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BRIEF

A New Era for Global Health: Can African Countries Agree a New Compact with External Donors?

Anastassia Demeshko et al.
March 27, 2025
African health systems are at a crossroads, grappling with systemic challenges including workforce shortages, underfunded infrastructure, and climate-driven health burdens. Volatile financing—driven by unpredictable donor commitments and competing global priorities—has left countries vulnerable to d...
Headquarters of the Africa Centers for Disease Control and Prevention
CGD NOTE

A New Compact for Health Financing: Insights from Policymakers Across Africa

Anastassia Demeshko et al.
February 07, 2025
The political economy of global health financing is increasingly driven by fiscal constraints, geopolitical instability, and shifting power dynamics. The COVID-19 pandemic stalled or reversed health gains, and countries and donors now face tightening budgets and rising debt repayments, threatening t...
Globe and stethoscope
Blog Post

Decoupling “Stop Work” Orders from “Stop Basic Care”: How New Aid Models Can Protect Countries from Unreliable External Financing

Tom Drake et al.
February 03, 2025
The Trump administration’s stop-work order highlights precisely why we need a new model for health aid—one in which domestic financing supports the highest priority, core health services. On 20 January, the US State Department ordered an immediate pause on (nearly) all foreign aid spending. The “sto...
Globe and stethoscope
CGD NOTE

Building a Healthier World Without Trust in Research? A Case for Addressing Research Publishing Reform at the World Health Summit

Anastassia Demeshko
and
Tom Drake
October 10, 2024
The  World Health Summit (WHS) this month will convene global health leaders to discuss strategies for “Building Trust for a Healthier World.” In this paper we explore the link between trust and access to evidence in global health and offer recommendations for action for global health leaders. 
Illustration of the earth surrounded by an unlock symbol
POLICY PAPER

How Science Diplomacy Can Reshape Global Research Publishing: A Theory of Change

Sophie Gulliver et al.
October 08, 2024
In today’s digitally interconnected world, the swift exchange of knowledge and research should be commonplace and should drive substantial advancements in health, well-being, and prosperity globally. Yet our current research publishing system is holding us back, deliberately restricting access to re...
Illustration of the earth surrounded by an unlock symbol
Blog Post

G20 Open Access Policies: An Opportunity for Harmonisation

Anastassia Demeshko
and
Tom Drake
October 08, 2024
The G20, representing nearly 90 percent of global research spending, is uniquely positioned to drive reforms in the research publishing system through harmonised Open Access policies. Open Access policies, which require free, immediate access to research, can transform the way knowledge is shared gl...
Illustration of the earth surrounded by an unlock symbol
Blog Post

WHO Financing in 2024: Climbing the Ladder to Flexible Funding or Sliding Down Snakes?

Anastassia Demeshko
and
Pete Baker
September 20, 2024
In this blog, we summarise WHO’s current financing model and its shortcomings, and note that the Investment Round is more likely to be a success if WHO is able to demonstrate improvements in how it will govern the use of flexible resources and prioritises raising flexible funding over more funding.
CGD NOTE

Putting Aid in Its Place: Financing Common Goods

Tom Drake
and
Anastassia Demeshko
September 11, 2024
While the New Compact proposal highlights the various challenges with the current global health architecture and outlines an approach to “put aid in its place” by empowering country-led priority-setting, there is nevertheless a place for regional or global institutions to set priorities on regional ...
Stethoscope wrapped around globe
POLICY PAPER

A New Compact for Financing Health Services: Opportunities for Gavi and Partner Countries

Alec Morton et al.
September 11, 2024
As Gavi embarks on its next strategic phase, it faces shifting donor priorities, rising costs of new vaccines, incomplete vaccine coverage, and economic constraints in supported countries. Additionally, health ministries face increasing pressures related to universal health coverage, complex disease...
Stethoscope wrapped around globe
POLICY PAPER

A New Compact for Financing Health Services in Ethiopia

Solomon Tessema Memirie et al.
September 11, 2024
Adopting a "New Compact" approach, where the Ethiopian government finances top-priority health interventions while donor aid extends coverage to additional high-value services, could significantly enhance health outcomes, potentially increasing healthy life years by 15 percent. However, full impleme...
Stethoscope wrapped around globe

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