China’s engagement with development assistance for health in Africa

Shajalal, Mohon; Xu, Junfang; Jing, Jun; King, Madeleine; Jie, Zhang; Wang, Peicheng; Bouey, Jennifer; Cheng, Feng

doi:10.1186/s41256-017-0045-8

Cited by 37 publications

(33 citation statements)

References 9 publications

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“…In the context of some developing countries, political reforms, influx of foreign aid and foreign direct investments are bringing unprecedented opportunities for growth, employment, education and improvement in public health indices 34–38. At the same time, significant challenges remain in an effort to sustain the growth trajectories, reduce the prevalence of extreme poverty, and cut child stunting and mortality rates.…”

Section: Introductionmentioning

confidence: 99%

Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa

et al. 2020

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BackgroundThere is mixed evidence and lack of consensus on the impact of economic development on stunting, and likewise there is a dearth of empirical studies on this relationship in the case of sub-Saharan Africa. Thus, this paper examines whether economic growth is associated with childhood stunting in low-income and middle-income sub-Saharan African countries.MethodsWe analysed data from 89 Demographic and Health Surveys conducted between 1987 and 2016 available as of October 2018 using multivariable multilevel logistic regression models to show the association between gross domestic product (GDP) per capita and stunting. We adjusted the models for child’s age, survey year, child’s sex, birth order and country random effect, and presented adjusted and unadjusted ORs.ResultsWe included data from 490 526 children. We found that the prevalence of stunting decreased with increasing GDP per capita (correlation coefficient=−0.606, p<0.0001). In the unadjusted model for full sample, for every US$1000 increase in GDP per capita, the odds of stunting decreased by 23% (OR=0.77, 95% CI 0.76 to 0.78). The magnitude of the association between GDP per capita and stunting was stronger among children in the richest quintile. After adjustment was made, the association was not significant among children from the poorest quintile. However, the magnitude of the association was more pronounced among children from low-income countries, such that, in the model adjusted for child’s age, survey year, child’s sex, birth order and country random effect, the association between GDP per capita and stunting remained statistically significant; for every US$1000 increase in GDP per capita, the odds of stunting decreased by 12% (OR=0.88, 95% CI 0.87 to 0.90).ConclusionThere was no significant association between economic growth and child nutritional status. The prevalence of stunting decreased with increasing GDP per capita. This was more pronounced among children from the richest quintile. The magnitude of the association was higher among children from low-income countries, suggesting that households in the poorest quintile were typically the least likely to benefit from economic gains. The findings could serve as a building block needed to modify current policy as per child nutrition-related programmes in Africa.

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Section: Introductionmentioning

confidence: 99%

Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa

et al. 2020

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“…Notwithstanding these challenges, there have been several studies that estimate DAH from China, although these studies have concluded with divergent results. Tang and colleagues estimated DAH from China from 2010 to 2013 using AidData and other sources, and estimated that the total DAH contributions from China was US$340 million in 2012 and $489 million in 2013,1 while Shajalal and colleagues estimated China contribution of DAH to Africa from 2000 to 2013 utilising AidData and concluded that in 2012 $978 million and in 2013 $487 million was contributed 19. Grepin and colleagues also estimated that a cumulative total of $3.0 billion was committed to Africa between 2000 and 201212 for health, population, and water and sanitation projects.…”

Section: Introductionmentioning

confidence: 99%

Tracking development assistance for health from China, 2007–2017

et al. 2019

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IntroductionIn recent years, China has increased its international engagement in health. Nonetheless, the lack of data on contributions has limited efforts to examine contributions from China. Existing estimates that track development assistance for health (DAH) from China have relied primarily on one dataset. Furthermore, little is known about the disbursing agencies especially the multilaterals through which contributions are disbursed and how these are changing across time. In this study, we generated estimates of DAH from China from 2007 through 2017 and disaggregated those estimates by disbursing agency and health focus area.MethodsWe identified the major government agencies providing DAH. To estimate DAH provided by each agency, we leveraged publicly available development assistance data in government agencies’ budgets and financial accounts, as well as revenue statements from key international development agencies such as the WHO. We reported trends in DAH from China, disaggregated contributions by disbursing bilateral and multilateral agencies, and compared DAH from China with other traditional donors. We also compared these estimates with existing estimates.ResultsDAH provided by China grew dramatically, from US$323.1 million in 2007 to $652.3 million in 2017. During this period, 91.8% of DAH from China was disbursed through its bilateral agencies, including the Ministry of Commerce ($3.7 billion, 64.1%) and the National Health Commission ($917.1 million, 16.1%); the other 8.2% was disbursed through multilateral agencies including the WHO ($236.5 million, 4.1%) and the World Bank ($123.1 million, 2.2%). Relative to its level of economic development, China provided substantially more DAH than would be expected. However, relative to population size and government spending, China’s contributions are modest.ConclusionIn the current context of plateauing in the growth rate of DAH contributions, China has the potential to contribute to future global health financing, especially financing for health system strengthening.

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“…1) Although the Chinese academic community has conducted a number of studies on China's health development experience widely recognized by the international community, these studies lack the perspective of external applicability and are not fully reflected in the global pool of knowledge. 2) Although China has a long history in providing DAH to developing countries, the main types of DAH are limited to sending medical teams and building health infrastructures [33,34]. China lacks understanding of the practices provided by other DAH actors, particularly the best practices of contemporary international DAH.…”

Section: Reflections and Policy Implicationsmentioning

confidence: 99%

China-UK partnership for global health: practices and implications of the Global Health Support Programme 2012–2019

Wang

Liu

et al. 2020

glob health res policy

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Background: Over the past few decades, a series of major challenges to global health have successively emerged, which call for China's deeper engagement in global health governance. In this context, the China-UK Global Health Support Programme (GHSP) was launched in 2012 with about 12 million pounds funded by the United Kingdom. Objectives: The GHSP was expected to explore a new type of China-UK partnership to strengthen the cooperation in global health, and enhance China's capacity to engage in global health governance and provide effective development assistance in health (DAH), in order to jointly improve global health outcomes. Programme design and implementation: The GHSP was programmed to support capacity building activities in Chinese experience distillation, DAH, global health governance and pilot partnership at national and institutional levels between October 2012 and March 2019. These activities were assigned to different project implementing agencies (PIAs) and their project cooperative agencies (PCAs) or pilot areas, and were then implemented under the guidance and management by the strategic oversight committee and the project management office of GHSP respectively. Main achievements: At the national level, the GHSP held five rounds of China-UK high-level dialogues, conducted studies on China Global Health Strategies to provide robust evidence for developing and issuing relevant national policies, and supported the establishment of the China Global Health Network. At the institutional level, the GHSP funded a series of activities in research, training, international exchange and pilots etc., produced a large number of high-quality research outputs and policy briefings, cultivated a group of PIAs and individual researchers, facilitated the partnership building between the PIAs and PCAs, enhanced the practical ability of Chinese institutions to conduct overseas DAH, and improved the health service delivery and outcomes in pilot areas of three Asian and African countries. Policy implications: In the GHSP, China and UK have established a good model for North-South Cooperation and the programme facilitated the 2030 Agenda for Sustainable Development by building a new type of bilateral partnership and carrying out triangular cooperation practices. This model has demonstrated huge potential for cooperation through partnership and can also be referred to by other countries to develop bilateral partnerships.

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China’s engagement with development assistance for health in Africa

Cited by 37 publications

References 9 publications

Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa

Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa

Tracking development assistance for health from China, 2007–2017

China-UK partnership for global health: practices and implications of the Global Health Support Programme 2012–2019

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