美国对非双边抗疟卫生发展援助策略研究及启示  

Study on the strategy of the U.S.bilateral anti-malaria development assistance for health to Africa and implications

作　　者：石珺怡 冯羿凯 金音子[1,2] 任明辉[1,2] SHI Jun-yi;FENG Yi-kai;JIN Yin-zi;REN Ming-hui(School of Public Health,Peking University,Beijing 100191,China;Institute for Global Health,Peking University,Beijing 100191,China)

机构地区：[1]北京大学公共卫生学院,北京100191 [2]北京大学全球卫生研究院,北京100191

出　　处：《中国卫生政策研究》2024年第4期58-64,共7页Chinese Journal of Health Policy

摘　　要：目的:分析美国对非双边抗疟卫生发展援助的主要特点,为中国抗疟援助策略制定提供建议。方法:使用政策文献分析与描述性统计分析,总结美国抗疟援助机制总统疟疾防控计划(President s Malaria Initiative,PMI)的资金投入、方案设计、监督评估三方面特点。结果:到2022财年,PMI为24个非洲国家提供资金86.21亿美元。其援助行动遵循“预防—病例管理—监测—行为干预—卫生系统能力建设”框架,80%以上资金用于预防和病例管理,近年来监测和卫生系统能力建设也得到更多支持。项目监督评估包括绩效管理和实施性研究。结论与建议:PMI援助特点包括:政治承诺强,资源投入力度大;方案顺应国际指南并融合自身优势;重视结果导向评估与研究。未来中国应加大资源投入,落实既有承诺,结合国际指南与本土经验制定援助规划,并落实项目监督评估。Objective:To analyze the characteristics of the U.S.bilateral anti-malaria development assistance for health(DAH)to Africa,and to provide suggestions for the future strategy of China s anti-malaria DAH.Methods:Policy analysis and descriptive statistical analysis were used to summarize the characteristics of the U.S.President s Malaria Initiative(PMI)in terms of funding input,program design,and monitoring and evaluation.Results:PMI had provided$8.62 billion to 24 African countries up to fiscal year 2022.Its assistance followed the framework of"prevention-case management-surveillance-behavioral interventions-health system capacity building",with more than 80%of total funding flowing to prevention and case management.In recent years,there has been increased support for surveillance and health system capacity building.The monitoring and evaluation included performance management and implement research.Conclusions and Suggestions:Characteristics of the U.S.bilateral anti-malaria DAH to Africa include:strong political commitment and high investment;program design that is consistent with international guidelines and integrated with its own advantages,and an emphasis on results-oriented evaluation and feedback learning.In the future,China should increase resource input to implement the political commitments,develop strategies for anti-malaria DAH based on national guidelines and domestic experience,and conduct project surveillance and evaluation.

关 键 词：卫生发展援助 疟疾防控 撒哈拉以南非洲 

分 类 号：R197[医药卫生—卫生事业管理]