When Voluntary Donations Meet the State Monopoly

Autor(en)

Yue Guan

Abstrakt

China's blood-borne HIV catastrophe in the 1990s prompted the government to adopt a blood-collection system that combines voluntary donations with the state's monopoly on blood services. Juxtaposing fieldwork and survey data, this study examines how the intricate interplay between government manoeuvres and citizen reactions has led to blood shortages that are serious yet manageable. This article reveals that even though voluntary blood donations are adversely affected by a public distrust of state-run collection agencies, owing to political concerns healthcare officials shirk from engaging with citizens to overcome the distrust. It also finds that the blood shortages are nevertheless largely manageable because the authorities have the capacity to recruit captive donors through work units, with the caveat that such captive practices are used sparingly. Overall, this study argues that the lack of state–society synergy in voluntary donations, while exacerbated by government involvement, is also partially remedied by the government's mobilization of captive donors.

Organisation(en)

Institut für Ostasienwissenschaften

Journal

China Quarterly: an international journal for the study of China

Band

236

Seiten

1111-1130

Anzahl der Seiten

20

ISSN

0305-7410

Publikationsdatum

12-2018

Peer-reviewed

Ja

ÖFOS 2012

504023 Politische Soziologie, 506010 Politikfeldanalyse, 602045 Sinologie, 303026 Public Health

Schlagwörter

Sustainable Development Goals

SDG 3 – Gesundheit und Wohlergehen

Link zum Portal

https://ucris.univie.ac.at/portal/de/publications/when-voluntary-donations-meet-the-state-monopoly(ba8e2a17-c521-4b96-8cbf-08e71858a9f4).html