1990-2020年金砖国家卫生发展受援资金变化趋势及流向分析  

Analysis on the trend and flow of development assistance for health received by BRICS countries from 1990 to 2020

作　　者：冯蓁 黄葭燕[1,2] FENG Zhen;HUANG Jia-yan(School of Public health,Fudan University,Shanghai 200032,China;Global Health Institute,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]复旦大学全球健康研究所,上海200032

出　　处：《中国卫生政策研究》2024年第11期75-81,共7页Chinese Journal of Health Policy

基　　金：国家社科基金重大研究专项(20VMG027)。

摘　　要：目的:通过分析金砖国家接受卫生发展援助资金的规模、来源渠道及健康主题流向特征来探讨当前各国面临的挑战。方法:基于美国华盛顿大学卫生计量与评估研究所1990-2020年卫生发展援助数据库,利用JoinPoint回归模型对受援资金进行时间序列趋势分析并划分受援阶段及资金流向情况。结果:金砖国家接受卫生发展援助资金规模除2019-2020年显著上升外,自2011年起受援资金就开始呈放缓及波动下降趋势。自1993年起,政府间双边援助占比逐渐低于多边和非政府组织援助渠道,且非政府组织援助金额占比稳定上升,各国受援类型从“双边型”转变为“多边型”和“混合型”。金砖国家受援资金长期主要流向艾滋病、卫生系统加强与整体提升以及妇幼健康相关领域。结论:金砖各国应积极拓展融资渠道以应对受援资金规模下降趋势,按国情及健康需求合理分配资金流向的健康领域并做好监管,未来应深化金砖国家内部卫生合作。Objective:The study aims to analyze the scale,channels and health themes of Development Assistance for Health(DAH)funds received by BRICS countries,discuss the current challenges faced by these nations.Methods:Based on the DAH database(1990-2020)released by Institute for Health Metrics and Evaluation(IHME),this study utilizes JoinPoint regression models to conduct time-series trend analysis of DAH funds received by BRICS countries and to divide the periods of aid receipt.Results:The scale of DAH funds received by BRICS countries has shown a slowing and fluctuating downward trend since 2011,despite a significant increase in 2019-2020.Since 1993,the proportion of bilateral aid between governments has gradually been lower than that of multilateral and NGO aid channels,and the proportion of NGO aid funds has steadily increased.BRICS countries have transitioned from receiving primarily“bilateral-type”aid to“multilateral-type”and“hybrid-type”aid.In the long run,DAH funds mainly flow to AIDS,health systems strengthening and sector-wide approaches,and maternal and child health related fields.Conclusions:BRICS countries should diversify funding sources and channels to counteract the declining trend in DAH funding.They should rationally allocate DAH funds according to national conditions and health needs,while ensuring effective supervision.In the future,they should deepen health cooperation.

关 键 词：金砖国家 卫生发展援助 卫生合作 全球卫生 

分 类 号：R197[医药卫生—卫生事业管理]