Development assistance for community health workers in 114 low- and middle- income countries, 2007-2017
Development assistance for community health workers in 114 low- and middle- income countries, 2007-2017
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DOI：
10.2471/blt.19.235499
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发表时间：
2020-01-01
影响因子：
11.1
通讯作者：
Perry, Henry B.
中科院分区：
文献类型：
--
作者：
Lu, Chunling;Palazuelos, Daniel;Perry, Henry B.
目的评估2007 - 2017年中低收入国家社区卫生工作者相关项目的发展援助水平和趋势。方法：我们从经济合作与发展组织（oecd）的债权人报告系统中提取了2007-2017年114个国家支持社区卫生工作者（chw）项目的援助资金数据。我们对相关关键词具体描述的项目和可能包含chw组件的项目进行了估算。我们按目的、捐助国、受援国和地区以及长期趋势分析了发展援助的模式。2007年至2017年，针对卫生保健项目的发展援助总额约为529802万美元，占卫生发展援助总额209 27799万美元的2.5%。前三大捐助方（全球抗击艾滋病、结核病和疟疾基金、加拿大政府和美利坚合众国政府）为这些项目总共提供了43.508亿美元（82.1%）的发展援助。撒哈拉以南非洲共收到371793万美元，是11年来人均援助最多的国家（0.39美元；总人口：942625万）。在本研究期间，向侧重于传染病和妇幼保健的项目提供的发展援助获得的资金最多。结论卫生保健项目的发展援助比重较小，且不稳定，近年来呈下降趋势。需要进行更多的研究，跟踪政府对卫生保健相关项目的投资，并评估投资对方案有效性的影响。
Objective To estimate the level and trend of development assistance for community health worker-related projects in low- and middle-income countries between 2007 and 2017.Methods We extracted data from the Organisation for Economic Co-operation and Development's creditor reporting system on aid funding for projects to support community health workers (CHWs) in 114 countries over 2007-2017. We produced estimates for projects specifically described by relevant keywords and for projects which could include components on CHWs. We analysed the pattern of development assistance by purpose, donors, recipient regions and countries, and trends over time.Findings Between 2007 and 2017, total development assistance targeting CHW projects was around United States dollars (US$) 5 298.02 million, accounting for 2.5% of the US$ 209 277.99 million total development assistance for health. The top three donors (Global Fund to Fight AIDS, Tuberculosis and Malaria, the government of Canada and the government of the United States of America) provided a total of US$ 4 350.08 million (82.1%) of development assistance for these projects. Sub-Saharan Africa received a total US$ 3 717.93 million, the largest per capita assistance over 11 years (US$ 0.39; total population: 9 426.25 million). Development assistance to projects that focused on infectious diseases and child and maternal health received most funds during the study period.Conclusion The share of development assistance invested in the CHW projects was small, unstable and decreasing in recent years. More research is needed on tracking government investments in CHW-related projects and assessing the impact of investments on programme effectiveness.