基于非洲视角分析中非卫生合作现况及影响因素

目的:从非洲视角,探究中非卫生合作的态度、需求及主观影响因素,为深化中非卫生合作提供参考。方法:采用问卷调查法,对参加2018年中非卫生合作高级别会议的非洲政府官员、专家学者、医药企业代表等进行调查。结果:共回收有效问卷134份,接受调查对象来自35个非洲国家。超过90%的非洲代表对中非卫生合作表示肯定,81.5%的非洲代表所在单位具有合作意向,意向合作的重点领域是疾病防控(56.2%)、医学人才培养(55.2%)等;认为最有效的合作途径是通过政府协议或接洽(89.4%),影响中非卫生合作的主要因素是伙伴关系(87.3%);最容易开展卫生合作的国家依次为其他非洲国家、中国等(P0.001);影响合作难易程度的因素是政府和民众的支持(P=0.001)、安全风险(P=0.029)。结论:中非卫生合作影响因素多元化,政府作用占主导,可通过加强顶层设计,增进伙伴关系,畅通合作渠道,加强产品质量与认证,提升合作有效性。

Study of the current status and influencing factors of China-Africa health cooperation from African perspective

Objective:This paper aims to explore the attitude, actual needs and influencing factors of China-Africa health cooperation from the African perspective, in order to provide the basis for deepening China-Africa health cooperation. Methods:Questionnaire survey is used to investigate African government officials, experts and scholars, and representatives of pharmaceutical companies that participated in the 2018 High-level Meeting on China-Africa Health Cooperation. Results:A total of 134 valid questionnaires are collected from survey respondents from 35 African countries. More than 90% of African delegates support China-Africa health cooperation, 81.5% of the delegates'' units have cooperation intentions, and the main contents are disease prevention and control (56.2%), medical talents training (55.2%), etc. Government agreements or contacts (89.4%) is considered to be the most effective way of cooperation, and partnership (87.3%) is considered as the main factor affecting China-Africa health cooperation. As African countries, China and Cuba are considered as the easiest countries to carry out health cooperation (P<0.001), government and public support (P=0.001) and safety risk (P=0.029) are factors that influence the ease of health cooperation. Conclusion:The factors affecting China-Africa health cooperation are diversified, and the government role is dominant. It is necessary to strengthen the top-level design, enhance partnerships, expand cooperation channels, and strengthen product quality and certification in order to enhance the cooperation effectiveness.