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<p>Since 2012, China has voiced its ambitions to assume more international responsibilities and act as a responsible great power. China has shifted its previous focus on domestic health governance to becoming an integral part of the global health governance system, which can be interpreted as an endeavour to demonstrate great power responsibility. This study empirically and comparatively analyses evidence during the overlooked pre-COVID-19 period from 2012–2019 under Xi Jinping. China’s status signalling through the provision of global public goods for health is investigated during times of two different yet acute health crises in Sierra Leone (2013–2016) and Madagascar (2017). The findings indicate that China’s assistance exemplified a form of tokenistic altruism by conspicuous giving in the respective cases of African health crises, as the scale and quality of aid lagged severely behind its financial and technological capabilities.</p>

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China’s global health governance in Africa before Covid-19: status signalling through conspicuous giving

  • 期刊论文

  • 发表日期：

    2026年6月3日

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  • Igor Sevenard,
  • Richard J. Cook

摘要

Since 2012, China has voiced its ambitions to assume more international responsibilities and act as a responsible great power. China has shifted its previous focus on domestic health governance to becoming an integral part of the global health governance system, which can be interpreted as an endeavour to demonstrate great power responsibility. This study empirically and comparatively analyses evidence during the overlooked pre-COVID-19 period from 2012–2019 under Xi Jinping. China’s status signalling through the provision of global public goods for health is investigated during times of two different yet acute health crises in Sierra Leone (2013–2016) and Madagascar (2017). The findings indicate that China’s assistance exemplified a form of tokenistic altruism by conspicuous giving in the respective cases of African health crises, as the scale and quality of aid lagged severely behind its financial and technological capabilities.