China’s role as a global health donor in Africa: what can we learn from studying under reported resource flowsReport as inadecuate

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Globalization and Health

, 10:84

First Online: 30 December 2014Received: 11 August 2014Accepted: 25 November 2014DOI: 10.1186-s12992-014-0084-6

Cite this article as: Grépin, K.A., Fan, V.Y., Shen, G.C. et al. Global Health 2014 10: 84. doi:10.1186-s12992-014-0084-6


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.

KeywordsChina Africa South-South cooperation Development assistance for health Foreign aid Politics Health systems Malaria Human resources for health Electronic supplementary materialThe online version of this article doi:10.1186-s12992-014-0084-6 contains supplementary material, which is available to authorized users.

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Author: Karen A Grépin - Victoria Y Fan - Gordon C Shen - Lucy Chen


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