加强中国与全球基金的多边抗疟合作分析  

An overview on cooperation strength between China and the Global Fund to Fight AIDS, Tuberculosis and Malaria in developing multilateral malaria control projects

作　　者：夏志贵[1] 许铭 赵金扣 赖圣杰[3] 周晓农[1] XIA Zhi-guil;XU Ming;ZHAO Jin-kou;LAI Sheng-jie;ZHOU Xiao-nong(National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Ministry of Sciettce and Technology, Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China;The Global Fund to Fight AIDS, Tuberculosis and Malaria, 1214 Vernier.Geneva, Switzerland;Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Bering 102206, China)

机构地区：[1]中国疾病预防控制中心寄生虫病预防控制所,世界卫生组织热带病合作中心,科技部国家级热带病国际联合研究中心,卫生部寄生虫病原与媒介生物学重点实验室,上海200025 [2]全球抗击艾滋病、结核病和疟疾基金,日内瓦1214 [3]中国疾病预防控制中心传染病预防控制处,北京102206

出　　处：《中国寄生虫学与寄生虫病杂志》2017年第6期520-526,共7页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：上海市第四轮公共卫生三年行动计划高端海外研修团队培养项目(No.GWTD2015S06);英国国际发展部资助中英全球卫生支持项目(No.GHSP-CS-OP2-02)

摘　　要：目的探讨加强中国与全球抗击艾滋病、结核病和疟疾基金(全球基金)的多边抗疟合作。方法从最近文献中提取我国境外输入疟疾病例在来源国家的分布数据。从全球基金网站获取其2017-2019年资助周期相关数据。使用IBM SPSS Statistics 22软件进行描述性统计分析,使用QGIS 2.18软件制作地图。结果2011-2014年,共63个国家向中国输出疟疾病例12 511例,年平均输出病例数≤20例的有38个国家,21~40例的有11个国家,41~100例的有9个国家,超过100例的有5个国家(分别为缅甸、加纳、安哥拉、赤道几内亚和尼日利亚)。在2017-2019年资助周期,除催化投资外,全球基金约33亿美元用于抗疟分配,在67个有资格申请的国家/区域中,高影响非洲(经费占比55.7%)、西部非洲(12.5%)、中部非洲(7.8%)和高影响亚洲(9.9%)为主要投资方向,经费占比<1.0%、1.0%~1.9%、2.0%~4.5%、5.0%~6.0%和>9.0%的国家/区域项目分别有36、16、11、2和2个,申请类型分别为37个滚动申请、15个全新申请和15个定制申请,目前50个申请已通过评审立项。在向中国输出疟疾的63个国家中,全球基金向其中52个有资格国家(2011-2014年输出了中国85.3%的输入疟疾病例)分配了其87.4%的疟疾可分配经费。结论有必要选取优先国家加强中国与全球基金的多边抗疟合作,共同促进全球消除疟疾进程以及服务我国境外人员疟疾安全、输入性疟疾防控和"一带一路"倡议。Objective To strengthen cooperation between China and the Global Fund to Fight AIDS, Tuber- culosis and Malaria in developing multilateral malaria control projects. Methods Data of China malaria eases im- ported from other countries were extracted from recent literatures. The 2017-2019 funding cycle data of the Global Fund were downloaded from its website. Descriptive statistical analysis was performed using IBM SPSS Statistics 22, and geographical mapping was conducted using QGIS 2.18. Results In 2011-2014, the imported malaria cases of China were from 63 countries, of which 38 countries had an average annual export of 〈~ 20 cases, 11 countries had 21- 40 cases, 9 countries had 41-100 cases and 5 countries （Myanmar, Ghana, Angola, Equatorial Guinea and Nigeria） had 〉 100 cases. In the 2017-2019 funding cycle, the Global Fund allocated USD 3.3 billion （exclusive of the catalytic in- vestment） in the malaria field. Among the 67 eligible countries/regions, the main investments went to High-Impact Africa（funds accounting for 55.7%）, Western Africa （12.5%）, Central Africa （7.8%） and High-Impact Asia （9.9%）; the numbers of countries/regions accounting for 〈 1.0%, 1.0%-1.9%, 2.0%-4.5%, 5.0%-6.0% and 〉 9.0% of total funds were 36, 16, 11, 2 and 2, respectively. As to the application approach, 37 were through program continuation, 15 through full review and 15 through tailored review. Fifty applications have entered the grant-making stage. Fifty-two （accounting for $5.3% of Chi- na＇s imported malaria cases in 2011-2014） out of 63 countries that exported malaria to China are eligible for 87.4% of the total malaria fund. Conclusion It is time to start multilateral cooperation between China, the Global Fund, and some selected countries to jointly promote global malaria control and elimination and for personal security against malaria when being out of China, management of imported malaria, and fulfillment of the Belt and Road Initiative of China.

关 键 词：全球基金 中国 疟疾 多边合作 

分 类 号：R531.3[医药卫生—内科学]