Tough Times, Tough Choices

The Tough Times, Tough Choices series offers timely, practical guidance to major global health organizations and international development institutions and their funders on how to allocate resources strategically and effectively in an era of aid austerity.

More from the Series

Blog Post

How the UK Should Focus Its Aid in 2026: Three Tests to Help Ministers Deliver on Commitments and Maximise Impact

July 15, 2025
The FCDO must cut nearly £3 billion from its aid budget by 2027. Ian Mitchell and Sam Hughes set out three tests to protect impact.
BRIEF

A Lean World Health Organization for the Global Good

July 10, 2025
In this brief—the first in the Tough Times, Tough Choices series that will target the major global health and development institutions and their funders—we propose a different approach: radically streamlining the WHO to fulfil its unique global functions. Instead of muddling through with budget cuts...