Stakeholder Participation Targets the Rural Poor : China Basic Health Project
The past 20 years have witnessed a growing disparity in health status indicators between urban and rural populations in China. The economic and social reforms that have accelerated the growth in GDP and personal income levels of the urban populatio...
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| Format: | Brief |
| Language: | English |
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World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2001/03/2813306/stakeholder-participation-targets-rural-poor-china-basic-health-project http://hdl.handle.net/10986/11392 |
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okr-10986-113922021-04-23T14:02:55Z Stakeholder Participation Targets the Rural Poor : China Basic Health Project Kuehnast, Kathleen ACCESSIBILITY BASIC HEALTH SERVICES CIVIL SOCIETY DEVELOPMENT NETWORK EMPOWERMENT GENDER GROUP DISCUSSIONS HEALTH CARE HEALTH EXPENDITURE HEALTH FACILITIES HEALTH POLICY HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH WORKFORCE HOUSEHOLD SURVEY INPATIENT CARE INSTITUTIONAL ARRANGEMENTS LOCAL LEVEL LONG-TERM PROCESS MEDICINES MORTALITY NATIONAL AVERAGE POOR COMMUNITIES POOR HOUSEHOLDS POVERTY ALLEVIATION POVERTY REDUCTION PUBLIC FUNDS PUBLIC HEALTH RURAL AREAS RURAL POOR RURAL POVERTY SERVICE PROVIDERS SOCIAL ANALYSIS SOCIAL DEVELOPMENT SUPERVISION SUSTAINABLE DEVELOPMENT TASK TEAM LEADER TECHNICAL SUPPORT URBAN AREAS URBAN POPULATION VULNERABLE GROUPS STAKEHOLDER PARTICIPATION STAKEHOLDER CONSULTATION PROJECT SDESIGN SOCIAL DEVELOPMENT SOCIAL IMPACT SOCIAL ASSESSMENTS TARGETED ASSISTANCE HEALTH SERVICE DELIVERY ORGANIZATIONAL CAPACITY DECENTRALIZATION PROJECT IDENTIFICATION BEHAVIORAL OUTCOMES INSTITUTIONAL ARRANGEMENTS HOUSEHOLD DATA The past 20 years have witnessed a growing disparity in health status indicators between urban and rural populations in China. The economic and social reforms that have accelerated the growth in GDP and personal income levels of the urban population have not trickled down to the rural areas. Declining government support of public health programs and the collapse of community financing of health services have meant that health services in poor rural areas have deteriorated in general. Services have declined in coverage, quality, efficiency, utilization, and financial viability. To address this disparity, the World Bank-supported Basic Health Project in China introduced a systematic but rapid process of consultation and feedback among selected beneficiary communities. The project was prepared using guidelines prepared by national and international experts. The social assessment confirmed impressions gained from less structured consultations and provided additional support for project design. Stakeholder involvement was extensive, including consultations with governmental departments of planning, finance, poverty alleviation, personnel, and education, as well as civil society groups such as the All China Women's Federation and the Red Cross. Field visits included focus group discussions with local government representatives, village officials, and householders. The rural poor, including minority nationalities, figured prominently in such consultations. This note concludes that responsive social development has its risks. Even in such an innovative and comprehensive project, maintaining a balance between improvement of health facilities versus population-based health care remains a challenge. Without adequate technical support and supervision, or without adequate funds in the county poverty fund to reimburse health care providers for their services given to the poor, this balance could ultimately break down and erode the lines of communication and trust established by the project. 2012-08-13T14:56:35Z 2012-08-13T14:56:35Z 2001-03 http://documents.worldbank.org/curated/en/2001/03/2813306/stakeholder-participation-targets-rural-poor-china-basic-health-project http://hdl.handle.net/10986/11392 English Social Development Notes; No. 53 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Brief Publications & Research East Asia and Pacific China |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESSIBILITY BASIC HEALTH SERVICES CIVIL SOCIETY DEVELOPMENT NETWORK EMPOWERMENT GENDER GROUP DISCUSSIONS HEALTH CARE HEALTH EXPENDITURE HEALTH FACILITIES HEALTH POLICY HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH WORKFORCE HOUSEHOLD SURVEY INPATIENT CARE INSTITUTIONAL ARRANGEMENTS LOCAL LEVEL LONG-TERM PROCESS MEDICINES MORTALITY NATIONAL AVERAGE POOR COMMUNITIES POOR HOUSEHOLDS POVERTY ALLEVIATION POVERTY REDUCTION PUBLIC FUNDS PUBLIC HEALTH RURAL AREAS RURAL POOR RURAL POVERTY SERVICE PROVIDERS SOCIAL ANALYSIS SOCIAL DEVELOPMENT SUPERVISION SUSTAINABLE DEVELOPMENT TASK TEAM LEADER TECHNICAL SUPPORT URBAN AREAS URBAN POPULATION VULNERABLE GROUPS STAKEHOLDER PARTICIPATION STAKEHOLDER CONSULTATION PROJECT SDESIGN SOCIAL DEVELOPMENT SOCIAL IMPACT SOCIAL ASSESSMENTS TARGETED ASSISTANCE HEALTH SERVICE DELIVERY ORGANIZATIONAL CAPACITY DECENTRALIZATION PROJECT IDENTIFICATION BEHAVIORAL OUTCOMES INSTITUTIONAL ARRANGEMENTS HOUSEHOLD DATA |
| spellingShingle |
ACCESSIBILITY BASIC HEALTH SERVICES CIVIL SOCIETY DEVELOPMENT NETWORK EMPOWERMENT GENDER GROUP DISCUSSIONS HEALTH CARE HEALTH EXPENDITURE HEALTH FACILITIES HEALTH POLICY HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH WORKFORCE HOUSEHOLD SURVEY INPATIENT CARE INSTITUTIONAL ARRANGEMENTS LOCAL LEVEL LONG-TERM PROCESS MEDICINES MORTALITY NATIONAL AVERAGE POOR COMMUNITIES POOR HOUSEHOLDS POVERTY ALLEVIATION POVERTY REDUCTION PUBLIC FUNDS PUBLIC HEALTH RURAL AREAS RURAL POOR RURAL POVERTY SERVICE PROVIDERS SOCIAL ANALYSIS SOCIAL DEVELOPMENT SUPERVISION SUSTAINABLE DEVELOPMENT TASK TEAM LEADER TECHNICAL SUPPORT URBAN AREAS URBAN POPULATION VULNERABLE GROUPS STAKEHOLDER PARTICIPATION STAKEHOLDER CONSULTATION PROJECT SDESIGN SOCIAL DEVELOPMENT SOCIAL IMPACT SOCIAL ASSESSMENTS TARGETED ASSISTANCE HEALTH SERVICE DELIVERY ORGANIZATIONAL CAPACITY DECENTRALIZATION PROJECT IDENTIFICATION BEHAVIORAL OUTCOMES INSTITUTIONAL ARRANGEMENTS HOUSEHOLD DATA Kuehnast, Kathleen Stakeholder Participation Targets the Rural Poor : China Basic Health Project |
| geographic_facet |
East Asia and Pacific China |
| relation |
Social Development Notes; No. 53 |
| description |
The past 20 years have witnessed a
growing disparity in health status indicators between urban
and rural populations in China. The economic and social
reforms that have accelerated the growth in GDP and personal
income levels of the urban population have not trickled down
to the rural areas. Declining government support of public
health programs and the collapse of community financing of
health services have meant that health services in poor
rural areas have deteriorated in general. Services have
declined in coverage, quality, efficiency, utilization, and
financial viability. To address this disparity, the World
Bank-supported Basic Health Project in China introduced a
systematic but rapid process of consultation and feedback
among selected beneficiary communities. The project was
prepared using guidelines prepared by national and
international experts. The social assessment confirmed
impressions gained from less structured consultations and
provided additional support for project design. Stakeholder
involvement was extensive, including consultations with
governmental departments of planning, finance, poverty
alleviation, personnel, and education, as well as civil
society groups such as the All China Women's Federation
and the Red Cross. Field visits included focus group
discussions with local government representatives, village
officials, and householders. The rural poor, including
minority nationalities, figured prominently in such
consultations. This note concludes that responsive social
development has its risks. Even in such an innovative and
comprehensive project, maintaining a balance between
improvement of health facilities versus population-based
health care remains a challenge. Without adequate technical
support and supervision, or without adequate funds in the
county poverty fund to reimburse health care providers for
their services given to the poor, this balance could
ultimately break down and erode the lines of communication
and trust established by the project. |
| format |
Publications & Research :: Brief |
| author |
Kuehnast, Kathleen |
| author_facet |
Kuehnast, Kathleen |
| author_sort |
Kuehnast, Kathleen |
| title |
Stakeholder Participation Targets the Rural Poor : China Basic Health Project |
| title_short |
Stakeholder Participation Targets the Rural Poor : China Basic Health Project |
| title_full |
Stakeholder Participation Targets the Rural Poor : China Basic Health Project |
| title_fullStr |
Stakeholder Participation Targets the Rural Poor : China Basic Health Project |
| title_full_unstemmed |
Stakeholder Participation Targets the Rural Poor : China Basic Health Project |
| title_sort |
stakeholder participation targets the rural poor : china basic health project |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2001/03/2813306/stakeholder-participation-targets-rural-poor-china-basic-health-project http://hdl.handle.net/10986/11392 |
| _version_ |
1764416569941688320 |