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Modeling and Tool Development

Obstacles to New Vaccine Adoption in LMICs

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Lack of assistance has already led some Lower Middle Income Countries (LMICs) to fall behind in requiring children to be vaccinated from vaccine-preventable diseases. This study analyzes the challenges LMICs face as they consider the adoption of new vaccines and identifies practical interventions to address issues uncovered.

 

In 2008, both the World Health Organization’s (WHO) World Health Assembly and the Strategic Advisory Group of Experts on Immunization noted that little had been documented concerning the obstacles faced by Lower-middle-income countries (LMICs) in adopting new vaccines. LMICs receive little external support for their vaccination programs, despite a birth cohort of nearly 80 million and the burden of disease from vaccine-preventable diseases.  The GAVI Alliance (Global Alliance for Vaccines and Immunization) assists 41 low-income countries (LIC), as well as some (31) coun

Publication & Resource Type: 
Publications
Year Published: 
2011
Main Contact: 
Marty Makinen
R4D Author(s): 
Marty Makinen
Funder(s): 
The Bill and Melinda Gates Foundation
Connected Project: 
Constraints to Vaccine Adoption in Lower and Middle Income Countries
Attached Publications & Resources: 
application/pdf iconNew Vaccine Adoption in LMICs_Final.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_English.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_French.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_Spanish.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_Arabic.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_Russian.pdf

Transparency & Accountability Program

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Since its inception in 2006, the Transparency and Accountability Program (TAP) has strengthened the capacity of independent monitoring organizations (IMOs) in low- and middle-income countries to better hold their governments accountable and to promote improvements in social sector public spending and service delivery. 

 

 

 

Main Contact: 
Caroline Poirrier
Website: 
http://tap.resultsfordevelopment.org
Funder: 
The William and Flora Hewlett Foundation
Status: 
Active
Staff Associated with Project: 
Caroline Poirrier
Courtney Heck
Courtney Tolmie
Nicholas Burnett

Long-Run Costs and Financing of HIV/AIDS in South Africa

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South Africa is facing a mounting financial challenge in its fight against the growing HIV/AIDS epidemic. With 5.7 million people currently infected with the HIV virus and an additional half million adults and children becoming newly infected each year, South Africa stands at a critical crossroads.

South Africa is facing a mounting financial challenge in its fight against the growing HIV/AIDS epidemic. With 5.7 million people currently infected with the HIV virus and an additional half million adults and children becoming newly infected each year, South Africa stands at a critical crossroads.

Publication & Resource Type: 
Publications
Year Published: 
2010
Main Contact: 
Gabrielle Partridge
R4D Author(s): 
Farzana Muhib
R4D Author(s): 
Robert Hecht
Author(s): 
Teresa Guthrie, Nhlanhla Ndlovu, Kelsey Case
Funder(s): 
The Bill and Melinda Gates Foundation
Funder(s): 
The Norwegian Agency for Development Cooperation (NORAD)
Funder(s): 
UNAIDS
Connected Project: 
aids2031: Costs and Financing Working Group
Attached Publications & Resources: 
application/pdf iconaids2031 South Africa Report_Published 2010.pdf

Costs & Choices: Financing the Long-Term Fight Against AIDS

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This book recommends a series of actions that can move the world toward a better future in dealing with AIDS, while using financial resources in a more efficient and affordable manner.

35 MILLION PEOPLE LIVING WITH HIV/AIDS WORLDWIDE

OVER 2.5 MILLION BECOME INFECTED EVERY YEAR

Publication & Resource Type: 
Publications
Main Contact: 
Robert Hecht
R4D Author(s): 
David de Ferranti
R4D Author(s): 
Farzana Muhib
R4D Author(s): 
Kira Thorien
R4D Author(s): 
Richard Skolnik
R4D Author(s): 
Robert Hecht
R4D Author(s): 
William McGreevey
Funder(s): 
The Bill and Melinda Gates Foundation
Funder(s): 
UNAIDS
Connected Project: 
aids2031: Costs and Financing Working Group
Attached Publications & Resources: 
application/pdf iconaids2031 Cost & Choices.pdf
application/pdf iconaids2031 Cost&Choices (Environmentally Friendly).pdf

Critical Choices In Financing: The Response To The Global HIV/AIDS Pandemic

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This paper examines potential long-term costs and financing options for the global AIDS response under four different scenarios and provides policy recommendations based on projected epidemiological and financial impacts.

This paper was published as part of the November/December 2009 edition of Health Affairs, a special issue focusing on the global response to the HIV/AIDS pandemic. The paper presents the findings of the aids2031 Costs and Financing Working Group, and addresses the following key questions: 

Publication & Resource Type: 
Journal Articles
Year Published: 
2009
Main Contact: 
Robert Hecht
R4D Author(s): 
Farzana Muhib
R4D Author(s): 
Robert Hecht
Author(s): 
Robert Hecht, Lori Bollinger, John Stover, William McGreevey, Farzana Muhib, Callisto Emas Madavo and David de Ferranti
Connected Project: 
aids2031: Costs and Financing Working Group
Link to Publication-Resource: 
Critical Choices In Financing

Constraints to Vaccine Adoption in Lower and Middle Income Countries

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Results for Development Institute (R4D) recently completed a study funded by the Bill & Melinda Gates Foundation on the challenges that Lower Middle Income Countries (LMICs) face as they consider the adoption of new vaccines.  

Results for Development Institute (R4D) completed a study funded by the Bill & Melinda Gates Foundation on the challenges that Lower Middle Income Countries (LMICs) face as they consider the adoption of new vaccines. The study was conceived in response to a growing recognition on the part of the WHO that LMICs receive little support for their vaccination programs, despite having a heavy burden of disease and accounting for a large share of the world’s poor.

Main Contact: 
Marty Makinen
Funder: 
The Bill and Melinda Gates Foundation
Status: 
Active
Staff Associated with Project: 
Kira Thorien
Lara Wilson
Maria Belenky
Marty Makinen
Robert Hecht
Attached File(s): 
application/pdf iconNew Vaccine Adoption in LMICs_Final.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_English.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_French.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_Spanish.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_Arabic.pdf
application/pdf iconExecutive Summary_New Vaccine Adoption in LMICs_Russian.pdf

Estimating Long-Term Global Resource Needs for AIDS through 2031

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This paper incorporates results from several of the aids2031 working groups to examine the costs and financial implications of changing the current approach to fighting HIV/AIDS.  It examines four different scenarios: Current Trends, Rapid Scale-up, Hard Choices for Prevention and Structural Change.

By 2031, the HIV/AIDS epidemic will enter its 50th year. In 1981, no one expected that the epidemic would become the challenge that the world faces today, particularly sub-Saharan Africa. Efforts to address the epidemic have increased dramatically over the last decade, but the epidemic remains. Without a change in approach, it is likely that the epidemic will still be with us in 2031.

Publication & Resource Type: 
Working Papers
Year Published: 
2009
Author(s): 
John Stover & Lori Bollinger
Funder(s): 
UNAIDS
Connected Project: 
aids2031: Costs and Financing Working Group
Attached Publications & Resources: 
application/pdf iconEstimating Long-Term Global Resource Needs for AIDS through 2031.pdf

Country Assessment of the Private Health Sector in Ghana

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The Ministry of Health, with support from the joint IFC/World Bank Health in Africa Initiative, launched the Country Assessment on July 20th, 2009. At present the R4D study team is conducting a large-scale review of the Ghanaian private health sector, with the ultimate goal of offering concrete, actionable recommendations on effectively harnessing the potential of private providers of health services.

In Ghana, about half of the health services that both rural and urban residents and both the richer and poorer use come from providers in the private sector. The foregoing is one of the important findings from the “Private Health Sector Assessment in Ghana” as the government of Ghana begins to address how to better harness the important role played by private actors to achieve national health goals and objectives.

Main Contact: 
Kira Thorien
Website: 
http://www.ghanaweb.com/GhanaHomePage/NewsArchive/artikel.php?ID=167506
Website: 
http://www.ghananewsagency.org/s_health/r_10463/
Funder: 
The World Bank
Status: 
Active
Staff Associated with Project: 
Kira Thorien
Marty Makinen
Stephanie Sealy
Attached File(s): 
application/pdf iconR4D Private Health Sector Assessment in Ghana.pdf

Human Resources for Health: Costing the Philippine Pre-Service HRH Scale-Up Plans

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This report estimates the Philippine resource requirements for scaling up the country’s workforce plans.

This report estimates the Philippine resource requirements for scaling up the country’s workforce plans.

Publication & Resource Type: 
Working Papers
Year Published: 
2008
R4D Author(s): 
Alison Ion
R4D Author(s): 
Marty Makinen
Funder(s): 
Global Health Workforce Alliance
Connected Project: 
Global Health Workforce Alliance
Version: 
1
Link to Publication-Resource: 
Available by request

Human Resources for Health: Costing Uganda’s Pre-Service HRH Scale-Up Plans

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This report estimates Uganda’s resource requirements for scaling up the country’s workforce plans.

This report estimates Uganda’s resource requirements for scaling up the country’s workforce plans.

Publication & Resource Type: 
Working Papers
Year Published: 
2008
R4D Author(s): 
Marty Makinen
Funder(s): 
United States Agency for International Development
Connected Project: 
Global Health Workforce Alliance
Version: 
1
Link to Publication-Resource: 
Available by request
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