The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Guizhou Aged Care System Development Program (P162349) EAST ASIA AND PACIFIC | China | Social Protection & Jobs Global Practice | Requesting Unit: EACCF | Responsible Unit: HEASP IBRD/IDA | Program-for-Results Financing | FY 2019 | Team Leader(s): Dewen Wang Seq No: 2 | ARCHIVED on 03-Apr-2020 | ISR39325 | Created by: Lansong Zhang on 08-Nov-2019 | Modified by: Dewen Wang on 29-Mar-2020 Program Development Objectives Program Development Objective (from Program Appraisal Document) The PDO is to increase equitable access to a basic package of aged care services and to strengthen the quality of services and the efficiency of the aged care system. Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Implementation Status and Key Decisions The Guizhou Aged Care System Development Program, co-financed by the World Bank and the Agence Française de Développement (AFD), became effective in September 2019. Guizhou provincial Department of Civil Affairs (DOCA) is the implementation agency. The Program aims to increase equitable access to a basic package of aged care services and to strengthen the quality of services and the efficiency of the aged care system. The Program promotes sector wide reform by promoting innovations including: (i) introducing a basic package of aged care services; (ii) exploring Public-Private Partnership (PPP) models, to help the government set up appropriate mechanisms to commission the management of public aged care facilities to private operators and purchase aged care services from private providers; (iii) supporting sector-wide budget reform and enhancing budget performance management by introducing zero-based budget reform; (iv) coping with cost pressures through an overall interlinked system design; and (v) utilizing Big Data, through establishment of a Provincial Cloud Platform (PCP), to support service delivery, quality enhancement and public financial management. The activities are grouped into three results areas: (i) expanding coverage of basic aged care services for the elderly; (ii) enhancing quality of aged care services for the elderly; and (iii) strengthening efficiency of aged care financing for the elderly. The Program has made good progress in implementation. DOCA has developed the Program Technical Roadmap and the Program Operations Manual to guide the implementation at provincial level and local levels. Some key activities have been carried out with small-scale pilots such as needs assessment, basic aged care services and produced preliminary inputs. DOCA will also engage consultants/consulting firms to work in these key areas. The World Bank and AFD joint team has been closely working with DOCA and other partners in Guizhou and provide intensive technical support. The design of the PCP has started. The Program implementation has been affected by the outbreak of the COVID-19. With the peak of the virus impact appearing to be passed, Program implementation is expected to be accelerated in the coming period and to produce concrete results in the second half of 2020. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed 4/3/2020 Page 1 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) P162349 IBRD-89270 Effective USD 350.00 350.00 0.00 1.86 348.07 0.5% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P162349 IBRD-89270 Effective 21-Mar-2019 14-May-2019 11-Sep-2019 31-Dec-2024 31-Dec-2024 DLI Disbursement Achievement Disbursed amount in Disbursement % for DLI ID DLI Type Description Coc DLI Amount Status Coc DLI Loan: IBRD89270-001 INTEREST AND 9 Charge Type -- 18,335,750.00 -- 167,898.91 0.9 % COMMITMENT CHARGE DOCA NEEDS 1.1 Regular EUR 5,732,000.00 Not Achieved 0.00 ASSESSMENT TOOLKIT TOOLKIT IMPLMNT IN 48 1.2 Regular EUR 22,928,000.00 Not Achieved 0.00 PRO DIST/COUNTIES DOCA BASIC PACKAGE 2.1 Regular EUR 5,732,000.00 Not Achieved 0.00 OF AGE CARE SERVICE BASIC PKG IMPLMNT IN 2.2 Regular EUR 22,928,000.00 Not Achieved 0.00 48 PRO DIST/COUNTIE 402000 ELIGIBLE 3 Regular ELDERLY RECEIVED EUR 57,320,000.00 Not Achieved 0.00 BASIC P DOCA HAS DEVOLP 4.1 Regular AGED CARE QUA EUR 17,196,000.00 Not Achieved 0.00 STANDARDS 1500 AGED CARE 4.2 Regular FACILITIES W/H QUA EUR 40,124,000.00 Not Achieved 0.00 STDS 19000 WAGE 5 Regular CAREGIVER REC EUR 28,660,000.00 Not Achieved 0.00 TRN/CERTI IN SE DOCA DEVOLP Z-BASED 6.1 Regular BGT PLANING&ALLO EUR 17,196,000.00 Not Achieved 0.00 RUL IMP Z-BASED BGT PLN& 6.2 Regular EUR 40,124,000.00 Not Achieved 0.00 ALLO RULE IN48DIS/C DOCA DEVOLP OP MGT 7.1 Regular EUR 5,732,000.00 Not Achieved 0.00 GUIDE FOR CARE FACILI IMPT MGT GUIDE 4 7.2 Regular EUR 22,928,000.00 Not Achieved 0.00 FACLTS IN48 DIS/CTS Loan: COFNC1570-001 4/3/2020 Page 2 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) TOOLKIT 1 Regular DVLPED&NO.OF EUR 10,000,000.00 Not Achieved 0.00 DIST/COUNTIES USED PACKAGE 2 Regular DVLPED&NO.OF EUR 10,000,000.00 Not Achieved 0.00 DIST/COUNTIES USED NO.OF ELG ELDERLY 3 Regular EUR 20,000,000.00 Not Achieved 0.00 PPL REC'D BASIC SER QUA STNDDVLPED&NO 4 Regular OF FACLTY USED THE EUR 20,000,000.00 Not Achieved 0.00 STN NO.CAREGIVER REV 5 Regular TRN&CERT IN AGE EUR 10,000,000.00 Not Achieved 0.00 CARE SE ZBB OF AGECARE 6 Regular DVLPED&NO.OFDIST/CO EUR 20,000,000.00 Not Achieved 0.00 UNTIES OP MGT GDLN 7 Regular DVLPED&NO. OF EUR 10,000,000.00 Not Achieved 0.00 DIST/CNT USED Program Action Plan Develop a technical roadmap to guide the organization and coordination of Program activities in the three RAs, Action Description including an overall technical roadmap in Year 1, annual plan in Years 2-5, and an overall review and sustainability plan in Year 6 Source DLI# Responsibility Timing Timing Value Status DOCA,CABs at Technical prefecture, Recurrent Yearly In Progress district/county • Year 1: Overall technical roadmap • Year 2-5: Annual technical plan and review report with recommendations Completion Measurement • Year 6: Overall technical implementation review report with recommendations for next steps Due Date Y1 August 31, 2019; Y2-6 November 30 Comments Year 1 completed, the overall technical roadmap developed Action Description Define a systemic M&E framework by DOCA and implement M&E at all government levels Source DLI# Responsibility Timing Timing Value Status DOCA,CABs at Technical prefecture, Recurrent Yearly In Progress district/county Year 1: A provincial M&E framework; Year 2-5: List of main M&E activities completed and assessment report with Completion Measurement recommendations; Year 6: Overall Implementation review with recommendations for next steps Due Date Y1 August 31, 2019; Y2-6 November 30 4/3/2020 Page 3 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Comments TOR prepared; M&E framework to be developed in June 2020 Develop and implement aged care investment management guidelines. DOCA will develop the guidelines for the Action Description investment decision making; Program districts/counties will implement the guidelines based on its requirements Source DLI# Responsibility Timing Timing Value Status DOCA,CABs at Technical prefecture, Recurrent Yearly In Progress district/county • Year 1: Investment Management Guideline promulgated by DOCA • Year 2-6: DOCA’s approval of district/county investment plan(s) /project (s) which include effective demand analysis Completion Measurement and financial analysis of business operations Due Date November 30 Comments TOR prepared, Guidelines to be developed by end of May 2020 Establish the provincial cloud platform by DOCA in four phases: design overall architecture, develop applications for Action Description end users and implementers, pilot in the selected counties, and roll out across the province Source DLI# Responsibility Timing Timing Value Status Technical DOCA Recurrent Yearly In Progress • Year 1: DOCA’s overall implementation plan and budget on the cloud platform Completion Measurement • Year 2-6: DOCA’s annual plan and progress report on the cloud platform development at each stage Due Date: Y1 October 31, 2019; Y2-6 January 31 Comments Year 1 completed; overall implementation plan and budget proposed. Set up an accounting ledger to record Program transactions and the reporting system to match Program needs that Action Description will be followed by the relevant agencies at all levels Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems DOCA and DOF Due Date 31-Aug-2019 In Progress • An accounting ledger developed by DOCA and DOF Completion Measurement • Program financial reporting produced by Program prefectures and Program districts/counties Comments Completed; the accounting ledger developed Action Description Adjust the auditing arrangement to produce the information/reports needed for the Audits Source DLI# Responsibility Timing Timing Value Status 4/3/2020 Page 4 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Fiduciary Systems DOCA and DOF Due Date 31-Aug-2019 In Progress Program financial reporting adequate for audits Completion Measurement Comments Program financial reporting adequate for audits Develop provincial guidelines for government purchase of basic aged care services, which lay out the selection Action Description procedures for service providers, contracting requirements, performance review, verification, financial reporting, and payment arrangements Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems DOCA Due Date 31-Oct-2019 In Progress The provincial guidelines for the government purchase of basic aged-care services developed by DOCA and Completion Measurement distributed to Program prefectures and Program districts/counties Comments TOR prepared; Guideline to be developed in June 2020 Engage a qualified monitoring agency to conduct regular social monitoring among approved projects and conduct due Action Description diligence on the land use conditions for those institutions selected as potential service providers Source DLI# Responsibility Timing Timing Value Status Environmental and Social DOCA Due Date 31-Oct-2019 In Progress Systems • Contract completed • Monitoring report to verify the full compliance with national laws and local regulations, as well as the protection of Completion Measurement interests of the affected people Comments TOR prepared; monitoring report expected in June 2020 Establish environmental screening mechanism by assigning a staff with competency to collect and review all the Action Description proposals submitted by the districts/counties and to screen the candidate activities based on the exclusionary and limitation criteria Source DLI# Responsibility Timing Timing Value Status Environmental and Social DOCA Due Date 31-Oct-2019 In Progress Systems • Staff with good command of environmental knowledge assigned • Budget allocated Completion Measurement • Screening reports Comments TOR prepared; consultant expected to be in place in June 2020. 4/3/2020 Page 5 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Program Operations Manual (POM) developed and updated to guide the implementation with details on all Action Description operational aspects, sub-manuals on procurement, FM, land acquisition,citizen engagement,consultations, and the grievance redress system Source DLI# Responsibility Timing Timing Value Status Other DOCA Recurrent Continuous In Progress • POM developed following the requirements defined in three assessments and adopted by DOCA (by August 31, 2019) Completion Measurement • DOCA provided training for all levels • DOCA monitoring the compliance with POM • POM updates with prior agreement from the World Bank Comments POM developed and updated; training provided to prefecture and county levels 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 Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Objective/Outcome 1: Increase equitable access to a basic package of aged care services IN00767071 ►PDO Indicator #1. Number of eligible elderly receiving the basic package of aged care services (by gender, by rural/urban area, by tier, by income status) (Number, Custom) 4/3/2020 Page 6 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 402,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 The elderly who are assessed by the needs assessment toolkit and received the subsidized basic aged care services given their eligibility based on income/asset testing, will be counted in the previous calendar year. This information will be disaggregated by gender, by tier, by urban/rural area, by income group (Tekun, Dibao, low-income). The interim and end targets are cumulative value of the number of elderly. The division of urban/rural areas refers to the elderly who received a basic package set up for either urban areas or rural areas, according to where they live either in urban communities or rural villages. DLR 3. 402,000 eligible elderly receiving the basic package of aged care services. CABs in the Program finance the subsidy of the basic package of aged care services in accordance with the Comments annual implementation plan. The service providers report to CABs on the number of elderly who received the basic package of aged care services (and individual characteristics such as ID, address, age, gender, and so on) and, the services provided (by tier, and type of services ), based on the contract/Memorandum of Understanding between the CAB and the service providers. CABs verify the service provision (system verification through spot checks with an appropriate sample size of the elderly population registered to receive services, not inspection) through a third party and make payments to the service providers. CABs enter the data in the database of DOCA PCP in real time and submit annual progress report to Guizhou DOCA yearly. (Scalable) IN00767074 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 201,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767076 Rural area (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 361,800.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767077 Home and community-based care (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 361,800.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767078 Tekun (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 32,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767079 Dibao (Number, Custom Breakdown) 4/3/2020 Page 7 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 32,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767080 Low income (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Objective/Outcome 2: Enhance quality of aged care services IN00767072 ►PDO Indicator #2. Development of the aged care quality standards and number of aged care facilities complying with the aged care quality standards (by tier) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,500.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Aged care quality standards comprise a list of core service standards and core infrastructure standards for aged care facilities and services. DOCA will refer to the existing national standards and develop a framework of quality standards and indicators to measure and monitor for quality enhancement. DLR 4.1. DOCA has developed the Aged Care Quality Standards DOCA will develop a framework of aged care quality standards for services and infrastructure, which comprises a list of core service standards and core infrastructure standards, and indicators for quality measurement. DOCA also sets up the thresholds of aged care quality level and develops inspection procedures and certification criteria to be adopted by CABs. The framework and indicators of the provincial aged care standards are reviewed by the ESC. (binary, YES/NO) Comments DLR 4.2. 1,500 aged care facilities complying with the aged care quality standards It is the number of the aged care facilities (including skilled nursing homes, welfare homes, community day- care centers, happiness homes, home-care service providers, and other facilities in urban and rural areas) in compliance with the provincial quality standards of aged care facilities to be developed by Guizhou Provincial DOCA under the Program. CABs are responsible for carrying out the annual inspection to those aged care facilities under their administrative jurisdiction and certifying that the facilities that meet the provincial standards. They are responsible for entering the data of quality measurement indicators into DOCA PCP. DLR 4.2 is numerical and scalable. IN00767075 Community facilities (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,100.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Objective/Outcome 3: Strengthen efficiency of the aged care system IN00767073 ►PDO Indicator#3 Development of the zero-based aged care budget planning and allocation (ZBB) guidelines and number of Program districts/counties where implementation of the ZBB guidelines has occurred (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/3/2020 Page 8 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 0.00 0.00 48.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 The ZBB approach refers that the new budgeting process would start from zero as its base. The budget planning, allocation and execution should be informed by actual local needs from market analysis and the gaps identified for the aged care system development. Traditionally, the incremental increase approach was adopted for budgeting, which took the actual spending in the previous year as the base and added a marginal increase for the new budget in the coming year. Based on the ZBB approach, a ledger will be set up to keep records, accounting and reporting of the budget planning, allocation and execution process in alignment with the existing budget line. DLR 6.1. DOCA has developed the zero-based aged care budget planning and allocation guidelines Guizhou DOCA will formulate the ZBB planning and allocation guidelines for aged care public financing. The Comments guidelines provide principles, methodologies, procedures and templates on annual budget planning, allocation and execution. The principles will respond to market analysis to identify gaps and priorities for the development of aged care system locally. The final version of the zero-based aged care budget planning and allocation will be reviewed by the ESC. DLR 6.2. Implementation of the zero-based aged care budget planning and allocation guidelines has occurred in 48 Program districts /Program counties The districts/counties in the Program who decide to implement the guidelines will prepare annual budget plan with supporting evidence by following the provincial guidelines. CABs submitted an annual budget plan to prefecture for review, and further to DOCA for guidance. DLR 6.2 is numerical and scalable. Intermediate Results Indicators by Results Areas Results Area 1: Expanding coverage of basic aged care services for the elderly IN00767081 ►Development of the needs assessment toolkit and number of Program districts/ Program counties where implementation of the needs assessment toolkit has occurred (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 Date 31-Dec-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 The needs assessment toolkit comprises methodologies and assessment instruments to measure the functional limitations, and the environment needs of the elderly for access to the publicly-funded basic package of aged care services. It will be developed based on the national Elderly Ability Assessment Standard, international experiences and domestic pilots. The functional ability assessment will be complemented by an assessment of the living conditions of the elderly. It will include the examination of the household composition as well as the living environment (dwelling condition, location, and so on). The results of the two assessments will be combined in one measure or matrix, to be linked to the basic package of aged care services DLR 1.1. DOCA has developed the needs assessment toolkit DOCA will develop the needs assessment toolkit, pilot it in districts /counties of the five selected Comments Program prefectures, and finalize it based on the pilots’ experience. DOCA will officially promulgate the needs assessment toolkit and will distribute a technical manual to CABs comprising the implementation procedures to conduct the individual assessment (e.g. responsible professional to evaluate the elder; frequency of the evaluation, and so on), data entry and management to determine the individual score; and other details. The DLR for the first year is binary (Yes/No) and it is considered achieved when the needs assessment toolkit is promulgated, and the associated manual distributed to the prefectures and district/counties. DLR 1.2. Implementation of the needs assessment toolkit has occurred in 48 Program districts/ Program counties The CABs will develop an implementation plan at the local level, based on the needs assessment toolkit. DOCA will guide and prefecture will review the implementation plans of CABs to ensure they are consistent 4/3/2020 Page 9 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) with the provincial toolkit requirements and CABs start assessing the target population. The indicator measures the number of Program districts/Program counties that implementation of the needs assessment toolkit has occurred. For the purpose of this DLRs 1.2, implementation is achieved when at least 500 elderly are assessed according to the needs assessment toolkit, and the data is recorded in the PCP. (Scalable) IN00767084 ►Development of the basic package of aged care services and number of Program districts/ Program districts where Implementation of the basic package of aged care services has occurred (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 Date 31-Dec-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 The basic package of aged care services refers to a list of aged care services by tier and by the level of subsidy. The service provision will target to the elderly mainly in four categories: Tekun (Sanwu and Wubao), Dibao, Low-income and disabled, and dementia. The eligibility criteria for accessing to the basic package of aged care services will be determined by the degree of functional limitations and income/asset level. DLR 2.1. DOCA has developed the basic package of aged care services Provincial DOCA will develop, pilot and finalize the provincial basic package of aged care services and officially distribute it to the CABs. DOCA will officially promulgate the basic package of services and will distribute a technical guideline to the CABs for them to develop the district/county basic package of services and implementation plan. The DLR for the first year is binary (Yes/No) and it is considered achieved when the basic package of aged care services is promulgated, the associated technical manual is distributed to the prefectures and district/counties and their content is reviewed by the ESC. Comments DLR 2.2. Implementation of basic package of aged care services has occurred in 48 Program districts/Program counties This indicator measures the number of Program districts/Program counties that have adopted and customized DOCA’s basic package of aged care services. The CABs in the Program can adopt the provincial basic service package with or without top-ups. CABs will prepare the implementation plan and submit it to prefecture for review and to DOCA for guidance. Upon DOCA’s approval, CABs start implementation and submit annual progress reports to the prefectures and DOCA. Each CAB enters all evidence (list of services, level of subsidy, and beneficiaries) in DOCA PCP. DOCA keeps track of the number of Program districts/Program counties that have adopted the basic package. For the purpose of this DLR 2.2 in this DLI sequence, implementation is achieved when the basic package is delivered to at least 500 eligible beneficiary (according to DLI1), and the data is recorded in the PCP. (Scalable) IN00767087 ►Number of elderly assessed using the needs assessment toolkit (by gender, by rural/urban areas, by degree) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,474,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 CABs contract with the qualified third parties (aged care facilities, hospitals, clinics, nursing homes, civil society organizations, and others) to conduct the needs assessments by using the needs assessment toolkit. The results reported with disaggregated data (by gender, by tier, by rural/urban areas, by degree) Comments prepared by the qualified third parties will be presented to CABs for review and payment, and for entering into DOCA PCP. Data in DOCA PCP are aggregated at the provincial level. (cumulative) IN00767090 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,237,000.00 4/3/2020 Page 10 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767093 Rural (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,546,250.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Jan-2024 IN00767096 Screening only (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,064,000.00 Date 30-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767101 Professional assessment (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 410,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767103 ►Percentage of the married elderly with unmet aged care needs (by gender) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 A person is defined to have unmet care needs if the person: (a) is above 60 years, (b) has at least one ADL/IADL need, and (c) does not receive eldercare (neither formal nor informal). The sub-indicators would be disaggregated by gender. Comments Household and individual surveys. A baseline survey will be conducted at the Program start, the second wave survey at the midterm review, and the final wave by the end of the Program. IN00767105 Women (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2023 Results Area 2: Enhancing quality of aged care services for the elderly IN00767082 ►Number of communities that use health records for screening of the elderly’s needs assessment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/3/2020 Page 11 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 0.00 0.00 7,200.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Communities that use health records of the elderly for screening needs assessment report to CABs. CABs review the report, and validate the data through third-party sample survey. CABs enter the data into DOCA Comments PCP at county/district level. DOCA aggregates the data from all CABs at the provincial level using DOCA PCP. (cumulative) IN00767085 ►Number of persons receiving training and certification in the aged care sector (by gender, by occupation) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 37,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 DOCA will organize the training and skills upgrading activities at the provincial level. They will first carry out the training needs assessment and then develop the training plan by year with yearly quota. DOCA will select the qualified training institutions and schools and purchase training services for targeted trainees in batches. After the delivery of training, training institutions and schools will, in turn, report to DOCA the number of persons trained and certified, with breakdown by government officials, professionals, managers, Comments and wage caregivers for aged care facilities, nurses, doctors, family caregivers, and relevant service providers. DOCA will review the report and verify the data and the quality of training by sample survey through a third party for payment. Data as verified will be entered to DOCA PCP. The prefectures and districts/counties are responsible for registration of local participants in training. (cumulative) IN00767089 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 28,860.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767092 Wage caregivers (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 19,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767095 Managers and adminitrators (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767098 Doctors (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 4/3/2020 Page 12 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 0.00 0.00 2,500.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767099 Government officials (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767102 Graduates majored in elderly care (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767104 Number of wage caregivers receiving training and certification in the age care sector (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 19,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767106 Number of wage caregivers receiving training and certification in the age care sector (Women) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 15,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767107 ►Number of wage caregivers receiving job subsidies (by gender) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 16,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 DOCA will formulate policy measures on job subsidies for wage caregivers in the aged care sector. CABs in charge of job subsidy programs report to the provincial DOCA on the number of wage caregivers and their basic information (ID number, name, gender, work unit, amount of subsidy, and date of subsidy receipt) and Comments enter the data in DOCA PCP. DOCA will review the information and verify it by sample survey through a third party. The data of each district/county are aggregated at the provincial level in DOCA PCP. (cumulative) IN00767108 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 4/3/2020 Page 13 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 0.00 0.00 12,800.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767109 ►Number of family caregivers receiving subsidies or respite services (by gender) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,000.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 CABs collect data on individual family caregivers receiving either subsidies and/or respite services. CABs, through a third party, carry out regular spot checks to verify the data. CAB enter the data of family Comments caregivers disaggregated by gender. DOCA consolidates the data at the provincial level in DOCA PCP. (cumulative) IN00767110 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,250.00 Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767111 ►Number of hours per week that family caregivers spent in providing aged care to their elderly recipients (by gender) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD 0.00 0.00 TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Number of hours per week refers to the actual number of hours of care family caregivers provided to an elderly. The sub-indicators would be disaggregated by gender (and most likely constrained to the nuclear family members). Comments Household and individual surveys representative of age 60 years and older population in Guizhou. A baseline survey will be conducted at the Program start, the second wave survey at the midterm review, and the final wave by the end of the Program. IN00767112 Women (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Results Area 3: Strengthening efficiency of aged care financing for the elderly IN00767083 ►Development of the operational management (OM) guidelines for public aged care facilities and number of Program districts/Program counties where implementation of the OM guidelines has occurred (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 4/3/2020 Page 14 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 OM refers to a set of institutional setting with rules, procedures, and specific requirements to manage and oversee the operations of public aged care facilities including the publicly owned and publicly operated ones and the publicly owned and privately operated ones. The main purposes are to improve the quality, efficiency, and suitability of public aged care facilities. DLR 7.1. DOCA has developed the operational management guidelines for public aged care facilities Comments DOCA will formulate the provincial OM guidelines, which will be consulted with the public and reviewed by the ESC. DLR 7.2. Implementation of the operational management guidelines for public aged care facilities has occurred in 48 Program districts/ Program counties It measures the number of districts/counties that have implemented the provincial OM guidelines. DLR 7.2 is numerical and scalable. IN00767086 ►Bed occupancy rate of 24-hour aged care facilities (by tier, by ownership) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 The aged care facilities (residential homes/institutions, 24-hour residential facilities with 10 beds or more at the community level) report the information on number of beds, days of occupancy, and payment for occupied beds to CABs. CABs review the information regularly and enter the data in DOCA PCP, which are Comments disaggregated by tier of services and by ownership. DOCA aggregates the data of all the districts/counties at the provincial level. IN00767088 Institutions (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767091 Community facilities (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767094 Public-owned, public-operated (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767097 Public-owned, private-operated (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 4/3/2020 Page 15 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 IN00767100 Private (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 14-Jun-2019 28-Feb-2020 31-Dec-2024 Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 Development of the needs assessment toolkit and number of Program districts/ Program counties where implementation of the needs assessment toolkit has occurred (Intermediate Outcome, 32,820,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 0.00 48.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments ►DLI 2 Development of the basic package of aged care services and number of Program districts/ Program counties where implementation of the basic package of aged care services has occurred (Intermediate Outcome, 32,820,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 0.00 48.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments ►DLI 3 Number of eligible elderly receiving the basic package of aged care services (Outcome, 65,640,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 0.00 402,000.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments ►DLI 4 Development of the aged care quality standards and number of aged care facilities complying with the aged care quality standards (Outcome, 65,640,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 4/3/2020 Page 16 of 17 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 0.00 0.00 1,500.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments ►DLI 5 Number of wage caregivers receiving training and certification in the aged care sector (Intermediate Outcome, 32,820,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 0.00 19,000.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments ►DLI 6 Development of the zero-based aged care budget planning and allocation (ZBB) guidelines and number of Program districts/Program counties where implementation of the ZBB guidelines has occurred (Outcome, 65,640,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 0.00 48.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments ►DLI 7 Development of the operational management (OM) guidelines for public aged care facilities and number of Program districts/Program counties where implementation of the OM guidelines has occurred (Intermediate Outcome, 32,820,000.00, 0%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 0.00 48.00 Date -- 14-Jun-2019 14-Jun-2019 -- Comments 4/3/2020 Page 17 of 17