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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 Policy Paper 142
May 17, 2019

The Kunming-Vientiane Railway: The Economic, Procurement, Labor, and Safeguards Dimensions of a Chinese Belt and Road Project

The Kunming-Vientiane railway is an anchor investment of the Chinese government’s Belt and Road initiative. This case study will assess the rail project along four dimensions: economic implications; procurement arrangements; labor; and environmental and social safeguards. In each of these areas, evidence from the railway project suggests that Chinese policy and practice could be better aligned with the practices of other sources of multilateral and bilateral development finance.

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.

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

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

The next 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.

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.

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.

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.

 
Cover of Policy Paper 140
April 17, 2019

The Quality of UK Aid Spending, 2011–2018: An Analysis of Evaluations by the Independent Commission on Aid Impact

This paper analyses the grades awarded in the 65 primary reviews undertaken by the UK Independent Commission for Aid Impact (ICAI) over its first eight years of operation, from 2011 to 2018. It finds that ICAI has directly evaluated £28bn of UK aid over the period. Around four-fifths of spend assessed was graded as “satisfactory” (amber/green) or “strong” (green). The findings from ICAI reviews, and this report, should inform the UK Government’s aid allocations between departments at the forthcoming spending review. 

Cover of Working Paper 508
April 10, 2019

Pooled Procurement of Drugs in Low and Middle Income Countries - Working Paper 508

We use data from seven low and middle income countries with diverse drug procurement systems to assess the effect of centralized procurement on drug prices and provide a theoretical mechanism that explains this effect. We find that centralized procurement of drugs by the public sector allows much lower prices but that the induced price reduction is smaller when the supply side is more concentrated.

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