The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) Anhui Aged Care System Demonstration Project (P154716) EAST ASIA AND PACIFIC | China | Social Protection & Jobs Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 3 | ARCHIVED on 26-Jun-2020 | ISR40537 | Implementing Agencies: Anhui Provincial Department of Civil Affairs, People's Republic of China Key Dates Key Project Dates Bank Approval Date: 19-Jun-2018 Effectiveness Date: 22-Oct-2018 Planned Mid Term Review Date: 30-Jun-2021 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2023 Revised Closing Date: 31-Dec-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective (PDO) is to support the government of Anhui province in developing and managing a diversified, three-tiered aged care service delivery system for the elderly, particularly those with limited functional ability. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Supporting the Development of Government Stewardship Capacity:(Cost $10.45 M) Strengthening Community-based and Home-based Care Services:(Cost $42.64 M) Strengthening the Delivery and Management of Nursing Care:(Cost $136.90 M) Project Management, Monitoring and Evaluation:(Cost $2.68 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The project was approved by the World Bank Board on June 19, 2018 and became effective on October 22, 2018. The project was launched on September 26-27, 2018. The 2020 work plan and procurement plan have been updated to reflect the realistic timeline due to the impact of COVID- 19. At the provincial level, the provincial Project Management Office (PPMO) has prepared Terms of References (TORs) for a few key project activities including: (a) the overall design of a unified information system; (b) aged care needs assessment; (c) aged care quality standard; (d) rural welfare home reform; (e) beneficiary satisfaction survey; and (f) project management consultancy services. The procurement of consulting services will be commenced as planned. 6/26/2020 Page 1 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) At the municipal Level, progress has been made though unevenly among the municipalities. Anqing and Lu’An were steadily moving forward on the upgrade of community-based service stations. The architecture design of the skilled nursing home in Lu’An and the urban welfare home in Ningguo was completed. Xuancheng has almost completed the process of land acquisition and the design of the welfare home is underway. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Low Low Low Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Substantial Substantial Substantial Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the access of aged care services IN00803326 ►Number of direct beneficiaries at project sites (Number, by gender and by tier) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 59,287.00 59,287.00 59,287.00 357,589.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2019 IN00803328 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 27,740.00 27,740.00 27,740.00 228,856.00 6/26/2020 Page 2 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803329 Home-based services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 29,164.00 29,164.00 29,164.00 195,672.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803330 Community-based services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 27,359.00 27,359.00 27,359.00 155,097.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803331 Institutional-based services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2,764.00 2,764.00 2,764.00 6,820.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Srenghtern government capacity to exercise stewardship over a diversified aged care service system IN00803208 ►Percentage of dedicated public outlays for elderly care spent on purchasing aged care services from non-public providers in urban areas in the project sites (Percentage, arithmetic average) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 10.00 10.00 27.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Improve the quality of aged care services across three tiers IN00803210 ►Share of aged care service providers who meet the requirements of construction and service standards at the project sites (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 34.00 34.00 34.00 98.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Srengthern delivery capacity of a diversified aged care service provision system IN00803209 ►Number of aged care managerial staff who received training certificates financed by the project, disaggregated by gender (Number, by gender) (Number, Custom) 6/26/2020 Page 3 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,500.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803327 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Intermediate Results Indicators by Components Component 2. Strengthening Community-based and Home-based Care Services IN00803333 ►Intermediate Result Indicator 2.1 Number of newly constructed/upgraded community service stations at the project sites (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 40.00 158.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 15-Jun-2023 IN00803337 ►Intermediate Result Indicator 2.2 Number of family caregivers who received respite services at the project sites (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 15.00 15.00 970.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Component 3. Strengthening the Delivery and Management of Nursing Care IN00803334 ►Intermediate Result Indicator 3.1. Number of newly constructed or upgraded nursing care beds at the project sites (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 6,340.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803338 ►Intermediate Result Indicator 3.2 Occupancy rates of beds at the project sites (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 39.00 39.00 39.00 78.00 6/26/2020 Page 4 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803342 Urban Community stations (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 36.00 37.00 37.00 80.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803344 Urban welfare homes (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 80.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803346 Rural Welfare homes (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 30.00 30.00 75.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803349 Skilled nursing homes (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 78.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Component 1 - Supporting the Development of Government Stewardship Capacity IN00803332 ►Intermediate Result Indicator 1.1 Number of modules developed and operating for the provincial information system (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803336 ►Intermediate Result Indicator 1.2 Number of users who utilize the provincial information system for the aged care business. (Number per year) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 18,255,678.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803340 6/26/2020 Page 5 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) ►Intermediate Result Indicator 1.3 Number of aged care service standards developed at the provincial levels and financed by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803343 ►Intermediate Result Indicator 1.4 Number of aged care professionals participating in training activities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 9,795.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803347 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803348 ►Intermediate Result Indicator 1.5 Proportion of the elderly benefiting from the project who received functional ability/needs assessments (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 23.00 23.00 23.00 92.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Component 4. Project Management, Monitoring and Evaluation IN00803335 ►Intermediate Result Indicator 4.1. Satisfaction of consumers and their families with aged care services (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 30-Jun-2020 05-Aug-2019 29-May-2020 30-Jun-2023 A baseline survey will be conducted by the Provincial Project Management Office (PPMO). The baseline value will be set up and the target values will be projected. The second wave survey will be at the MTR, Comments: and the final wave by the end of the project. IN00803339 Women (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 6/26/2020 Page 6 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 IN00803341 ►Intermediate Result Indicator 4.2 Weekly time use of family caregivers who provided aged care to their elderly recipients (Hours, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 73.70 73.70 73.70 0.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 The baseline value was set up based on a household survey. The target values will be projected. The Comments: second wave survey will be at the MTR, and the final wave by the end of the project. IN00803345 Women (Hours, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 76.50 76.50 76.50 0.00 Date 30-Mar-2018 05-Aug-2019 29-May-2020 30-Jun-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P154716 IBRD-88820 Effective USD 118.00 118.00 0.00 6.14 111.86 5.2% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P154716 IBRD-88820 Effective 19-Jun-2018 10-Aug-2018 22-Oct-2018 31-Dec-2023 31-Dec-2023 Cumulative Disbursements 6/26/2020 Page 7 of 8 The World Bank Implementation Status & Results Report Anhui Aged Care System Demonstration Project (P154716) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/26/2020 Page 8 of 8