BACKGROUND Donor countries in the Middle East and North Africa (MENA) including Saudi Arabia, Kuwait and United Arab Emirates (UAE) have been among the largest donors in the world. However, little is known about their contributions for health. In this study, we addressed this gap by estimating the amount of development assistance for health (DAH) contributed by MENA country donors from 2000 to 2017. METHODS We tracked DAH provided and received by the MENA region leveraging publicly available development assistance data in the Development Assistance Committee (DAC) database of the Organisation for Economic Co-operation and Development (OECD), government agency reports and financial statements from key international development agencies. We generated estimates of DAH provided by the three largest donor countries in the MENA region (UAE, Kuwait, Saudi Arabia) and compared contributions to their relative gross domestic product (GDP) and government spending; We captured DAH contributions by other MENA country governments (Egypt, Iran, Qatar, Turkey, etc.) disbursed through multilateral agencies. Additionally, we compared DAH contributed from and provided to the MENA region. RESULTS In 2017, DAH contributed by the MENA region reached $514.8 million. While UAE ($220.1 million, 43.2%), Saudi Arabia ($177.3 million, 34.8%) and Kuwait ($59.8 million, 11.6%) as sources contributed the majority of DAH in 2017, 58.5% of total DAH from MENA was disbursed through their bilateral agencies, 12.0% through the World Health Organization (WHO) and 3.3% through other United Nations agencies. 44.8% of DAH contributions from MENA was directed to health system strengthening/sector-wide approaches. Relative to their GDP and government spending, DAH level fluctuated across 2000 to 2017 but UAE and Saudi Arabia indicated increasing trends. While considering all MENA countries as recipients, only 10.5% of DAH received by MENA countries were from MENA donors in 2017. CONCLUSION MENA country donors especially UAE, Saudi Arabia and Kuwait have been providing substantial amount of DAH, channeled through their bilateral agencies, WHO and other multilateral agencies, with a prioritized focus on health system strengthening. DAH from the MENA region has been increasing for the past decade and could lend itself to important contributions for the region and the globe.

中文翻译：

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对卫生和中东及北非的发展援助。

背景技术包括沙特阿拉伯，科威特和阿拉伯联合酋长国（UAE）在内的中东和北非（MENA）捐助国已成为世界上最大的捐助国。然而，关于它们对健康的贡献知之甚少。在这项研究中，我们通过估计2000年至2017年中东和北非国家捐助者提供的健康发展援助金额（DAH）来解决这一差距。方法我们利用开发中的公共可用发展援助数据跟踪了中东和北非地区提供和接收的DAH。经济合作与发展组织（OECD）的援助委员会（DAC）数据库，政府机构报告和主要国际发展机构的财务报表。我们估算了中东和北非地区三个最大的捐助国（阿联酋，科威特，沙特阿拉伯）并比较了其相对国内生产总值和政府支出的贡献；我们获得了其他中东和北非国家政府（埃及，伊朗，卡塔尔，土耳其等）通过多边机构支付的DAH捐款。此外，我们比较了来自中东和北非地区并提供给该地区的DAH。结果2017年，中东和北非地区为DAH贡献了5.148亿美元。虽然阿联酋（2.201亿美元，43.2％），沙特阿拉伯（1.773亿美元，34.8％）和科威特（5980万美元，11.6％）作为来源在2017年贡献了大部分DAH，但中东和北非地区通过其双边机构支出了58.5％的DAH通过世界卫生组织（WHO）获得12.0％，通过其他联合国机构获得3.3％。来自中东和北非地区的DAH捐款中有44.8％用于卫生系统加强/全行业方法。相对于其GDP和政府支出，DAH水平在2000年至2017年间波动，但阿联酋和沙特阿拉伯则显示出增长趋势。尽管将中东和北非所有国家视为受援国，但中东和北非国家在2017年收到的DAH中只有10.5％来自中东和北非地区的捐助国。结论中东和北非国家的捐助国，特别是阿联酋，沙特阿拉伯和科威特一直在提供大量的DAH，通过其双边机构世卫组织提供和其他多边机构，重点放在加强卫生系统上。在过去十年中，中东和北非地区的DAH一直在增长，并可能为该地区和全球做出重要贡献。2017年，中东和北非国家仅收到了中东和北非地区捐助方提供的DAH的10.5％。结论中东和北非国家捐助方，特别是阿联酋，沙特阿拉伯和科威特一直通过其双边机构，世卫组织和其他多边机构提供了大量的DAH，并优先重点加强卫生系统。在过去十年中，中东和北非地区的DAH一直在增长，并可能为该地区和全球做出重要贡献。2017年，中东和北非国家仅收到了中东和北非地区捐助方提供的DAH的10.5％。结论中东和北非国家捐助方，特别是阿联酋，沙特阿拉伯和科威特一直通过其双边机构，世卫组织和其他多边机构提供了大量的DAH，并优先考虑重点加强卫生系统。在过去十年中，中东和北非地区的DAH一直在增长，并可能为该地区和全球做出重要贡献。