Abstract
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.
Highlights
Despite 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 within African countries
We focused on regular China medical teams (CMTs), hospitals and anti-malaria centers, which covered about 96% of China’s DAH to Africa during 2007–2011 and obtained continuous funding thereafter [17]
No country from southern African received aid for an anti-malaria center, and only Sudan from northern Africa had this type of DAH
Summary
Despite 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. Ministry of Commerce, several studies had already tested commercial and political determinants for the allocation of China’s DAH projects at the national level. They identified political relationship with China to be the major determinants for DAH [7], while no association was found between DAH projects and import/export trade [8,9,10]. Compared to overall development assistance, studies on the political and demographic determinants of China’s DAH allocation are scarce at the subnational level [9]. Both China’s and African countries’ health departments are involved in the projects during the implementation stage. Whether the corresponding local health indicators in African countries have influenced China’s DAH project allocation is unknown
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