China Maritime Studies Institute – The PRC’s hospital ship ecosystem comprises at least 17 vessels. The People’s Liberation Army Navy (PLAN) operates 13 ships, while the state ship building sector has developed (or is developing) at least four civilian hospital ships for domestic and foreign clients.

PLAN hospital ships serve two main missions: (1) Provide medical support to PLA personnel, especially those stationed around the mainland or on Chinese-occupied islands in the South China Sea. (2) Support maritime global health engagement, chiefly through missions conducted by the Peace Ark hospital ship.

Almost a third (21) of the Peace Ark’s 71 port visits since 2010 have been in Melanesia and East Africa. A further fifth (12) of all visits have been to ports in the northeast Indian Ocean and West Africa. The launch of the Silk Road Ark in 2023 may increase the PRC’s maritime global health engagement capacity in the coming years.

In the event of a conflict, some PLAN hospital ships would not be in compliance with international conventions on the proper identification and uses of these vessels. They lack the required markings, potentially possess armaments, or are not exclusively used as hospital ships. This could complicate the decision making of China’s opponents, especially during wartime.

China’s private sector construction of hospital ships could potentially provide the PRC with the skills and knowhow to rapidly expand the PLAN’s hospital ship fleet during a conflict.

U.S. Navy planners should consider how the PLAN may use its hospital ships in a conflict and how these vessels may link with other humanitarian activities seen in these settings, such as maritime humanitarian corridors, exchange of prisoners, or civilian humanitarian capabilities.