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在COVID-19期间转移官方发展援助:拨款,捐助者集中和贷款
1Department of Community Health, Tufts University, Boston, Massachusetts, USA.
BMJ global health
|November 5, 2024
概括
在COVID-19期间,多边援助增加了,但市场整合和拨款风险会通过转向贷款来破坏全球卫生目标和全民健康覆盖.
科学领域:
- 发展经济学 发展经济学
- 全球卫生政策 全球卫生政策
- 国际关系 国际关系
背景情况:
- 在COVID-19大流行期间,多边援助大幅增加,与双边援助形成鲜明对比.
- 疫情暴露了多边捐助机构在跨国协调方面面临的挑战.
- 来自多边机构的官方发展援助 (ODA) 可能越来越像双边援助的特点.
研究的目的:
- 探索拨款,捐助者集中和官方发展援助的援助模式.
- 分析COVID-19大流行之前和期间多边援助的趋势.
- 评估这些趋势对全球卫生倡议的影响.
主要方法:
- 检查的官方发展援助支付 (2010-2021年) 以恒定价格.
- 使用Shannon-Weiner和Gini-Simpson指数评估了市场的多样性.
- 分析了拨款,融资工具和官方发展援助 (ODA) 的赠款份额.
主要成果:
- 多边参与者和市场多样性增加,但市场份额在世界银行集团周围整合 (2021年为37%).
- 援助流入多边体系的拨款增加.
- 基于贷款的官方发展援助支付增加,带来债务风险.
结论:
- 整合可以简化收入并加强对疫情的应对.
- 增加拨款和基于贷款的援助可能会危及诸如可持续发展目标和全民健康覆盖等集体目标.
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