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Global Health Policy Blog

CGD experts blog on global health issues such as health financing, drug resistance, clinical trials, vaccine development, HIV/AIDS, and health-related foreign assistance.

 

Time Has Value: The Hidden Time Costs of Community Health Worker Programs

Recruiting community members with basic training for health promotion and care delivery is increasingly popular among development programs in low- and middle-income countries. This approach has great appeal: it could boost accountability and local ownership, and reduce program costs. Though the potential benefits of the approach are easily touted, the full costs remain murky and are often an afterthought. 

To Defeat AIDS, TB, and Malaria, a New Generation of Financing Models

This week, the Global Fund partnership will meet in Tokyo to plan for its fifth voluntary replenishment, covering the period 2017-2019. The stakes are high: in an austere budget climate, the Global Fund’s ability to raise the needed resources—and then to spend them effectively over the subsequent three years—will have outsize importance in determining the trajectory of the historic fight against AIDS, tuberculosis, and malaria.

Leveraging Nobel Prize Economics for Improved Global Fund Grant Performance

Those who follow CGD will be familiar with our branded meme: “Cash on Delivery” aid, or COD. Many are enthusiastic about COD’s potential to revolutionize aid effectiveness. Yet within some global development organizations, leadership and staff alike express common concerns: is COD practical in the real world? Have you thought about this problem, or that constraint? How would this work in the context of our organization? And if we decided to move forward, how would we design a COD grant?

How to Make Fiscal Transfers Work for Better Health

India matters for global health. It accounts not only for about one-fifth of the global population, but also one-fifth of the global disease burden. Yet the Indian government spends only 1 percent of its GDP on public health—a paltry amount compared to what other large, federal countries like Brazil and China allocate (4.7 percent and 3.1 percent, respectively). This has a direct impact on Indian citizens who pay more out-of-pocket for health care than citizens in any other G20 country.

More on Cash Transfers to Reduce HIV among Adolescents

My recent blog on cash transfers as a tool for HIV prevention among adolescent girls and young women left out results from a number of recent evaluations that illustrate the importance of program design and, in particular, targeting the transfers to the poorest households in getting results in wellbeing. Tia Palermo, a social policy specialist with the Transfer Project at UNICEF Office of Research-Innocenti and UNC-Chapel Hill, wrote with an update, which I’m pleased to share with her permission.

Hospitals Are Key to Reaching Universal Health Coverage

The global commitment to universal health coverage—target 3.8 of the Global Goals for Sustainable Development—is as ambitious as it is energizing. Ensuring everyone, everywhere around the world has access to quality health care without being forced into poverty will require stronger health systems that generate better patient services and improve people’s health. And, to that end, investments in hospitals and their performance will be key.

Right Idea on Ross Malaria Funding, Wrong Execution

The United Kingdom, in its new Aid Strategy out this week, and the Bill & Melinda Gates Foundation have jointly announced the creation of a £1 billion Ross Fund (named after a pioneering scientist) to fight malaria and neglected tropical diseases. But why not use the existing Global Fund for the new initiative instead of creating yet another health-related fund, of which the world is already lumbered with too many?

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