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Many low-and lower-middle-income countries currently get a large portion of their health commodities through centralized, donor-managed procurement mechanisms, and often at subsidized prices or as donations. As global disease burdens shift, technology advances, and countries transition from aid, how will they ensure continued access to appropriate, affordable, and effective health products? CGD offers actionable recommendations for the future of global health procurement.
In recent years, many global health institutions have adopted eligibility and transition frameworks for the countries they support, generating questions about how these frameworks apply in practice—and whether global health progress will be put at risk through premature or poorly planned transition processes.
Today, politicians are under growing pressure to squeeze more out of every dollar and guarantee greater access to better, more affordable healthcare for their citizens. In such a resource-constrained environment, wasting trillions of dollars on health every year is not viable. This note provides an overview of some of the approaches and policy options that the National Health Service in England has been using to maximise value for money.