China Health Reform Program (WB-P154984)

  • China
Where the impacts of the investment may be experienced.
Specific Location
Anhui, Fujian
Whenever identified, the area within countries where the impacts of the investment may be experienced. Exact locations of projects may not be identified fully or at all in project documents. Please review updated project documents and community-led assessments.
Financial Institutions
  • World Bank (WB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Bank Risk Rating
Risk rating varies among banks and may refer only to the particular investment and not to the risk for the project as a whole. Projects marked 'U' have an 'Unknown' risk rating at the time of disclosure.
Voting Date
May 9, 2017
The estimate day the bank will vote on a proposed investment. The decision dates may change, so review updated project documents or contact the EWS team.
Government of People's Republic of China
The holder of the loan, grant, or other investment.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
The categories of the bank investment: loan, grant, etc.
Investment Amount (USD)
$ 600.00 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please review updated project documents for more information.
Project Cost (USD)
$ 4,066.00 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please see updated project documentation for more information.
Primary Source

Original disclosure @ WB website

Updated in EWS Jul 27, 2017

Disclosed by Bank Apr 28, 2016

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Project Description
The objective of this project is to improve the quality of healthcare services and the efficiency of the healthcare delivery systems in Anhui and Fujian provinces. The objectives will be achieved by supporting key areas of the health reform Masterplans in the two provinces - namely those focused on comprehensive public hospital reform and the implementation of a People Centered Integrated Care (PCIC) based service delivery system with strengthened primary care - in both urban and rural areas across the two provinces. The World Bank’s Program will include support for the management of policy reform, strengthening of service delivery capacity, transforming service model, enhancing health human resources and critical information technology (IT) infrastructure development. Result Area 1: Reforming public hospitals with the aim of improving the quality and efficiency of hospitals services. (i) Proportion of discharged patients for whom county-level public general hospitals and Traditional Chinese Medicine (TCM) hospitals are paid through case-based payment; (ii) Proportion of inpatients to be treated through the use of standardized clinical pathways at county level public general hospitals. Result Area 2: Establishing effective and accountable PCIC based service delivery system with strengthened primary healthcare services. (i) Proportion of outpatient care delivered by primary care facilities; and (ii) Number of prefectures that manage Type II diabetes patients using the integrated NCD service package. The PforR is expected to bring about positive environmental, social and health benefits in terms of providing improved health services to the public and communities, particularly in rural poor areas. Along with these, it is expected that standardized hospital management practices for medical waste, occupational safety and health, and that the collection and transportation of medical wastes in rural areas will be improved. ii. Nonetheless, some of the activities supported under the PforR have potential negative impacts and risks. Medical waste management and radiation risks are considered the main issues from environment, health and safety perspective. This Environment and Social Systems Assessment (ESSA), prepared by the Bank team, provides a comprehensive review of relevant environmental and social management systems and procedures in China and the two provinces, identify the extent to which the country/local systems are consistent with PforR Bank Policy, and Directive, and recommend necessary actions to address potential gaps as well as opportunities to enhance performance during the PforR implementation.
Investment Description
Government of China US$ 3,466 million

Contact Information
National Health and Family Planning Commission Ms. Xue Haining Deputy Director-General, Department of Health System Reform Tel: 86-10-62030870 Email:, ACCOUNTABILITY MECHANISM OF WORLD BANK The World Bank Inspection Panel is the independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by a World Bank-financed project. If you submit a complaint to the Inspection Panel, they may investigate to assess whether the World Bank is following its own policies and procedures for preventing harm to people or the environment. You can contact the Inspection Panel or submit a complaint by emailing You can learn more about the Inspection Panel and how to file a complaint at: