Pacific Health & Development Sciences Inc, Halifax, NS.
Can J Public Health. 2011 Nov-Dec;102(6):421-3. doi: 10.1007/BF03404191.
In 1970, led by Canada, the world's richest nations pledged 0.7% of their gross national income (GNI) to official development assistance (ODA). Although this pledge has been renewed several times, with the exception of only five countries, ODA allocations have lagged chronically behind this commitment. Put more bluntly, our rhetoric outpaces our actions. For example, spending only 0.3% GNI on development, Canada performs at about 40% of its pledge. The good news is that development assistance for health has improved over the past two decades, mostly due to private development assistance (PDA) and favourable shifts within bilateral and multilateral funding, but clearly more must be done to enhance this effort. Actions in support of the Millennium Development Goals and the Paris Declaration on Aid Effectiveness should make a difference, subject to monitoring and evaluation, and Canada's Muskoka Initiative also is a step in the right direction. However, while success in meeting international development and global health goals depends on donor and recipient nations working as partners through such mechanisms, the relevance of the developed world as a force for global health will be measured in part by how well its governments keep their development commitments.
1970 年，在加拿大的带领下，世界上最富裕的国家承诺将其国民总收入（GNI）的 0.7%用于官方发展援助（ODA）。尽管这一承诺已经多次更新，但除了只有五个国家外，ODA 的分配一直严重滞后于这一承诺。更直白地说，我们的言辞超过了我们的行动。例如，加拿大在发展方面的支出仅占国民总收入的 0.3%，仅达到其承诺的 40%左右。好消息是，过去二十年来，卫生发展援助有所改善，这主要得益于私人发展援助（PDA）和双边及多边供资的有利转变，但显然需要做更多的工作来加强这一努力。支持千年发展目标和援助实效问题巴黎宣言的行动应该会产生影响，但要受到监测和评估，加拿大的马斯科卡倡议也是朝着正确方向迈出的一步。然而，尽管要实现国际发展和全球卫生目标的成功取决于捐助国和受援国通过此类机制作为合作伙伴共同努力，但发达国家作为全球卫生力量的相关性将在一定程度上取决于其政府在多大程度上兑现其发展承诺。
