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POLICY PAPERS
April 15, 2024
Many low- and middle-income countries are projected to spend less on health over the rest of this decade than they did pre-2020. The adage “more health for the money” is more meaningful than ever—but how do we act on it quickly? Disinvesting from low-value health technologies and interventions is on...
Blog Post
April 05, 2024
As the Center for Global Development’s inaugural Evidence in Policy Fellow, I just finished an extended engagement to help increase data and evidence use in the State Department’s Office of Foreign Assistance. While at State, I spent much of my time leading and participating in the work of the inter...
Blog Post
March 29, 2024
The US foreign assistance data for FY 2022 is nearly complete, except for some missing Department of Defense, Homeland Security, and Transportation data, and the data reveals some interesting trends. First, FY 2022 did not break the historical record of total obligations, but it came closer than any...
Blog Post
December 14, 2023
Harsh fiscal prospects and broader shifts in the health landscape are creating challenges for Gavi’s approach to country eligibility and transition. To date, Gavi’s income-based eligibility model has functioned well during periods of sustained growth in low- and middle-income countries and has helpe...
POLICY PAPERS
December 14, 2023
The prevailing fiscal outlook alongside broader shifts in the health landscape have important implications for countries’ eligibility for support from Gavi, the Vaccine Alliance. Current projections are similar to pre-COVID estimates, but the cohort of transitioning countries face more challenging ...
WORKING PAPERS
October 11, 2023
Many countries are facing a much harsher budgetary prospect than a few years ago. For low- and middle-income countries in particular, domestic health expenditure is expected to plateau or contract (in real terms) for many until 2027, development assistance for health has already plateaued, and a deb...
Blog Post
October 11, 2023
Prior to the COVID-19 pandemic there were periods of sustained growth in many low- and middle-income countries that led to some optimism about countries “transitioning” from (i.e. no longer being eligible for) support from the major global health financing mechanisms, such as the Global Fund, Gavi, ...
Blog Post
June 08, 2023
Climate change will make many areas less easily habitable. Periodically, a call is made to give people moving out of those areas a particular set of rights: to establish a new protection category, a 21st-century ‘climate migrant’ status to match the asylum rights formalised in 1951. This call was re...