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Tracking development assistance for health from China, 2007-2017.

Angela E Micah1, Yingxi Zhao1, Catherine S Chen1

  • 1Institute for Health Metrics and Evaluation, Seattle, Washington, USA.

BMJ Global Health
|October 25, 2019
PubMed
Summary

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China

Area of Science:

  • Global Health
  • International Development
  • Health Economics

Background:

  • China's international health engagement has grown, but data limitations hinder analysis.
  • Existing estimates of development assistance for health (DAH) from China are scarce and rely on single datasets.
  • Understanding China's DAH, particularly through multilateral channels and over time, is crucial.

Purpose of the Study:

  • To generate and disaggregate estimates of DAH from China between 2007 and 2017.
  • To analyze DAH contributions by disbursing agency and health focus area.
  • To compare China's DAH with traditional donors and existing estimates.

Main Methods:

  • Identified major government agencies disbursing DAH.
  • Utilized publicly available budget and financial data, including WHO and World Bank revenue statements.
Keywords:
Health economicsHealth policyHealth systems

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  • Reported trends, disaggregated by bilateral and multilateral agencies, and compared with other donors.
  • Main Results:

    • China's DAH increased significantly from $323.1 million in 2007 to $652.3 million in 2017.
    • Over 91% of DAH was disbursed bilaterally (Ministry of Commerce, National Health Commission); 8.2% multilaterally (WHO, World Bank).
    • China's DAH is substantial relative to economic development but modest relative to population and government spending.

    Conclusions:

    • China's DAH contributions show potential for future global health financing.
    • There is an opportunity for China to increase contributions, particularly for health system strengthening.
    • Addressing data gaps is essential for accurate assessment of China's global health contributions.