ABSTRACT

This article discusses the emergence, organisation, interaction and evolution of regional bodies responsible for cooperation in health in sub-Saharan Africa from the late 1940s to the mid-1960s. Focusing on Portugal’s under-researched role in the CCTA and the WHO’s regional office (AFRO), it addresses the issue of health diplomacy and inter-regional cooperation during a period of significant political change on the African continent. Drawing from a great variety of published and archival sources, it provides an overview of the strategies pursued by Portugal and other colonial powers with regard to trans-national and regional cooperation in health, against the background of the complex interplay of regional interests and overlapping membership of CCTA and AFRO. It shows how the tensions between constructive international and regional engagement on the one hand and colonial sovereignty and legitimacy on the other played out and shifted over time in the African region. In addition, it discusses Portugal’s health diplomacy against the background of the membership of newly independent African countries of CCTA and AFRO, and its refusal to decolonise, eventually precipitated the country’s suspension from WHO-AFRO and all technical cooperation in 1966.

摘要

本文讨论了 1940 年代末至 1960 年代中期负责撒哈拉以南非洲地区卫生合作的区域机构的出现、组织、互动和演变。关注葡萄牙在 CCTA 和世卫组织区域办事处 (AFRO) 中的研究不足的作用，它解决了非洲大陆重大政治变革时期的卫生外交和区域间合作问题。它从大量已出版和档案来源中汲取，概述了葡萄牙和其他殖民国家在区域利益复杂相互作用和成员重叠的背景下在跨国和区域卫生合作方面所采取的战略CCTA 和 AFRO。它展示了一方面建设性的国际和地区参与与另一方面的殖民主权和合法性之间的紧张关系如何在非洲地区随着时间的推移而发生变化。此外，它在CCTA和AFRO新独立的非洲国家成员资格以及拒绝非殖民化的背景下讨论了葡萄牙的卫生外交，最终导致该国在1966年暂停了WHO-AFRO和所有技术合作。