RESUMO
This study conservatively estimates that the Chinese government invests about 267millions USD per year on health facilities aid,almost reaching the amount of Germany,and ranked fifth globally.Health facilities built by China mostly are general hospitals and health care centers located in Arica with unified model and standards,and are the "Turn Key" projects.These facilities have helped to alleviate the scarcity of medical and health resources and accessibility of residents to health services to some extent,as well as promoting the employment and the living standards of local people.However,due to the lack of guidance and coordination of the overall strategic planning and harmonization of health aid efforts,and the knowledge of partner countries' health systems,emphasis on demand driven and feasibility of infrastructure construction while ignoring the needs assessment and feasibility of functional fulfillment,it's hard to achieve the targeted assistance in China's health facilities aid projects.It was found that it's necessary to make three changes in the future:from "infrastructure assistance" to "functional assistance";from "'project assistance" to "program assistance";from a single government official assistance to a combination of official assistance and investment.
RESUMO
Health Human Resource Development Cooperation(HHRDC) is a critical component in Chinese foreign aid,which had cultivated thousands of health workers for Asian and Arican developing countries by on-job training,degree education,short-term exchange activities for more than 60 years.This paper systematically reviewed the management mechanism,mode and features of HHRDC via literature review,stakeholders interviews and field investigations,and it is found that the main mode of HHRDC is short-term on-job training,but its effect for capacity building is limited;although degree education account for a small proportion of HHRDC,it plays an important role for elite cultivation;the impact for medical team teaching and technical cooperation have become more obvious;the "going out" training have less invest,short period,but bigger social impact.The main challenges of HHRDC includes the deficiency of specific strategies and action plans;the lack of understanding on recipient countries' health human resource situation,characteristics and needs;the alignment with other aid programs;the lack of timely evalu ation towards current cooperation projects.According to the need analysis of undeveloped countries,it is suggested that a cooperation plan for HHDRC is required;the implementation of HHRDC should integrate into other aid programs;the follow-up mechanism and evaluation system need improved;the Chinese degree certification and qualification in local institutions need promoted;the aid to medical educational institutions should added,thereby strengthening developing countries' capacity and realizing common development.
RESUMO
This study conservatively estimates that the Chinese government invests about 267millions USD per year on health facilities aid,almost reaching the amount of Germany,and ranked fifth globally.Health facilities built by China mostly are general hospitals and health care centers located in Arica with unified model and standards,and are the "Turn Key" projects.These facilities have helped to alleviate the scarcity of medical and health resources and accessibility of residents to health services to some extent,as well as promoting the employment and the living standards of local people.However,due to the lack of guidance and coordination of the overall strategic planning and harmonization of health aid efforts,and the knowledge of partner countries' health systems,emphasis on demand driven and feasibility of infrastructure construction while ignoring the needs assessment and feasibility of functional fulfillment,it's hard to achieve the targeted assistance in China's health facilities aid projects.It was found that it's necessary to make three changes in the future:from "infrastructure assistance" to "functional assistance";from "'project assistance" to "program assistance";from a single government official assistance to a combination of official assistance and investment.
RESUMO
Health Human Resource Development Cooperation(HHRDC) is a critical component in Chinese foreign aid,which had cultivated thousands of health workers for Asian and Arican developing countries by on-job training,degree education,short-term exchange activities for more than 60 years.This paper systematically reviewed the management mechanism,mode and features of HHRDC via literature review,stakeholders interviews and field investigations,and it is found that the main mode of HHRDC is short-term on-job training,but its effect for capacity building is limited;although degree education account for a small proportion of HHRDC,it plays an important role for elite cultivation;the impact for medical team teaching and technical cooperation have become more obvious;the "going out" training have less invest,short period,but bigger social impact.The main challenges of HHRDC includes the deficiency of specific strategies and action plans;the lack of understanding on recipient countries' health human resource situation,characteristics and needs;the alignment with other aid programs;the lack of timely evalu ation towards current cooperation projects.According to the need analysis of undeveloped countries,it is suggested that a cooperation plan for HHDRC is required;the implementation of HHRDC should integrate into other aid programs;the follow-up mechanism and evaluation system need improved;the Chinese degree certification and qualification in local institutions need promoted;the aid to medical educational institutions should added,thereby strengthening developing countries' capacity and realizing common development.