Analysis of the implementation of health assistance by the US government (2001-2020)

Corresponding author: Huang Jia Yan, jiayanhuang@fudan.edu.cn

DOI: 10.12201/bmr.202207.00028

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  Abstract: Objective To analyze the characteristics of the US governments implementation of health assistance, and to provide reference for the formulation of Chinas health assistance policy. Methods Based on the U.S. Agency for International Development Foreign Aid Explorer（FAE）database, this study quantitatively analyzed the health assistance provided by US government agencies from the two dimensions: government departments (horizontal) and the presidency (vertical). This study also compared the similarities and differences between the assistance channels, the recipient regions and the health fields. Results From 2001 to 2020, the main channels for the U.S. government to implement health assistance were government departments, non-governmental organizations(NGO), multilateral organizations and enterprises. Native organizations in the United States were the main body of NGO and enterprise channel. The main recipient regions was sub-Saharan Africa, and the health field was AIDS prevention and control. The U.S. Department of State, the Agency for International Development, and the Ministry of Health and Human Services were the three major funding agencies. The health assistance during the last three terms of the presidential term had shown a certain consistency in the distribution of regions, countries, and health fields.. Conclusions In terms of top-level design, it is recommended that the Chinese government continue to strengthen the strategic positioning of health assistance in foreign policy. At the implementation level, it is recommended that the Chinese government actively mobilize non-state actors, including NGOs, private enterprises and research institutions, to participate in health assistance, and at the same time strengthen the evaluation and supervision system of health assistance.

  Key words: United States; Health assistance; Non-governmental organization; health

  Submit time: 15 July 2022

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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