China's COVID-19 aid in Africa: trends and implications for future pandemic preparedness.

Chronic underfunding of pandemic preparedness remains a critical weakness in global health security. Without sustained, strategic investment, the world risks repeating the reactive approaches of past crises. This study examines the modes of COVID-19 aid delivered by the Chinese government across African countries and regions, offering a nuanced understanding of China's operational role in pandemic response. In doing so, it contributes to the global health assistance literature by providing a more comprehensive view of China's involvement in the prevention, treatment, and control of COVID-19.

Analysis of 727 Chinese health-related project commitments to African countries indicates that the majority targeted the provision of personal protective equipment (43.33%), followed by diagnostic and medical equipment (26%), and vaccination initiatives (17.88%). Regionally, Southern Africa received the highest average number of projects per country, while Northern Africa received the lowest. At the national level, South Africa (5.09%), Zimbabwe (4.00%), and Cameroon (3.85%) accounted for the largest shares of total projects, whereas Eritrea (0.001%), Cabo Verde (0.004%), and Somalia (0.004%) received the smallest proportions.

This research reveals the growing significance of Chinese aid in the global health agenda through its active role in combating COVID-19 across the African continent. It also highlights emerging trends and suggests potential adjustments needed in pandemic financing strategies for more effective future efforts.
Chronic respiratory disease
Advocacy

Authors

Hudson Hudson, Venkataramani Venkataramani, Miao Miao, Odhiambo Odhiambo
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