China - Rural Health and Medical Education Project

Document of The World Bank FOR OFFICIAL USE ONLY FILE QC11~cl, 'A F- Report No. P -3 7 7 9 -CHA REPORT AND RECOMMENDATION OF THE PRESIDENT OF THE INTERNATIONAL DEVELOPMENT ASSOCIATION TO THE EXECUTIVE DIRECTORS ON A PROPOSED CREDIT OF SDR 80,200,000 TO THE PEOPLE'S REPUBLIC OF CHINA FOR A RURAL HEALTH AND MEDICAL EDUCATION PROJECT April 19, 1984 This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization.  CURRENCY EQUIVALENTS Currency Unit - Yuan (Y) US$1.00 = Y 2.0 (December 1983) Y 1 = US$0.50 FISCAL YEAR January 1 - December 31 ACRONYMS CNTIC - Chinese National Technical Import Corporation MCH - Maternal and Child Health MOPH - Ministry of Public Health NCPM - National Center for Preventive Medicine RCHPS - Research Center for Health Planning and Statistics SICMM - Sichuan Institute of Chinese Materia Medica WBLO - World Bank Loan Office . WHO - World Health C)rganization  FOR OFFICIAL USE ONLY CHINA RURAL HEALTH AND MEDICAL EDUCATION PROJECT Credit and Project Summary Borrower: People's Republic of China Amount IDA Credit: SDR 80.2 million ($85.0 million equivalent) Terms Standard Project Description The project would provide funds for civil works, furniture, equipment, technical assistance and fellowships to help: (a) improve health status in 46 counties of three provinces (Heilongjiang, Shandong and Sichuan) and one autonomous region (Ningxia Hui); (b) enhance the quality of education, training and related research in the country's 13 core medical col.leges and to increase these colleges' capacity to provide continuing education and training materials to practitioners and to faculty of the over 100 province-level medical colleges; and (c) develop two recently created national institutions -- the National Center for Preventive Medicine (NCPM) and the Research Center for Health Planning and Statistics (RCHPS) - and support applied research at the Sichuan Institute for Chinese Materia Medica (SICMM). The main project risk is that the Ministry of Public Health (MOPH) staff may lack the necessary management skills and breadth of experience to carry through proposed changes in medical education and training and proposed creation of new institutional capabilities. This risk is reduced, however, by inclusion of substantial technical assistance and overseas training, by provision for careful selection of key project staff, and by establishment of a project monitoring and reporting system to allow prompt identification of potential problems. Since the project is the first major externally aided activity in the sector, some degree of risk is both anticipated and acceptable. This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization.  - ii -. Estimated Cost: Local Foreign Total --- (US$ million)