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Health Diplomacy or Health Dependency: A Critical Assessment of China’s Health Aid to Madagascar

Historically, foreign aid projects have long been criticized for creating dependency, prompting some critics to argue that normative foreign aid should be rejected by African recipients altogether for the seemingly inevitable outcomes of increased corruption and dependency.

As more than 80% of the Malagasy health care system is supported by a myriad of foreign aid donors and INGOs, Madagascar provides an ideal context to assess whether self-sufficiency is being fostered by foreign aid interventions.

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