Development assistance,donor-recipient dynamic,and domestic policy:a case study of two health interventions supported by World Bank-UK and Global Fund in China  

作　　者：Aidan Huang Yingxi Zhao Chunkai Cao Mohan Lyu Kun Tang 

机构地区：[1]Vanke School of Public Health,Tsinghua University,No.30 Shuangqing Road,Beijing 100084,China [2]Institute for International and Area Studies,Tsinghua University,Beijing,China [3]Department of Medicine,University of Oxford,Nuffield Oxford,UK [4]Duke Global Health Institute,Duke University,Durham,NC,USA

出　　处：《Global Health Research and Policy》2024年第1期539-555,共17页全球健康研究与政策(英文)

基　　金：supported by funding from the Alliance for Health Policy and Systems Research,World Health Organization(WHO PO number:202835591).

摘　　要：Background This study views sustainability after the exit of development assistance for health(DAH)as a shared responsibility between donors and recipients and sees transitioning DAH-supported interventions into domes-tic health policy as a pathway to this sustainability.It aims to uncover and understand the reemergent aspects of the donor–recipient dynamic in DAH and how they contribute to formulating domestic health policy and post-DAH sustainability.Methods We conducted a case study on two DAH-supported interventions:medical financial assistance in the Basic Health Services Project supported by the World Bank and UK(1998–2007)and civil society engagement in the HIV/AIDS Rolling Continuation Channel supported by the Global Fund(2010–2013)in China.From December 2021 to December 2022,we analyzed 129 documents and interviewed 46 key informants.Our data collection and cod-ing were guided by a conceptual framework based on Walt and Gilson’s health policy analysis model and the World Health Organization’s health system building blocks.We used process tracing for analysis.Results According to the collected data,our case study identified three reemergent,interrelated aspects of donor–recipient dynamics:different preferences and compromise,partnership dialogues,and responsiveness to the chang-ing context.In the case of medical financial assistance,the dynamic was characterized by long-term commitment to addressing local needs,on-site mutual learning and understanding,and local expertise cultivation and knowledge generation,enabling proactive responses to the changing context.In contrast,the dynamic in the case of HIV/AIDS civil society engagement marginalized genuine civil society engagement,lacked sufficient dialogue,and exhibited a passive response to the context.These differences led to varying outcomes in transnational policy diffusion and sus-tainability of DAH-supported interventions between the cases.Conclusions Given the similarities in potential alternative factors observed in the two cases,we empha

关 键 词：Development assistance for health Sustainability Transition Donor–recipient dynamic Health policy China World Bank DFID Global Fund to Fight AIDS Tuberculosis and Malaria 

分 类 号：F42[经济管理—产业经济]