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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
Summary
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.
- 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.
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