The Freshwater Health Index is a tool that examines three components of ecosystem health: ecosystem vitality (i.e., water quantity, water quality, basin condition, and biodiversity), ecosystem services (i.e., provisioning, regulation and support, and cultural), and governance & stakeholders (i.e., enabling environment, stakeholder management, vision and adaptive governance, and effectiveness). The report applies the Freshwater Health Index to the Dongjiang Basin in China, providing semi-quantitative scores for each ecosystem health component.