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Cover image for MVAC
February 5, 2020

Blueprint for a Market-Driven Value-Based Advance Commitment for Tuberculosis

The market-driven, value-based advance commitment (MVAC) builds on the advance market commitment (AMC) mechanism previously used in global health with several important innovations and improvements. Most crucially, the MVAC is driven by MIC demand rather than donor contributions; is informed by countries’ ability to pay rather than a single, “cost-plus” price; and allows pharmaceutical companies to reap higher revenues from a more effective product. In this report, we apply our new model—the MVAC—to a target product profile (TPP), published by the World Health Organization (WHO) in 2016 and endorsed by BMGF, for a pan-TB regimen.

The cover of the report
December 13, 2019

Designing a Medium-Term Response to the Rohingya Refugee Crisis: Ideas for Bangladesh, the International Community, and the Private Sector

While Bangladesh and Myanmar have recently attempted small-scale repatriation, these efforts have failed as refugees refused to go back, fearing for their safety. Conditions in Myanmar’s Rakhine State continue to deteriorate, and UN agencies have been denied full access to areas of return. Despite this, planning so far has been short-term and focused on aid rather than medium-term economic, environmental, and human development approaches.

A server blinks in a datacenter.
November 12, 2019

The New Economy of Africa: Opportunities for Nigeria’s Emerging Technology Sector

Nigeria has a vibrant and growing tech sector. In a survey of tech firms conducted in 2018, we find that most firms start small but grow quickly, more than doubling their size in the few years since the start of operations. Many are addressing inefficiencies in distribution of goods and services. But firms are still hampered by the business environment, notably unreliable electricity and lack of access to credit. Most suffer significant power outages, forcing them to purchase generators. Few firms have access to financial institutions or venture capitalists, relying instead on family and professional networks. Finally, tech firms employ very few women. While the Nigerian government has made the tech sector a priority, it needs to do more to improve the basics of the business environment. The government and the private sector must also take steps to increase the participation of women in the tech sector.

The cover of the report
September 4, 2019

Building an EU-Africa Partnership of Equals: A Roadmap for the New European Leadership

The arrival of a new leadership team in Brussels provides an opportunity for Europe to reinvigorate its role as a global development power and to build a true partnership with its continental neighbour, Africa. These tasks have never been more urgent. 

Cover of Global Immunization and Gavi: Five Priorities for the Next Five Years
June 24, 2019

Global Immunization and Gavi: Five Priorities for the Next Five Years

Gavi’s mission—saving children’s lives and protecting people’s health by increasing equitable use of vaccines—remains highly relevant. Gavi 5.0 needs a new model to deliver on its laudable mission. 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.

Cover of the Report of the Working Group on Incorporating Economics and Modelling in Global Health Goals and Guidelines
May 23, 2019

Understanding the Opportunity Cost, Seizing the Opportunity: Report of the Working Group on Incorporating Economics and Modelling in Global Health Goals and Guidelines

Internationally set goals and guidelines directly influ­ence the setting of health care priorities at the national level, affecting how limited resources are generated and allocated across health care needs. The Working Group on Incorporating Economics and Modelling in Global Health Goals and Guidelines has brought together disease specialists, policymakers, economists, and modelers from national governments, international organizations, and academic institutions across the globe to address these issues, to take stock of current approaches, and make recommendations for better practice.

Cover of Struggling with Scale: Ebola’s Lessons for the Next Pandemic
May 9, 2019

Struggling with Scale: Ebola’s Lessons for the Next Pandemic

The next global pandemic is a matter of when, not if. Preparing for this inevitability requires that policy­makers understand not just the science of limiting dis­ease transmission or engineering a drug, but also the practical challenges of expanding a response strategy to a regional or global level. Achieving success at such scales is largely an issue of operational, strategic, and policy choices—areas of pandemic preparedness that remain underexplored.

Cover of Making Basel III Work Report
April 23, 2019

Making Basel III Work for Emerging Markets and Developing Economies

The report considers three different channels through which Basel III can affect financial stability and devel­opment in EMDEs: (1) effects on the volume, compo­sition, and stability of capital flows arising from the implementation of Basel III in advanced economies; (2) effects on financial stability and a level playing field from the adoption of the Basel framework by the home countries of affiliates of foreign banks operating in EMDEs; and (3) effects on financial stability, broad access to financial services, and deepening of local financial systems from the implementation of Basel III by EMDEs themselves.

Cover of the report The Principles on Commercial Transparency in Public Contracts
March 7, 2019

The Principles on Commercial Transparency in Public Contracts

Every year, governments worldwide sign contracts worth trillions of dollars. They buy textbooks and fighter planes, hire consultants, commission firms to run railways and build bridges, take out loans and give guarantees, grant mining concessions, and issue licenses to use the public airwaves. Each time, legal documents specify who will pay how much to whom for what.

The Working Group on Commercial Transparency in Public Contracts
The International Development Finance Club and the Sustainable Development Goals
December 17, 2018

The International Development Finance Club and the Sustainable Development Goals

The SDGs face a key dilemma. Although major multilateral institutions like the World Bank and the other core MDBs have played a leadership role in shaping the SDG financing framework, there is a significant misalignment between the structure of these institutions and SDG financing needs. The International Development Finance Club is uniquely positioned to play a leadership role on the SDGs.

Gitanjali sister standing at a dump site
October 23, 2017

SEWA Gitanjali Cooperative: A Social Enterprise in the Making

In 1995, India’s Self-Employed Women’s Association (SEWA) organized women waste pickers in Ahmedabad into a cooperative to improve their working conditions and livelihoods. Over time, this informal arrangement evolved into Gitanjali—a women-owned and -run social enterprise. With support from key partners, Gitanjali has generated social value, providing its members with safe and dignified work while increasing their earnings. While Gitanjali faces challenges in becoming a fully self-sufficient social enterprise, its experience offers insights for other initiatives seeking to provide opportunities for women to transition from informal to formal work.

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