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China’s links with Africa in terms of medical support date back to the 1960s. Photo: AFP

Coronavirus: China’s aid effort in Africa is nothing new, observers say

  • Beijing ‘is serious about its commitment to stand by its African partners’ and has been since 1962, academic says
  • But not all of its medical teams are welcomed with open arms, especially since allegations emerged of Africans in southern China being mistreated
In recent weeks, China has dispatched scores of medical experts and tonnes of vital supplies to help African nations battle Covid-19.

But while some critics have accused Beijing of trying to shift the global focus away from its missteps in handling the initial coronavirus outbreak, observers say the humanitarian aid effort is actually just an extension of the medical diplomacy China has been conducting in Africa for decades.

On Thursday, a 20-strong team of Chinese health professionals arrived in Algeria, the second to do so in less than two months. The country is home to the largest Chinese expat community on the continent and one of the worst hit by the pandemic in Africa, with close to 7,000 cases and more than 540 deaths.

Three days earlier, a team of 12 Chinese experts from Hunan province arrived in the Zimbabwean capital Harare, where they will share their experiences and knowledge with local health professionals on case identification, reporting, isolation, diagnosis and treatment, according to the Chinese embassy in the city.

A team of 12 Chinese medical experts arrived in Harare last week. Photo: Xinhua

Lina Benabdallah, an assistant professor of politics specialising in Sino-African relations at Wake Forest University in North Carolina, said Covid-19 had provided an opportunity for Beijing to show it was “not only a goods provider but also an expert on pandemic management and global health”.

Beijing had been sending medical teams to Africa for almost 60 years and was part of its soft power push to solidify China-Africa relations, she said.

China overtook the US in 2009 to become the continent’s largest trading partner.

According to official figures, there are currently about 1,000 Chinese medical professionals working in Africa on a long-term basis, most of them sent by individual provinces. The programme costs China an estimated US$60 million per year, or more than US$1 billion between 2000 and 2018, according to a recent report by Johns Hopkins University’s School of Advanced International Studies.

Benabdallah said that one of the first examples of China’s medical diplomacy was when it sent a medical team to Algeria after it gained its independence in 1962. At that time, the country was in dire need of experts to train its doctors and nurses, and relied heavily on support from both China and Russia.

“For China to be sending medical teams to Algeria now, in the face of Covid-19, symbolises the continuity and solidarity of the cooperation between China and Algeria,” she said.

“But it also shows that Beijing is serious about its commitment to stand by its African partners.”

Despite the lengthy relationship between China and Africa, Beijing has faced criticism for its handling of the coronavirus outbreak and the mistreatment of African citizens, many of them Nigerians, living in the southern city of Guangzhou.

As a result, many Nigerians, including politicians and health care professionals were reluctant to welcome a team of Chinese medical experts, with the nation’s doctors’ association actively opposing it, Benabdallah said.

The response to Chinese aid “is not homogeneous across the continent”, she said.

Also, while governments were generally appreciative of Beijing’s support, ordinary people were less impressed as they regarded China not only as the source of Covid-19 but also where their countrymen – in Guangzhou at least – were facing discrimination, she said.

China is estimated to spend about US$60 million a year on aid to Africa. Photo: Xinhua

David Shinn, a former US ambassador to Ethiopia and Burkina Faso, and adjunct professor at George Washington University’s Elliott School of International Affairs, agreed.

“Sending teams to deal specifically with Covid-19 is somewhat more delicate in that Africans understand the virus originated in China,” he said.

“The timing is also unfortunate because it comes in the aftermath of the negative publicity about Guangzhou. Nevertheless, the teams should help to improve China’s image, especially if they successfully treat African Covid-19 patients.”

A recent study conducted by the Clinton Health Access Initiative and published by the China Africa Research Initiative at Johns Hopkins University’s School of Advanced International Studies, said that medical teams were the “cornerstone of Chinese health aid in Africa” and had been deployed in over 50 countries on the continent.

However, the study, titled “Chinese Medical Teams: Knowledge Transfer in Ethiopia and Malawi”, said that the “effectiveness of the programme as a vehicle for knowledge transfer remains limited, despite its emphasis in official Chinese medical team programme documentation and messaging”.

“The Chinese medical team’s programme in Malawi, and to a smaller extent in Ethiopia, suggests that diplomacy, and not capacity building, is the core objective of the programme,” it said.

This article appeared in the South China Morning Post print edition as: China’s aid drive to Africa stretches back decades
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