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: 7 | ARCHIVED on 27-Oct-2023 | ISR57192 | Created by: Tao Su on 26-Jun-2023 | Modified by: Dewen Wang on 20-Oct-2023 Program Development Objectives PDO Table 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) Moderately Satisfactory Satisfactory Implementation Status and Key Decisions The Guizhou Aged Care System Development Program became effective in September 2019. The Program implementation has made substantial progress since the 6th implementation support mission in February 2023. Guizhou Provincial Department of Civil Affairs (DOCA) has taken concrete measures to accelerate the implementation of key Program activities, especially putting a set of guidelines, standards, and tools into implementation, strengthening the supply capacity through upgrading the infrastructure and equipment of aged care facilities, and training caregivers and professionals. The World Bank and the Agence Française de Développement joint team has been working closely with DOCA and other partners in Guizhou and provided strong technical support to keep this momentum for its implementation in 2023. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P162349 IBRD-89270 Effective USD 350.00 350.00 0.00 124.58 220.75 36% 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 10/27/2023 Page 1 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) 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 -- 7,397,572.04 40 % COMMITMENT CHARGE DOCA NEEDS 1.1 Regular EUR 5,732,000.00 Fully Achieved 5,732,000.00 100 % 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 Partially 5 Regular CAREGIVER REC EUR 28,660,000.00 2,267,170.29 7.9 % Achieved TRN/CERTI IN SE DOCA DEVOLP Z-BASED 6.1 Regular BGT PLANING&ALLO EUR 17,196,000.00 Fully Achieved 17,196,000.00 100 % 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 Fully Achieved 5,732,000.00 100 % 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 TOOLKIT Partially 1 Regular DVLPED&NO.OF EUR 10,000,000.00 2,000,000.00 20 % Achieved 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 10/27/2023 Page 2 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) QUA STNDDVLPED&NO 4 Regular OF FACLTY USED THE EUR 20,000,000.00 Not Achieved 0.00 STN NO.CAREGIVER REV Partially 5 Regular TRN&CERT IN AGE EUR 10,000,000.00 791,058.96 7.9 % Achieved CARE SE ZBB OF AGECARE Partially 6 Regular DVLPED&NO.OFDIST/CO EUR 20,000,000.00 6,000,000.00 30 % Achieved UNTIES OP MGT GDLN Partially 7 Regular DVLPED&NO. OF EUR 10,000,000.00 2,000,000.00 20 % Achieved 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 Completed 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 Year 1 was completed, the overall technical roadmap was developed, and the annual technical plan and review report Comments were prepared, adjusted, and combined into half-year and annual implementation progress reports. 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 Completed 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 Comments M&E framework has been developed.The progress of M&E activities will be monitored as defined in the framework. Develop and implement aged care investment management guidelines. DOCA will develop the guidelines for Action Description investment decision-making; Program districts/counties will implement the guidelines based on their requirements Source DLI# Responsibility Timing Timing Value Status 10/27/2023 Page 3 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) 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 The investment management guidelines were revised and will be officially released in September-October 2023. 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 The overall architecture design is in progress and will be done by the end of October 2023. DOCA will complete the development and start the pilot work in the first half of 2024. Comments 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 30-Oct-2020 Completed • 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, the template was finalized in October 2020 Action Description Adjust the auditing arrangement to produce the information/reports needed for the Audits Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems DOCA and DOF Due Date 30-Sep-2021 Completed Program financial reporting adequate for audits Completion Measurement 10/27/2023 Page 4 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Comments The first audit report has been submitted to the WB. 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 30-Apr-2021 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 The purchase guidelines were developed. The guidelines will be updated and will be officially released in November Comments 2023. 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-May-2021 Completed 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 The social monitoring report for January-June 2023 was submitted to the Bank in August 2023. The procurement of a Comments qualified consulting firm is completed. 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-May-2021 Completed Systems • Staff with good command of environmental knowledge assigned • Budget allocated Completion Measurement • Screening reports The environmental monitoring report for January-June 2023 was submitted to the Bank in August 2023. Procurement Comments of consulting firm is completed. 10/27/2023 Page 5 of 19 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 Completed • 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 Low Low Sector Strategies and Policies Moderate Low Low Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Moderate Sustainability Fiduciary Substantial Moderate Moderate Environment and Social Substantial Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- Moderate Moderate Overall Substantial Moderate Moderate RiskComments Comments n/a Results PDO Indicators by Objectives / Outcomes Objective/Outcome 1: Increase equitable access to a basic package of aged care services IN01321199 10/27/2023 Page 6 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) ►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) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 402,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: The number of eligible elderly beneficiaries receiving the basic package of aged care services is DLI3, which updated by the end of December 2023 based on the current implementation progress. This number can be only monitored after the needs assessment toolkit, the criteria, and the guidelines for the basic p services are developed and put in place. The needs assessment has been carried out, and the criteria have been form both the degree of functional limitations and income level and assets and will be incorporated into the guidelines of th guidelines of the government purchase of aged services and linked with the level of subsidy. Program Design: The elderly who are assessed by the needs assessment toolkit and received the subsidized basic their eligibility based on income/asset testing and degree of disablity, will be counted in the previous calendar year. T disaggregated by gender, by tier, by urban/rural area, by income group (Tekun, Dibao, low-income). The interim and Comments value of the number of elderly. The division of urban/rural areas refers to the elderly who received a basic package s 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 annual im service providers report to CABs on the number of elderly who received the basic package of aged care services (and such as ID, address, age, gender, and so on) and, the services provided (by tier, and type of services ), based on the Understanding between the CAB and the service providers. CABs verify the service provision (system verification thro appropriate sample size of the elderly population registered to receive services, not inspection) through a third party a service providers. CABs enter the data in the database of DOCA PCP in real time and submit annual progress report (Scalable) IN01321202 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 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321204 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 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321205 Home and community-based care (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1,227.00 361,800.00 10/27/2023 Page 7 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321206 Tekun (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 33,781.00 32,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321207 Dibao (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 32,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321208 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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Objective/Outcome 2: Enhance quality of aged care services IN01321200 ►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 0.00 288.00 1,500.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: The infrastructure standard guidelines had a draft, and the services standard is under preparation. With AFD draft is expected to be done in November and officially issued in December 2023. Program design: Aged care quality standards comprise a list of core service standards and core infrastructure stand and services. DOCA will refer to the existing national standards and develop a framework of quality standards and ind monitor for quality enhancement. DLR 4.1. DOCA has developed the Aged Care Quality Standards Comments DOCA will develop a framework of aged care quality standards for services and infrastructure, which comprises a list and core infrastructure standards, and indicators for quality measurement. DOCA also sets up the thresholds of aged develops inspection procedures and certification criteria to be adopted by CABs. The framework and indicators of the standards are reviewed by the ESC. (binary, YES/NO) DLR 4.2. 1,500 aged care facilities complying with the aged care quality standards 10/27/2023 Page 8 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) It is the number of the aged care facilities (including skilled nursing homes, welfare homes, community day-care cente home-care service providers, and other facilities in urban and rural areas) in compliance with the provincial quality sta facilities to be developed by Guizhou Provincial DOCA under the Program. CABs are responsible for carrying out the aged care facilities under their administrative jurisdiction and certifying that the facilities that meet the provincial stand for entering the data of quality measurement indicators into DOCA PCP. DLR 4.2 is numerical and scalable. IN01321203 Community facilities (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 137.00 1,100.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Objective/Outcome 3: Strengthen efficiency of the aged care system IN01321201 ►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 Value 0.00 14.00 17.00 48.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: The target of DLR #6.1 was achieved. DOCA has developed the Zero-based Aged Care Budget Planning and Allocation Guidelines and officially issued them for implementation in Guizhou on June 29, 2021. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. Implementing the ZBB guidelines now covers all Program prefecture and district/county levels. Based on its progress, 17 districts/counties will be chosen to verify the achievement of DLI6 in Year 2. Program design: 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. 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. Comments DLR 6.1. DOCA has developed the zero-based aged care budget planning and allocation guidelines Guizhou DOCA has developed and officially issued the ZBB planning and allocation guidelines for aged care public financing. The 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. 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 an annual budget plan with supporting evidence by following the provincial guidelines. CABs submitted an annual budget plan to the 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 IN01321209 ►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 10/27/2023 Page 9 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 Yes 10.00 48.00 Date 31-Dec-2018 24-Nov-2022 16-Aug-2023 31-Dec-2024 Status: The target of DLR #1.1 was achieved. DOCA developed the needs assessment toolkit and officially issued it in Guizhou in November 2022. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. DOCA organized training activities on the screening and professional assessment toolkit, which is under implementation at the Program districts/counties. By the end of June 2023, the screening assessment covered 290 thousand elderly people, and the professional assessment covered 50 thousand elderly people. DOCA has selected 10 districts/counties for the verification of the DLR in year and plan to get it done be the end of 2023. Program design: 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. Comments 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 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 the prefecture will review the implementation plans of CABs to ensure they are consistent with the provincial toolkit requirements, and CABs start assessing the target population. The indicator measures the number of Program districts/Program counties the 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) IN01321212 ►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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Comments Status: The draft basic package guidelines were discussed and are being revised by focusing on aged care and long-term care. The draft guidelines are expected to be finalized in late October 2023 and officially promulgated in November/December 2023 after the Expert Steering Committee’s (ESC) review. Program design: 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. 10/27/2023 Page 10 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) 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. 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 the 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 beneficiaries (according to DLI1), and the data is recorded in the PCP. (Scalable) IN01321215 ►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 0.00 497,665.00 2,474,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: Upadted in 2023 Program Design: 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 Comments needs assessment toolkit. The results reported with disaggregated data (by gender, by tier, by rural/urban areas, by degree) 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) IN01321218 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 265,350.00 1,237,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321221 Rural (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 237,801.00 1,546,250.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Jan-2024 IN01321224 Screening only (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 406,243.00 2,064,000.00 10/27/2023 Page 11 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Date 30-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321229 Professional assessment (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 91,422.00 410,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321231 ►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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: To be updated after the elderly and family survey is done. Program design: 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. The TOR for household and individual surveys is being prepared for procurement. The baseline and end target will be set after the baseline survey is done. IN01321233 Women (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2023 Results Area 2: Enhancing quality of aged care services for the elderly IN01321210 ►Number of communities that use health records for screening of the elderly’s needs assessment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2,766.00 7,200.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: Based on the mid-term review, this indicator is likely to be dropped as the screening tool is developed and implemented. Program design: Communities that use health records of the elderly for screening needs assessment Comments report to CABs. CABs review the report, and validate the data through third-party sample survey. CABs enter the data into DOCA PCP at county/district level. DOCA aggregates the data from all CABs at the provincial level using DOCA PCP. (cumulative) IN01321213 ►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 10/27/2023 Page 12 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 1,200.00 13,559.00 37,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: The target of DLR #5 in Year 1 was achieved. A total of 1503 wage caregivers received training and certification in the aged care sector in Year 1. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. The numbers are updated in 2023. Training and skills development. DOCA organized training activities and trained more than 1500 caregivers, 1000 facility managers, and 198 civil affairs officers. In the second half of 2023, DOCA plans to train 1498 caregivers and 170 nurses and doctors from aged care facilities. Based on the Provincial Implementation Plan and Action for the Cultivation of Skilled Talents on Aged Care jointly prepared by DOCA and the provincial Department of Human Resources and Social Security, DOCA is finalizing a Specific Aged Care Human Resource Development Action Plan to support the training plan and programs in Guizhou. Comments Program design: 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, 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 the registration of local participants in the training. (cumulative) IN01321217 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 8,366.00 28,860.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321220 Wage caregivers (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,200.00 3,841.00 19,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321223 Managers and adminitrators (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1,554.00 5,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321226 Doctors (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 169.00 2,500.00 10/27/2023 Page 13 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321227 Government officials (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 482.00 500.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321230 Graduates majored in elderly care (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 7,591.00 10,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321232 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 1,503.00 19,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321234 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 1,072.00 15,000.00 Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321235 ►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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: To be updated after the policy initiative is issued and implemented in November/December 2023. Program design : 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 Comments subsidy receipt) and 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) IN01321236 Women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 10/27/2023 Page 14 of 19 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 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321237 ►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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: to be updated after the policy initiative is issued and implemented in November/December 2023. Program design: 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 Comments family caregivers disaggregated by gender. DOCA consolidates the data at the provincial level in DOCA PCP. (cumulative) IN01321238 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 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321239 ►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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: To be updated after the elderly and family survey is done. Program design: 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. IN01321240 Women (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 Results Area 3: Strengthening efficiency of aged care financing for the elderly IN01321211 ►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 10/27/2023 Page 15 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value 0.00 Yes 10.00 48.00 Date 31-Oct-2018 01-Nov-2022 16-Aug-2023 31-Dec-2024 Status: The target of DLR #7.1 was achieved. DOCA developed the Operational Management Guidelines for public aged care facilities and officially issued them on March 16, 2023. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. The number in 2023 is updated. Program design: 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. Comments DLR 7.1. DOCA has developed the operational management guidelines for public aged care facilities 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. IN01321214 ►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 30-Jun-2022 16-Aug-2023 31-Dec-2024 Status: The baseline survey data was just completed. The baseline and end target values will be set in the next ISR. Program design: 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 Comments payment for occupied beds to CABs. CABs review the information regularly and enter the data in DOCA PCP, which are disaggregated by tier of services and by ownership. DOCA aggregates the data of all the districts/counties at the provincial level. IN01321216 Institutions (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321219 Community facilities (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321222 Public-owned, public-operated (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 10/27/2023 Page 16 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321225 Public-owned, private-operated (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 31-Dec-2024 IN01321228 Private (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD TBD Date 31-Oct-2018 30-Jun-2022 16-Aug-2023 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, 17%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 10.00 48.00 Date -- 30-Jun-2022 16-Aug-2023 -- The target of DLR #1.1 was achieved. DOCA developed the needs assessment toolkit and officially issued it in Guizhou in November 2022. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. The needs assessment toolkit is under implementation. DOCA has chosen 10 districts/counties for the verification of DLR in year 2. Comments DOCA organized training activities on the screening and professional assessment toolkit, which is under implementation at the Program districts/counties. By the end of June 2023, the screening assessment covered 290 thousand elderly people, and the professional assessment covered 50 thousand elderly people. ►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 -- 30-Jun-2021 16-Aug-2023 -- The draft basic package guidelines were discussed and are being revised by focusing on aged care and long- term care. The draft guidelines expect to be finalized in late September 2023 and officially promulgated in Comments October 2023 after the Expert Steering Committee’s (ESC) review. 10/27/2023 Page 17 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) ►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 -- 30-Jun-2022 16-Aug-2023 -- Once the DLI 2 is achieved, the elderly will receive basic aged care services as defined in the package. The number of eligible elderly beneficiaries receiving the basic package of aged care services is DLI3, which can be monitored after the needs assessment toolkit, the criteria, and the guidelines for the basic package of aged care services are developed and put in place. · Criteria for accessing the basic package. The criteria consider both the degree of functional limitations and income level and assets, which are incorporated into the guidelines of the basic package of aged services Comments and the guidelines of the government purchase and linked with the level of subsidy. · Guidelines for the purchase of basic aged care services. The draft guidelines will be updated by coordinating with the guidelines of the basic aged care services for the ESC review. The Guidelines expect to be officially promulgated in October 2023. ►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 Value 0.00 0.00 0.00 1,500.00 Date -- 30-Jun-2022 16-Aug-2023 -- The infrastructure standard guidelines had a draft, and the services standard is under preparation. The AFD will send two experts to Guiyang in September 2023 to help accelerate drafting of the guidelines on quality Comments standards. The final draft is expected to be done in October and officially issued in November 2023. ►DLI 5 Number of wage caregivers receiving training and certification in the aged care sector (Intermediate Outcome, 32,820,000.00, 7%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 1,200.00 1,503.00 19,000.00 Date -- 30-Jun-2022 16-Aug-2023 -- The target of DLR #5 in Y1 was achieved. A total of 1503 wage caregivers received training and certification in the aged care sector in Year 1. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. Training and skills development. DOCA organized training activities and trained more than 1500 caregivers, Comments 1000 facility managers and 198 civil affairs officers. In the second half of 2023, DOCA plans to train 1498 caregivers and 170 nurses and doctors from aged care facilities. Based on the Provincial Implementation Plan and Action for the Cultivation of Skilled Talents on Aged Care jointly prepared by DOCA and the provincial Department of Human Resources and Social Security, DOCA is finalizing a Specific Aged Care Human Resource Development Action Plan to support the training plan and programs in Guizhou. ►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, 26%) 10/27/2023 Page 18 of 19 The World Bank Implementation Status & Results Report Guizhou Aged Care System Development Program (P162349) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 Yes 17.00 48.00 Date -- 30-Jun-2021 16-Aug-2023 -- Status: The target of DLR #6.1 was achieved. DOCA has developed the Zero-based Aged Care Budget Planning and Allocation Guidelines and officially issued them for implementation in Guizhou on June 29, 2021. The verification was carried out by the third-party verification agency. Documents evidencing the Comments achievement of the DLR are found in the Verification Report. Implementing the ZBB guidelines now covers all Program prefecture and district/county levels. Based on its progress, 17 districts/counties will be chosen to verify the achievement of DLI6 in Year 2. ►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, 17%) Baseline Actual (Previous) Actual (Current) Calendar Year 2024 Value 0.00 0.00 Yes 48.00 Date -- 30-Jun-2022 16-Aug-2023 -- The target of DLR #7.1 was achieved. DOCA developed the Operational Management Guidelines for public aged care facilities and officially issued them on March 16, 2023. The verification was carried out by the third-party verification agency. Documents evidencing the achievement of the DLR are found in the Verification Report. Comments The operational management guidelines have two separate components: the guidelines for public-owned and private-operated institutions and the guidelines for public-owned and public-operated facilities. The former was officially promulgated in November 2022. The latter was officially promulgated in March 2023. DOCA organized training activities on the guidelines and chose 10 districts/counties as a first batch for pilot. 10/27/2023 Page 19 of 19