In 2013, a CGD working group signaled important benefits of development impact bonds, and worked through some of the “how-to” of design and implementation. Yet five years later, only three development impact bonds have launched. Why is this the case? Why is it so hard to get DIBs off the ground? What can we learn from the structuring and financing of DIBs to date to ease the way for future efforts?
CGD Policy Blogs
OPIC recently announced it will invest $2 million in a Development Impact Bond (DIB) aimed at improving the availability and quality of cataract surgery services in Cameroon. Specifically, OPIC’s investment will support the Magrabi ICO-Cameroon Eye Institute, a new hospital with an efficiency and financing model based on the acclaimed Aravind Eye Hospitals, over several years. The OPIC news is particularly exciting for four reasons.
Controlling the HIV/AIDS Epidemic by 2020 Will Not End US Responsibilities in Severely Affected Countries
Although the Trump administration has pivoted away from global leadership in many foreign policy arenas, Secretary Tillerson’s September 19 announcement of administration support for PEPFAR’s newly released 2017 strategy is reassuring.
Clear and rigorous evidence on the contributions of US global health programs is more important than ever, as the White House and lawmakers discuss and debate budgets and the future of US support to global health. Such information aids policymakers who must prioritize support to effective public health programs.
The 2014-2015 Ebola outbreak in West Africa was a disturbing demonstration of the inadequacy of international institutions to assist the affected peoples or learn how to better treat and prevent their illness. Experts on a CGD panel discussed their experiences working on crisis response during the Ebola outbreak—and how we can do better.
The power and potential of digitized and linked data require careful stewardship. For example, integrating routine data and HIV registers could generate efficiencies and potentially improve the delivery of health care services, but linking these systems may also put individuals’ privacy at greater risk. The ethics of developing, managing, and providing access to data needs to be at the forefront of conversations on data for development, along with practical strategies to proactively protect privacy.
CGD’s new report on family planning, Aligning to 2020: How the FP2020 Core Partners Can Work Better, Together, offers three big recommendations for donors on the path to 2020. They are laid out in greater detail later in this blog, but in brief we urge donors to be more strategic and collaborative in how resources area allocated at the national level; we would like to see stronger incentives developed and rolled out for co-financing and performance; and we encourage greater accountability and learning across the results chain.
Using research to inform policy often involves reading scientific articles in costly books and journals. But for some policymakers and analysts these costs may be prohibitively expensive, leaving them without access to critical information.