Much has been made of the potential of bottom-up accountability as a pathway to improving governance and development outcomes; however there is less consensus regarding what “bottom-up accountability” means, how to achieve it, and how effective it is at improving health, education, and other outcomes that affect people’s livelihoods.
The Primary Health Care Performance Initiative (PHCPI) is a new partnership that brings together country policymakers, health system managers, practitioners, advocates and other development partners to catalyze improvements in primary health care (PHC) in low- and middle-income countries through better measurement and k
Vinod Thomas, Director-General of Independent Evaluation at the Asian Development Bank, has written numerous articles about the intersection of economics and development, and has co-published a book with Results for Development Institute on the subject, Remembering Our Future. In his latest work, an essay published on the Huffington Post, Mr.
On Tuesday, August 25, R4D and Johns Hopkins University’s Bloomberg School of Public Health held the fifth and final event in their joint series, “Conversations on Sustainable Financing for Development.” Attended by more than 25 guests, the event centered on questions of future sustainability as the 2014 Ebola outbreaks transition from emergency response to long-term recovery and health systems strengthening. Past events in the series have covered immunization, family planning, HIV/AIDS, and polio.
On September 1, R4D will be opening its new downtown Washington, DC offices at 19th and L streets. Our rapid growth in the past few years has necessitated a physical expansion of our headquarters office, and we’re excited to move into our new custom-built space in less than two weeks.
Countries in Southeast Asia stand to lose billions of dollars in the near future unless urgent measures are taken to enrol millions of out-of-school children in the region, according to a report released today by R4D and UNESCO Bangkok.
On August 6, the Aspen Institute announced the inaugural class of nine social enterprises participating in the Institute’s new Urban Innovation Accelerator program. The program will support each selected leadership team with a combination of peer-learning, mentorship, key connections, and brand development.
R4D will be an implementing partner in a five-year YouthPower: Evidence and Evaluation indefinite delivery/indefinite quantity (IDIQ) contract. The initiative which has an overall ceiling of $72 million will provide USAID with expert research and evaluation of youth programming and will facilitate technical leadership and dissemination of knowledge in the field of positive youth development (PYD).
Rising income inequality and runaway climate change are adding distinct uncertainties to the prospects for economic growth. Both issues are challenging the traditional view that, above all else, trade, investment and macroeconomic stability are the primary, if not sole, essentials for driving economic growth. As policymakers now increasingly recognize, environmental care and greater inclusion, along with improved governance, will be vital for securing and sustaining strong growth.
South Africa has advanced a bold proposal to transform the country’s health system and ensure efficient, equitable health care through a proposed National Health Insurance Fund (NHIF). To gather insight on important questions concerning the structure and governance of the NHIF, the National Treasury engaged R4D to provide international examples of diverse governance models for pooling and purchasing health care.
On Wednesday, July 1, panelists and guests convened at R4D for a discussion, titled “Polio Eradication: Status, Transition and Legacy.” It was the fourth event in “Conversations on Sustainable Financing for Development,” the joint R4D/Johns Hopkins (JHU) Bloomberg School of Public Health series, with previous talks covering immunization, family planning and HIV.
After more than a decade of major achievements, the AIDS response is at a crucial juncture, both in terms of its immediate trajectory and its sustainability, as well as its place in the new global health and development agendas.
"Are children learning?" is a question that should inform all education policy-making. Yet in many countries, the answer to this question has remained largely unknown. The pursuit of an answer lies at the heart of the citizen-led assessment movement, initiated by Pratham in India in 2005. The movement is an attempt by civil-society organizations to gather evidence on learning and use it for two main purposes: first, to increase awareness of low learning outcomes and second, to stimulate actions that are intended to address the learning gap.
On Tuesday, June 16 at 8:30am Eastern Daylight Time USCF Global Health Group, HANSHEP and the Center for Health Market Innovations (CHMI) will be hosting the first in a series of webinars on topics that can support private sector healthcare interventions and programs, including social franchises, better measure, evaluate, and improve performance.
Jakarta, Indonesia - As a country undergoing vast economic development, Indonesia is now facing a big problem in producing good quality public policies due to the country’s low investment in the knowledge sector. From 1996 to 2008, Indonesia has only produced 9,194 scientific papers. That is 13 years behind countries such as Bangladesh, Kenya, Lithuania and Nigeria. It is also far behind compared to its neighboring countries such as Thailand, Malaysia and Singapore.
WASHINGTON—In the past five decades, public policy research organizations, or think tanks, have emerged as a forefront leader within the policy formulation sphere. Indeed, data reveals there are more 6,800 think tanks worldwide across 120 countries, with the vast majority concentrated in the Americas, U.K., Asia and Africa. As these organizations continue to grow in number, mounting institutional challenges, such as the competition for excellent analysts, are threatening some think tanks’ viability.
R4D and the Johns Hopkins Bloomberg School of Public Health have launched a new event series, "Conversations on Sustainable Financing for Development." Building on momentum from an event on country graduation from immunization funding that was held February 9, the series will dig deeply into questions surrounding the process of countries transitioning away from external assistance for health and development.
Ghana's National Health Insurance Scheme is the only social health insurance scheme in Sub-Saharan Africa that reports covering over 35% of the country's population with a comprehensive benefits package.
On Monday, February 9, R4D hosted a lively panel discussion on Gavi's experience supporting countries that are "graduating" from Gavi and will be transitioning away from Gavi assistance for life-saving vaccines and immunization programs. The audience of roughly 50, including representatives from the Gates Foundation, NIH, USAID, CGD, the World Bank, and others, posed a number of questions related to the future of graduation -- or transition -- by low- and middle-income countries from external development aid.
Civil society leaders around the world are working to ensure people have access to quality health, education, and other essential services. Using social accountability approaches, they are leading efforts to make sure funding and other resources for these services results in reliable teachers in classrooms, functioning health facilities, clean water – and ultimately, longer, healthier, and more prosperous lives.
If properly harnessed, the non-state education sector has the potential to improve access to quality education services for the poor. Significant gaps remain among governments and donors in developing and capitalizing on promising non-state models.
Think tanks have long held an important role in informing policies through the development of new evidence and constructive engagement with policymakers on evidence-based policy recommendations. However, think tanks do not operate in a vacuum; the performance and influence of these institutions can be affected by “context” factors at the national and subnational level that are outside of the organization’s control.
Developing robust provider payment systems can help countries take significant steps towards making service delivery more efficient, improving the quality of care, and effectively managing costs to ensure sustainability.
The international development community has realized the need to move beyond fragmented, one-off projects. This realization is unfolding into debates, research and action on scaling up successful innovations and pilot projects. However, many questions remain. Do we fully understand the practical implications of pursuing a systematic scaling up approach? Are we knowledgeable about the array of similar scale-up approaches being pursued by different institutions and practitioners?
The U.S Agency for International Development’s (USAID’s) Center for Accelerating Innovation and Impact (CII) recently published a "Market Shaping Primer" which aims to define the role that market shaping can take to harness the private sector to broaden access to vital goods. According to the report, market shaping can play an important part in accelerating the adoption of essential healthcare solutions in the poorest corners of the world.
UPDATE: More information on the RFA can now be found in the attached Q&A document below
Results for Development Institute (R4D) is excited to announce a request for applications to become a Country or Regional Partner for a new center focused on scaling innovations in the water, sanitation and hygiene (WASH) sector.
In an op-ed on the Hartford Courant, R4D Managing Director Rob Hecht and Elizabeth Bradley, Professor of Public Health and Director of the Yale Global Health Initiative, argue that the U.S. needs to establish a permanent global health security office to tackle Ebola and similar emergencies.
We are pleased to announce that Nathaniel Heller will join Results for Development Institute (R4D) as Managing Director in late 2014. Nathaniel will lead R4D’s Governance Program, spearheading the program’s ongoing work aimed at strengthening citizen-centric transparency and accountability around the world and at identifying and promoting new innovations in the governance and transparency fields.
R4D and Universalia Management Group were recently selected to conduct an evaluation of the Global Partnership for Education (GPE), a multilateral initiative for strengthening national education plans, improving aid effectiveness, coordinating donor support, and galvanizing the financing required to achieve the Education for All goals.
In June 2013, R4D launched the Center for Education Innovations (CEI) with the objective of increasing access to quality, affordable, and equitable education opportunities for the world’s poor.
In pursuit of both access and quality, thousands of innovative education programs have emerged aiming to serve the poor. But there are significant gaps in our understanding of the benefits of such programs.
More than 220 million girls and women in developing countries who need modern contraceptives, information, and services are unable to access them. This results in over 60 million unintended pregnancies every year and puts girls and women at serious risk of death or disability during pregnancy and childbirth, and unsafe abortion. (Guttmacher Institute and UNFPA, 2012).
Nairobi, Kenya - The Think Tank Initiative (TTI), a multi-donor collaborative, piloted a mentorship and peer learning program in 2013 to strengthen the policy engagement and communications (PEC) skills of think tanks in
Co-authored by R4D Managing Director Nicholas Burnett, a new paper looks at the implications for UNESCO of the proposed post-2015 education goals. UNESCO has been tasked with spear-heading the global education agenda – as part of the post-2015 development debate.
Malaria kills nearly 700,000 people globally. Bed nets have been instrumental in the 20% decline in malaria deaths over the past decade. However, 560 million nets were still needed through 2015 alone to maintain universal coverage.
Fresh analysis from a team of authors from the GAVI Alliance, the World Health Organization and Results for Development Institute (R4D) shows that some of the 16 countries that will “graduate” from GAVI support in the next three years face a variety of challenges to achieving self-sufficiency. But much is being done to improve their chances for successful graduation, in order to ensure that the countries are able to continue vaccinating more than 10 million children against life-threatening diseases.
R4D's mission is to unlock solutions to tough development challenges that prevent people in low- and middle-income countries from realizing their full potential. In this series, we examine some of these tough challenges.
The proliferation of think tanks into developing countries over the last 15-20 years has heightened donor, researcher, and practitioner interest in the link between think tank performance and country context. While the literature and research on think tank context continues to grow, a major gap remains: the lack of measurement tools to systematically collect and analyze context and performance information.
Highlights: 2013, published December 10, 2013 by the Center for Health Market Innovations (CHMI), identifies emerging healthcare practices, analyzes the effectiveness of these practices, and spotlights programs improving their ability to serve poor communities. The report features more than 80 programs working to make quality healthcare delivered by private organizations affordable and accessible to the world's poor.
Siem Reap, Cambodia – Providing the public services that people depend on to live their lives depends on governments responding to service user’s needs and using funds efficiently and equitably. Often, such resources for services get diverted or mismanaged.
Beginning with a UN proclamation in 1954, November 20th has been recognized as Universal Children’s Day—a day to “promote… the ideals and objectives of the UN Charter and the welfare of the children of the world.”
In April 2013, Results for Development Institute (R4D) reviewed the benefits of primary education and estimated the economic cost associated with large populations of out-of-school children in a background study for Educate A Child’s (EAC) High Level Strategic Meeting to Accelerate Efforts to Reach Out-of-School Children (Burnett, Guison-Dowdy and Thomas 2013). This report is an extension of that study.
In recent years, both the countries most affected by the AIDS pandemic and their external partners have expressed their desire to move to a new paradigm of greater country ownership and deeper integration and coherence of national AIDS programs, based on principles of fair financial burden-sharing and mutual accountability. Much is already happening in this area in countries including Ethiopia and South Africa.
PMNCH strives to reduce child mortality, improve maternal health, respond to the rapidly changing demands in global health and accelerate progress towards the Health Millennium Development Goals (MDGs) by:
Becoming a highly effective think tank requires more than just producing quality research and having robust policy engagement. High-performing think tanks seeking to improve development policies, conditions and discourses, also need to exhibit and engage in strong management practices.
In the latest issue of India's Diplomatist Magazine, Results for Development Institute author Nisma Elias reflects on the global plight of girls' education as well Malala Yousafzai's contributions to a better tomorrow. Below is the original article.
In the latest issue of the UNA-UK publication, Results for Development Institute authors Nicholas Burnett, Shubha Jayaram and Milan Thomas explore the skills and competencies needed to support dynamic, prosperous labour markets.
In commemoration of more than five years of success, and with a nod to future continued success, Results for Development Institute (R4D) has unveiled a new visual identity. R4D's new identity has been thoughtfully designed and developed as an outward-facing representation of the organization’s authentic self. It was arrived at through a thorough, collaborative process that started with the identification of core brand tenets:
As global education efforts move away from access and toward learning as their key priority, the ability to assess learned skills like basic literacy and numeracy becomes more important. Many countries produce data on student learning, mainly from national in-school assessments. Given the large number of out-of-school children and high absenteeism rates, such learning assessments have been criticized for not being representative of a country’s entire population of children.
About 200 million people are currently unemployed around the world. A large share of the unemployed tend to be youth, with the global youth unemployment currently at 73.4 million and expected to increase. In parts of sub-Saharan Africa, youth unemployment is as much as two or three times the adult unemployment rate. While some of this is due to macroeconomic factors, the persistently high rate also reflects a gap between the skills demanded in the workplace and those that workers obtain via the education system.
Photo Caption: R4D Managing Director Nicholas Burnett, Communications Officer Wambui Munge, Program Associate Milan Thomas, Program Officer Michelle Engmann, Program Officer Shubha Jayaram, and Chief Communications Officer Mame Annan-Brown at the ISESE Africa Skills Development Conference in Nairobi, Kenya.
Photo Caption: R4D Managing Director Nicholas Burnett, Communications Officer Wambui Munge, Program Associate Milan Thomas, Program Officer Michelle Engmann, Program Officer Shubha Jayaram, and Chief Communications Officer Mame Annan-Brown at the ISESE Africa Skills Development Conference in Nairobi, Kenya.
Nairobi, Kenya - As population figures swell, particularly in the developing world, it is anticipated that there will be 3.5 billion people in the global workforce by 2030, 1 billion of whom will lack the relevant skills to secure employment.
Accra, Ghana – Executive Directors and Communications Officers of thirteen prominent think tanks from Ghana, Ethiopia, Uganda, Tanzania, Kenya, and Nigeria, gathered in Accra, Ghana for the kick-off of the Think Tank Policy Engagement and Communications (PEC) Program.
Washington DC and Cambridge, MA – Recent decades have seen vast expansions of public health services across much of the developing world. But the quality of these services is often lacking, limiting their ultimate impact on the world’s poor. While many factors contribute to service delivery problems, one factor is poor governance.
Faced with tough problems of access, efficiency, quality, and most of all equity in its health system, South Africa has embarked on an ambitious, 14-year strategy to develop a national health insurance system. To succeed, major changes will be required in how the country raises extra revenues for health, how those funds are paid to health providers, how the 80% of the population currently lacking health insurance will ultimately be covered, and how the new national system will be organized and governed.
Ten years ago, in response to the escalating global AIDS crisis, the U.S. Congress established the President’s Emergency Plan for AIDS Relief (PEPFAR). At a major event at the State Department last month to mark its 10th anniversary, Secretary of State John Kerry lauded PEPFAR as “the world’s largest and most successful foreign assistance program,” observing that “today, a disease that seemed unstoppable is in retreat.”
Kampala, Uganda – R4D’s Transparency and Accountability Program (TAP) concluded its final peer-learning workshop. Over the course of the three-day workshop, representatives from the fourteen TAP partner organizations who are working across multiple sectors discussed their experiences implementing community scorecards, concrete strategies for effective advocacies and ways to continue working on social accountability beyond TAP.
The Joint Learning Network for Universal Health Coverage Releases New Report on Past Achievements and Future Vision as It Marks Three Years Since Its Founding
Momentum for accelerating Universal Health Coverage (UHC) in countries around the globe continues to build. Today, the Joint Learning Network (JLN) for Universal Health Coverage released a new report highlighting the network‘s achievements since its founding three years ago.
Washington D.C. – Think tanks in the developing world are beacons of hope to policy-makers and civil society actors looking for credible and quality information. They are the reservoirs and appliers of evidence-based research central to informing policies and advocacy, and bridging the state-society interface. As home-grown institutions facing significant challenges and trade-offs, they must continuously adapt to innovate and maintain an influential but independent identity and voice.
There are more than 113 million children enrolled in non-state schools in developing nations – 62 million of them are in primary school (approximately 11 percent of total developing country primary enrollments), and another 51 million are in secondary school (approximately 24 percent of the total).
More than 3 billion people globally earn less than $2.50 per day. For many who need access to healthcare, their only option is to pay out of pocket. All people have the right to access quality health care without financial hardship, and many countries are taking steps towards universal health coverage (UHC). As they do so, it is critical that the reforms are evidence-based and promote health system objectives of health gain, financial protection, equity, efficiency and responsiveness.
Washington D.C. – Malnutrition causes a third of child deaths globally. Cost-effective solutions exist but their sustainable scale-up still remains hampered by significant financing, logistical, and governance obstacles. Even more so, with a crowded post-2015 MDG agenda, will nutrition make its way to the top of the roster?
In the latest issue of NORRAG, Results for Development Institute authors Shubha Jayaram and Michelle Engmann explore the importance of transferrable, non-cognitive skills for employment. The below is an excerpt from the original article.
San Francisco, California – R4D Managing Director Robert Hecht presented to the Lancet Commission on Investing in Health (CIH) Economics & Financing Meeting on May 2nd. The meeting was chaired by Lawrence Summers, former President of Harvard University and ex-US Secretary of the Treasury, and attended by more than two dozen senior officials in global health. It was organized to reflect on the CIH process and discuss in-depth the sections of the upcoming report.
Washington D.C. – Is the “Death of Europe” greatly exaggerated? Have we seen the end of the foreign aid regime?
Such questions were part of a vibrant debate and discussion organized and facilitated by Results for Development Institute President David de Ferranti, featuring Jean-Michel Severino, a prominent figure in French and international policy and politics.
Despite significant progress toward ensuring that children worldwide have access to quality primary education, out-of-school children remain a pervasive global problem. According to one estimate (UNESCO Institute for Statistics), there are as many as 61 million of these children in the world.
As we commemorate World Malaria Day and its theme, “Invest in the future. Defeat Malaria,” we are reminded that amidst the progress made, much more needs to be done to tackle this 4000-year old disease.
As leaders convened this week in Ireland for the Dublin Conference on Hunger, Nutrition and Climate Justice, the Results for Development Institute (R4D) released a new report outlining key recommendations for scaling up coverage of micronutrient powders (MNPs), a simple remedy for preventing and treating iron deficiency anemia (IDA) and improving the nutritional status of children around the world.
Bali, Indonesia – Despite increases in health and education spending across Southeast Asia, access to quality care and effective schools remains an urgent challenge in the region. In partnership with R4D’s governance team, civil society organizations in Cambodia, Indonesia, the Philippines, and Vietnam are stepping up to the challenge by working to ensure that government spending translates into improvements in these most vital services.
Washington, D.C. – With an audience of country representatives, development and technical agencies, R4D President David de Ferranti and Managing Directors Gina Lagomarsino, Marty Makinen and Robert Hecht participated in a one-day conference hosted by the World Bank titled, "Scaling up Health Insurance".
Results for Development Institute (R4D) and CAF Development Bank of Latin America have signed a memorandum of understanding with the objective of exploring joint actions in potential fields of work, including sectors such as education, health, governance, advisory services and market dynamics. The goals of the collaboration will be to contribute to the alleviation of poverty and the unlocking of solutions to development challenges in CAFs shareholder countries.
Practitioners and researchers in the field of comparative and international education confront many questions that arise from the focus on quality. Among some of the frequently debated questions -- how is quality defined, promoted, monitored, evaluated and researched? What explains the prominence of quality issues in national, regional and global educational landscapes?
Today, Results for Development Institute staff are in New Dehli, India. At a two-day regional symposium convened by R4D and the National University of Educational Planning and Administration (NUEPA), successful models of skills development for employability in Asia will be explored.
R4D has released a report on training models for employment in the digital economy, prepared with support from the Rockefeller Foundation. With the total size of the digital economy estimated to be about $20.4 trillion in 2013 according to the International Data Corporation, the report examines skill needs for employability. Demand-led training models to boost youth employment in this sector are also examined, with ten case studies illustrating particularly promising techniques.
As part of Results for Development Institute’s 5th anniversary celebration we are pleased to invite you to attend an informal presentation and discussion with Warren Krachik, Senior Vice President for International Programs of the International Budget Partnership. The session will take place at the R4D offices at 12:30 p.m.on Tuesday, November 20.
We are pleased to announce that Julio Frenk, Dean of the Faculty at the Harvard School of Public Health, and Carla Anderson Hills, Chairman and Chief Executive Officer of Hills & Company, International Consultants have been appointed to R4D’s Board of Directors.
From October 30-November, 2012, Results for Development Institute (R4D) will participate in the Second Global Symposium on Health Systems Research in Beijing, China. This Global Symposium on Health Systems Research brings together researchers, policymakers, funders, implementers, civil society, media representatives and other stakeholders to share new evidence, identify opportunities and gaps and build understanding of Health Systems Research (HSR).
Members of R4D’s Governance team recently hosted the largest Transparency and Accountability Program (TAP) workshop to date. The five-day event in Dakar, Senegal brought together organizations from seven African countries for structured peer review of ongoing Citizen Report Card (CRC) projects as well as training on communication strategies and TAP’s newest Social Accountability tool - the Community Score Card (CSC).
On Wednesday, September 26, 2012,as global leaders come together for the United Nations General Assembly, The Rockefeller Foundation, Results for Development and The Lancet hosted a high level event to launch The Lancet Series on Universal Health Coverage featuring Dr.
R4D President David de Ferranti and the R4D Education team, led by Managing Director Nicholas Burnett, convened with a reference group and a panel of advisors organized to provide an advisory role for R4D's Innovative Secondary Education for Skills Enhancement (ISESE) project, funded by The Rockefeller Foundation.
Results for Development Institute (R4D) is excited to announce the winners of the 2012 Innovative Secondary Education for Skills Enhancement (ISESE) Competition – a competition to uncover innovative, replicable models to equip youth with the skills for success in today's global economy.
For the first time in 22 years, the International AIDS Conference is back in the United States, bringing over 25,000 attendees from around the world to Washington D.C. from July 22-27, 2012. This year's conference theme is "Turning the tide together." R4D invites attendees to learn more about its work in HIV and AIDS, featuring:
Results for Development Institute (R4D), which manages the Center for Health Market Innovations (CHMI), has issued a call for Expressions of Interest (EOI) for organizations interested in acting as a CHMI country or regional hub and carrying out CHMI activities in low- and middle- income countries.
R4D Managing Director Kanika Bahl traveled to Geneva to present R4D’s long-lasting insecticide treated bed net (LLIN) market recommendations to the Global Fund Market Dynamics Advisory Group (MDAG).
The recommendations were unanimously accepted by the MDAG, and will underpin a strategy that will allow the Global Fund to save hundreds of millions in the LLIN marketplace while fostering improved bed net innovation and performance.
The R4D Education Team announced a shortlist of entries that advanced to the second round of their Innovative Secondary Education for Skills Enhancement (ISESE) Competition, hosted on Ashoka’s Changemakers platform.
From the impressive initial pool of entries, seventeen exciting and innovative models of skills delivery will now be judged by a panel of experts and prominent education advocates from around the world.
As part of its Transparency & Accountability Program (TAP), R4D produced three films to serve the needs of three local organizations—to educate their communities about their transparency and accountability work and to draw more fellow citizens in as supporters and volunteers.
R4D's Transparency and Accountability Program (TAP) announced the opening of its latest request for proposals.
In the newest phase of TAP's Grants Program, TAP will sponsor up to ten organizations to design and implement a Community Score Card (CSC) project and related advocacy that focuses on improving how money is spent and how services are delivered in the health and education sectors in their countries.
The Los Angeles Times published a story on the growing global movement toward Universal Health Coverage (UHC), quoting R4D President David de Ferranti and a range of public health officials and experts with whom R4D has worked on UHC.
The story was subsequently picked up by seven additional news outlets, including the Washington Post, Chicago Tribune, and Boston Globe. See some of the articles below.
R4D, Georgetown University’s O’Neill Institute for National and Global Health, and Harvard Global Health Institute hosted a public event at R4D on Monday to discuss the outcome of the Consultative Expert Working Group (CEWG) process and to delve deeper into current global policy debates on medicines R&D.
In response to the considerable challenges in providing high-quality, affordable and universally accessible care in low- and middle-income countries, policy makers, donors and program implementers are increasingly looking at the potential of e-health and m-health (the use of information communication technology for health) as a solution.
The R4D Education Team launched an Ashoka Changemakers Competition to identify innovative models of skills delivery at the secondary school level.
The competition is meant to draw out promising innovations, new ideas, and entrepreneurial models that enhance the learning of secondary school students in both the public and the non-state sectors. Winning initiatives might include (but are not limited to):
R4D Managing Director Kanika Bahl was asked to co-chair the Market Shaping work stream of the new UN Commission on Life-Saving Commodities for Women and Children.
As co-chair, Kanika will lead the Market Shaping working group in identifying market-based strategies that dramatically increase access to overlooked reproductive, maternal, child, and neonatal health commodities to prepare recommendations for the UN Commission's May 22 meeting.
At the end of March, R4D and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) convened a three-day meeting to review findings from three studies on the role of informal providers in health care delivery.
The BBC World Business Report interviewed R4D principal Dennis de Tray about last week's open letter from 39 former World Bank managers endorsingNigeria Finance Minister Ngozi Okonjo-Iweala.
The open letter was written in support of a competitive process to select the next and future World Bank Presidents, and endorsed Nigeria Finance Minister Ngozi Okonjo-Iweala as the best among the current three candidates.
R4D President David de Ferranti co-authored a New York Times Op-ed, with former Mexico Minister of Health Julio Frenk, currently dean of the Harvard School of Public Health. de Ferranti and Frenk praise Mexico's recent achievement of universal health coverage, a journey which began under Frenk's term in charge of the country's Ministry of Health. In light of that achievement, the authors state, perhaps it's time U.S. healthcare reform get up to speed with other wealthy -- and not so wealthy -- countries that have or will soon have universal health coverage.
We have refreshed the R4D website. While many parts of the original website design remain, there are a number of new and improved features. Please browse the website and share any feedback and suggestions with the R4D Communications Team, Chief Communications Officer Mame Annan-Brown and Senior Program Associate Oscar Abello.
Messaging and R4D narrative: New R4D messaging, including the revised mission statement, beliefs, values, focus areas, organizational history and approach.
The Center for Health Market Innovations (CHMI) entered into a partnership with the Global Giving Foundation to connect CHMI-profiled programs with donors on a peer-to-peer basis using Global Giving’s online fundraising tools.
The United States Agency for International Development (USAID) has awarded R4D a grant to provide technical support, capacity building, and peer learning opportunities to organizations in Southeast Asia for high-quality and high-impact accountability work.
The Building Bridges for Better Partnerships project will support Indonesian organizations that are leaders in the field of social accountability to increase the reach of their own work and lead efforts to transfer knowledge and success of the Indonesian experience to other countries in the region.
Last week in Dar es Salaam, R4D’s Governance Team facilitated a Transparency and Accountability Program (TAP) workshop on Citizen Report Cards to kick off the next year’s work with fifteen organizations from seven African countries.
New online hub to support growing global movement toward universal health coverage.
The movement toward universal health coverage (UHC) has attracted a growing global community of policymakers, practitioners, researchers and other international development partners in low- and middle-income countries.
Founded in 2005, Nextbillion.net is a website and blog bringing together the community of business leaders, social entrepreneurs, NGOs, policymakers and academics who want to explore the connection between development and enterprise. R4D staff are regular contributors to the site.
The Bernard van Leer Foundation awarded R4D a grant to begin assessing the potential pipeline for an Early Learning Challenge in Kenya and Tanzania.
The R4D Education team, consisting currently of Managing Director Nicholas Burnett and Program Officer Shubha Jayaram, will investigate promising models for sustainable, accessible innovative early childhood service delivery, explore strategies to galvanize investment and develop an implementation plan which includes governance and management structures.
In the Huffington Post, R4D President David de Ferranti and Senior Program Associate Aarthi Rao co-authored a blog post on lessons learned for successful capacity building in global development.
Written on the heels of the Fourth High Level Forum on Aid Effectiveness, the article draws on lessons learned from three R4D programs: the Transparency and Accountability Program, Joint Learning Network, and Ministerial Leadership Initiative for Global Health.
Conversations on Health Care interviewed R4D Managing Director Gina Lagomarsino for the “Tech Report” on their weekly public radio show broadcasted on NPR member stations in the New England region, featuring the Center for Health Market Innovations’ recently released Highlights 2011 report.
Also appearing on the program was Gail Wilensky, economist and senior fellow at Project HOPE.
The Rockefeller Foundation awarded Results for Development Institute (R4D) a grant in support of research and convenings to identify and explore innovative secondary education for skills enhancement, and explore paths to scale up the most effective models in Africa and Asia.
In the British Medical Journal (BMJ), R4D Managing Director Robert Hecht co-authored a commentary on global vaccine price transparency, with Miloud Kaddar, group leader, Immunization, Vaccines, and Biologicals Department, World Health Organization (WHO); and Sarah Schmitt, consultant to the WHO on vaccine price and procurement, Geneva.
R4D Program Officer Caroline Poirrier represented R4D at the First Global Assembly for Budget Transparency, Accountability and Participation in Dar es Salaam, Tanzania, where R4D became a founding signee to the Dar es Salaam Declaration on Budget Transparency, Accountability and Participation.
The event brought together nearly 100 civil society groups from 56 countries and 12 international organizations working on public finance and budget accountability issues to launch a global effort to make public budgets transparent, participatory, and accountable.
The Center for Health Market Innovations (CHMI) released its first year report, highlighting key observations about innovative, market-based health programs based on CHMI’s initial phase of operation. Download the full report here.
The Non Profit Policy Forum published a journal article based on evaluation findings from Phase 2 of R4D’s Transparency & Accountability Program (TAP), consisting of R4D Program Director Courtney Tolmie, Program Officer Caroline Poirrier, and Senior Program Associate Courtney Heck.
R4D Program Director Amanda Folsom and Senior Program Associate Aarthi Rao, along with Hortenzia Beciu and Alison Ion, co-authored an issue brief on “Improving Country Capacity for Aid Coordination,” for the Ministerial Leadership Initiative for Global Health (MLI).
The Joint Learning Network is gaining momentum in its next phase, focusing on the four technical tracks for JLN members— provider payment mechanisms (PPM), quality, information technology (IT), and expanding coverage.
U.S. Secretary of State Hillary Rodham Clinton delivered a major speech calling for an AIDS-free generation, on November 8, 2011, at the National Institutes of Health. In making her case, Sec. Clinton referenced a recent R4D study on the economic returns to investing in AIDS treatment:
On September 28, an expert panel from the Copenhagen Consensus revealed its list of prioritized HIV/AIDS interventions to representatives from the Global Fund and the U.S. Government, using insights from an R4D paper to decide that increased funding to AIDS vaccine research and development is the most cost-effective investment of all eighteen reviewed HIV/AIDS interventions.
The Transparency and Accountability Program (TAP) is pleased to announce the opening of its latest request for proposals. In the newest phase of the Grants Program, TAP will sponsor up to ten organizations to design and implement a citizen report card (CRC) project, and related advocacy, that focuses on improving how money is being spent and how services are being delivered in the health and education sectors at the national, sub-national, and/or local level in their countries.
The Huffington Post published a blog by R4D President David de Ferranti and R4D Managing Director Kanika Bahl addressing the questions: Can reducing health commodity costs (i.e. the cost of HIV drugs or malaria bed nets) save millions of lives worldwide? Can it invigorate increased giving at a time when donor countries are struggling to tighten their belts and balance their budgets? The piece argues that reducing commodity costs can represent hundreds of millions of dollars in savings for the global community.
In a new R4D working paper entitled, "Education Resource Mobilization and Use in Developing Countries: Scope for Efficiency Gains through more Strategic Use of Education Aid," R4D expert Birger Fredriksen discusses options for enhancing the allocative efficiency of education aid by using it more strategically to increase its impact on national and global education outcomes.
The Ministerial Leadership Initiative for Global Health (MLI) launched its knowledge management initiative this week at the Ministry of Health and Population’s (MoHP) in Nepal. The Digital Library database, which took two years to develop, will improve information sharing and support evidence-informed decision-making within the MoHP by giving policymakers access to a wide range of previously uncatalogued resources.
Key findings from a new report by R4D’s Center for Global Health R&D Policy Assessment were presented for the first time on May 25, at the Bill and Melinda Gates Foundation PDP Forum “Partnering for Impact” in Bellevue, WA. You can read an interview with Managing Director, Rob Hecht, about the PDP Forum at the Center for Global Health R&D Policy Assessment blog here.
The Ministerial Leadership Initiative for Global Health (MLI) led a dialogue on country-driven development at the Global Health Council’s annual conference (June 13-17) through a series of panel discussions that brought together members of MLI’s Washington team with senior delegates from its partner countries Ethiopia, Mali, Nepal, Senegal, and Sierra Leone.
Senior policymakers from the Ministerial Leadership Initiative for Global Health’s (MLI’s) partner countries in Ethiopia, Mali, Nepal, Senegal and Sierra Leone jointly unveiled a global call to action for country-led development at this week's Global Health Council annual conference.
The Financial Times published an op-ed by R4D Principal, Dennis de Tray, titled, "Only An Aid Rethink Can Save Afghanistan." To read the full article from the Financial Times, click here. To read an extract of the op-ed, see below.
Huffington Post published a blog by R4D President David de Ferranti on using prizes to promote life saving health tools. It discusses R4D's report that includes a review of proposals to offer a prize for a specific purpose: to spur the development of better diagnostic tests for tuberculosis, a disease that kills millions each year.
The Joint Learning Network (JLN) for Universal Health Coverage held its third workshop, “Expanding Coverage to the Informal Sector,” in Mombasa, Kenya on June 6-10, 2011. The workshop brought together country level policymakers and practitioners from both Asian and African countries for in-depth discussions and problem-solving on issues related to covering the informal sector in universal health coverage schemes.
Today a new study was published in the June issue of Health Affairs conducted by the GAVI Alliance (formerly the Global Alliance for Vaccines and Immunization), with Results for Development Institute (R4D).
At Results for Development Institute (R4D), we strive to break down the barriers that prevent poor people in Africa, Asia, and Latin America from building better lives for themselves. Targeting some of the most challenging problems in health, education, governance, finance, and other areas of development, we help
countries and communities to attack poverty and unleash human potential.
At its twenty-third Board meeting in May 2011, the Global Fund to Fight Aids, Tuberculosis and Malaria adopted two high-impact policy measures developed in close conjunction with Results for Development Institute (R4D). These included a market dynamics strategy and a package of new eligibility policies.
From May 2nd to May 6th, R4D's Transparency and Accountability Program (TAP), is launching its latest grant round in Johannesburg, South Africa. TAP's five grantees will receive technical training on public expenditure tracking and quantitative service delivery surveys, other social accountability tools, and advocacy strategies from experts in the field. In addition to networking with fellow grantees, organizations will have the opportunity to further develop their project as well as their long term program and organizational goals.
A blog post by R4D Program Officer, Amrita Palriwala, provides perspective and highlights from the Cambridge Healthtech Institute's (CHI) Conference on Collaborative Innovation and Neglected Tropical Diseases held on April 4.
The CHI conference focused on two key areas including "Encouraging Development of Therapeutics for Neglected Diseases," and "Collaborative Innovation in Biomedicine." The conference provided a space for private biopharma companies and private-public-partnerships to exchange ideas on collaboration.
As a result of a joint initiative between R4D, the Harvard School of Public Health, the Norwegian Knowledge Centre for Health Services, and the Alliance for Health Policy and Systems Research, the Ministerial Leadership Initiative (MLI) held a series of conversations determining the day-to-day challenges holding policymakers back in improving access to health services.
R4D participated in the 8th Annual World Health Care Congress (WHCC) held in Washington, D.C. from April 4-6, 2011. The WHCC also featured the 2nd Annual World Health Innovation Program, which allows global organizations an opportunity to showcase initiatives that provide affordable, sustainable, and scalable solutions to improving health care.
Key findings from a new report by R4D's Center for Global Health R&D Policy Assessment were presented for the first time today, April 5, at the Cambridge Healthtech Institute (CHI) conference, “Encouraging Development of Therapeutics for Neglected Diseases and Collaborative Innovation in Biomedicine,” in Philadelphia, PA.
R4D released a new report “Prizes for Global Health Technologies” at a briefing convened by the White House Office of Science and Technology Policy (OSTP) on March 29 that educated leaders from federal agencies on how to use prizes to spur innovation. The R4D experts who authored the report are Paul Wilson, R4D Senior Consultant and Amrita Palriwala, R4D Program Officer.
World TB Day, which falls on March 24 every year, marks Dr. Robert Koch's discovery of Mycobacteriumtuberculosis, the bacteria that cause tuberculosis (TB). Dr. Koch's discovery was a remarkable step forward in diagnosing, treating and fighting the TB epidemic, which takes almost two million lives a year around the world. Despite the global interest in curbing the TB epidemic, the technology to diagnose the disease in most resource-poor countries has not changed in 125 years. Prizes could pave the way to develop a new and improved TB diagnostic.
The Ministerial Leadership Initiative for Global Health (MLI) is pleased to host The Aspen Institute’s Global Health Roundtable Series event, "Straight Talk: A Conversation about Tough Questions in Global Health" on March 21st. The roundtable will feature MLI collaborator Hon.
R4D's small and medium enterprise development initiative, Affinity MacroFinance, led by R4D Senior Technical Advisor David Stevens, has released the report, "Tapping into $1.1 trillion of Domestic Development Aid Funding."
During the month of February, R4D Managing Director, Nicholas Burnett provided remarks and moderated an e-discussion for the 2011 Annual Ministerial Review of United Nations Economic and Social Council, entitled, "Education: Closing the Gap". Expert moderators guided discussions over the course of five weeks on topics including: quality in education; access to education and learning; and innovation in education.
Officials at Nepal's Ministry of Health and Population (MoHP) want a systematic capacity enhancement plan to acheive the goals in Nepal's National Health Sector Programme-Implementation Plan 2 (NHSP-IP 2), which will guide the country's health sector activities until 2015.
The Governance Program at R4D will lead the technical sessions of the Annual Workshop for think tank partners of the Strengthening Institutions to Improve Public Expenditure Accountability (“Strengthening Institutions”) project in Bangkok, Thailand, on February 28 through March 2, 2011.
R4D’s Center for Global Health R&D Policy Assessment is pleased to present its draft “Open Source for Neglected Diseases: Challenges and Opportunities” for public consultation. The draft landscaping report is open for public review and comment until March 4, 2011. The Center’s mission is to expand and improve the information used by governments, philanthropists and private investors to make decisions on new ways to drive research and development (R&D) in global health.
The Center for Health Market Innovations kicks off a blog series with NextBillion and Ashoka called Advancing Healthcare With the BoP. Blogs will highlight success stories on what is making a real and lasting impact in market-based solutions for healthcare delivery.
Also join us on Wednesday, February 23 from 3-5 PM ESTfor a real-time Twitter-based discussion on social entrepreneurship #SocEntChat.
At its annual board meeting in December 2010, the Global Alliance for Vaccination and Immunization (GAVI) endorsed a new co-financing policy. Over the period March to November, 2010, an R4D team was deeply involved in the background analysis and design of the new policy.
GAVI is the main source of donor assistance for vaccinations in developing countries. Since its inception in 2000, GAVI has been concerned with the long-term sustainability of immunisation programs in developing countries.
How can health marketplace actors in Asia drive innovation in financing, regulation, business models? An Economist Intelligence Unit's report "Healthcare in Asia: The innovation Imperative" features key insights by Results for Development Managing Director, Gina Lagomarsino, and by entrepreneurs profiled at the Center for Health Market Innovations (CHMI).
Recent success in the largest prize competition for medical research in history drew the attention of the New York Times which included comments by Results for Development Institute (R4D) senior consultant Dr. Paul Wilson.
R4D’s study on the Constraints to Vaccine Adoption in Lower and Middle Income Countries (LMICs) is highlighted in the January 2011 edition of the World Health Organization’s (WHO) Global Immunization Newsletter. The Global Immunization Newsletter is a monthly publication that provides a comprehensive view of immunization worldwide.
On behalf of the Task Force for Universal Health Coverage, R4D is pleased to present an update on universal health coverage (UHC). Officially launched in November 2010, the Task Force represents a network of individuals established to align institutional efforts and support progress towards UHC in countries. It is convened by BRAC University, Results for Development, The Rockefeller Foundation, and the Thailand Ministry of Public Health.
The principles of aid effectiveness and donor coordination drive the work of the Ministerial Leadership Initiative for Global Health (MLI). Dr. Ndack Ly, the MLI Country Lead for Senegal, along with focal points from all five MLI countries, participated in the 3rd Annual IHP+ Country Team meeting in Brussels in December 2010.
“What motivates you to work for the Ministry of Health?” This was a question posed to seven promising leaders working within the Ministerial Leadership Initiative for Global Health’s (MLI) partner health ministries in Ethiopia, Mali, Nepal, Senegal, and Sierra Leone.
The interviews were part of a series from from MLI's Learning Collaborative Forum in Ethiopia in November 2010 with leaders in the MLI countries about what has motivated them in their work.
On December 10, 2010, Brookings Greater Washington Research released a report, funded by the Rockefeller Foundation, on the expansion of health coverage in the District of Columbia. The report is a case study on the District of Columbia's reforms over the past 10 years (1999-2009), which made positive strides in moving toward Universal Coverage, while also shifting its role to a purchaser of health care
Results for Development Institute's Davidson Gwatkin, Brian Latko, Gina Lagomarsino and David de Ferranti are among the co-authors of two related Lancet commentaries on the topic of universal health coverage, which appeared together as online publications on November 16, 2010.
R4D in partnership with the Aspen Institute's Global Health and Development Program recently held a four day cross-country peer learning workshop in Addis Ababa with delegations from its five Ministerial Leadership Initiative (MLI) countries. MLI is a four-year program that seeks to strengthen the leadership capacity of ministries of health in Ethiopia, Mali, Nepal, Senegal, and Sierra Leone to advance policy in three interrelated areas: health financing for equity, donor harmonization in health, and reproductive health.
This week on December 6-10, 2010, the Joint Learning Network is hosting a Joint Learning Workshop on the topic of Provider Payment Mechanisms, in Bangkok, Thailand. This workshop is intended to serve as the starting point of an ongoing effort to assist countries in the development and reform of their provider payment systems within the context of their government-led health financing schemes.
Results for Development Institute (R4D), in partnership with the Aspen Institute's Global Health and Development Program is currently holding a 3.5 day cross-country peer learning workshop in Addis Ababa with delegations from its five Ministerial Leadership Initiative (MLI) countries. MLI is a four-year program that seeks to strengthen the leadership capacity of ministries of health in Ethiopia, Mali, Nepal, Senegal, and Sierra Leone to advance policy in three interrelated areas: health financing for equity, donor harmonization in health, and reproductive health.
In a two-week trip across India from October 18 to November 1, team members from R4D’s Center for Health Market Innovations (CHMI) met more than two dozen implementers of innovative health models to learn about their approach and how they can be best supported. CHMI highlights opportunities to improve the quality and affordability of health for the poor in countries where the private sector is vast and many health payments are made out of pocket.
R4D’s Center for Global Health R&D Policy Assessment is pleased to present its first policy assessment “Prizes for Global Health Technologies” for public review and commentary. The draft available here is open for public comment and feedback until November 30th, 2010.
The Transparency and Accountability Program (TAP) is pleased to announce that its 2010 grant round is now open. TAP will sponsor up to five organizations to design and implement a series of related research and advocacy projects that focus on improving how money is being spent and how services are being delivered in the health and education sectors at the national, sub-national, and/or local level in their countries.
On November 8th Results for Development Institute, in partnership with the Brookings Institution, hosted an event to launch the publication of Lives in the Balance: Improving Accountability for Public Spending in Developing Countries. The event brought together authors Courtney Tolmie and Charles Griffin, with moderator Daniel Kaufmann and panelists Warren Krafchik, director of the International Budget Partnership, Joseph Asunka, former research and program officer at the Ghana Center for Democratic Development; and Jorge Quiroga, former president of Bolivia.
The three-day 2010 mHealth Summit was held last week in Washington, DC, November 8-10. It brought together over 2,000 experts from both public and private sectors to discuss how mobile technologies are being used to improve healthcare and deliver innovative medical and health services around the world. The conference explored ways mobile technology can increase the access, quality and efficiency of healthcare to millions of families in communities in the U.S. and around the globe.
R4D's Managing Director Marty Makinen participated in a two-day Advisory Board meeting October 28-29 to review and discuss the progress of the Emory University project to improve maternal, neonatal and child health outcomes in poor countries. This session was attended by Advisory Board members from hospitals, academic institutions, foundations, independent consultancies and the World Health Organization.
On October 20th, R4D’s Center for Global Health R&D Policy Assessment hosted a webinar and meeting to discuss the use of prizes to promote research and development for neglected diseases. The purpose of the session was to share preliminary results from R4D’s study, one of the first outputs from the Center, on incentive prizes and their potential to encourage private sector investment in new technologies (drugs, vaccines, and diagnostics) for the developing world.
On October 28, the policy journal Americas Quarterly will hold a launch event for their summer 2010 issue in Miami, Florida, which features the article Filling the Gap authored by R4D Program Officer Donika Dimovska.
Through the Ministerial Leadership for Global Health (MLI), R4D responds to policy needs articulated by ministries of health in Africa and Asia and helps foster capacity development and country leadership in equitable health financing and donor harmonization. MLI’s most recent newsletter highlights the high-impact series of activities that MLI has facilitated in the past few months. Recent activities include:
What can developing countries do now to change the trajectory of the AIDS epidemic for decades to come? How much will it cost to avert new infections and expand access to treatment? Which countries will be able to take full ownership of their HIV/AIDS responses, and which will continue to rely on international support?
This week, over 50 ministers of education, finance and health attended the first ever World Conference on Early Childhood Care and Education in Moscow, designed to draw attention to the critical but neglected need to invest early in children’s futures.
R4D's small and medium enterprise (SME) development initiative is featured in Part One of a three-part Ashoka Changemakers series focused on SME investment opportunities in Sub-Saharan Africa. The article is also featured on Social Edge and Africa.com.
This week world leaders convened in New York at the UN for the 10th anniversary meeting of the MDGs, charting progress so far with the aim to determine where attention and resources should be focused between now and 2015, the target year for meeting them.
R4D Managing Director Robert Hecht was interviewd on the Center for Global Health Policy's Science Speaks blog about the recent UNAIDS report that showed HIV prevalence declined by at least 25 percent in 22 countries in sub Saharan Africa over the last decade. The interview was conducted by journalist John Donnelly.
On September 14, Nicholas Burnett, R4D Managing Director, addressed a UNESCO Future Seminar in Paris, whose audience included senior leaders and representatives of many countries, including donor agencies, the private sector and NGOs.
The Ministerial Leadership Initiative for Global Health (MLI) launched a blog to spotlight the views of global leaders and health development practitioners on the vital role that effective health ministry leadership and strong country ownership play in improving health outcomes.
The MLI Learning Collaborative Forum (LCF), which will take place 30 November - 3 December, 2010 in Addis Ababa, Ethiopia, intends to reinforce the leadership capacity of participating Ministers of Health and their senior ministerial teams to advance health policy reforms in each of their countries, drawing upon international experiences, models, and relationships with one another.
The Governance and Transparency Program of the Results for Development Institute has been awarded $4 million from the William and Flora Hewlett Foundation for a new three year phase of its Transparency and Accountability Program (TAP).
A small and medium enterprise development initiative sponsored by the Results for Development Institute (R4D) has won the early entry prize by Ashoka Changemakers as part of the G-20 SME Finance Challenge. The project, conceived by R4D Senior Fellow David Stevens and called “The Local Currency Guaranteed Development Bond SME Loan Program” was honored from among 86 early entrants to the competition, which is open to additional entrants through September 5, 2010.
Senior staff from Nepal's Ministry of Health and Population attended a Negotiating Health Development Leadership Training Program facilitated by MLI August 9-12, 2010. The course, which built upon a pilot training in September 2009, helped advance and refine the staff’s capacity to manage vital relationships, mitigate potential conflict and conduct negotiations related to health. CMPartners, a premiere conflict management and negotiation firm, conducted the training and emphasized negotiation theory, analysis and preparation and hands-on application.
Hundreds of millions of people are affected by “diseases of the poor”, such as African sleeping sickness, Leishmaniasis, and Chagas disease, as well as better known killers like Malaria and Tuberculosis. Yet there are far too few drugs, vaccines, and diagnostic tests to address these health challenges.
As a publicly accessible global knowledge platform consisting of a network of partners that collect, analyze, and disseminate information about Health Market Innovations in developing countries, the Center for Health Market Innovations(CHMI) website facilitates the exchange of knowledge and the creation of strategic linkages among key stakeholders.
On Friday, June 25th, the Center for Strategic and International Studies (CSIS), assisted by a team from R4D, hosted a panel of top U.S. experts on development assistance and innovative financing for health.Nearly 100 persons attended the event and another 100 followed the proceedings via webcast.Panelists included Deputy Assistant Administrator Amie Batson of USAID; John Hurley, Director of International Development Policy at the U.S.
Key leaders from the Uganda AIDS Commission, the Zambian National AIDS Council, the Global Fund, and the Office of the U.S. Global AIDS Coordinator came together at the Global Health Council Annual Conference to discuss and debate the future costs and challenges of financing the global response to the AIDS epidemic.
How much will the fight against AIDS cost in the coming years, who will pay for it in the midst of global economic crisis and competing spending priorities, and how can governments better use their scarce AIDS resources to have the greatest impact on the epidemic?
Nicholas Burnett delivered the keynote presentation to the International Working Group on Education, a biennial assembly of the major public and private donors to education, in Stockholm on June 7.
The theme of this year's meeting was "Financing education: Redesigning national strategies and the global aid architecture". Burnett argued that parents and developing country governments are doing their best but that international donors lag behind. He called for attention to seven topics:
In the next installment of the on-going series, “New Visions for Improving Health Care in the Developing World,” Results for Development (R4D) and the Global Health Council (GHC) will consider the advantages and pitfalls of the private sector’s involvement in healthcare. Health systems require strong public and private actors, and this session will consider how policy makers can incentivize private sector actors to help meet national health system goals.
We are pleased to announce that Julian Schweitzer will join the Results for Development Institute (R4D) in September as a Principal. Julian’s work at R4D will include initiatives relating to: promoting progress toward universal health coverage; reducing maternal mortality; using innovative technologies for achieving good health at low cost; improving the international health aid architecture; understanding trends and issues in health spending; and strengthening leadership and capacity building.
R4D Managing Director Robert Hecht and the South African co-chairs of the aids2031 study on the country’s long-term costs and financing of AIDS met with the Minister of Health, Dr. Aaron Motsoaledi, in Cape Town to discuss the study’s findings and recommendations.
As part of our ongoing initiative to launch a Joint Learning Network on Universal Health Coverage, R4D hosted Anil Swarup, the Director General for Labour Welfare and the Joint Secretary of India’s Ministry of Labour and Employment, to speak about India’s advance toward universal health coverage through the Rashtriya Swasthya Bima Yojna (RSBY) scheme. Representatives from the World Bank, IFC, PAHO, US State Department, Center for Global Development, and the USAID Health Systems 20/20 project attended the session, among others.
This WHO-hosted symposium aims at improving the scientific evidence needed by health policy-makers and practitioners to inform their decisions related to accelerating universal health coverage. On November 16th-19th, 2010 researchers, policy-makers, funders, and other stakeholders will gather in Montreux to share evidence, identify significant knowledge gaps, and set a research agenda that reflects the needs of low and middle-income countries.
The Symposium is structured around two main streams:
1. State of the Art Research
2. State of the Art Research Methods
On March 25, the Transparency and Accountability Program (TAP), in partnership with the Human Development Network at the World Bank, will be hosting a half-day seminar titled “Demanding Good Governance – Inside and Out.” This event will feature real-world examples of demand-side interventions that have been incorporated into service delivery.
At a major launch event of the Center for Strategic International Studies’ (CSIS) Commission on Smart Global Health Policy in Washington today, a policy paper authored by R4D for the CSIS was released, addressing the future role of the U.S. government in innovative financing for health.
Nicholas Burnett, who heads up the Education group at R4D, recently published a piece in Global Magazine's special feature, "2010: A turning point in achieving education for all." The article, Getting inclusive education back on track after the financial crisis, discusses the impact of the global economic crisis on achieving Education for All and addresses areas of opportunity for innovative financing mechanisms and better allocation of resources.
As part of our ongoing initiative to establish a Joint Learning Network on Universal Health Coverage, R4D hosted Dr. Tsung-Mei Cheng of Princeton University for a seminar on Taiwan’s national health insurance system, which was set up in the 1990s.
This WHO-hosted symposium aims at improving the scientific evidence needed by health policy-makers and practitioners to inform their decisions related to accelerating universal health coverage. On November 16th-19th, 2010 researchers, policy-makers, funders, and other stakeholders will gather in Montreux to share evidence, identify significant knowledge gaps, and set a research agenda that reflects the needs of low and middle-income countries.
On February 3-5, R4D and its partners convened delegations from six countries – Ghana, India, Indonesia, Philippines, Thailand and Vietnam - for a Joint Learning Workshop on Universal Health Coverage in Gurgaon, India. The three day workshop served as a forum for participants to share their experiences implementing health reforms and learn from other countries.
As part of efforts to build international benchmarks for the quality of public spending and promote informed decisions on resource allocations in developing countries, the Transparency and Accountability Program (TAP) and Global Development Network co-hosted the first peer review workshop for the Strengthening Institutions program in Prague on January 13th-15th.
Millions of people are affected by so-called “diseases of the poor” in low and middle income countries. However, there are inadequate drugs, vaccines, diagnostics, and other resources to address these health challenges. Recently, a number of innovative ideas have emerged on how to address this gap, through the creation of new funding streams, incentives for scientists and biopharma companies, and changes in intellectual property arrangements and in regulatory institutions and practices.
NPR’s Brenda Wilson interviewed key experts on ways to retool current AIDS strategies, shifting from the emergency response mentality of the past to a longer-term view of policies that will be more efficient, effective, and sustainable.
Key national stakeholders gathered in Accra, Ghana December 14th-16th for a three-day Engagement Workshop focusing on the role of private health care providers and ways in which they can contribute more to improving the health of all Ghanaians, especially the poor.
The workshop, coordinated by the R4D assessment team led by Stephanie Sealy and Marty Makinen, brought together leaders from across the country to present data, identify gaps, and begin formulating recommendations for policy changes.
The Transparency and Accountability Program (TAP) is pleased to announce that its book, “How to Improve Governance,” will soon be published in French. TAP is excited to extend its reach to a new audience with this version which is scheduled to release in August 2011.
On December 3, 2009, Nicholas Burnett and David de Ferranti hosted a meeting of leading of experts in the global education field to discuss the critical issues in education today and the role that Results for Development can play with its new program. The meeting involved statements by Burnett and de Ferranti as well as Birger Fredriksen and Alan Ruby, Senior Technical Advisors of the Education Program at R4D.
In preparation for World AIDS Day, the BBC invited Farzana Muhib, R4D's coordinator for the aids2031 Costs and Financing Project, to discuss future cost and financing scenarios for the global AIDS epidemic in their Health Check spotlight, "The Future for HIV/AIDS Funding." Ms. Muhib highlighted the importance of "tough choice" spending policy decisions and more efficient management of resources now in order to curb future costs of the epidemic and achieve better health outcomes.
At its annual board meeting in Vietnam, the Global Alliance for Vaccines and Immunization (GAVI) adopted a set of new policies that will determine which countries will be eligible for future financing, based on a set of studies carried out by R4D at GAVI’s request over much of 2009.
R4D’s Gina Lagomarsino and David de Ferranti are two of the co-authors of a Lancet commentary published in the November 7, 2009 issue. The piece calls on policy makers to focus more on their role as stewards of both public and private actors within the health system.
The commentary highlights key points from a comprehensive R4D report on the same topic which was published in May.
Other co-authors include Ariel Pablos-Mendez, Stefan Nachuk, Sania Nishtar and Suwit Wibulpolprasert.
Seoul, Korea – Nicholas Burnett, who leads R4D’s work in education, was a keynote speaker for the Global Human Resources Forum on November 3-5, 2009. Burnett’s presentation on “Rethinking Aid for Education” reviews the existing challenges to effective education programs in low- and middle-income countries and suggest some key areas for reform in the international architecture of aid for education.
By the year 2031, the AIDS pandemic will enter its 50th year, and funding needed to fight the pandemic in developing countries could reach as much as $35 billion annually – unless wise choices are made today to spend more efficiently and focus on prevention activities that can lower the number of new infections in the future and moderate costs for treatment and other measures to mitigate the negative impacts of AIDS on individuals and their communities.
On October 26, 2009 Mark McClellan of the Engelberg Center for Health Reform and David de Ferranti of the Results for Development Institute (R4D) co-chaired a joint workshop at the Brookings Institution to examine how the US health system experience can inform mixed health system stewardship practices abroad.
The aids2031 Costs and Financing Project is pleased to be able to share eleven papers of our technical reports series. The papers address a range of issues including the estimation of future AIDS resource needs, the various options for financing, and the sociopolitical landscape in which AIDS programs are implemented. Papers are available for download here. A synthesis report combining the findings from the technical reports will be available in the coming months.
From September 21-23, 2009, MLI hosted the Negotiating Health Development Leadership Training in Kathmandu, Nepal for the senior team from the Ministry of Health and Population (MoHP). Responding to a request for enhanced leadership skills from the MoHP, the workshop, facilitated by CMPartners, offered a set of tools and best-practices in negotiation, conflict management and effective communication. The facilitators emphasised the practical application of these tools in the everyday lives of the senior leadership at the MoHP.
Berlin, Germany – David de Ferranti, President and Founder of the Results for Development Institute (R4D), delivered the keynote address at KfW Entwicklungsbank’s recent conference, “Making partnerships work for health – focusing on low-income countries: The role of the private sector.” Bringing together renowned experts from Global Health Partnerships (GHP), International Health Partnerships (IHP), governmental institutions, the private sector and nongovernmental organizations, the conference served as a platform to explore and debate how the involvement of th
R4D’s Farzana Muhib presented at the 9th International Congress on AIDS in Asia and the Pacific (ICAAP) conference in Bali, Indonesia on August 12, 2009. In her presentation, Farzana outlined the main findings of the aids2031 Costs and Financing Working Group, including Global and Asia-specific cost estimates for HIV/AIDS.
Aug 21, Accra, GHANA – The Ghana News Agency recently picked up a story about one of our newest projects, an assessment of the private health sector in Ghana (Click here for project profile). Though not itself directly mentioned, R4D leads the “group of researchers, [and] local and international consultants” involved in the joint World Bank Group/Ministry of Health initiative.
R4D’s Transparency and Accountability Program, led by project coordinator Courtney Tolmie, visited New Delhi on July 21, 2009 and Kampala on July 29, 2009 to bring together its grantees from its latest grant round. Tolmie, assisted by program associate Courtney Heck, facilitated 3-day launch workshops in which grantees received technical training from experts on public expenditure tracking methodologies, discussed program goals, and met fellow participants.
On August 13th, R4D had the great pleasure of hosting Muhammad Yunus, Founder of Grameen Bank, Nobel Peace Prize Laureate, and 2009 Presidential Medal of Freedom recipient, for a discussion on innovative approaches to harnessing the private sector to provide affordable health care to the poor.
In mid-July, Results for Development initiated a new project, the "Country Assessment of the Private Health Sector in Ghana," with support from the World Bank’s International Finance Corporation (IFC). Under the project, R4D will review the current state and performance of the private sector, and will develop strategies for enhanced engagement of private actors in providing health care for the Ghanaian population.
R4D and Sweden’s Karolinska Institute, jointly hosted a symposium on the role of the private sector in health on July 11, 2009 prior to the start of the International Health Economics Association conference in Beijing, China.
Through the launch of its Center for Health Market Innovations (CHMI), R4D will collaborate with a network of in-country partners to identify and evaluate innovative programs that improve the quality and affordability of private health care in the developing world.
Nicholas Burnett will lead Results for Development's new Education portfolio. A global leader on improving education outcomes for the world’s poor, he will step down at the end of October as UNESCO’s Assistant Director-General for Education.
The role of the private sector in health systems is a highly debated topic. A new set of reports by the Results for Development Insititute, the Rockefeller Foundation and a number of other respected insititutions reflects innovative thinking around this topic.
The International Advisory Group of the aids2031 project met in London on May 29, 2009 to review the main findings and recommendations of all Working Groups and the outline for the main report. R4D's Managing Director Robert Hecht presented the Costs and Financing WG'S key findings on long-term AIDS funding needs and resource mobilization options.
The Ministerial Leadership Initiative (MLI) will be hosting a reception during the World Health Assembly (WHA) in Geneva at the Intercontinental Hotel on May 20th, from 18:00 to 20:00. The reception will feature presentations by the Ministers of Health from the five countries we are working in under the MLI - Ethiopia, Mali, Nepal, Senegal and Sierra Leone. Those interested in joining the event should contact email@example.com.
Quality leadership: A prerequisite for development
The Ministry of Health and Population (MoHP) is determined to achieve the Millennium Development Goals (MDG) by the stipulated deadline of 2015; and the Ministerial Leadership Initiative (MLI) for Global Health has joined hands with the Ministry to provide support in this endeavour.
The Global Alliance for Vaccines and Immunization (GAVI) have awarded Results for Development a contract to carry out a major study on GAVI’s policies on which countries are eligible for financial assistance for their vaccination programs. Over the next seven months, the R4D team will assess the strengths and weaknesses of the current eligibility criteria in light of GAVI’s strategic goals, identify new policy options and evaluate their potential impacts on GAVI finances and on global vaccine prices.
id21's insights, a journal hosted by the Institute of Development Studies and funded by the UK Department for International Development, has published a piece on the benefits of health insurance by R4D Managing Director Gina Lagomarsino, and Program Officer Sapna Singh Kundra.
R4D Managing Director Marty Makinen delivered a keynote speech at the inaugural meeting of the African Health Economics and Policy Association in Accra, Ghana on March 12. In the speech, Marty highlighted the challenges that health economists face in translating their analysis into findings and recommendations that are accessible and appealing to senior health policy makers, who generally come from other fields such as medicine and public health and face major political pressures.
We are pleased to announce that Dennis de Tray has joined us at the Results for Development Institute (R4D), as a Principal. Along with other strategic leadership roles, he will head a new initiative focusing on post‐conflict and fragile states, countries facing the most difficult challenges in development.
The aids2031 Costs and Financing Project hosted a two-day Technical Review Meeting in Washington DC, attended by nearly 50 experts in economics, public health, and management. More than a dozen papers were presented and reviewed on AIDS resource needs and mobilization issues from now through 2031. The findings and recommendations from the papers will be used in the overall synthesis report, to be produced by Managing Director Rob Hecht and his R4D team later this year.
The GHWA Financing Task Force completed an application of its Resource Requirement tool (RRT) in the Philippines, with Program Officer Dessi Dimitrova leading the work in-country with her Philippines counterparts. The RRT is designed to assist in estimating the cost of countries’ Human Resources for Health scale-up plans. The RRT has already been applied in Ethiopia, Ghana, Liberia, Mozambique, the Philippines, and Uganda, and has been requested by various other countries.
At the aids2031 Steering Committee Meeting held in London Oct. 7-8, 2008, John Stover of the Futures Institute presented a plan for a long term cost model for HIV/AIDS. Current cost estimates project only a few years into the future and look at a limited set of scenarios. The Futures Institute will extend these estimates to 2031 and evaluate these costs in 4 different scenarios. The plans for this project, as well as the scenarios, are described in his presentation accessible here.
The aids2031 Costs and Financing Project is pleased to share the first eight papers in our technical reports series. The papers address a range of issues including the estimation of future AIDS resource needs, the various options for financing, and the sociopolitical landscape in which AIDS programs are implemented. Papers are available for download here. Additional technical reports will be posted in the coming weeks.
Results for Development Institute (R4D) hosted two panel sessions at the recent U.S.-Africa Business Summit, organized by the Corporate Council on Africa in Washington D.C., that examined possible solutions to Africa’s healthcare delivery and financing challenges. The panels, generously supported by the Rockefeller Foundation, featured presentations by R4D Managing Directors Gina Lagomarsino and Marty Makinen and focused on innovative private sector health financing and delivery models and the role of health insurance in improving health outcomes and financial protecti
In the spirit of South-South learning, two participant countries in the Ministerial Leadership Initiative (MLI), Mali and Senegal, recently completed a week long study tour in Rwanda to obtain a deeper understanding of the conceptual underpinnings, operational approaches, and lessons learned from the Rwandan implementation of mutual health insurance schemes and performance-based financing.
UPDATE: More information on the RFA can now be found in the attached Q&A document below
The Center for Education Innovations (CEI), an initiative of Results for Development Institute (R4D), is excited to announce a Request for Applications (RFA) for organizations interested in becoming CEI Country or Regional Hubs.
Today, R4D released two reports on skills for employability in the 21st century, prepared under the Innovative Secondary Education for Skills Enhancement (ISESE) project, with support from the Rockefeller Foundation.