Killeen Olivia J, Davis Alissa, Tucker Joseph D, Mason Meier Benjamin
medical resident in ophthalmology at the University of Michigan's Kellogg Eye Center.
Postdoctoral Research Fellow at the HIV Center for Clinical and Behavioral Studies at Columbia University and the New York State Psychiatric Institute.
Glob Health Gov. 2018 Fall;12(2):4-29.
China has become a key actor in global health diplomacy, particularly in Africa, but little attention has been given to the evolution of Chinese health assistance to African states. This paper conceptualizes Chinese health diplomacy in Africa over the past fifty years through three analytic frameworks: realist vs. constructivist motivations in international relations, vertical vs. horizontal initiatives for health assistance, and bilateral vs. multilateral approaches to global health. Drawing lessons from the evolution of American health assistance, we argue that a better understanding of these frameworks-recognizing why countries pursue health diplomacy, what vertical and horizontal strategies they use, and how they engage in this work bilaterally or multilaterally-could improve global health diplomacy.
中国已成为全球卫生外交的关键行为体,尤其是在非洲,但中国对非洲国家卫生援助的演变却很少受到关注。本文通过三个分析框架对过去五十年来中国在非洲的卫生外交进行了概念化梳理:国际关系中的现实主义与建构主义动机、卫生援助的纵向与横向举措,以及全球卫生的双边与多边方法。借鉴美国卫生援助的演变经验,我们认为,更好地理解这些框架——认识到各国为何推行卫生外交、它们采用了哪些纵向和横向战略,以及它们如何在双边或多边层面开展这项工作——可以改善全球卫生外交。