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"I think everyone's starting to focus on how to get better value for money. At the Center for Global Development we've done some work specifically focused on the Global Fund to fight AIDS, Tuberculosis & Malaria looking at what kinds of incentives their old grant agreements created and how those could be enhanced in order to improve results. So we suggested results-based funding in the relationship between the donor and the recipient, whether it's an NGO or whether it's a government. So that gets the international funder out of the business of checking receipts for gas and bicycle tire replacements and gets them more into discussing- 'I will release certaion tranches of money when I see independently measured progress in the coverage of the intervention that I know makes a difference for health.' That's what we should be talking about in the relationship between recipients and donors, not checking their receipts."