了解中国在卫生发展援助方面的重点转变和优先设定过程
Bingqing Guo1, Victoria Fan2, Austin Strange3
1School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 7 Sassoon Road, Pok Fu Lam, Hong Kong SAR, Peoples' Republic of China.
Health policy and planning
|January 22, 2024
概括
中国是全球主要的卫生援助捐助者,优先考虑医疗服务和基础设施,特别是在亚洲和非洲. 流行病等关键事件对其发展援助卫生 (DAH) 优先事项产生了重大影响.
科学领域:
- 全球健康 全球健康
- 国际发展国际发展
- 卫生经济学 卫生经济学
背景情况:
- 在过去的二十年中,中国已成为卫生发展援助 (DAH) 的重要捐助者.
- 影响中国DAH优先设置的因素仍未得到充分研究.
- 了解这些优先事项对于全球卫生倡议至关重要.
研究的目的:
- 分析中国DAH优先事项的趋势.
- 将中国的DAH优先事项与经合组织发展援助委员会 (DAC) 捐助者的优先事项进行比较.
- 探索影响中国DAH优先设置的因素.
主要方法:
- 对2000-2017年DAH数据 (AidData,CRS) 的比较分析.
- 分析COVID-19前后中国医疗援助出口情况.
- 使用沃尔特和吉尔森的框架对中国政策文件进行定性审查.
主要成果:
- 中国是DAH的主要捐助国,特别是在非洲和亚洲,项目价值很高.
- 中国优先考虑医疗服务和基本卫生基础设施等子部门,与DAC捐助者优先考虑的不同.
- 中国的医疗援助出口在COVID-19后激增;注意力转向亚洲,眼病和传染病,而疟疾援助减少.
结论:
- 中国的DAH重点已经演变,受到全球卫生事件 (SARS,埃博拉,COVID-19) 和倡议 (一带一路) 的影响.
- 多边进程在塑造中国的DAH优先事项方面发挥着重要作用,挑战了"孤独狼"捐助者刻板印象.
- 中国对DAH的独特方法,专注于特定的健康领域和地区,需要继续监测.
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