• Infect Dis Poverty · Dec 2018

    Determinants of China's development assistance for health at the sub-national level of African countries (2006-2015).

    • Hao-Min Yang, Pei-Long Liu, and Yan Guo.
    • Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    • Infect Dis Poverty. 2018 Dec 19; 7 (1): 128.

    BackgroundDespite 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.MethodsWe 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.ResultsChina'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). Anti-malaria 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.ConclusionsAllocation 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.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…