Caring for One Billion: Assessing the New Social Protection Programmes in Rural China

Published on 1 January 2011

The overall goal of this report is to understand the progress in implementing the New Cooperative Medical Scheme (NCMS) in China, while seeking to assess the strengths and weaknesses of the programme and, in particular, to understand its effects on the incidence of catastrophic medical payment for farmers and on the operation and use of village health clinics.

The study is based on two rounds of nationally representative household survey data and village clinic survey data collected in 2005 and 2008. The study found that the programme has a very high level of participation, and has increased farmers’ use of medical services. However, despite efforts by both central and local governments and high household participation, the programme is only partially achieving its policy objectives.

In particular, it has been able to extend to almost all of the rural population, but has failed to cover expenses for catastrophic illness, due to insufficient funds. At the village clinic level, it was found that NCMS has increased patient numbers and gross income, but not net revenue. This is partly because clinics have had to take on uncompensated responsibilities.

Publication details

published by
Zhang, L., Yi, H., Luo, R., Liu, C., Shi, Y., Rozelle, S., Singer, K.B., Miller, G. and Atlas, S.
CSP Research Report, issue 7


About this publication

Programmes and centres
Centre for Social Protection

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