China case study policy brief

Capitation with performance payments for universal basic public health services in China: challenges in implementation

Overview

The Government of China established and funded the National Basic Public Health Services Programme (NBPHSP) in 2009 to ensure equal access to basic public health services (BPHS). By 2015, the Programme included the management of four chronic conditions - hypertension, type 2 diabetes, severe mental disorders and tuberculosis. BPHS are funded through a capitation payment to public primary health care facilities. The amount has increased in real terms from US$ 3.10 in 2009 to US$ 13.00 in 2022. The minimum capitation level can be increased subject to local fiscal capacity.
WHO Team
WHO Centre for Health Development (Kobe)
Number of pages
2