非洲疾病预防控制中心主任让·卡塞亚告诉 Semafor,西方国家削减援助为非洲各国提供了一个“重大机会”,使其能够在多年过度依赖海外援助来资助公共卫生服务之后,重获独立自主权。
Western aid cuts offer African nations a “major opportunity” to regain their independence after years of overreliance on overseas assistance to fund public health services, the head of the Africa Centres for Disease Control and Prevention told Semafor.
在华盛顿的美国国际开发署(USAID)于去年被关闭之前,非洲大陆各国政府一直高度依赖该机构资助卫生项目。一家全球援助组织的负责人上周表示,削减发展援助已导致过去18个月约70万人丧生。
Governments across the continent relied heavily on USAID, Washington’s development agency, to fund health programs before it was shuttered last year. Some 700,000 people have lost their lives in the past 18 months as a result of the development cuts, the head of a global aid organization said last week.
然而,让·卡塞亚在 Semafor“未来30亿”活动的场边接受采访时表示:“即使西方国家政府更迭,我们也不会再拥有过去那种支持水平。”卡塞亚说,他正与非洲各国政府合作,通过根除采购和工资发放中的欺诈来减少浪费。他举例称,某国(未透露名称)一半领取工资的卫生工作人员被发现是“幽灵员工”。他还表示,削减援助“无疑”加剧了刚果民主共和国的埃博拉疫情,并敦促各国政府通过征税来动员国内资源。
Yet “even if administrations change in Western countries, we’ll never again have the level of support we had in the past,” Jean Kaseya said in an interview on the sidelines of Semafor’s The Next 3 Billion event. Kaseya said he was working with African governments to cut waste by eradicating fraud in procurement and salary payments, citing the example of one nation (which he did not name) in which half of salaried health staff were found to be “ghost workers.”Kaseya, who said there was “no doubt” the Ebola outbreak in DR Congo was made worse by the cuts, also urged governments to mobilize domestic resources through taxation.