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Department of Civil Affairs of Anhui Province Prepared By: China Three Gorges University Public Disclosure Authorized Prepared In: November 2017

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Department of Civil Affairs of Anhui Province Prepared By: China Three Gorges University Public Disclosure Authorized Prepared In: November 2017 SFG3777 World Bank-financed Anhui Aged Care System Demonstration Project Public Disclosure Authorized Social Impact Assessment Report (For Review) Public Disclosure Authorized Public Disclosure Authorized Commissioned by: Department of Civil Affairs of Anhui Province Prepared by: China Three Gorges University Public Disclosure Authorized Prepared in: November 2017 1 Table of Contents 1. Introduction ............................................................................................................................................. 8 1.1 Project overview ............................................................................................................................ 8 1.2 Social impact assessment overview ............................................................................................. 12 1.2.1 Tasks of social impact assessment .................................................................................... 12 1.2.2 People to be surveyed for the assessment .................................................................. 12 1.2.3 Details of social impact assessment ........................................................................... 13 1.2.4 Social impact assessment methods ............................................................................ 14 2. Social and economic circumstances of the project area ......................................................................... 20 2.1 The project area ........................................................................................................................... 20 2.2 Profile of the population of the project area ................................................................................ 21 2.2 Social and economic circumstances of the project area ............................................................... 22 2.2.1 GDP .................................................................................................................................. 22 2.2.2 Per capita GDP ................................................................................................................. 23 2.2.3 Per capita disposable income ............................................................................................ 24 2.3 About the aged-care service sector of the project area ................................................................. 26 2.3.1 Aged-care facilities ........................................................................................................... 26 2.3.2 Beds for aged-care service ................................................................................................ 32 2.3.3 Workers in aged-care service industry .............................................................................. 33 2.3.4 Funding source for the aged-care service industry ........................................................... 34 2.3.5 Aged-care service mode .................................................................................................... 35 2.4 Policy environment for construction of integrated aged-care service system in the project area 39 2.4.1 Overview on policies concerning construction and management of domestic diverse aged-care service system ........................................................................................................... 40 2.4.2 Specific policies of the project area on construction and management of diverse 2 aged-care service system (taking Anqing for instance) ............................................................. 49 2.5 Overview on poverty in the project area ...................................................................................... 52 2.5.1 Overview on urban and rural poverty in the project area .................................................. 52 2.5.2 Existing poverty alleviation strategies in the project area................................................. 54 2.5.3 Role of this project in poverty alleviation ......................................................................... 55 3. Main social benefits brought by the project .......................................................................................... 56 3.1 The project implementation can create employment opportunities, especially the opportunities for the women.................................................................................................................................... 57 Construction of the aged-care service standard system ............................................................. 59 3.2 The implementation of the project will change the traditional view on aged-care service & promote social transformation ........................................................................................................... 60 3.3 The implementation of the project will improve the overall management and service capacity of Anhui provincial government on the diversified aged-care service system ....................................... 61 3.4 The implementation of the project will greatly enhance the capacity of home-based aged-care service in project area ........................................................................................................................ 65 3.5 The implementation of the project will enhance capabilities of professional care services and management within the project area .................................................................................................. 71 4. Stakeholder analysis .............................................................................................................................. 79 4.1 Identification of stakeholders ...................................................................................................... 80 4.2. Interest demands of primary stakeholders in this project ........................................................... 87 4.2.1 Administrative and implementation departments of the project—civil affairs departments at various levels ......................................................................................................................... 87 4.2.2 Supervising and directing departments—other relevant government departments ........... 90 4.2.3 People occupied in aged-care services .............................................................................. 91 4.2.4 The aged and their family members.................................................................................. 92 4.2.5 Various social organizations providing aged-care services ............................................... 92 3 4.2.6 Residents and cadres of relevant communities ................................................................. 93 4.3 Benefits, benefited and damaged groups in this project .............................................................. 95 4.3.1 Component 1--Comprehensive supporting capability of the provincial aged-care service95 4.3.2 Component 2—Community home-based aged-care service ............................................. 96 4.3.3 Component 3—Professional nursing service and management ........................................ 97 4.3.4 Component 4--Project management, monitoring & evaluation, and capacity building .... 98 4.3.5 Major damaged groups ..................................................................................................... 98 5. The impact of the project on aged-care service workers ..................................................................... 100 5.1 Basic conditions of aged-care service workers .......................................................................... 100 5.1.1 Gender and age ............................................................................................................... 101 5.1.2 Educational level ............................................................................................................ 103 5.1.3 Post, position and title .................................................................................................... 105 5.1.4 Working years and income ............................................................................................. 106 5.1.5 Marital status .................................................................................................................. 109 5.2 The impact of the project on aged-care service workers ............................................................ 110 5.2.1 Positive impact ............................................................................................................... 110 5.2.2 Negative impact .............................................................................................................. 112 5.2.3 The social impact that the aged-care service workers concern most ............................... 113 5.2.4 The impact difference of sub-projects on aged-care workers in different cities ............. 115 6. Influence of the Project on the Aged and Their Family Members .................................................. 120 6.1 Influence of the project on the aged who have received the aged-care service and their family members ............................................................................................................................... 121 6.1.1 Basic information of the aged who have received the aged-care service ................ 121 6.1.2 Influence of the project on the aged who have received the aged-care service and their family members .............................................................................................................
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