Sub-Saharan Africa

Projects

aids2031: Costs and Financing Working Group

aids2031 is a international consortium of partners examining the future of the HIV/AIDS epidemic. The Costs and Financing Working Group is focused on modeling and analyzing the long-term costs and financing of the epidemic, and examining scenarios in which major policy shifts now can improve the future expenditure and financing situation.

Center for Health Market Innovations (CHMI)

CHMI is a global network of partners that systematically identifies, documents, and analyzes health market innovations, disseminates information about these models, and facilitates strategic linkages among entrepreneurs, funders, policymakers, and researchers. Visit http://healthmarketinnovations.org/ to use the interactive CHMI global knowledge platform.

Country Assessment of the Private Health Sector in Ghana

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.

Joint Learning Network for Universal Health Coverage

The Joint Learning Network (JLN) for Universal Health Coverage brings together countries from across the globe to share experiences and challenges in implementing health financing reforms.

Joint Learning Workshop: Moving Toward Universal Health Coverage

As a first step toward the development of an ongoing, multi-country cross-learning platform, several countries and their development partners convened a joint learning workshop in Delhi, India in February 2010. The workshop brought together practitioners from six countries to share learning around the successes and problem-solve around the challenges of implementing demand-side health financing reforms to expand health coverage.

Strengthening Institutions to Improve Public Expenditure Accountability

The Strengthening Institutions Program, a joint program of the Global Development Network and R4D, aims to strengthen policy debates around public expenditure issues in developing countries by providing support to emerging think tanks to conduct analyses of spending in the health, education, and water sectors.

The Ministerial Leadership Initiative for Global Health

The Ministerial Leadership Initiative for Global Health (MLI) brings together expertise in leadership development and specialized technical areas needed to design and successfully make and implement health sector policy. As a technical partner in MLI, R4D is providing technical assistance focused on improvements in equitable financing and donor harmonization in Ethiopia, Mali, Nepal, Senegal, and Sierra Leone.

Transforming Health Systems Initiative (THS)

Transforming Health Systems is an initiative of the Rockefeller Foundation that seeks to strengthen health systems by supporting global level analysis of policies that drive a global health systems agenda and country level work to implement catalytic demonstrations of health systems transformation.

Transparency & Accountability Program

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.

Publications & Resources

R4D is committed to disseminating the tools and publications that emerge from our projects, in both print and electronic formats.

The Role of Civil Society Organizations in Supporting Fiscal Transparency in African Countries

This paper reviews recent measures to improve fiscal transparency in Nigeria, highlights the role played by civil society organizations (CSOs), and identifies strategies which CSOs and government officials in various African countries may adopt in order to promote more constructive and transparent dialogue on fiscal management issues.

Procurement Systems in Sub-Saharan African Countries

This working paper is based on a review of a sample of Country Procurement Assessment Reports undertaken in twenty-three Sub-Saharan countries. The paper analyzes the procurement systems and seeks to find ways to improve the quality of public expenditures.

Public Financial Management In Africa

This paper aims to identify themes emerging from practice within, and recent efforts to improve, public financial management (PFM) systems in Africa. Given the themes identified, it also seeks to suggest a perspective on the role non-governmental civil society organizations (CSO) could play in strengthening PFM in the future.

Innovative Pro-Poor Healthcare Financing and Delivery Models

This report describes 33 innovative pro-poor healthcare financing and delivery programs in South Asia and Sub-Saharan Africa that are led by or engage the private heath sector.

Health Sector Governance and Implications for the Private Sector

The paper develops an analytical framework applied to India, Uganda, and Afghanistan for conceptualizing the governance/stewardship function within health systems and the role of government in the context of an expanded role for private service provision and financing.

Provider Purchasing and Contracting for Health Services: The Case of Zambia

The report identifies and characterizes a number of contracting models that exist in the Zambian health sector.

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

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

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

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

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

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

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

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

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

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

Balanced Scorecard Assessment Status Report

From the Ground Up: Improving Government Performance with Independent Monitoring Organizations

From the Ground Up argues that the international community’s efforts to improve public expenditure and budget execution decisions would be more effective if done in collaboration with local independent monitoring organizations.

Special Report on the State of HIV/AIDS in South Africa

Earlier this year, a group of South Africa's forfront HIV experts met to share ideas on how to best reduce the epidemic. This Global Health Magazine article, coauthored by Managing Director Robert Hecht, discusses the main points of that meeting.

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

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.

News & Events

R4D receives Grant from Bernard van Leer Foundation

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.

Nobel Laureates Take Cue from R4D Experts

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.