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引用本文:蒋晓晓.中非卫生合作的特点:基于刚果民主共和国的案例研究[J].中国卫生政策研究,2014,7(3):64-68
中非卫生合作的特点:基于刚果民主共和国的案例研究
投稿时间:2013-11-26  修订日期:2014-02-25  PDF全文浏览  HTML全文浏览
蒋晓晓
北京大学全球卫生研究中心 北京 100191
摘要:过去几十年,中国对非卫生援助规模不断扩大,范围不断拓宽。本文提出了中国对非卫生合作的4个特点:对非卫生援助定义模糊;没有专门的对外援助机构;卫生项目多由中国和当地政府共同制定;政府的援助行为和私企在当地的行为互相影响,共同发挥重要作用。中非卫生合作面临着资源匹配和影响力问题。中国与刚果合作作为一个案例,为中非卫生合作提供了启示,为了更好的提升中非卫生合作的有效性,应该利用复杂体系的优势,更多的创新和融入当地社会,并避免复杂体系分散性与低效性的缺点,以保证中非卫生合作的多个参与方能形成有效平衡的共识机制。
关键词:中非  卫生合作  复杂体系
基金项目:哈佛大学非洲研究委员会资助项目
Characteristics of China-Africa health collaboration:The case of Democratic Republic of Congo
JIANG Xiao-xiao
Peking University Institute for Global Health, Beijing 100191, China
Abstract:China's relationship with Africa has gained worldwide attention, with substantial scale and wide range of investment and development assistance over the past decades. We argue in this paper that China-Africa health collaboration has four main characteristics: China has a vague definition of the Development Fund for Health; there is no single development agency within Chinese government; the Chinese government is very responsive to requests from local government and most of the health programs are co-developed by the two governments; and China's private investment in Africa merges into the field of public development and plays an important role. Thus, China-Africa health collaboration has two major problems: resource mismatch and restricted impact. The case of Congo shows that in order to increase the effectiveness of China-Africa health collaboration and to make better use of the advantages of a complex system, decision-makers need to consider the bottom-up innovation and integration with local systems when making policies. They also need to avoid a scattered structure and inefficiency brought about by a complex system in order to ensure balanced consensus-building mechanisms among all stakeholders in China-Africa health collaboration.
Key words:China-Africa  Health  collaboration  Complex  system
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