捐助国对受援国控制国际发展援助的偏好

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jack Hennessy, Duncan Mortimer, Rohan Sweeney, Maame Esi Woode
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引用次数: 0

摘要

90%以上的卫生援助仍然与反映捐助国而非受援国优先事项的项目挂钩。这对援助的有效性有实质性的影响,并且与发展伙伴宣称的“非殖民化援助”和优先考虑“地方主导的发展”的目标不一致。相对而言,很少注意到可能导致捐助者的言论和行动之间出现分歧的制约因素。本研究考虑捐助国公民(捐助者)的偏好是否与受援国对援助项目的控制相一致。以印度尼西亚为受援国,我们对1523名18岁以上的澳大利亚人进行了离散选择实验,以描述捐助者对受援国控制的偏好以及澳大利亚卫生援助计划的其他九个特征。我们发现,捐助者对受援国的控制有强烈的反感,不愿意放弃对目标或实施的控制。尽管有证据表明普遍存在偏好异质性,但我们无法确定偏好类别或偏好“类型”与偏好接受者控制。重要的是,在对受援国政府制度质量的实验性控制下,捐助者对非殖民化的抵制是普遍存在的,这表明对捐助者控制的偏好不太可能反映出对受援国政治不稳定和政府效率低下的补偿。这些发现的意义是重大的。这种根本性的错位挑战了国际社会对地方主导发展的承诺。对于旨在反映其选民偏好的政府来说,强调捐助者对援助目标的控制可能会获得更大的公众支持,但可能会破坏增加受援国所有权和非殖民化援助的国际承诺。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Donor preferences for recipient control of international development aid
More than 90 % of health aid remains tied to projects that reflect donor rather than recipient priorities. This has a material impact on aid effectiveness and is inconsistent with the stated aims of development partners to ‘decolonise aid’ and prioritise ‘locally led development’. Relatively little attention has been given to constraints that might account for this divergence between donor rhetoric and action. The present study considers whether the preferences of donor country citizens (donors) are consistent with recipient control of aid programs.
Using Indonesia as the recipient country setting, we conducted a discrete choice experiment amongst 1523 Australians aged 18+ to describe donor preferences for recipient control and nine other characteristics of Australia's health aid program.
We found that donors have a strong aversion to recipient control and are unwilling to cede control of either aims or implementation. Despite evidence of pervasive preference heterogeneity, we were unable to identify a class or preference ‘type’ with a preference for recipient control.
Importantly, donor resistance to decolonisation was pervasive under experimental control for the institutional quality of recipient governments, suggesting that preferences for donor control are unlikely to reflect an attempt to compensate for political instability and government ineffectiveness in recipient countries.
The implications of these findings are significant. This fundamental misalignment challenges international commitments to locally led development. For governments aiming to reflect their constituencies’ preferences, emphasizing donor control over aid objectives may garner greater public support, but risks undermining international commitments to increase recipient ownership and decolonise aid.
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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