China, People's Republic of : Hebei Elderly Care Development Project
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 Name||Hebei Elderly Care Development Project|
|Country / Economy||China, People's Republic of
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
Governance and capacity development
|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.
|Description of Outcome|
|Progress Toward Outcome|
|Description of Project Outputs|
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Summary of Environmental and Social Aspects|
|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.|
|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.|
|Responsible ADB Officer||Bai, Jie|
|Responsible ADB Department||East Asia Department|
|Responsible ADB Division||Urban and Social Sectors Division, EARD|
Hebei Provincial Government
|Approval||20 Nov 2015|
|Last Review Mission||-|
|Last PDS Update||11 Sep 2018|
|Approval||Signing Date||Effectivity Date||Closing|
|20 Nov 2015||18 Dec 2015||18 Dec 2015||30 Sep 2016||31 Dec 2018||31 Jan 2019|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|800,000.00||0.00||0.00||0.00||0.00||0.00||800,000.00||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.
The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
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|Title||Document Type||Document Date|
|TA 8996-PRC Hebei Elderly Care Development Project Final Report: Volume 2 - Due Diligence and Technical Reports (Individual Consultants)||Consultants' Reports||Oct 2017|
|TA 8996-PRC Hebei Elderly Care Development Project Final Report: Volume 1 Main Report and Summary Due Diligence Reports||Consultants' Reports||Oct 2017|
|TA 8996-PRC Hebei Elderly Care Development Project Final Report: Volume 3 - Due Diligence and Technical Reports (Consulting Firm)||Consultants' Reports||Oct 2017|
|Hebei Elderly Care Development Project: Project Preparatory Technical Assistance Report||Project Preparatory Technical Assistance Reports||Nov 2015|
|Hebei Elderly Care Development Project: Initial Poverty and Social Analysis||Initial Poverty and Social Analysis||Nov 2015|
|河北省养老服务体系建设项目 : 项目数据表||Translated PDS||Nov 2015|
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.
|Title||Document Type||Document Date|
|Hebei Elderly Care Development Project: Shuangluan District Subproject Resettlement Plan||Resettlement Plans||Nov 2016|
|Hebei Elderly Care Development Project: Li County Subproject Resettlement Plan||Resettlement Plans||Nov 2016|
|Hebei Elderly Care Development Project: Xinji CIty Subproject Resettlement Plan||Resettlement Plans||Nov 2016|
|Hebei Elderly Care Development Project: She County Subproject Resettlement Plan||Resettlement Plans||Nov 2016|
Evaluation Documents See also: Independent Evaluation
None currently available.
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.
|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||—|
None currently available.