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Rural areas will benefit most from £84bn investment,Communist party says
China will build or maintain a clinic in every one of the country's 700,000 villages over the next three years,the government announced today,as part of a 850bn yuan (£84.5bn) revamp of the healthcare system.
The huge investment aims to upgrade medical care in the countryside,which has been neglected over the past 30 years of market-oriented development.
In a major overhaul,the government will also extend basic medical coverage and insurance to 90% of China's 1.3 billion people,almost a third of whom currently have to meet treatment costs entirely out of their own pockets.
Sickness is the major cause of poverty in China and frustration at expensive medical treatment has sparked protests and violence against hospital staff.
To address this dissatisfaction,the health ministry will train 1.4 million doctors,nurses and other medical practitioners to staff village clinics,in addition to the half a million healthcare workers in towns and cities.
"By 2011,we will remarkably improve the accessibility of basic medical care and healthcare services and alleviate the burden on the general public for medical costs," the vice-health minister,Zhang Mao,said.
Under plans unveiled this week,the government will also build 2,000 county hospitals and build or renovate 3,700 community clinics and 11,000 health service centres in urban areas within three years.
The central government will pay 40% of the costs,leaving the remainder to be covered by local authorities.Prices of essential medicines will be capped and the medical insurance scheme will be extended to nine in 10 people by 2011.
In allocating funds for construction,priority will be given to impoverished areas in central and western China that lag behind wealthy coastal provinces in the east,the vice-finance minister,Wang Jun,said.
The World Health Organisation has been calling for several years for China to invest more public money in its creaking rural medical system.
In the 1960s,the government raised an army of "barefoot doctors",who were given basic training in western disease control and traditional Taoist medicine.
Partly as a result,the health of China's rural population was once one of the proudest boasts of the Communist party.Government figures suggest life expectancy jumped from 35 to 65 years in the three decades after Mao Zedong took power in 1949.
But the market reforms of the late 1970s eradicated the rural co-operative insurance system,making it impossible for most farmers to afford treatment and difficult for rural clinics to stay solvent.
In a comparison of health systems in 2000,China was ranked 144th out of 191 states.In terms of access to medical care,it was fourth from bottom,beating only Sierra Leone,Brazil,and Burma.Although the country scores well on other health indices,such as longevity and infant mortality,wide gaps have opened up between rich cities and poor rural areas.
The effect of these inequalities is increasingly apparent.One tenth of the population is thought to be carrying hepatitis B.Syphilis,rabies and drug-resistant tuberculosis,all under control 20 years ago,are on the rise again.New concerns – such as Sars,bird flu,and HIV and Aids – have pushed the health issue high up the political agenda and beyond China's borders.
Rural areas will benefit most from £84bn investment,Communist party says
China will build or maintain a clinic in every one of the country's 700,000 villages over the next three years,the government announced today,as part of a 850bn yuan (£84.5bn) revamp of the healthcare system.
The huge investment aims to upgrade medical care in the countryside,which has been neglected over the past 30 years of market-oriented development.
In a major overhaul,the government will also extend basic medical coverage and insurance to 90% of China's 1.3 billion people,almost a third of whom currently have to meet treatment costs entirely out of their own pockets.
Sickness is the major cause of poverty in China and frustration at expensive medical treatment has sparked protests and violence against hospital staff.
To address this dissatisfaction,the health ministry will train 1.4 million doctors,nurses and other medical practitioners to staff village clinics,in addition to the half a million healthcare workers in towns and cities.
"By 2011,we will remarkably improve the accessibility of basic medical care and healthcare services and alleviate the burden on the general public for medical costs," the vice-health minister,Zhang Mao,said.
Under plans unveiled this week,the government will also build 2,000 county hospitals and build or renovate 3,700 community clinics and 11,000 health service centres in urban areas within three years.
The central government will pay 40% of the costs,leaving the remainder to be covered by local authorities.Prices of essential medicines will be capped and the medical insurance scheme will be extended to nine in 10 people by 2011.
In allocating funds for construction,priority will be given to impoverished areas in central and western China that lag behind wealthy coastal provinces in the east,the vice-finance minister,Wang Jun,said.
The World Health Organisation has been calling for several years for China to invest more public money in its creaking rural medical system.
In the 1960s,the government raised an army of "barefoot doctors",who were given basic training in western disease control and traditional Taoist medicine.
Partly as a result,the health of China's rural population was once one of the proudest boasts of the Communist party.Government figures suggest life expectancy jumped from 35 to 65 years in the three decades after Mao Zedong took power in 1949.
But the market reforms of the late 1970s eradicated the rural co-operative insurance system,making it impossible for most farmers to afford treatment and difficult for rural clinics to stay solvent.
In a comparison of health systems in 2000,China was ranked 144th out of 191 states.In terms of access to medical care,it was fourth from bottom,beating only Sierra Leone,Brazil,and Burma.Although the country scores well on other health indices,such as longevity and infant mortality,wide gaps have opened up between rich cities and poor rural areas.
The effect of these inequalities is increasingly apparent.One tenth of the population is thought to be carrying hepatitis B.Syphilis,rabies and drug-resistant tuberculosis,all under control 20 years ago,are on the rise again.New concerns – such as Sars,bird flu,and HIV and Aids – have pushed the health issue high up the political agenda and beyond China's borders.
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