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.
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.
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.
Criticising cancer medicine pricing as too high is what football fans know as an "open goal"—a target that is hard to miss. Yet somehow the World Health Organization Technical Report on Cancer Pricing manages to do just that with a paper to the WHO Executive Board calling for price and cost transparency.
Is price transparency really the answer to healthcare systems’ fiscal sustainability challenges as they strive to expand access to new technologies or even merely sustain provision within strained public budgets? Well, it depends!
Contrary to popular imagination, automation in the workplace is not some modern-day development composed chiefly of hardware, robotics, and human-cognition level embedded algorithms. Instead, it is an old phenomenon consisting primarily of business productivity software deployment in the forms of enterprise resource planning, customer resource management, and human capital management solutions. And however far back one goes, process control and risk management have always competed with increased flexibility for priority in the business case for these systems.
There are two big questions about modern innovation: Why does it tend to confine itself to only a narrow “vanguard” of the economy in every part of the world? And why does it not provide as big a boost to productivity as expected, especially since the dotcom bust?
There has been a resurgence in calls to reconsider the cross-party consensus in the UK on foreign aid and development. The main political parties are all committed to spending 0.7 percent of gross national income on aid, to using the internationally agreed definition of aid, and to maintaining a separate government department to administer the majority of this aid, led by a Cabinet Minister. In their recent report, Global Britain: A Twenty-first Century Vision, Bob Seely MP and James Rogers lay challenge to these long-established pillars of UK development policy. In this note, we consider some of the questions they raise and suggest alternative answers.
There is a lot we don’t know about what automation will mean for jobs in the future, including its impact (if any) on gender inequality. This note reviews evidence and forecasts on that question and makes four main points.
The last presidential elections in Argentina (2015) and in Brazil (2018), represent a change from populism towards more orthodox economic policies in two important countries in the region. This shift is not only economic but also reflects other fundamental changes in the electorate, in particular the growing dissatisfaction of the population with issues such as weak security and growing corruption in political institutions.
The US has long sought enhanced coherence, quality, and efficiency from its UN and NGO partners; it is time that the US government place these same demands upon itself. As the US Government grapples with how best to reconfigure its humanitarian engagement, it should adopt a Goldwater-Nichols approach: a strategy that does not collapse together the distinctive institutional roles and strengths of USAID and State, but rather unifies US humanitarian field operations and policy engagement and builds dramatically greater interoperability between their models.
It’s tricky to evaluate government education policies. Using the examples of three rigorous studies of three different education policies, this note aims to shed some light from the perspective of someone on the policy side on how, why, and when to evaluate government-led reforms.
“The Missing Profits of Nations,” by Thomas Tørsløv, Ludvig Wier, and Gabriel Zucman is a recent high-profile study seeking to assess profit shifting by multinational corporations. Headlines such as “40 percent of multinational profits are shifted” are at risk of being misinterpreted as indicating potential revenue gains that are higher than their findings suggest.
Earlier this year we undertook a field study of Krishna district of Andhra Pradesh (AP), together with collaborators from Microsave, to understand the experience and perceptions around digital governance reforms. Our three surveys—of households, ration shop owners, and bank correspondents—find widespread support for digital governance reforms, including the use of Aadhaar authentication to receive food rations through the public distribution system (PDS) and social pensions through the panchayat, as well as for digital land records. However, we also find some areas for improvement.
Five Ways to Improve the World Bank Funding for Refugees and Hosts in Low-Income Countries and Why These Dedicated Resources Matter More than Ever
For too long, the international community has accepted the convenient fiction that refugee crises are temporary.
The Declaration of Alma-Ata at 40: Realizing the Promise of Primary Health Care and Avoiding the Pitfalls in Making Vision Reality
In October, world leaders renewed their commitment to Primary Health Care. Now is an opportune time to identify lessons learned and key challenges from the past 40 years, and to acknowledge the work that remains to be done to make vision reality.
For more than a decade, reform efforts have attempted to put crisis-affected people at the center of humanitarian response, and make the system more cohesive and responsive. These reforms have produced ever-heavier coordination systems and technocratic guidance, but have targeted the symptoms of the system’s shortcomings rather than the causes. Traditional humanitarian response remains plagued by deep power imbalances, needless rivalries between organizations, and perverse institutional incentives. A new approach is badly needed—one that builds on the aspirations of earlier reform efforts while explicitly tackling the red-line issues that have long undermined them. A new multi-year research initiative at the Center for Global Development (CGD) aims to do just that: develop concrete, pragmatic, and actionable reform options to overhaul the outdated power structures and institutional incentives that have long skewed the humanitarian system’s behavior.
Let’s Be Real: The Informal Sector and the Gig Economy are the Future, and the Present, of Work in Africa
It’s time we recognized the truth about the future of work in Africa: it isn’t in the growth of full-time formal sector jobs. The future of work will be people working multiple gigs with “somewhat formal” entities. This is already true, and it will be for the foreseeable future. When we consider the future of work in Africa the question shouldn’t be whether jobs will be formal or informal, but how digital platforms and new technologies might make this type of work more productive and of a better quality for workers themselves.