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International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Bank Risk Rating: B
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.
Borrower or Client: Government of People's Republic of China
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Investment Type(s): Loan
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Investment Amount (USD): $ 140.00 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): $ 196.70 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please see updated project documentation for more information.
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Anhui Aged Care System Demonstration Project
The proposed PDO of this project is to support the government of Anhui province in establishing and managing a diversified (public and private) system of delivery of elderly care services, including home, community and residential services, that serves the key target group: the elderly with physical or mental impairments or limitations of activities of daily living.
The project has four components: (i) Supporting the development of government stewardship capacity for the elderly care system; (ii) Strengthening the delivery and management of community and home-based services); (iii) Strengthening the delivery and management of nursing care; and (iv) Project management.
Component 1: Supporting the development of government stewardship capacity for the elderly care system This project will develop the capacity of the government to exercise stewardship over a diversified elderly care system. The main stewardship functions to be strengthened by this component are (i) to design and manage the delivery of a continuum of care, through developing an information system and designing an architecture for provider-commissioner relations; (ii) to create a system for disability certification/ability evaluation, and (iii) to develop and uphold quality standards. This component will finance TA, capacity building, software and hardware.
Component 2: Strengthening the delivery and management of community and home-based services Community-based stations supporting home based care provision are envisaged as a backbone of the aged care strategy in the province. Accordingly, the project activities supported by this component include building and/or upgrading the community-based stations and purchasing home-based care from service providers (Anqing and LuAn). Preparation of meals, basic cleaning, assistance with caring for bedridden seniors, and respite services are among the services envisaged for home based care and in community based settings. Developing Internet of Things (IOT) to expand the outreach of community care and to improve the integration of medical and social care services is also envisaged in this component (Wuhu). This component will finance civil works, equipment, and payments to providers of home-based care.
Component 3: Strengthening the delivery and management of nursing care This component will support construction/upgrading tertiary skilled nursing facilities and welfare homes. Urban tertiary skilled nursing facilities will be constructed in LuAn, Wuhu and Anqing. Each nursing facility will be attached to a public tertiary hospital. The design and location of facilities conforms to good international and local practice of concentrating facilities in places with high population density and focusing on elderly people with disabilities. This component of the project will also increase the capacity of residential urban welfare homes in Ningguo and Xuanzhou. Further, this component will upgrade the rural facilities and increase the skilled-nursing content of services in Suzhou and Wuhu. Strengthening welfare homes is included in the project in order to support the government in its role of a major direct provider of elderly care for the poor. While current welfare homes started to admit self-paying patients with ADL limitations, it is critically important that welfare homes refrain from prioritize self-paying patients over sun-wu and wu-bao elderly. This component will finance civil works and equipment.
Component 4: Project management This component will support project management-related work at the provincial and sub-provincial levels by establishing and maintaining Project Management Offices and by building the capacity of project management staff. This will ensure an effective and efficient implementation in compliance with the operations policies and procedures of the World Bank as well as with domestic rules.
Anhui Provincial Department of Civil affairs
Contact: Zhenyue Zhang
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