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国际发展援助的接受者控制的捐助者偏好
Jack Hennessy1, Duncan Mortimer1, Rohan Sweeney1
1Centre for Health Economics, Monash University, Clayton, VIC, 3800, Australia.
捐助国公民更喜欢控制医疗援助项目,与当地领导的发展目标相矛盾. 这项研究揭示了援助言论和公众对捐助者控制的偏好之间存在重大差距.
科学领域:
- 全球健康 全球健康
- 发展经济学 发展经济学
- 公共政策 公共政策
背景情况:
- 超过90%的医疗援助与捐助者优先事项有关,破坏了援助的有效性和脱殖民援助和促进当地领导的发展的目标.
- 很少有研究探讨了导致捐助者言论和实际援助实践之间的分歧的约束.
研究的目的:
- 调查捐助国公民的偏好是否与外国援助计划中接受者控制一致.
- 了解公众对国际卫生援助的控制和特征的偏好.
主要方法:
- 对1523名澳大利亚成年人进行了一项离散选择实验,涉及澳大利亚对印度尼西亚的卫生援助.
- 分析了参与者对受益人控制的偏好以及其他九个援助特征.
主要成果:
- 捐助者表现出对受援者控制的强烈厌恶,不愿意放弃对援助目标或实施的控制.
- 没有确定任何偏好群体有利于受理人控制,即使在控制受理政府的机构质量时也是如此.
- 无论受益者治理的质量如何,对脱殖援助的抵制是显而易见的.
结论:
- 在公众对捐赠者控制的偏好与对本地主导发展的国际承诺之间存在着根本的错位.
- 在医疗援助中优先考虑捐助者控制可能与公众论一致,但危及增加受益者所有权和脱殖民援助的努力.
- 解决这种偏好差距对于实现真正的受益者主导的发展倡议至关重要.
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