Ramones, IkaikaMudashiru, Issa2025-07-282025-07-282025-04-29https://theses-dissertations.princeton.edu/handle/88435/dsp01qv33s108rCollaborative health initiatives can advance targeted, culturally meaningful, healthcare delivery outside of the geopolitical obligations of China to give and Sierra Leone’s obligation to receive and repay. In other words, guanxi is a way for individual Chinese and Sierra Leonean doctors to circumvent the Maussian gift dilemma engendered by the Sierra Leone China Friendship Hospital and the CMTs who embody this dissonance.en-USPrinceton University Senior Theses