Economics of Malaria Control in China

Cost, Performance and Effectiveness of Henan’s Consolidation Programme

By Sukhan Jackson, Adrian C. Sleigh, Xi-Li Liu on December 31, 2001

Government finance for healthcare in China declined during the 1990s. This coincided with the entry of Henan Province (population 90 million) into the consolidation phase of malaria control (in 1993), after a successful effort over the previous 25 years that reduced transmission by 99%. Government support for insecticide spraying and impregnated bednets stopped, and vivax malaria persisted in the south. Knowledge of the economics of malaria control in Henan was lacking and this hampered strategic planning. Health officials had to make funding decisions without knowing the costs and benefits of expenditure on malaria control. 

Henan's malaria control strategy was analysed using primary cost and performance data obtained prospectively from the government and the community over a 2-year period. Results showed features that related well to the 2000 WHO model for assessing health systems based on health attainment, stewardship, equity and fair financing. All community and government costs for malaria control were measured and the cost-performance of case-management for suspected malaria cases in a southern area with continuing transmission was evaluated.

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Luo Xiaoyuan
Topics: 
Health
Keywords: 
Health
Health Care
Malaria
Organization: 
World Health Organization

Inside the Whale

By Jonathan Mirsky on December 20, 2001

Ian Buruma is a powerful storyteller and much of his story about Chinese rebels is very sad. This sadness persists throughout his long journey, starting in the United States, where he met most of the well-known dissident Chinese exiles, and ending in Lhasa, and he stopped frequently to meet more of them in Taiwan, Singapore, Hong Kong, and finally China itself. Just over the border from Hong Kong, in Longgang, near Shenzhen, Mr. Buruma found Zhou Litai.

China’s Relations with Central Asian States and Problems with Terrorism

By Dewardric L. McNeal on December 17, 2001

Over a number of years, the United States has been actively engaged in efforts to improve human rights conditions in the People’s Republic of China (PRC). However, some analysts suggest that the events of September 11, 2001, may make it more difficult to pressure the Chinese government on human rights and religious freedom violations particularly as they relate to the plight of Uighur Muslims in northwestern Xinjiang Uighur Autonomous Region (XUAR). They point out that China may be seeking concessions from the U.S. regarding Xinjiang in exchange for China’s cooperation in the global campaign against terrorism. However, human rights groups complain that the PRC is using the international campaign against terrorism as a pretext to intensify its crackdowns on Uighurs in the XUAR. This report explains the history and composition of the Uighur movement and policy implications for the U.S. as the war on terrorism moves forward.

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Peony Lui
Topics: 
Military
Politics
Religion
Society
Keywords: 
Central Asia
Human Rights
Shanghai Cooperation Organization
Terrorism
Uighur
Xinjiang
Organization: 
Congressional Research Service