China’s engagement in global health governance through cooperation with African states

Authors

  • Olesya P. Rubo Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

Keywords:

China, Africa, African Union, Forum on China – Africa cooperation, Belt and road initiative, health silk road, Agenda-2063, World Health Organisation, global health, sustainable development, security, global health governance

Abstract

The article examines how Chinese health policy has evolved in the context of global governance by focusing on its cooperation with African states. It analyses the historical development of the China’s health assistance, the evolution of China – Africa cooperation under the Forum on China – Africa cooperation, the Belt and road initiative, and the concept of the health silk road. The article focuses in particular on the political and institutional dimensions of China’s participation in global health governance, including its engagement with the World Health Organisation and regional bodies, especially the African Union. It also reviews the main forms of health cooperation: the deployment of medical teams, the construction and upgrading of health infrastructure, infectious disease control, and support for pharmaceutical production. China’s model of health cooperation combines pragmatic foreign policy interests with a discourse of global solidarity and sustainable development. The article concludes that China is expanding health cooperation with African states through multiple frameworks while presenting this engagement as part of its commitment to multilateral cooperation and the achievement of the Sustainable development goals.

Author Biography

  • Olesya P. Rubo, Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

    PhD (history), docent; deputy dean, faculty of international relations

References

  1. Yu GT. Africa in Chinese foreign policy. Asian Survey. 1988;8:849–862.
  2. Chan M, Store JG, Kouchner B. Foreign policy and global public health: working together towards common goals. Bulletin of the World Health Organization. 2008;7:498. DOI: 10.2471/BLT.08.056002.
  3. Jiyong Jin. International regimes in global health governance. London: Routledge; 2021; China’s role in global health governance. p. 194–212.
  4. Kickbusch I, Ivanova M. The history and evolution of global health diplomacy. In: Kickbusch I, Lister G, Told M, Drager N, editors. Global health diplomacy: concepts, issues, actors, instruments, fora and cases. New York: Springer; 2013. p. 11–26.
  5. Xiangcheng Wang, Tao Sun. China’s engagement in global health governance: a critical analysis of China’s assistance to the health sector of Africa. Journal of Global Health. 2014;4(1):24976956. DOI: 10.7189/jogh.04.010301.
  6. Grepin KA, Fan VY, Shen GC, Chen L. China’s role as a global health donor in Africa: what can we learn from studying under-reported resource flows? Globalization and Health. 2014;10:84. DOI: 10.1186/s12992-014-0084-6.
  7. Killeen OJ, Davis A, Tucker JD, Meier BM. Chinese global health diplomacy in Africa: opportunities and challenges. Global Health Governance. 2018;2:4–29.
  8. Aiping Zeng. China – Africa health silk road: practices, challenges and solutions. China International Studies. 2021;89:110–126.
  9. Rodrigues SA, Duarte PAB. The health silk road in China’s governance and multilateralism: towards a role adjustment. The International Spectator. 2025;2:2486936. DOI: 10.1080/23779497.2025.2486936.
  10. Huimin Zhang. Health silk road: the Chinese way to global health governance. International Relations. 2023;2(1):69–83. DOI: 10.24833/2782-7062-2023-2-1-69-83.
  11. Freeman ChW, Bointon SL. China’s global health diplomacy: a small but effective impeact. Vestnik mezhdunarodnykh organizatsii. 2011;6(2):35–43. Russian.
  12. Чжао Нa. Роль «медицинской дипломатии» во внешнеполитической стратегии КНР. Социально-гуманитарные знания. 2022;1(1):277–281. DOI: 10.34823/SGZ.2022.1.51741.
  13. Mangani DY, Mutambara MV, Shambare R. A critical evaluation of health diplomacy as an altruistic underpinning of China – Africa relations. In: Muchie M, Baskaran A, Tang M, editors. China – Africa science, technology and innovation collaboration. Singapore: Springer; 2024. p. 489–503. DOI:10.1007/978-981-97-4576-0_26.
  14. Lai-Ha Chan. China engages global health governance: responsible stakeholder or system-transformer? New York: Palgrave Macmillan; 2011. 268 p.
  15. Herington J, Lee K. The limits of global health diplomacy: Taiwan’s observer status at the World Health Assembly. Globalization and Health. 2014;10:25270977. DOI: 10.1186/s12992-014-0071-y.
  16. Brautigam D. The dragon’s gift: the real story of China in Africa. New York: Oxford University Press; 2009. 416 p.
  17. Bouey J, Dolan C, Wang AX, Pandey R. China’s global health activities in Africa: historical perspectives and case studies [Internet; cited 2026 May 10]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12978664/.
  18. Lin S, Gao L, Reyes M, Cheng F, Kaufman J, El-Sadr WM. China’s health assistance to Africa: opportunism or altruism? Globalization and Health. 2016;12:83. DOI: 10.1186/s12992-016-0217-1.
  19. Lai-Ha Chan, Pak K Lee, Gerald Chan. China engages global health governance: processes and dilemmas. Global Public Health. 2009;4(1):19153928. DOI: 10.1080/17441690701524471.
  20. Yizhou He. China – Africa collaboration in the health sector under the epidemic of COVID-19. In: Muchie M, Baskaran A, Tang M, editors. China – Africa science, technology and innovation collaboration. Singapore: Springer; 2024. p. 471–488. DOI: 10.1007/978-981-97-4576-0_25.
  21. Zhida Shang, Yanzhong Huang. China’s global health diplomacy through the World Health Organization: a qualitative study. Globalization and Health. 2026;22:25. DOI: 10.1186/s12992-025-01165-w.

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Published

2026-06-30

How to Cite

[1]
Rubo, O.P. 2026. China’s engagement in global health governance through cooperation with African states. Journal of the Belarusian State University. International Relations. 1 (Jun. 2026), 3–9. DOI:https://doi.org/10.33581/2521-6848-2026-1-%p.