Evidence map›Paper›PMID 38310321›Full record

ArticleGlobal health research and policy2024

Development assistance, donor-recipient dynamic, and domestic policy: a case study of two health interventions supported by World Bank-UK and Global Fund in China.

Aidan Huang, Yingxi Zhao, Chunkai Cao, Mohan Lyu, Kun Tang

Abstract read
In one paragraph

Article in Global health research and policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Aidan HuangVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing, 100084, China.
Yingxi ZhaoVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing, 100084, China.
Chunkai CaoVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing, 100084, China.
Mohan LyuVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing, 100084, China.
Kun TangVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing, 100084, China. tangk@mail.tsinghua.edu.cn.ORCID 0000-0002-5444-186X

Funding

Alliance for Health Policy and Systems Research 202835591
6 · The paper itself

Abstract

backgroundThis study views sustainability after the exit of development assistance for health (DAH) as a shared responsibility between donors and recipients and sees transitioning DAH-supported interventions into domestic health policy as a pathway to this sustainability. It aims to uncover and understand the reemergent aspects of the donor-recipient dynamic in DAH and how they contribute to formulating domestic health policy and post-DAH sustainability.

methodsWe conducted a case study on two DAH-supported interventions: medical financial assistance in the Basic Health Services Project supported by the World Bank and UK (1998-2007) and civil society engagement in the HIV/AIDS Rolling Continuation Channel supported by the Global Fund (2010-2013) in China. From December 2021 to December 2022, we analyzed 129 documents and interviewed 46 key informants. Our data collection and coding were guided by a conceptual framework based on Walt and Gilson's health policy analysis model and the World Health Organization's health system building blocks. We used process tracing for analysis.

resultsAccording to the collected data, our case study identified three reemergent, interrelated aspects of donor-recipient dynamics: different preferences and compromise, partnership dialogues, and responsiveness to the changing context. In the case of medical financial assistance, the dynamic was characterized by long-term commitment to addressing local needs, on-site mutual learning and understanding, and local expertise cultivation and knowledge generation, enabling proactive responses to the changing context. In contrast, the dynamic in the case of HIV/AIDS civil society engagement marginalized genuine civil society engagement, lacked sufficient dialogue, and exhibited a passive response to the context. These differences led to varying outcomes in transnational policy diffusion and sustainability of DAH-supported interventions between the cases.

conclusionsGiven the similarities in potential alternative factors observed in the two cases, we emphasize the significance of the donor-recipient dynamic in transnational policy diffusion through DAH. The study implies that achieving post-DAH sustainability requires a balance between donor priorities and recipient ownership to address local needs, partnership dialogues for mutual understanding and learning, and collaborative international-domestic expert partnerships to identify and respond to contextual enablers and barriers.

Indexed as

Acquired Immunodeficiency SyndromeFinancial ManagementChinaHealth PolicyHumansInternational CooperationUnited KingdomChinaDevelopment assistance for healthDFIDDonor–recipient dynamicGlobal Fund to Fight AIDS, Tuberculosis and MalariaHealth policySustainabilityTransitionWorld Bank

Identifiers

PMID38310321
PMCPMC10838425

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.