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Janeen Madan Keller is a senior policy analyst and assistant director of global health at the Center for Global Development. Since joining CGD in June 2015, her research has covered a range of topics including global health financing and aid effectiveness, among others. Previously, she spent two years in Dakar, Senegal, where she worked with the UN World Food Program supporting nutrition and food security programs across West Africa. She has also worked with UNICEF in Mali and conducted research on health behavior change in Niger. Originally from Mumbai, India, she holds an MS in public health nutrition and food security from Tufts University and a BA with honors in political science and French from Vassar College.
How can the world find realistic, workable solutions to bridge the divide between humanitarian response and development assistance? This question was front and center at a high-level discussion, co-hosted by CGD and the International Rescue Committee (IRC), in the run up to last week’s Spring Meetings. The event marked the launch of a new CGD-IRC report, which puts forth one emerging solution to the refugee crisis—compact agreements between host governments and development and humanitarian actors. The discussion featured three global leaders on the frontline of today’s displacement challenge: Jordan’s Minister of Planning and International Cooperation Imad Fakhoury, World Bank CEO Kristalina Georgieva, and IRC President and CEO David Miliband. Here are three takeaways.
Earlier this month, evidence emerged that a Nevada woman who died last September had contracted a superbug resistant to all 26 available antibiotics, including colistin, the drug of last resort. If left unchecked, antimicrobial resistance (AMR) could cause up to 10 million deaths a year by 2050 with a cumulative loss of $100 trillion to the global economy. The misuse of antibiotics in human medicine allows bacteria to evolve resistance to many life-saving drugs. But their excessive and inappropriate use in farm animals—which consume 70-80 percent of antibiotics sold in the United States—is another key factor accelerating drug resistance globally.
While the misuse of antimicrobials in human health is a key factor accelerating the emergence of drug resistance, we should not overlook the role of agriculture. This paper makes the case for a global treaty to reduce antimicrobial use in livestock.
In 2006, CGD published a working group report that addressed the insufficient number of rigorous impact evaluations of social programs in low- and middle-income countries. Last week —marking 10 years since the report’s release—CGD and J-PAL co-hosted the event, “Improving Development Policy through Impact Evaluation,” which echoed three key messages of the 2006 report: 1) conduct more and better evaluations; 2) connect evaluators and policymakers; and 3) recognize that impact evaluations are an important global public good that requires more unconstrained funding.
Behind the learning crisis in much of the developing world is a huge data gap. Only a few middle income developing countries have the political incentives and technical capacity to develop and sustain national systems that measure what children are learning in school; most school children in the developing world have never taken a test that can be compared year over year or globally benchmarked.
For refugees and internally displaced people, business-as-usual is no longer working. The “new normal” of displacement means that development and humanitarian actors urgently need to adapt their approach. That's the impetus for a new CGD study group, convened in collaboration with the International Rescue Committee and co-chaired by Cindy Huang and Nazanin Ash.
Without global action, by 2050 there could be as many as 10 million antimicrobial resistance-related deaths each year. An important—and often overlooked—part of the problem is the overuse of antibiotics in farm animals. CGD recently convened a roundtable discussion with technical experts to discuss possible ways to strengthen global cooperation to address livestock’s contribution to AMR. Drawing on that productive discussion, we outline steps that could help make inroads into the problem.
What can we say about the relative size and composition of health commodity markets across different countries? We took a stab at piecing together publicly available data sources to find an initial answer for low- and middle-income countries as part of the background work to inform the CGD Working Group on the Future of Global Health Procurement.
Feed the Future has succeeded in bringing much needed attention to the pressing challenge of food security. But there is still plenty of room for improvement, particularly when it comes to encouraging country ownership and increasing transparency.