplished and agree on an initial project design and monitoring framework. Surveys were organized as required and agreed with the executing agency. Focus group discussions and key informant interviews were organized including with elderly, service providers, civil society organizations, and governmental and private sector stakeholders.

Business Opportunities

Consulting Services
ADB has engaged the consulting services in accordance with ADB''s Guidelines on the Use of Consultants (2013, as amended from time to time) to ensure immediate mobilization and facilitate project scoping. The PPTA is being conducted using seven individual consultants and an international firm. ADB engaged an international firm based on the quality of the proposal (80%) and the cost (20%) of the services to be provided (the quality- and cost-based selection method) using the simplified technical proposal procedure.

Contact

Responsible ADB Officer
Bai, Jie
Responsible ADB Department
East Asia Department
Responsible ADB Division
Urban and Social Sectors Division, EARD
Executing Agencies
Hebei Provincial Government

Timetable

Concept Clearance
-
Fact Finding
-
MRM
-
Approval
20 Nov 2015
Last Review Mission
-
Last PDS Update
11 Sep 2018

Funding

TA 8996-PRC

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
20 Nov 2015 18 Dec 2015 18 Dec 2015 30 Sep 2016 31 Dec 2018 31 Jan 2019
Financing Plan/TA Utilization
ADB Cofinancing Counterpart Total
Gov Beneficiaries Project Sponsor Others
800,000.00 0.00 0.00 0.00 0.00 0.00 800,000.00
Cumulative Disbursements
Date Amount
17 Jun 2022 747,696.38

Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

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Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.


Evaluation Documents See also: Independent Evaluation

None currently available.


Related Publications

None currently available.


The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.

Requests for information may also be directed to the InfoUnit.

Tenders

No tenders for this project were found.

Contracts Awarded

Contract Title Approval Number Contract Date Contractor | Address Executing Agency Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
Project Preparatory Technical Assistance 8996 22 Apr 2016 Naree International Limited (Hong Kong, China) in Association with Beijing Saiyo International Design & Project Management Co., Ltd. (China, People's Republic of) | Unit N, 5/F, 4 Cho Yuen Street, Yau Tong Kowloon, Hong Kong, China Hebei Provincial Government 377,570.00

Procurement Plan

None currently available.