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The Center for Global Development and Pan American Health Organization present
Priority Setting in Health: Supporting health technology assessment in the Americas
Tuesday, October 23, 2012
**Reception to follow**
Featuring Harvey V. Fineberg
Institute of Medicine
Mirta Roses Periago
Pan American Health Organization
Director of Global Health Policy
Center for Global Development
The Pan American Health Organization (PAHO) is moving to tackle one of the most difficult and important challenges of health policy: strengthening regional mechanisms for assessing which health technologies are cost effective and therefore appropriate for public funding. It's a sensitive issue that vexes poor and rich countries alike--including the United States. A recent PAHO resolution signed by the United States, Canada, and countries in Latin America and the Caribbean will strengthen a network created last year to improve the quality of Health Technology Assessment studies and their use in the allocation of public budgets.
The improved network would address problems identified in a CGD working group report, Priority-Setting in Health: Building Institutions for Smarter Public Spending, that urges the creation and strengthening of national and regional priority-setting institutions to improve the effectiveness of public spending on health. The CGD report shows that global health donors and both developed and developing countries could greatly reduce suffering from ill-health and save many more lives--and often money, too--by taking into account the cost-effectiveness of health interventions to better allocate healthcare funds.
The World Bank’s Disease Control Priorities, Third Edition (DCP3) defines a model concept of essential universal health coverage (EUHC) with 218 interventions that provides a starting point for country-specific analysis of priorities. Assuming steady-state implementation by 2030, EUHC in lower-middle-income countries would reduce premature deaths by an estimated 4.2 million per year. Estimated total costs prove substantial: about 9·1% of (current) gross national income (GNI) in low-income countries and 5.2% of GNI in lower-middle-income countries.
Gautam Rao will talk about his new research, which examines whether evidence changes the beliefs and actions of policy makers. His findings show that policy makers do update their beliefs and do make different policy decisions when presented with new evidence. This research is particularly fascinating for anyone working in policy-influencing roles or in think tanks as it provides direct evidence that providing research information to political leaders can lead to policy change.
Humanitarian relief must involve, and be accountable to, the crisis-affected people it serves.
Versions of this principle can be found in most foundational humanitarian documents, and it features prominently in recent reform commitments including the 2016 Grand Bargain. Yet the power structures that shape international humanitarian response are not driven by, or accountable to, the people that they exist to serve. They are still engaged more as passive recipients of aid than as a force shaping humanitarian priorities. Living up to the aspiration of people-driven humanitarian action will require uncomfortable – but overdue – changes to the humanitarian system’s incentive structures and power dynamics.
Join us for this panel discussion, co-hosted by Population Works Africa, #BlackWomenInDev, and the Center for Global Development, to explore the question “Is global development consensual?”.
All relationships have power dynamics based on our identities and experiences; but within global development, the power disparities are even more vast: between international NGOs and local partner organizations, between staff from headquarters and local staff, the CEO of an INGO and the “beneficiaries” of a program. This points to a large issue within development: are the interventions developed by iNGOs consensual? Are these organizations addressing issues in ways that make “beneficiaries” and local partners feel valued, included, and comfortable? In order to for the international development community to transform its work to allow for consensual relationships and partnerships, we must unpack and understand our own individual power, privilege, and oppression, to be able to shift towards more equitable structures and practices at the institutional level.
Breakfast and coffee will be available beginning at 9:00 am and we will provide a networking opportunity at 11:00 am, immediately following the discussion.
India has been a leading country in the development of digital technology, including in the areas of identification, mobile connectivity and payments, and its application to reform governance and the delivery of programs and services, and to increase financial inclusion. Its experience is being closely watched by many other countries and the development community. What have been its achievements and where are the future challenges? How to ensure that the increasing volume of data empowers people rather than eroding their privacy? What can India’s experience tell us about the future of other countries and societies? At the forefront of “Digital India”, Nandan Nilekani is uniquely placed to offer a perspective on these questions.
Nandan Nilekani is co-founder of Infosys and its non-executive chairman. He was the first chairman of the Unique Identification Authority of India (UIDAI) which implemented the Aadhaar program, now covering almost 1.3 billion people. He has headed the Government of India's technology committee, and the recent high-level committee constituted by the Reserve Bank of India to increase financial inclusion and create a robust digital payments ecosystem. He is also a co-founder of EkStep, a not-for-profit initiative to develop a universal digital learning platform and the author of two books: Imagining India: the Idea of a Renewed Nation, and (with Viral Shah) Rebooting India: Realizing a Billion Aspirations.
Governments and donors are increasingly focused on the use of evidence in evaluating human development programs and setting policy priorities. This master class will provide early career researchers with cutting-edge methodological tools for experimental and quasi-experimental evaluation of early childhood development interventions. The course is intended for current PhD students and recent graduates whose doctoral work is focused on early childhood development, education, development economics, or public policy.
Every year, the Birdsall House Conference on Women brings together leading academics and policymakers to discuss cutting-edge research focused on improving outcomes for women in low- and middle-income countries.
Please join the Center for Global Development for this conversation with Devex’s president & editor-in-chief, Raj Kumar, to discuss his book The Business of Changing the World, which has been called the 'go to primer' on the people, ideas and tech disrupting the aid industry. Caroline Atkinson, former head of global policy at Google, will moderate the conversation on how nontraditional models of philanthropy and aid are empowering the world's poorest people to make progress.
Quality affordable generic medicines play a vital role in health systems around the world. Healthy competition from quality generic medicines can help keep prices in check—a shared concern across high-income and low- and middle-income countries. But CGD’s Working Group on the Future of Global Health Procurement found that markets for generic medicines in many low- and middle-income countries are failing. According to the final report, weak and under-resourced regulatory and quality control systems in many countries can often lead healthcare workers and patients to opt for more expensive branded medicines as a proxy for quality.
Faced with a deepening financial crisis, the recently elected government of Imran Khan has embarked on an ambitious economic reform program, supported by a $6 billion IMF loan and $32 billion of associated financing. Pakistan has a long history of embarking on such reforms but not of seeing them through.
Join the leaders of Pakistan’s Economic Team to discuss why they believe this time will be different.
The Saving One Million Lives (SOML) program for results (PforR) aims to increase the utilization and quality of high impact reproductive, child health, and nutrition interventions in Nigeria. SOML was originally created in 2012 to address Nigeria’s slow progress on improving health status and health services. Since 2015, the initiative has received assistance from the World Bank through a “cash-on-delivery” (COD) approach in which the disbursement of funds is directly linked to the achievement of specific program results. This PforR funding mechanism by the World Bank uses country systems and processes and gives health managers substantial autonomy in achieving health results. Four years into the SOML PforR’s implementation, join us to explore lessons learned.
Over the last 25 years, Mexico has benefited from robust trade and financial integration with North America and strong domestic macroeconomic and financial stability, although much remains to be done on the socioeconomic front.
Against this backdrop, the economy is currently facing strong domestic and external headwinds. At home, the economy has slowed since last year, with real GDP contracting 0.2% in 1Q2019, reflecting low productivity in Mexico and softer growth in the United States. President Andrés Manuel López Obrador (AMLO) has announced protectionist policies, which are not supportive of private investment. From the external side, the lingering uncertainties about Trump’s tariffs on Mexico's imports could have a major negative impact.
How should Mexico deal with these challenges? The Latin American Committee on Macroeconomic and Financial Issues (CLAAF) will discuss central questions on a) the best policy responses to market uncertainties, b) the best way to deal with the immigration flood, which is playing a key role in Trump's new tariff threats, c) what Mexico’s policymakers can learn from the recent experiences in Argentina and Brazil, and d) the most pressing reforms needed to restore investors’ confidence and Mexico's economic growth.
A light breakfast and coffee will be available at 9:30 a.m.