China, People's Republic of : Hubei Yichang Comprehensive Elderly Care Demonstration Project
The project aims to support the development of a three-tiered elderly care system (ECS) in Yichang Municipality, Hubei Province by improving the coverage and utilization of home-based, community-based, and residential-based elderly care services.
The project is aligned with the following impact: a three-tiered ECS (home-based, community-based, and residential-based care services) established. The project will have the following outcome: coverage and utilization of elderly care services in Yichang increased. Outputs include (i) home-based and community-based care services and facilities improved, (ii) elderly care service capacity increased and its support system improved, (iii) facilities and services supporting the integration of healthcare and elderly care established, and (iv) capacity of elderly care management and project management support developed.
Project Details
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Project Officer
Wang, Fang
East Asia Department
Request for information -
Country/Economy
China, People's Republic of -
Modality
-
Sector
- Health
Related Projects
| Project Name | Hubei Yichang Comprehensive Elderly Care Demonstration Project | ||||
| Project Number | 49309-002 | ||||
| Country / Economy | China, People's Republic of |
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| Project Status | Active | ||||
| Project Type / Modality of Assistance | Loan |
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| Source of Funding / Amount |
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| Strategic Agendas | Environmentally sustainable growth Inclusive economic growth |
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| Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Knowledge solutions |
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| Sector / Subsector |
Education / Technical and vocational education and training Health / Health sector development and reform - Health system development |
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| Gender | Effective gender mainstreaming | ||||
| Description | The project aims to support the development of a three-tiered elderly care system (ECS) in Yichang Municipality, Hubei Province by improving the coverage and utilization of home-based, community-based, and residential-based elderly care services. The project is aligned with the following impact: a three-tiered ECS (home-based, community-based, and residential-based care services) established. The project will have the following outcome: coverage and utilization of elderly care services in Yichang increased. Outputs include (i) home-based and community-based care services and facilities improved, (ii) elderly care service capacity increased and its support system improved, (iii) facilities and services supporting the integration of healthcare and elderly care established, and (iv) capacity of elderly care management and project management support developed. |
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| Project Rationale and Linkage to Country/Regional Strategy | The People's Republic of China (PRC) has the largest elderly population in the world. Rapid urbanization, internal migration of youth from rural areas, and the previous one-child policy have affected traditional family support systems, which are currently unable to meet elderly care needs. The population is aging rapidly, while per capita income remains modest and social security systems are still developing. The growing demand to create a sustainable elderly care system (ECS) and develop adequate elderly care services exceeds current supply. Developing adequate elderly care is a major government priority. The PRC's Twelfth Five-Year Plan, 20112015 sought to create a three-tiered ECS. The Thirteenth Five-Year Plan, 20162020 continues to support the development of elderly care by further defining the roles of the government, private sector, and civil society organizations; and promoting better integration of health care and elderly care services. Yichang is one of 42 pilot cities jointly chosen in 2014 by the Ministry of Civil Affairs and National Development and Reform Commission to comprehensively develop its ECS, expand coverage, and ensure adequate service provision. The Asian Development Bank (ADB) began working with the Yichang Municipal Government (YMG) in 2014 to support its program of comprehensive reform by creating the Yichang elderly care strategic plan. In 2017, 22% of Yichang Municipality's population of 4.14 million was above the age of 60, well above the 2017 national average of 14.3%. Within the municipality, there is great diversity in the distribution of elderly and their care needs. Developing an ECS to address such complexity and demand is a significant challenge and one that is faced by many municipalities in the PRC. Yichang's elderly care strategic plan for 20162030 was finalized in 2016, and has five strategic directions aimed at (i) expanding coverage and range of services, (ii) ensuring financial sustainability, (iii) improving service quality, (iv) developing partnerships with private sector and civil society organizations, and (v) strengthening human resources. The project will align with the Yichang elderly care strategic plan, help develop Yichang's ECS, and improve services and human resources. Yichang's ECS is still being developed. Home-based and community-based elderly care services are underdeveloped, and available human resources are severely limited. Elderly people who need care are unable to remain in their communities. Residential-based elderly care facilities are limited, either unable to provide adequate services (leading to low occupancy), orin the case of public facilities that offer quality services at a reasonable pricehave long waiting lists and are unable to meet demand. The imbalance between demand and supply results in the majority of the elderly receiving little assistance, if any. |
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| Impact | A three-tiered elderly care system (home-based, community-based, and residential-based care services) established |
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| Project Outcome | |
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| Description of Outcome | Coverage and utilization of elderly care services in Yichang increased |
| Progress Toward Outcome | Being achieved. As of August 2022, the overall project implementation progress is about 51% as compared with the elapsed loan period of 61%. The cumulative contract commitments were $40.85 million accounting for 27% of the loan amount; total disbursement reached $27 million accounting for 18% of the loan amount. |
| Implementation Progress | |
| Description of Project Outputs | 1. Home-based and community-based care services and facilities improved 2. Elderly care service capacity increased and its support system improved 3. Facilities and services supporting the integration of health care and elderly care established 4. Capacity of elderly care management and project management support developed |
| Status of Implementation Progress (Outputs, Activities, and Issues) | Under output 1, 16 CECCs will be newly constructed or rehabilitated for home-based and community-based service provision. The overall progress of output 1 is 60%. A total of 9 civil works contracts and one equipment contract were awarded, and packages to be awarded include 5 civil works contracts and 5 goods contracts. Ten CECCs are being constructed following the original design. The overall progress of output 2 is 25%. The contract for the civil works package of dementia care center (YC-DC-C04a) is signed. The other one civil works package (YC-DC-C04b) and one good package (YC-DC-E07) are scheduled for procurement in Q3 and Q4 2023 respectively. The ICT consulting firm (YC-ICT-S01) has been mobilized in the first quarter of 2022 and completed the design framework for the intelligent elderly care service information platform. The Three Gorges Vocational College has developed elderly care-related courses and will continue to conduct trainings to trainers for elderly care services. Two goods packaged for the wellness and care training center of the Three Gorges Vocational College: (i) package YC-TC-E20 has been awarded and the equipment has been supplied; and (ii) package YC-TC-E21 will be signed by September 2022. The Caregiver and Manager Training and Career Center (CMTCC) component hasn't started. The detailed design of CMTCC will be completed for procurement. The overall progress of output 3 is 40%. The civil works package (YC-2H-C01) for People's Second Hospital expansion has been awarded and the construction is ongoing at about 50% progress. The package of YC-2H-C02 will start soon. The detailed design of the geriatric hospital and elderly care nursing home will be completed. The civil works package for mail building of the Geriatric hospital (YC-GH-C05a) is being designed. The overall progress of output 4 is 45%. A total of 13 consulting services contracts have been awarded, including 10 individual consultants and 3 consulting firm contracts. All the consultants engaged for strengthen the management capacity of the Yichang Civil Affairs Bureau and for elderly care technical support, and for project management support as well are in place. |
| Geographical Location | Yichang |
| Safeguard Categories | |
|---|---|
| Environment | B |
| Involuntary Resettlement | B |
| Indigenous Peoples | C |
| Summary of Environmental and Social Aspects | |
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| Environmental Aspects | An initial environmental examination (IEE), including an environmental management plan (EMP), was prepared and disclosed on the ADB website on 19 July 2018. The EMP identified potential environmental impacts and risks for the pre-construction, construction, and operational phases; and proposed mitigation measures. The IEE concluded that the anticipated environmental impacts are insignificant and temporary, and can be mitigated through EMP implementation. Construction of 2 proposed geriatric hospitals, an elderly care nursing home, a dementia care center, and 16 CECCs is expected to have minor impacts on air and water quality, solid waste management, and soil and groundwater contamination during construction and operational stages; which can be adequately mitigated through EMP implementation and monitoring. Medical waste management due diligenceaddressing storage, transportation, treatment, and associated facilitiesfound safeguards procedures and operations to be adequate and strictly followed, and in compliance with both PRC and international regulations. YMG confirmed its commitment and capacity to implement the EMP. Further capacity-building measures were proposed in the EMP and agreed by YMG. A grievance redress mechanism will be established. The procedures, reporting timelines, and roles and responsibilities of all agencies are described in the EMP. YMG has full responsibility for safeguards oversight and EMP implementation and compliance. |
| Involuntary Resettlement | The project will acquire 6.28 hectares (ha) of land, 4.19 ha of collectively owned land, and 2.09 ha of state-owned land. A total of 15,313 square meters (m2) of houses will be demolished, including residential houses (5,433 m2) and nonresidential buildings of three enterprises (about 9,880 m2). The 269 affected persons include (i) 170 persons in 44 households, (ii) 51 employees in three enterprises, and (iii) 4 renters with 48 persons. Three households with 10 persons will lose their residential houses because of the demolition or the conversion to CECCs. Land acquisition will affect 23 households with 88 persons, and 18 households with 72 persons will be affected by land acquisition and demolition. The YMG will be responsible for compensation and provision of support and assistance prior to land acquisition and relocation activities. Affected persons do not rely on agriculture for their livelihoods, and the area of land lost is too small to impact household incomes. Land compensation payments will be considerable. Those who lose houses will be offered cash compensation at replacement cost or resettlement housing from the local government, and building compensation will enable them to purchase houses equal in size to their original houses. The three affected enterprises will receive negotiated prices before project implementation. The four affected renters with 48 persons will be compensated according to their contractual arrangements. The project team has informed the affected business owners and their employees when the properties will be acquired, and the local government will help them find new locations to continue their business activities. The project will provide skilled and unskilled job opportunities on a priority basis for all project-affected persons during construction and operation. |
| Indigenous Peoples | The People's Republic of China (PRC) has preferential policies for ethnic minorities, to ensure they participate in service administration and development programs, and manage their internal affairs. Ethnic minorities account for less than 1% of the population in the project impact areas. Most of the ethnic minorities in project impact areas (87%) are from the Tujia ethnic minority group, who share similar economic opportunities and social recognition with the PRC's dominant Han population. The project will ensure elderly people, regardless of ethnicity, gain equal access to elderly care services based on care needs, and that their cultural and religious sensitivities are recognized and elderly care providers accommodate any special dietary requirements. Ethnic minorities associate well with other communities and will equally benefit from the project. Therefore, an ethnic minority development plan is not needed. |
| Stakeholder Communication, Participation, and Consultation | |
| During Project Design | The project will (i) ensure that elderly men and women participate equally in project-related public consultations; (ii) incorporate gender-responsive features in the project design, if any; (iii) promote increased employment opportunities for women; and (iv) build the executing and implementing agencies' institutional capacity for gender mainstreaming by engaging the All China Women's Federation to undertake employment training and public awareness creation. |
| During Project Implementation | |
| Business Opportunities | |
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| Consulting Services | QCBS (project implementation support) - 156 person-months QCBS (external monitoring) - 72 person-months Individual consultants selection (start-up) - 57 person-months QCBS (elderly care technical support) - 49 person-months Individual consultants selection (elderly care system development) - 60 person-months CQS (elderly care-ICT platform preparation) - 27 person-months QCBS (elderly care-ICT software development) - 200 person-months |
| Procurement | National competitive bidding - 26 contracts Shopping- 2 contracts |
| Responsible ADB Officer | Wang, Fang |
| Responsible ADB Department | East Asia Department |
| Responsible ADB Division | PRC Resident Mission |
| Executing Agencies |
Hubei Provincial Finance Department Yichang Municipal Government |
| Timetable | |
|---|---|
| Concept Clearance | 23 Nov 2016 |
| Fact Finding | 23 May 2018 to 31 May 2018 |
| MRM | 06 Aug 2018 |
| Approval | 13 Dec 2018 |
| Last Review Mission | - |
| Last PDS Update | 22 Sep 2022 |
Loan 3767-PRC
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 13 Dec 2018 | 31 May 2019 | 12 Sep 2019 | 31 Dec 2024 | - | - |
| Financing Plan | Loan Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 305.05 | Cumulative Contract Awards | |||
| ADB | 150.00 | 20 Apr 2023 | 52.60 | 0.00 | 35% |
| Counterpart | 155.05 | Cumulative Disbursements | |||
| Cofinancing | 0.00 | 20 Apr 2023 | 42.00 | 0.00 | 28% |
| Status of Covenants | ||||||
|---|---|---|---|---|---|---|
| Category | Sector | Safeguards | Social | Financial | Economic | Others |
| Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory |
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Evaluation Documents See also: Independent Evaluation
None currently available.
Related Publications
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New ADB Project to Showcase Elderly Care Options in the PRC
ADB has approved a $150 million loan to help develop a comprehensive elderly care system in Yichang in central-eastern Hubei province to showcase ways that other cities in the PRC can look after their aging citizens.
Tenders
Contracts Awarded
| Contract Title | Approval Number | Contract Date | Contractor | Address | Executing Agency | Total Contract Amount (US$) | Contract Amount Financed by ADB (US$) |
|---|---|---|---|---|---|---|
| YC-ZX-C03c: Civil works for CECC at the Shantou Road in Gaoxin District | Loan 3767 | 27 Feb 2023 | Zhongheng Construction Group Co., Ltd. | Jiangxi | Yichang Municipal Government | 3,899,507.93 | 3,870,756.22 |
| YC-TC-E21: Equipment of practical training center (elderly medical treatment simulation, rehabilitation simulation, oral medicine simulation, elderly-medical technology, nursing preclinical medicine | Loan 3767 | 16 Dec 2022 | Tianjin Tianyan Technology Co., Ltd. | Tianjin | Yichang Municipal Government | 2,988,834.11 | 2,988,834.11 |
| YC-DC-C04a: Dementia Care Center civil works | Loan 3767 | 29 Sep 2022 | Sichuan Huayuan Construction Engineering Co., Ltd. | Sichuan | Yichang Municipal Government | 4,474,512.41 | 4,474,512.41 |
| YC-ZJ-C01a: CECC-Main building construction | Loan 3767 | 11 Jul 2022 | Sichuan Huayuan Construction Engineering Co., Ltd. | Sichuan | Yichang Municipal Government | 4,037,223.49 | 2,481,501.61 |
| YC-ICT-S01: Consulting services to prepare the elderly care-ICT Platform | Loan 3767 | 09 Mar 2022 | Hubei Post and Telecommunications Planning and Design Co., Ltd. | Jianghan district, Changqing 3rd Road No.2, Wuhan City, Hubei Province | Yichang Municipal Government | 119,131.00 | 119,131.00 |
| Procurement of Goods for Wellness & Care Training Centre | Loan 3767 | 07 Mar 2022 | Wuhan Jinmao Engineering Technology Co., Ltd. | 9th floor Building 4 In Dangdai Science and Technology Park, Road One of Guannanyuan East Lake New Technology Development Zone, Wuhan China | Yichang Municipal Government | 1,170,494.55 | 1,169,277.53 |
| CECC Main Building Construction at Zigui | Loan 3767 | 18 Sep 2021 | Tianbao Construction Group Co. Ltd. | Guanyun East Road #33 Zhuozhou City Baoding City in Hebei Province | Yichang Municipal Government | 2,347,581.07 | 2,345,348.06 |
| Building construction-Geriatric Hospital Construction | Loan 3767 | 18 Sep 2021 | Shanxi Construction Engineering Group Co. Ltd | 9 Xinjian Road Yingze District Taiyuan Province Shanxi Province 030032 | Yichang Municipal Government | 22,759,450.50 | 22,701,397.05 |
| EXTERNAL MONITORS | Loan 3767 | 28 May 2021 | WUHAN YUNHAICHENG ENG CONSULTING | WUHAN, YICHANG CHINA, PEOPLE'S REP. OF | Yichang Municipal Government | 456,900.00 | 456,900.00 |
| CECC MAIN BUILDING CONSTRUCTION IN YIDU | Loan 3767 | 19 Mar 2021 | FUJIAN LONGCHENG CONSTRUCTION GROUP CO., LTD | FLOOR 22-23 IN LONGCHENG BUILDING, ZIWEI ROAD, SHIMA TOWN, LONGHAI CITY, FUJIAN CHINA,PEOPLE'SREP.OF | Yichang Municipal Government | 4,192,631.07 | 4,022,798.58 |
| PROJECT MANAGEMENT SUPPORT AND CAPACITY DEVELOPMEN T | Loan 3767 | 10 Dec 2020 | HUBEI CHENGKANG FUTURE CERTIFIED PUBLIC ACCTS | HUBEI CHENGKANG FUTURE ENGINEERING CONSULTING CO., LTD. (PRC CHINA,PEOPLE'SREP.OF | Yichang Municipal Government | 594,367.00 | 594,367.00 |
| YILING DISTRICT CIVIL AFFAIRS BUREAU COMMUNITY- BASED ELDERLY CARE CENTER RECONSTRUCTION WORK | Loan 3767 | 10 Dec 2020 | XIAMEN CHENGJIAN CONSTRUCTION CO., LTD | ROOM 206, NO. 101 LIANHUA ST LIANHUA TOWN, TONG?AN DISTRICT, XIAMEN CITY CHINA,PEOPLE'SREP.OF | Yichang Municipal Government | 3,013,932.88 | 2,520,936.98 |
| COMMUNITY-BASED ELDERLY CARE CENTER (CHILDREN'S PARK AND FORMER LABOR BUSINESS HOTEL) CIVIL AND DECORATION WORKS | Loan 3767 | 26 Nov 2020 | ZHONGDI YINGGANG CONSTRUCTION GROUP CO., LTD | RN ROAD, RARE EARTH HIGH-TECH ZONE, BAOT OU CITY, IMAR, PRC CHINA,PEOPLE'SREP.OF | Yichang Municipal Government | 2,887,878.06 | 2,887,878.06 |
Procurement Plan
| Title | Document Type | Document Date |
|---|---|---|
| Hubei Yichang Comprehensive Elderly Care Demonstration Project: Procurement Plan | Procurement Plans | Nov 2022 |