Motivation analysis of the United States development assistance for health in Sub-Saharan Africa:Evidence from panel data,2002-2021
10.3969/j.issn.1674-2982.2025.06.010
- VernacularTitle:美国对撒哈拉以南非洲卫生援助的动因分析
- Author:
Chen-yang ZHONG
1
;
Jia-yan HUANG
1
Author Information
1. 复旦大学公共卫生学院 上海 200032;复旦大学全球健康研究所 上海 200032
- Publication Type:Journal Article
- Keywords:
The United States;
Development Assistance for Health;
Sub-Saharan Africa;
Motivation analysis
- From:
Chinese Journal of Health Policy
2025;18(6):74-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To quantitatively analyze the motivation behind U.S.development assistance for health(DAH)in Sub-Saharan Africa since the 21st century,using a previously developed index system for DAH motivation analysis.The goal is to gain deeper insights into U.S.DAH motivation and provide scientific evidence and policy recommendations to inform the optimization of China's DAH strategies.Methods:Based on panel data of U.S.DAH to selected Sub-Saharan African countries from 2002 to 2021,a comprehensive feasible generalized least squares(FGLS)regression model was constructed to examine the determinants influencing the allocation of U.S.DAH.Results:The commercial trade benefits(β=0.325,P＜0.05)and the closeness of political relationship(β=0.334,P＜0.01)had significant positive influence on U.S.DAH allocation.In contrast,recipients'health resources(β=-0.162,P＜0.01)and health status(β=-0.411,P＜0.01)were found to have significant negative influence on U.S.DAH allocation.Conclusion:U.S.DAH to Sub-Saharan Africa is primarily driven by its own political,economic,and security interests.China should promote the global outreach of Chinese public health goods,leverage DAH to strengthen ties with recipients in alignment with national development strategies,and enhance the security of assistance environments in recipients..
