Wakabayashi Mami, Hachiya Masahiko, Fujita Noriko, Komada Kenichi, Obara Hiromi, Nozaki Ikuma, Okawa Sumiyo, Saito Eiko, Katsuma Yasushi, Iso Hiroyasu
Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Glob Health Med. 2023 Dec 31;5(6):328-335. doi: 10.35772/ghm.2023.01049.
This study aimed to examine the changes that took place between 2015-2019 and 2020 and reveal how the COVID-19 pandemic affected financial contributions from donors. We used the Creditor Reporting System database of the Organization for Economic Cooperation and Development to investigate donor disbursement. Focusing on the Group of Seven (G7) countries and the Bill and Melinda Gates Foundation (BMGF), we analyzed their development assistance for health (DAH) in 2020 and the change in their disbursement between 2015 and 2020. As a result, total disbursements for all sectors increased by 14% for the G7 and the BMGF. In 2020, there was an increase in DAH for the BMGF and the G7 except for the United States. The total disbursement amount for the "COVID-19" category by G7 countries and the BMGF was approximately USD 3 billion in 2020, which was 3 times larger than for Malaria, 8.5 times larger for Tuberculosis, and 60% smaller for STDs including HIV/AIDS for the same year. In 2020 as well, the United States, the United Kingdom, Japan, Italy, and Canada saw their disbursements decline for more than half of 26 sectors. In conclusion, the impact of COVID-19 was observed in the changes in DAH disbursement for three major infectious diseases and other sectors. To consistently address the health needs of low- and middle-income countries, it is important to perform a follow-up analysis of their COVID-19 disbursements and the influence of other DAH areas.
本研究旨在考察2015 - 2019年与2020年之间发生的变化,并揭示新冠疫情如何影响捐助者的资金贡献。我们使用经济合作与发展组织的债权人报告系统数据库来调查捐助者的支出情况。聚焦于七国集团(G7)国家和比尔及梅琳达·盖茨基金会(BMGF),我们分析了它们在2020年的卫生发展援助(DAH)以及2015年至2020年期间支出的变化。结果显示,G7国家和BMGF在所有领域的总支出增长了14%。2020年,除美国外,BMGF和G7国家的卫生发展援助有所增加。2020年,G7国家和BMGF在“新冠疫情”类别的总支出约为30亿美元,是同年疟疾支出的3倍、结核病支出的8.5倍,而包括艾滋病毒/艾滋病在内的性传播疾病支出则减少了60%。同样在2020年,美国、英国、日本、意大利和加拿大在26个领域中的半数以上支出出现下降。总之,在三大传染病及其他领域的卫生发展援助支出变化中观察到了新冠疫情的影响。为持续满足低收入和中等收入国家的卫生需求,对其新冠疫情支出及其他卫生发展援助领域的影响进行后续分析很重要。