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    Four Decades of Poverty Reduction in China: Drivers, Insights for the World, and the Way Ahead
    (Washington, DC : World Bank, 2022) World Bank ; Development Research Center of the State Council, the People’s Republic of China
    Regardless of the poverty line used, the speed and scale of China’s poverty reduction are historically unprecedented. Over the past 40 years, the number of people in China with incomes below US$1.90 per day—the international poverty line as defined by the World Bank to track global extreme poverty—has fallen by close to 800 million, accounting for almost three-quarters of the global reduction in extreme poverty. In 2021, China declared that it had eradicated extreme poverty according to its national poverty threshold, and that it had built a “moderately prosperous society in all respects.” However, a significant number of people remain vulnerable, with incomes below a threshold more typically used to define poverty in upper-middle-income countries. China has set a new goal of approaching common prosperity by 2035, which can help keep the policy focus on the vulnerable population. Four Decades of Poverty Reduction in China: Drivers, Insights for the World, and the Way Ahead explores the key drivers of China’s poverty alleviation achievements and considers the lessons of China’s experience for other developing countries. The report also makes suggestions for China’s future policies. China’s approach to poverty reduction was based on two pillars. The first aimed for broad-based economic transformation to open new economic opportunities and raise average incomes. The second was the recognition that targeted support was needed to alleviate persistent poverty; this support was initially provided to disadvantaged areas and later to individual households. The success of China’s economic development and the associated reduction of poverty also benefited from effective governance, which helped coordinate multiple government agencies and induce cooperation from nongovernment stakeholders. To illustrate the role of broad-based economic transformation for poverty alleviation, separate sections of the report analyze growing agricultural productivity, incremental industrialization, managed urbanization and rural-to-urban migration, and the role of infrastructure.
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    Belt and Road Economics: Opportunities and Risks of Transport Corridors
    (Washington, DC: World Bank, 2019-06-18) World Bank
    China proposed the Belt and Road Initiative in 2013 to improve connectivity and cooperation on a transcontinental scale. This study, by a team of World Bank Group economists led by Michele Ruta, analyzes the economics of the initiative. It assesses the connectivity gaps between economies along the initiative’s corridors, examines the costs and economic effects of the infrastructure improvements proposed under the initiative, and identifies complementary policy reforms and institutions that will support welfare maximization and mitigation of risks for participating economies.
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    Healthy China: Deepening Health Reform in China
    (Washington, DC: World Bank, 2019-03-28) World Bank ; World Health Organization
    The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.
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    Urban China : Toward Efficient, Inclusive, and Sustainable Urbanization
    (Washington, DC: World Bank, 2014-07) World Bank ; Development Research Center of the State Council, the People’s Republic of China
    In the last 30 years, China’s record economic growth lifted half a billion people out of poverty, with rapid urbanization providing abundant labor, cheap land, and good infrastructure. While China has avoided some of the common ills of urbanization, strains are showing as inefficient land development leads to urban sprawl and ghost towns, pollution threatens people’s health, and farmland and water resources are becoming scarce. With China’s urban population projected to rise to about one billion – or close to 70 percent of the country’s population – by 2030, China’s leaders are seeking a more coordinated urbanization process. Urban China is a joint research report by a team from the World Bank and the Development Research Center of China’s State Council which was established to address the challenges and opportunities of urbanization in China and to help China forge a new model of urbanization. The report takes as its point of departure the conviction that China's urbanization can become more efficient, inclusive, and sustainable. However, it stresses that achieving this vision will require strong support from both government and the markets for policy reforms in a number of area. The report proposes six main areas for reform: first, amending land management institutions to foster more efficient land use, denser cities, modernized agriculture, and more equitable wealth distribution; second, adjusting the hukou household registration system to increase labor mobility and provide urban migrant workers equal access to a common standard of public services; third, placing urban finances on a more sustainable footing while fostering financial discipline among local governments; fourth, improving urban planning to enhance connectivity and encourage scale and agglomeration economies; fifth, reducing environmental pressures through more efficient resource management; and sixth, improving governance at the local level.
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    China 2030 : Building a Modern, Harmonious, and Creative Society
    (Washington, DC: World Bank, 2013-03-22) World Bank ; Development Research Center of the State Council, the People’s Republic of China
    China's economic performance over the past 30 years has been remarkable. The report is based on the strong conviction that China has the potential to become a modern, harmonious, and creative high income society by 2030. The report proposes six strategic directions for China's new development strategy: 1) rethinking the role of the state and the private sector to encourage increased competition in the economy; 2) encouraging innovation and adopting an open innovation system with links to global research and development networks; 3) looking to green development as a significant new growth opportunity; 4) promoting equality of opportunity and social protection for all; 5) strengthening the fiscal system and improving fiscal sustainability; and 6) ensuring that China, as an international stakeholder, continues its integration with global markets.
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    China 2030 : Building a Modern, Harmonious, and Creative High-Income Society [pre-publication version]
    (Washington, DC: World Bank, 2012-02-27) World Bank ; Development Research Center of the State Council, P.R.C.
    China should complete its transition to a market economy--through enterprise, land, labor, and financial sector reforms--strengthen its private sector, open its markets to greater competition and innovation, and ensure equality of opportunity to help achieve its goal of a new structure for economic growth. These are some of the key findings of a joint research report by a team from the World Bank and the Development Research Center of China’s State Council, which lays out the case for a new development strategy for China to rebalance the role of government and market, private sector and society, to reach the goal of a high income country by 2030.   This report recommends steps to deal with the  risks facing China over the next 20 years, including the risk of a hard landing in the short term, as well as challenges posed by an ageing and shrinking workforce, rising inequality, environmental stresses, and external imbalances. The report lays out six strategic directions for China’s future: * Completing the transition to a market economy; * Accelerating the pace of open innovation; * Going “green” to transform environmental stresses into green growth as a driver for development; * Expanding opportunities and services such as health, education and access to jobs for all people; * Modernizing and strengthening its domestic fiscal system; * Seeking mutually beneficial relations with the world by connecting China’s structural reforms to the changing international economy.
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    Inclusive Green Growth : The Pathway to Sustainable Development
    (Washington, DC, 2012) World Bank
    As the global population heads toward 9 billion by 2050, decisions made today will lock countries into growth patterns that may or may not be sustainable in the future. Care must be taken to ensure that cities and roads, factories and farms are designed, managed, and regulated as efficiently as possible to wisely use natural resources while supporting the robust growth developing countries still need. Economic development during the next two decades cannot mirror the previous two: poverty reduction remains urgent but growth and equity can be pursued without relying on policies and practices that foul the air, water, and land. Inclusive Green Growth: The Pathway to Sustainable Development makes the case that greening growth is necessary, efficient, and affordable. Yet spurring growth without ensuring equity will thwart efforts to reduce poverty and improve access to health, education, and infrastructure services. Countries must make strategic investments and farsighted policy changes that acknowledge natural resource constraints and enable the world's poorest and most vulnerable to benefit from efficient, clean, and resilient growth. Like other forms of capital, natural assets are limited and require accounting, investment, and maintenance in order to be properly harnessed and deployed. By maximizing co-benefits and avoiding lock-in, by promoting smarter decisions in industry and society, and by developing innovative financing tools for green investment, we can afford to do the things we must.
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    China : Air, Land, and Water - Environmental Priorities for a New Millennium
    (Washington, DC, 2001-08) World Bank
    This report represents a further chapter in the dialogue between the World Bank and the People's Republic of China about how to promote economic growth and protect China's environment. There are three cross-cutting issues that keep recurring throughout the analysis. These issues characterize the environmental management challenge over the next decade: First, the environmental agenda is becoming so complex and large that it cannot be adequately managed by one agency--the State Environmental Protection Administration (SEPA) and its counterparts at lower levels--working on its own. Effective solutions will require the combined and coordinated efforts of many different branches of government and the re-thinking of many development policies. Second, the systemic fiscal and budgetary problems facing the country as a whole are making it difficult for environmental institutions to do their work. There is a growing gap between assigned responsibilities and the resources provided to carry out those responsibilities. Third, the government has to continue to diversify the approaches it takes and the environmental tools it uses to provide a better fit between the solutions developed and the problems being experienced in different parts of the country. The "one-size-fits-all" approach, as exemplified by various mass environmental campaigns, played a useful role in the past, but is proving increasingly inadequate to meet current demands.