ArticleGlobalization and health2014
China's role as a global health donor in Africa: what can we learn from studying under reported resource flows?
Article in Globalization and health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed.
- China's COVID-19 aid in Africa: trends and implications for future pandemic preparedness.Globalization and health · 2025Article
- The role of Chinese medical teams in bridging healthcare gaps in Africa: a scoping review.Global health research and policy · 2025Article
- Article
- Shifting official development assistance during COVID-19: earmarking, donor concentration and loans.BMJ global health · 2024Article
- Understanding China's shifting priorities and priority-setting processes in development assistance for health.Health policy and planning · 2024Article
- China's hidden role in malaria control and elimination in Africa.BMJ global health · 2023Article
- Chinese health funding in Africa: The untold story.PLOS global public health · 2023Article
- Estimating Chinese bilateral aid for health: an analysis of AidData's Global Chinese Official Finance Dataset Version 2.0.BMJ global health · 2022Article
- Identifying the impact of COVID-19 on health systems and lessons for future emergency preparedness: A stakeholder analysis in Kenya.PLOS global public health · 2022Article
- Making sense of estimates of health aid from China.BMJ global health · 2020Article
- Socio-Cultural Adaptation and Its Related Factors for Chinese Medical Aid Team Members (CMATMs) in Africa.International journal of environmental research and public health · 2019Article
- Association between Cross-Cultural Social Adaptation and Overseas Life Satisfaction among Chinese Medical Aid Team Members (CMATMs) in Africa.International journal of environmental research and public health · 2019Article
- Tracking development assistance for health from China, 2007-2017.BMJ global health · 2019Article
- Is there a social justice variant of South-South health cooperation?: a scoping and critical literature review.Global health action · 2019Article
- Determinants of China's development assistance for health at the sub-national level of African countries (2006-2015).Infectious diseases of poverty · 2018Article
- Factors influencing the allocation of China's development assistance for health.Journal of global health · 2018Article
- To establish a talent pool for global health in China: from political will to action.Global health action · 2018Article
- Chinese Global Health Diplomacy in Africa: Opportunities and Challenges.Global health governance : the scholarly journal for the new health security paradigm · 2018Article
- Health aid projects have both expanded and constrained the capacity of health facilities to deliver malaria services to under-five children in Malawi.BMJ global health · 2018Article
- The value of China-Africa health development initiatives in strengthening "One Health" strategy.Global health journal (Amsterdam, Netherlands) · 2017Article
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4 authors.
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Abstract
backgroundThere is a growing recognition of China's role as a global health donor, in particular in Africa, but there have been few systematic studies of the level, destination, trends, or composition of these development finance flows or a comparison of China's engagement as a donor with that of more traditional global health donors.
methodsUsing newly released data from AidData on China's development finance activities in Africa, developed to track under reported resource flows, we identified 255 health, population, water, and sanitation (HPWS) projects from 2000-2012, which we descriptively analyze by activity sector, recipient country, project type, and planned activity. We compare China's activities to projects from traditional donors using data from the OECD's Development Assistance Committee (DAC) Creditor Reporting System.
resultsSince 2000, China increased the number of HPWS projects it supported in Africa and health has increased as a development priority for China. China's contributions are large, ranking it among the top 10 bilateral global health donors to Africa. Over 50% of the HPWS projects target infrastructure, 40% target human resource development, and the provision of equipment and drugs is also common. Malaria is an important disease priority but HIV is not. We find little evidence that China targets health aid preferentially to natural resource rich countries.
conclusionsChina is an important global health donor to Africa but contrasts with traditional DAC donors through China's focus on health system inputs and on malaria. Although better data are needed, particularly through more transparent aid data reporting across ministries and agencies, China's approach to South-South cooperation represents an important and distinct source of financial assistance for health in Africa.
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