Abstract
The world always faces limitations in dealing with the pandemic. China had emerged as an active actor in health diplomacy to address this. China was the first country to send vaccines and health aid to Southeast Asia through ASEAN. However, the relationship between China and ASEAN did not begin with the pandemic. Both countries have a long history and recently renewed their plan of action (POA), which serves as evidence of their relationship namely the ASEAN-China Comprehensive Strategic Partnership (CSP) 2021-2025. The POA includes a sub-chapter on health that navigates China's health diplomacy towards ASEAN. Therefore, this research aimed to examine China's health diplomacy towards ASEAN within the framework of the ASEAN-China CSP 2021-2025. This paper utilized the concepts of health diplomacy forms by Rudolf (2021), health diplomacy factors by Kickbusch (2013), and health diplomacy instruments by Bertorelli et al. (2013). This research used qualitative methods, with data collection process through official archives, documents, and internet-based research. This study found that China practiced health diplomacy towards ASEAN through two shapes: vaccine diplomacy and mask diplomacy. Factors in China's health diplomacy include: (i) joint action; (ii) the involvement of academics and scientists; (iii) the complexity of negotiations through hierarchical dialogue; (iv) alleviating equity issues regarding health in ASEAN; and (v) institutionalization features fulfilled through the ACCF. China's health diplomacy used operative and collaborative instrument realized through the consensus and implementation of the ASEAN-China CSP 2021-2025.
References
Agape, G. C. (2021). Jalur Sutra Kesehatan: Upaya China Mencapai Kepentingan Geopolitik Melalui Diplomasi Vaksin. Transformasi Global, 8(2), 96–107. https://doi.org/10.21776/ub.jtg.008.02.1
ASEAN Secretariat. (2020, April 21). China donates medical supplies to ASEAN Secretariat for COVID-19 prevention. https://asean.org/china-donates-medical-supplies-to-asean-secretariat-for-covid-19-prevention-2/
ASEAN Secretariat. (2023). Chairman’s Statement of the 26th ASEAN-China Summit. https://asean.org/wp-content/uploads/2023/09/FINAL-Chairmans-Statement-of-the-26th-ASEAN-China-Summit.pdf. https://cil.nus.edu.sg/wp-content/uploads/2023/09/2023-26th-ASEAN-China-Summit-CS.pdf
ASEAN Secretariat. (2024). Overview of ASEAN-China Comprehensive Strategic Partnership (ASEAN Secretariat Information Paper). https://asean.org/wp-content/uploads/2024/06/Overview-of-ASEAN-China-CSP-12-June-2024.pdf
ASEAN, & The People’s Republic of China. (2004). 2005-2010 Plan of Action to Implement the Joint Declaration on ASEAN-China Strategic Partnership for Peace and Prosperity. https://cil.nus.edu.sg/wp-content/uploads/2019/02/2005-2010-Plan-of-Action-to-Implement-the-Joint-Declaration-on-ASEAN-China-Strategic-Partnership-for-Peace-and-Prosperity-rev.pdf. https://cil.nus.edu.sg/wp-content/uploads/2019/02/2005-2010-Plan-of-Action-to-Implement-the-Joint-Declaration-on-ASEAN-China-Strategic-Partnership-for-Peace-and-Prosperity-rev.pdf
ASEAN, & The People’s Republic of China. (2010). 2011-2015 Plan of Action to Implement the Joint Declaration on ASEAN-China Strategic Partnership for Peace and Prosperity. https://cil.nus.edu.sg/wp-content/uploads/2019/02/2011-2015-PoA-to-Implement-the-Joint-Declaration-on-ASEAN-China-Strategic-Partnership-for-Peace-and-Prosperity-1.pdf
ASEAN, & The People’s Republic of China. (2015). 2016-2020 Plan of Action to Implement the Joint Declaration on ASEAN-China Strategic Partnership for Peace and Prosperity. https://cil.nus.edu.sg/wp-content/uploads/2019/10/2016-2020-ASEAN-China-POA.pdf
ASEAN, & The People’s Republic of China. (2017). Report of the Twelve Senior Officials Meeting on Health Development (12TH SOMHD). https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fcic.anamai.moph.go.th%2Fweb-upload%2Fmigrated%2Ffiles%2Fcic%2Fn551_f9e3e014df07bd78a89928b355bcd179_01._12th%2520SOMHD_Meeting%2520Report.docx&wdOrigin=BROWSELINK
ASEAN, & The People’s Republic of China. (2020). 2021-2025 Plan of Action to Implement the Joint Declaration on ASEAN-China Strategic Partnership for Peace and Prosperity. https://cil.nus.edu.sg/wp-content/uploads/2023/01/2021-2025-ASEAN-CHINA-POA-rev-1.pdf
ASEAN-China Centre. (2021a). 2nd Exchange onASEAN-China Vaccine Friend Cooperation Held by ACC. http://www.asean-china-center.org/english/2021-03/7383.html
ASEAN-China Centre. (2021b). Third Exchange on ASEAN-China Vaccine Friend Cooperation Held by ACC. http://www.asean-china-center.org/english/2021-07/8150.html
ASEAN-China Cooperation Fund. (2022a). 23rd ASEAN-China Joint Cooperation Committee (ACJCC) and the 3rd ASEAN-China Cooperation Fund Working Group (ACCF-WG). https://accf-asean-china.com/23rd-asean-china-joint-cooperation-committee-acjcc/
ASEAN-China Cooperation Fund. (2022b). ACCF-Supported Project: ASEAN Vaccine Network Workshop on 14-15 September 2022. ACCF. https://accf-asean-china.com/accf-supported-project-asean-vaccine-network-workshop-on-14-15-september-2022/?utm_source=chatgpt.com
Bang, J. (2017). Why So Many Layers? China’s “State-Speak” and Its Classification of Partnerships1. Foreign Policy Analysis, 13(2), 380–397. https://doi.org/10.1093/fpa/orw063
Benedick, R. E. (1998, November). Diplomacy for The Environment. Environmental Diplomacy.
Bergin, J. (2021, May 12). How China used the media to spread its COVID narrative — and win friends around the world. The Conversation. https://theconversation.com/how-china-used-the-media-to-spread-its-covid-narrative-and-win-friends-around-the-world-160694
Bertorelli, E., Solomon, S. A., & Drager, N. (2013). Instruments of Health Diplomacy. In T. E. Novotny, I. Kickbusch, & M. Told (Eds.), 21st Century Global Health Diplomacy (Vol. 3). World Scientific Publishing Co. Pte. Ltd.
Bonotti, M., & Zech, S. T. (2021). The Human, Economic, Social, and Political Costs of COVID-19. In Recovering Civility during COVID-19 (pp. 1–36). Springer Singapore. https://doi.org/10.1007/978-981-33-6706-7_1
Bouey, J. (2020). China’s Health System Reform and Global Health Strategy in the Context of COVID-19. https://www.uscc.gov/sites/default/files/2020-05/Bouey_Written_Testimony_FINAL.pdf
Bridge. (2022). China COVID-19 Vaccine Tracker. https://bridgebeijing.com/our-publications/our-publications-1/china-covid-19-vaccines-tracker/
China International Development Cooperation Agency. (2023). COVID-19 Assistance. http://en.cidca.gov.cn/pdf/InternationalDevelopmentCooperationChina’sPracticeCOVID-19Assistance.pdf
Cooper, A. F., & Farooq, A. B. (2015). Stretching health diplomacy beyond ‘Global’ problem solving: Bringing the regional normative dimension in. Global Social Policy, 15(3), 313–328. https://doi.org/10.1177/1468018115599820
CRIOnline. (2022, December 19). China and ASEAN Deepened Exchanges and Cooperation on Traditional Medicine. PR Newswire.
Drager, N., & Fidler, D. P. (2007). Foreign policy, trade and health: at the cutting edge of global health diplomacy. Bulletin of the World Health Organization, 85(3), 162–162. https://doi.org/10.2471/BLT.07.041079
ERIA. (2025, February 25). ERIA Co-Hosts ASEAN Centre for Active Ageing and Innovation Consultative and Governing Board Meetings. https://www.eria.org/database-and-programmes/eria-co-hosts-asean-centre-for-active-ageing-and-innovation-consultative-and-governing-board-meetings
Fazal, T. M. (2020). Health Diplomacy in Pandemical Times. International Organization, 74, E78–E97. https://doi.org/10.1017/S0020818320000326
Fook, L. L. (2020). China’s COVID-19 Assistance to Southeast Asia: Uninterrupted Aid amid Global Uncertainties. ISEAS Perspective, 58. https://www.iseas.edu.sg/wp-content/uploads/2020/04/ISEAS_Perspective_2020_58.pdf
Gauttam, P., Singh, B., & Kaur, J. (2020). COVID-19 and Chinese Global Health Diplomacy: Geopolitical Opportunity for China’s Hegemony? Millennial Asia, 11(3), 318–340. https://doi.org/10.1177/0976399620959771
Hotez, P. J. (2014). “Vaccine Diplomacy”: Historical Perspectives and Future Directions. PLoS Neglected Tropical Diseases, 8(6), e2808. https://doi.org/10.1371/journal.pntd.0002808
Jakovljevic, M., Chang, H., Pan, J., Guo, C., Hui, J., Hu, H., Grujic, D., Li, Z., & Shi, L. (2023). Successes and challenges of China’s health care reform: a four-decade perspective spanning 1985—2023. Cost Effectiveness and Resource Allocation, 21(1), 59. https://doi.org/10.1186/s12962-023-00461-9
Jin, J. (2024, December 6). China’s Foreign Policy and Global Health Leadership. Think Global Health. https://www.thinkglobalhealth.org/article/chinas-foreign-policy-and-global-health-leadership
Joint Statement 8th ASEAN-China Health Ministers Meeting (2022). https://asean.org/wp-content/uploads/2022/05/3.-Final_8th-ACHMM.pdf
Joint Statement 9th ASEAN-China Health Ministers Meeting (2024). https://asean.org/wp-content/uploads/2024/08/Adopted-Joint-Statement-9th-ASEAN-China-HMM.pdf
Kickbusch, I. (2013). 21st Century Health Diplomacy: A New Relationship Between Foreign Policy and Health. In T. E. Novotny, I. Kickbusch, & M. Told (Eds.), 21st Century Global Health Diplomacy (Vol. 3). World Scientific Publishing Co. Pte. Ltd.
Li, X. (2025). Evaluating China’s Vaccine Diplomacy in ASEAN. Research Review. https://doi.org/10.52845/CS/2025-5-2-20
Liu, C. (2021). Overview on development of ASEAN traditional and herbal medicines. Chinese Herbal Medicines, 13(4), 441–450. https://doi.org/10.1016/j.chmed.2021.09.002
Liu, L., Huang, Y., & Jin, J. (2022). China’s Vaccine Diplomacy and Its Implications for Global Health Governance. Healthcare (Switzerland), 10(7). https://doi.org/10.3390/healthcare10071276
Liu, S., Xia, Y., Yang, Y., Ming, J., Sun, H., Wei, Y., & Chen, Y. (2024). Mapping of health technology assessment in China: a comparative study between 2016 and 2021. Global Health Research and Policy, 9(1), 4. https://doi.org/10.1186/s41256-023-00339-6
Lo, C., & Van De Pas, R. (2023). China’s Global Health Diplomacy Possibilities and limitations for cooperation. www.chinakennisnetwerk.nl
Manullang, A. J., & Wicaksono, R. A. P. (2023). A New Lighthouse on the Horizon: The Emergence of ASEAN-China Comprehensive Strategic Partnership. Global Focus, 03(01), 13–22. https://doi.org/10.21776/ub.jgf.2023.003.01.2
Moorthy, R., & Naidu, L. (2022). A review of health security and vaccine diplomacy during COVID-19 pandemic. International Journal of Public Health Science, 11(2), 607–614. https://doi.org/10.11591/ijphs.v11i2.21363
Müller, S., Brazys, S., & Dukalskis, A. (2024). Discourse wars and ‘mask diplomacy’: China’s global image management in times of crisis. Political Research Exchange, 6(1). https://doi.org/10.1080/2474736X.2024.2337632
National Health Commission of the People’s Republic of China. (2020). China commits to sharing vaccines. China Daily. https://en.nhc.gov.cn/2020-10/10/c_81822.htm
Northern Mindanao Consortium for Health and Research Development. (2021, April 7). Call for Proposals: Program on Public Health Emergency Preparedness Capacity (PROMPT). http://www.normincohrd.ph/call-for-proposals-program-on-public-health-emergency-preparedness-capacity-prompt/
Rinaldi, A. L., Lima, R. de C., & Apolinário Júnior, L. (2024). The US–China Rivalry: Health Diplomacy and Vaccine Donations Strategies. Journal of Current Chinese Affairs. https://doi.org/10.1177/18681026241289153
Rojas, J.-P. F. (2021, January 18). COVID-19: China confirms economic bounce-back with 2.3% GDP growth. Sky News. https://news.sky.com/story/covid-19-china-confirms-economic-bounce-back-with-23-gdp-growth-12191238
Ruddy, L. (2020). Cooperation at the Core of ASEAN-China Response to COVID-19 Pandemic. ERIA. https://www.eria.org/news-and-views/cooperation-at-the-core-of-asean-china-response-to-covid-19-pandemic/
Rudolf, M. (2021). China’s health diplomacy during Covid-19: the Belt and Road Initiative (BRI) in action. SWP Comment. https://doi.org/10.18449/2021C09
Rudolf, M. (2022). China’s Global Health Diplomacy: Revisiting Beijing’s Pre-and Post-COVID-19 Outreach Efforts. Friedrich-Ebert-Stiftung.
Saka, O. (2021). The political scar of epidemics: why COVID-19 is eroding young people’s trust in their leaders (27401; The Political Scar of Epidemics).
Shakeel, S. I., Brown, M., Sethi, S., & Mackey, T. K. (2019). Achieving the end game: employing “vaccine diplomacy” to eradicate polio in Pakistan. BMC Public Health, 19(1), 79. https://doi.org/10.1186/s12889-019-6393-1
Thi Ha, H. (2021). The ASEAN-China Comprehensive Strategic Partnership: What’s in a Name? https://www.researchgate.net/publication/370496627
Tyushka, A., & Czechowska, L. (2019). 1. Strategic partnerships, international. States, International Organizations and Strategic Partnerships, 8.
Wong, A. (2020, September 3). COVID-19 and China’s information diplomacy in Southeast Asia. https://www.brookings.edu/articles/covid-19-and-chinas-information-diplomacy-in-southeast-asia/
Wong, B. (2020, May 25). China’s Mask Diplomacy. The Diplomat. https://thediplomat.com/2020/03/chinas-mask-diplomacy/
Xinhua. (2021, December 3). China has provided over 1.8b COVID-19 vaccine doses to international community. The State Council The People’s Republic of China. https://english.www.gov.cn/news/internationalexchanges/202112/03/content_WS61a94f67c6d0df57f98e5f34.html
Recommended Citation
Kamila, Zahra Shaffa and Sari, Deasy Silvya
(2026)
"China’s Health Diplomacy to ASEAN through ASEAN-China Comprehensive Strategic Partnership 2021-2025,"
Journal of Strategic and Global Studies: Vol. 9:
Iss.
1, Article 5.
DOI: 10.7454/jsgs.v9i1.1200
Available at:
https://scholarhub.ui.ac.id/jsgs/vol9/iss1/5

