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June 24, 2019

New Gavi Modalities for a Changing World

In this note, we summarize the changing context and its relevance for Gavi, exploring the specific issues relevant to transitioning countries, never-eligible MICs, and countries dealing with complex emergencies or large-scale protracted displacement. We then offer four recommendations to increase Gavi’s relevance and effectiveness in a changing world.

June 24, 2019

Gavi’s Approach to Health Systems Strengthening: Reforms for Enhanced Effectiveness and Relevance in the 2021–2025 Strategy

In this note, we highlight the results of Gavi HSS evaluations, how Gavi has responded to identified challenges and limitations in the HSS proposal and implementation process, and what options are available to enhance the effectiveness of HSS support for Gavi’s core mandate. We also discuss the importance of 4G (Gavi, the Global Fund, the Global Financing Facility, and the World Bank Group) collaboration.

June 24, 2019

Vaccine Introduction and Coverage in Gavi-Supported Countries 2015-2018: Implications for Gavi 5.0

With a vision of “creating equal access to new and underused vaccines,” Gavi set several coverage-specific targets for 2020 as part of its Phase IV strategy, including the immunization of an additional 300 million children, increased pentavalent 3 and measles-containing vaccine (MCV) 1 coverage, and greater equity in coverage across wealth quintiles. In this note, we explore these coverage challenges in greater detail and offer recommendations for how Gavi can address them in its 5.0 strategy.

June 24, 2019

Gavi 5.0: Five Challenges and Five Ideas for Reform

This overview note lays out five challenges and summarizes some of our ideas to address them; backing up each is a standalone note that provides greater detail and options for action. An accompanying note looks at the full set of issues through a country lens.

Stock photo of birth control pills
May 31, 2019

After 2020: What’s Next for Global Access to Family Planning

Next week, Women Deliver—the world’s largest conference on gender equality and the health, rights, and wellbeing of women and girls—will kick off. This note highlights three issues for the global FP movement post-2020. We review the underlying critical assumptions in FP2020’s initial design along with their strengths and weaknesses, and place future approaches squarely within the context of today’s evolving landscape—one that looks very different than the year 2012, when FP2020 was launched.

A room full of internally displaced people in Myanmar, with three women up from
May 10, 2019

How Urban are IDPs and What Does that Mean for Their Economic Integration?

Internally Displaced Persons (IDPs) face severe economic challenges. Which policy and programmatic approaches will be most effective in supporting IDPs to overcome these challenges and make progress toward self-reliance depends in part on the urban-rural composition of IDP populations. By analysing the existing known locations of IDPs in developing countries, we show that there is large variation in urban-rural IDP compositions across countries. 

Screenshot of the cover of the note
May 10, 2019

Where Do Internally Displaced People Live and What Does that Mean for Their Economic Integration?

Internally Displaced Persons (IDPs) face severe economic challenges. Which policy and programmatic approaches will be most effective in supporting IDPs to overcome these challenges and make progress toward self-reliance depends in part on the urban-rural composition of IDP populations. By analysing the existing known locations of IDPs in developing countries and visualizing them in an interactive map, we show that there is large variation in urban-rural IDP compositions across countries.

Various bottles of pills
May 1, 2019

Aggregating Demand for Pharmaceuticals is Appealing, but Pooling Is Not a Panacea

As low- and middle-income countries shift away from donor support, their challenge will be finding a way to aggregate demand in order to achieve the benefits that the pooled purchasing arrangements of vertical health programs now provide. As a first step in tackling this challenge, much can be learned from a diverse group of pooled procurement initiatives that have developed over the past 40 years in high-, middle-, and low-income countries. This note reviews the rationale and functions of these initiatives, notes their potential benefits and barriers, and draws lessons regarding how best to incorporate pooled pharmaceutical purchasing models into the design and implementation of health financing reforms in countries in transition.

Humanitarian workers in the DRC load supplies out of a truck
April 19, 2019

The Dos and Don’ts of USG Humanitarian Reorganization

The proposed FY 2020 budget changes would be the most significant overhaul of USG humanitarian structures in decades. The proposal in its current form is unlikely to get much traction in Congress, where it is seen on both sides of the aisle as dramatically weakening US leadership on refugees. In light of other moves by the administration—like slashing refugee resettlement numbers and treating asylum seekers roughly—that is a legitimate and vital concern. There is ample reason to approach the proposal with caution, particularly the idea of stripping away the refugee bureau’s resources.

 

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