美國全球衛生策略的執行遭遇延宕
Delays hit implementation of U.S. Global Health Strategy
Updated at: October 1, 2026 at 12:15 AM
「美國優先全球衛生戰略」（America First Global Health Strategy，簡稱 AFGHS）於2025年9月18日啟動，旨在透過優先考慮雙邊協議而非多邊夥伴關係，重塑美國的對外援助。
Launched on September 18, 2025, the 'America First Global Health Strategy' (AFGHS) aimed to reshape U.S. foreign assistance by prioritizing bilateral agreements over multilateral partnerships.
該戰略將衛生治理權轉移至國務院，並聚焦於國家經濟利益，意圖藉此提升效率。
By moving health governance to the State Department and focusing on national economic interests, the strategy intended to increase efficiency.
然而，實施的第一年卻遭遇了嚴重的挫折。
However, its first year has been marked by significant setbacks.
執行過程極為繁重，駐外大使館官員因往往缺乏專業的流行病學培訓，難以處理複雜的衛生業務。
Implementation has proven onerous, with embassy officials—often lacking specialized epidemiological training—struggling to manage complex health portfolios.
美國疾病管制與預防中心（CDC）等機構的預算削減，進一步削弱了該國應對衛生危機的能力。
Budget cuts at agencies like the CDC have further hampered the nation's capacity to respond to health crises.
包括「醫師人權組織」（Physicians for Human Rights）在內的獨立報告指出，愛滋病治療與兒童健康計畫等基本服務出現了令人擔憂的衰退。
Independent reports, including those from Physicians for Human Rights, highlight alarming declines in essential services like HIV treatment and child health programs.
此外，雙邊協議的隱密性質引發了透明度方面的疑慮，部分夥伴國家拒絕分享敏感數據。
Additionally, the secretive nature of the bilateral agreements has led to transparency concerns, with some partner nations refusing to share sensitive data.
該戰略透過排擠既有的國際機構，冒著抵銷數十年進展的風險，以交易式方法取代合作努力，最終可能威脅全球衛生穩定與美國的長期目標。
By sidelining established international institutions, the strategy risks undoing decades of progress, replacing collaborative efforts with a transactional approach that may ultimately threaten both global health stability and long-term U.S. objectives.
