Background:As an emerging donor in health related development across the world,particularly towards Africa,the People’s Republic of China(PRC)has been increasing its influence within the field of global public health...Background:As an emerging donor in health related development across the world,particularly towards Africa,the People’s Republic of China(PRC)has been increasing its influence within the field of global public health over the past few decades.Yet between the period of 2000 and 2013,little is known about the scope,scale and priority of China’s grant-making programs.Methods:Based on data sourced from the China Aid Database(version-1.2),descriptive analyses were applied to analyze the features of 531 health related projects that were undertaken between 2000 and 2013.Spearmen correlation was also performed to assess the relationship between China’s export and aid to recipient countries.Results:The total value of China’s grant-making programs in the health related sector between 2000 and 2013 was 5.67 billion USD,with 531 projects undertaken.During the five year period between 2004 and 2008,China had a contribution of 1.54 billion USD,which increased to 3.8 billion USD during the five year period between 2009 and 2013-an 146.26%increase.In terms of specific diseases,China is most concerned with building an African public health system through donations targeted towards general health(313 projects),combating Malaria(115 projects)and maternal,neonatal and child health(MNCH),(12 projects).When it comes to recipient countries,if counted in total value,Zimbabwe received the most financial assistance from China,totaling 1.08 billion USD and 19 projects,while Angola and Tanzania received more projects-30 and 29 projects respectively.In terms of the channeling of aid funding,most projects were targeted towards infrastructure,equipment and medicine(304 projects in total),followed by medical teams(189 projects).Moreover,there is a statistically significant relationship between aid to Africa and Chinese exports to Africa.Conclusion:During the past decade,Chinese aid projects played an important role in the African public health system through providing funding for infrastructure,equipment and medicine,training health professionals,as well as disease treatment.However,very limited attention was paid towards disease prevention,health promotion and awareness initiatives,and health education.Furthermore,serious questions were raised regarding the long-term financial sustainability and actual impact these projects have on health development.展开更多
Background:Despite the increasing interest in China’s development assistance for health(DAH)in African countries,little is known regarding the distribution and determinants of China’s DAH project allocation among th...Background:Despite the increasing interest in China’s development assistance for health(DAH)in African countries,little is known regarding the distribution and determinants of China’s DAH project allocation among the principle subdivisions(provinces&states)within African countries.Methods:We mapped the distribution of China’s DAH projects in 670 principle subdivisions of 50 African countries during 2006-2015 using web-based information.The political,demographic,health and socioeconomic indicators of DAH allocation were analyzed using conditional logistic regression models.The national capital city and political leader’s birth place were selected as the main political indicators,and health indicators were selected according to different fields of the DAH projects.Results:China’s DAH projects(mainly China medical teams[CMTs],hospitals and anti-malaria centers)were mostly allocated to the western and eastern coasts of Africa,although CMTs were also dispatched to northern Africa.National capital cities were significantly associated with the allocation of China’s DAH projects(P<0.001).Antimalaria centers were more likely to be allocated to principle subdivisions with larger populations(OR=1.35),and CMTs were allocated to subdivisions with high population densities(OR=79.01).No health-related indicators were identified to affect project allocation except for the facility delivery rate and under-five mortality rate,which were associated with hospital allocation.We also found an association between CMT allocation and the use of artemisinin-based combination therapy in children.Conclusions:Allocation of China’s DAH projects is strongly affected by political and demographic factors.Implementation of China’s new DAH projects should target health and socio-economic indicators and impact metrics in scaling up tailored and cost-effective programs in Africa.展开更多
基金supported by the Research Center for Public Health,Tsinghua University Beijingthe China and Youth of Excellence Scheme Scholarship,China.
文摘Background:As an emerging donor in health related development across the world,particularly towards Africa,the People’s Republic of China(PRC)has been increasing its influence within the field of global public health over the past few decades.Yet between the period of 2000 and 2013,little is known about the scope,scale and priority of China’s grant-making programs.Methods:Based on data sourced from the China Aid Database(version-1.2),descriptive analyses were applied to analyze the features of 531 health related projects that were undertaken between 2000 and 2013.Spearmen correlation was also performed to assess the relationship between China’s export and aid to recipient countries.Results:The total value of China’s grant-making programs in the health related sector between 2000 and 2013 was 5.67 billion USD,with 531 projects undertaken.During the five year period between 2004 and 2008,China had a contribution of 1.54 billion USD,which increased to 3.8 billion USD during the five year period between 2009 and 2013-an 146.26%increase.In terms of specific diseases,China is most concerned with building an African public health system through donations targeted towards general health(313 projects),combating Malaria(115 projects)and maternal,neonatal and child health(MNCH),(12 projects).When it comes to recipient countries,if counted in total value,Zimbabwe received the most financial assistance from China,totaling 1.08 billion USD and 19 projects,while Angola and Tanzania received more projects-30 and 29 projects respectively.In terms of the channeling of aid funding,most projects were targeted towards infrastructure,equipment and medicine(304 projects in total),followed by medical teams(189 projects).Moreover,there is a statistically significant relationship between aid to Africa and Chinese exports to Africa.Conclusion:During the past decade,Chinese aid projects played an important role in the African public health system through providing funding for infrastructure,equipment and medicine,training health professionals,as well as disease treatment.However,very limited attention was paid towards disease prevention,health promotion and awareness initiatives,and health education.Furthermore,serious questions were raised regarding the long-term financial sustainability and actual impact these projects have on health development.
基金This work was supported by China Medical Board(No.CMB-15-243)Haomin Yang is supported by grant from China Scholarship Council(No.201406010275)The funding agencies have no role in the study design,data analysis or manuscript writing.
文摘Background:Despite the increasing interest in China’s development assistance for health(DAH)in African countries,little is known regarding the distribution and determinants of China’s DAH project allocation among the principle subdivisions(provinces&states)within African countries.Methods:We mapped the distribution of China’s DAH projects in 670 principle subdivisions of 50 African countries during 2006-2015 using web-based information.The political,demographic,health and socioeconomic indicators of DAH allocation were analyzed using conditional logistic regression models.The national capital city and political leader’s birth place were selected as the main political indicators,and health indicators were selected according to different fields of the DAH projects.Results:China’s DAH projects(mainly China medical teams[CMTs],hospitals and anti-malaria centers)were mostly allocated to the western and eastern coasts of Africa,although CMTs were also dispatched to northern Africa.National capital cities were significantly associated with the allocation of China’s DAH projects(P<0.001).Antimalaria centers were more likely to be allocated to principle subdivisions with larger populations(OR=1.35),and CMTs were allocated to subdivisions with high population densities(OR=79.01).No health-related indicators were identified to affect project allocation except for the facility delivery rate and under-five mortality rate,which were associated with hospital allocation.We also found an association between CMT allocation and the use of artemisinin-based combination therapy in children.Conclusions:Allocation of China’s DAH projects is strongly affected by political and demographic factors.Implementation of China’s new DAH projects should target health and socio-economic indicators and impact metrics in scaling up tailored and cost-effective programs in Africa.
