美國全球衛生新戰略面臨挑戰
Challenges Arise in New U.S. Global Health Strategy
Updated at: September 13, 2026 at 12:45 AM
2025年9月18日，美國啟動了「美國優先全球健康策略」(AFGHS)，標誌著國際衛生政策的重大轉變。
On September 18, 2025, the U.S. launched the 'America First Global Health Strategy' (AFGHS), marking a major shift in international health policy.
美國不再依賴世界衛生組織(WHO)等傳統多邊組織，轉而傾向以國家安全和疾病監測為核心的雙邊模式。
Moving away from traditional multilateral organizations like the WHO, the U.S. now favors a bilateral approach centered on national security and disease surveillance.
一項關鍵的結構性變革涉及在2025年7月解散國際開發總署(USAID)，並將其職能（包括「全球愛滋病援助計畫」(PEPFAR)）移交給國務院。
A key structural change involved dissolving USAID in July 2025 and transferring its functions, including PEPFAR, to the State Department.
該政策的執行依賴與合作夥伴國家簽署五年期的諒解備忘錄(MOUs)。
Implementation relies on five-year Memorandums of Understanding (MOUs) with partner nations.
這些協議要求各國隨著美國援助的逐步減少而增加自身的衛生支出，從理論上促進長期的自主權。
These agreements require countries to increase their own health spending as U.S. aid is phased out, theoretically promoting long-term ownership.
此外，批評者擔心以數據共享作為援助條件，會將全球衛生變成地緣政治交易的工具。
Furthermore, critics fear that conditioning aid on data-sharing turns global health into a tool for geopolitical transactions.
