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Health financing and payment, results-based financing, social protection, conditional cash transfer programs, noncommunicable disease, maternal and child health
Amanda Glassman is chief operating officer and senior fellow at the Center for Global Development and also serves as secretary of the board. Her research focuses on priority-setting, resource allocation and value for money in global health, as well as data for development. Prior to her current position, she served as director for global health policy at the Center from 2010 to 2016, and has more than 25 years of experience working on health and social protection policy and programs in Latin America and elsewhere in the developing world.
Prior to joining CGD, Glassman was principal technical lead for health at the Inter-American Development Bank, where she led policy dialogue with member countries, designed the results-based grant program Salud Mesoamerica 2015 and served as team leader for conditional cash transfer programs such as Mexico’s Oportunidades and Colombia’s Familias en Accion. From 2005-2007, Glassman was deputy director of the Global Health Financing Initiative at Brookings and carried out policy research on aid effectiveness and domestic financing issues in the health sector in low-income countries. Before joining the Brookings Institution, Glassman designed, supervised and evaluated health and social protection loans at the Inter-American Development Bank and worked as a Population Reference Bureau Fellow at the US Agency for International Development. Glassman holds a MSc from the Harvard School of Public Health and a BA from Brown University, has published on a wide range of health and social protection finance and policy topics, and is editor and coauthor of the books Millions Saved: New Cases of Proven Success in Global Health (Center for Global Development 2016), From Few to Many: A Decade of Health Insurance Expansion in Colombia (IDB and Brookings 2010), and The Health of Women in Latin America and the Caribbean (World Bank 2001).
The Birdsall House Conference Series on Women seeks to identify and bring attention to leading research and scholarly findings on women’s empowerment in the fields of development economics, behavioral economics, and political economy. On December 7th, academics, private sector representatives, and policymakers will turn to an issue that affects women in rich and poor countries alike: the ability to make informed, voluntary, and autonomous choices about childbearing, and the implications of reproductive choice as a lever to expand women’s economic and life prospects. Until recently, there has been a lack of rigorous empirical evidence on the links between contraceptive access and women’s economic empowerment in low- and middle-income countries. The 2017 Birdsall House Conference will feature new findings on this relationship alongside existing evidence from the United States.
The Center for Global Development—with Results for Development—is pleased to host this year's Philip A. Musgrove Memorial Lecture, to be delivered by Ricardo Bitran. Philip A. Musgrove worked on a broad set of topics in health economics and policy in developing countries. In each, he made major contributions thanks to his keenly analytical mind and implacable logic, along with his dry sense of humor. Setting priorities in health was among Philip’s preferred subjects. While at the World Bank he worked on the World Development Report 1993: Investing in Health. A main and controversial prescription from the Report was that low- and middle-income countries could tackle a substantive part of their burden of disease by delivering a health benefits package of prioritized, cost-effective interventions.
Vaccinate children against measles and mumps or pay for the costs of dialysis treatment for kidney disease patients? Pay for cardiac patients to undergo lifesaving surgery, or channel money toward efforts to prevent cardiovascular disease in the first place? For universal health care (UHC) to become a reality, policymakers looking to make their money go as far as possible must make tough life-or-death choices like these.
Many low- and middle-income countries aspire to universal health coverage (UHC), but for rhetoric to become reality, the health services offered must be consistent with the funds available, which may require tough tradeoffs. An explicit health benefits package—a defined list of services that are and are not subsidized—is essential in creating a sustainable UHC system.
A new contribution from the Center for Global Development and the International Decision Support Initiative (iDSI)—What’s In, What’s Out: Designing Benefits for Universal Health Coverage, edited by Amanda Glassman, Ursula Giedion and Peter Smith—argues that an explicit health benefits package (HBP), to be funded with public monies, is an essential element of a sustainable and effective health system, and considers the institutional, fiscal, methodological, legal, and ethical dimensions of their design and implementation. This event—a private policy breakfast and release of the book—aims to gather leading voices for universal health coverage, effective health financing, and evidence-based health policy to discuss and debate the book’s key findings and messages. Hard copies of the book will be available for all attendees.
The Economist’s take on the Give Directly evaluation argues that unconditional cash transfers (UCT) “don’t deal with the deeper causes of poverty.” The article cites Baird and co-authors’ review showing that vigorously enforced conditional cash transfer (CCT) programs generate larger effects on school enrollment than UCT, and suggests that CCT are thus better positioned to address the root causes of poverty.
This month Foreign Affairs featured an article in which Chris Blattman and Paul Niehaus argue that donors funding poverty reduction should benchmark the costs and benefits of their in-kind assistance against just transferring cash.
In November, the World Health Organization will select its next regional director for Africa. As we wrote in a previous blog, this position is not posted publicly and has no independent mechanism in place to recommend, interview, and evaluate the best qualified candidates.
Most money and responsibility for health in large federal countries like India rests with subnational governments — states, provinces, districts, and municipalities. The policies and spending at the subnational level affect the pace, scale, and equity of health improvements in countries that account for much of the world’s disease burden: India, Indonesia, Nigeria, and Pakistan.
This week the World Health Organization held a major international meeting on universal health coverage (UHC), with Director General Margaret Chan reaffirming her regard for universal coverage “as the single most powerful concept that public health has to offer.” While the term “universal” signals that the entire population will be “covered,” an unanswered question is: covered with what? Another way to put the question: What health benefits or interventions would represent coverage, taking into account UHC’s implicit goals of improved health, equity and financial protection?