Objective
To evaluate the performance on the project of health system recovery using World Bank loan for ‘5.12’ Wenchuan earthquake after three years of these projects have been finished.
Methods
From March to December 2016, we formulated evaluation frameworks and indicators, used statistical reports and surveys to collect data of the 60 post-earthquake recovery projects using World Bank loan in Chengdu, Deyang and some other cities. Data of pre-earthquake (2007) and post-earthquake (2015) were compared. The evaluation indicators included institutional size, institutional environment, institutional services and social benefits. A descriptive analysis was performed using SPSS 22.0 software.
Results
Compared with the year of 2007, in 2015, the building and utilized for business purpose areas of loan benefited hospitals increased 4.49 and 3.58 times, respectively. The budgeted and actual beds count increased 43% and 55%, respectively. All inside structure and processes of hospitals were optimized, and green areas, parking slots and waiting areas increased greatly. Headcount of budgeted and actual increased 15.09% and 70.31%, respectively. Qualifications of healthcare technicians were improved in country level hospitals as well; there were more undergraduates and more senior competent personnel. In maternal and child health care hospitals and township hospitals, more diploma holders and personnel who had passed the middle level professional appraisals were observed. Numbers of hospital treatments, hospitalizations counts, numbers of surgeries performed increased 2.0, 2.1, and 2.0 times, respectively. Accuracy of diagnosis on hospitalized counts increased 3.12%. Utilizations of bed counts increased from 63.87% to 66.53%. The average duration of hospitalizations decreased from 7.36 days to 7.10 days. Numbers of clinical and surgery types increased 928 and 285, respectively. Both customer and staff satisfactory score reached 4.5 points in 2015.
Conclusion
The completed projects of health system recovery using World Bank loan for ‘5.12’ Wenchuan earthquake is running well, and meet the expectations.
Citation：
LI Xiaorong, ZHAO Xiaoheng, NI Jie, WANG Ying, WU Yiyang. Evaluation of performance on the project of health system recovery using World Bank loan after Wenchuan earthquake. Chinese Journal of Evidence-Based Medicine, 2017, 17(7): 751-755. doi: 10.7507/1672-2531.201704049
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- 1. 四川省人民政府, 世界银行. 汶川地震灾后恢复重建项目协定. 2009. 03.
- 2. 国务院. 汶川地震灾后恢复重建总体规划 (国发[2008] 31号). 2008.09.19.
- 3. 国家发展改革委, 教育部, 卫生部, 等. 汶川地震灾后恢复重建公共服务设施建设专项规划. 2008.11.20.
- 4. 财政部. 国际金融组织贷款赠款项目绩效评价管理办法. 2013.03.01.
- 5. 王娟. 国际金融组织贷款项目绩效评估操作指南. 北京: 经济科学出版社, 2015: 1-25.
- 6. 杨少林. 国际金融组织项目绩效评估典型案例. 北京: 经济科学出版社, 2015: 1-10.
- 7. 世行贷款/英国赠款中国农村卫生发展项目赴英考察组. " 世界银行贷款/英国政府赠款中国农村卫生发展项目”卫生机构绩效与服务质量评价考察报告. 中国卫生经济, 2010, 29(11): 82-85.
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- 9. 陈昌锋, 阎正民. 乡镇卫生院建设项目评估. 现代预防医学, 2005, 32(4): 363-364.
