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Economic development, institutional analysis, health systems, corruption, evaluation
Bill Savedoff was a senior fellow at the Center for Global Development where he works on issues of aid effectiveness and health policy. His current research focuses on the use of performance payments in aid programs and problems posed by corruption. At the Center, Savedoff played a leading role in the Evaluation Gap Initiative and co-authored Cash on Delivery Aid with Nancy Birdsall. Before joining the Center, Savedoff prepared, coordinated, and advised development projects in Latin America, Africa and Asia for the Inter-American Development Bank and the World Health Organization. As a Senior Partner at Social Insight, Savedoff worked for clients including the National Institutes of Health, Transparency International, and the World Bank. He has published books and articles on labor markets, health, education, water, and housing including “What Should a Country Spend on Health?,” Governing Mandatory Health Insurance, and Diagnosis Corruption.
Is the tobacco epidemic more like smallpox or HIV? It’s an important question. If it is like smallpox, then we can pursue strategies to eradicate tobacco as a risk to human health. However, if it is like HIV, we instead need to be thinking in terms of controlling and managing the epidemic.
In a recent blog, Duncan Green wonders if “Pay by Results” (PbR) programs are overhyped and questions whether foreign aid agencies and NGOs should be pursuing them at all. Only a few countries have stepped into this new way of doing aid. PbR may be overhyped at the same time that at least one type of PbR is underutilized.
Corruption is an obstacle to social and economic progress in developing countries yet we still know very little about the effectiveness of anti-corruption efforts and their impact on development impact. This essay looks at 25 years of efforts by foreign aid agencies to combat corruption and proposes a new strategy which could leverage existing approaches by directly incorporating information on development results.
“3ie has made my job much easier.” This is what we heard last month from a high-ranking government official in Africa, referring to the International Initiative for Impact Evaluation (3ie), and it made us very proud. Creating 3ie was the outcome of the Evaluation Gap Working Group that we led along with Nancy Birdsall to address the limited number of rigorous impact evaluation of public policies in developing countries. As CGD celebrates its 15th year, it is worth considering what made that working group so successful, the obstacles we confronted, and the work that still remains to be done.
I’ve been reading news of corruption scandals in Brazil with a great deal of sadness. I lived in Brazil during its return to democracy and experienced first-hand the hope and optimism that came with that transition. In a recent policy paper, I argue that decisions about funding projects in other countries should depend more on the results achieved by those countries than by formal actions meant to control corruption.
Climate change will have profound effects on development, poverty, health, and well-being in coming years. Rejuvenated by the recent Paris agreements, efforts to channel the international funding commitments need channels for cost-effective mitigation. The Green Climate Fund (GCF) represents the best current opportunity to address climate change effectively with international funding. Unlike other institutions, the GCF is relatively new and is still developing its policies and procedures.
A billion premature deaths this century—that’s the estimated toll of smoking. As 80% of the world’s smokers live in low- to middle-income countries, that’s a huge problem for the developing world. So what’s the solution? You’ve
Cmd+Click or tap to follow the link">heard before from CGD senior fellow Bill Savedoff that increasing tobacco taxes can actually help turn people away from nicotine; on this week’s podcast, you’ll hear another idea.
One of the biggest hopes people expressed about Jim Kim’s nomination to become president of the World Bank was that he would bring a fresh perspective, focused on achieving results, rather than reinforce the institution’s bureaucratic machinery. Unfortunately, President Kim’s recent remarks at the Center for Foreign Relations suggest that bureaucratic inertia is winning.
Health aid pays for life-saving medicines, products, and services in the poorest countries in the world. Funding for such uses needs to be smooth and uninterrupted. But when fraud is detected, funds are subject to sudden stops and starts—the result of a sequence of events set off by the scandal cycle in health aid. We examine this idea in a new CGD policy paper.
A new wave of development programs that explicitly use incentives to achieve their aims is under way.They are part of a trend, accelerating in recent years, to disburse development assistance against specific and measurable outputs or outcomes. With a proliferation of new ideas under names such as “payments for performance,” “output-based aid,” and “results based financing,” it is easy to lose sight of basic underlying similarities in these approaches and to miss some significant differences.
I’m always a little anxious introducing a topic at a workshop without knowing if the presentations that follow will support or contradict my points. So it was with some trepidation that I spoke earlier this month at a SIDA workshop in Stockholm, associated with the Swedish International Development Cooperation Agency’s launch of “Results Based Financing Approaches (RBFA) — What Are They?”.
The most essential feature of a social impact bond (SIB) is measuring impact. But what happens if the impact metric is questioned or unclear? A recent dispute over measuring the impact of a SIB for early childhood development in Utah yields two important practical lessons for this innovative financing tool. First, SIB implementers should be careful not to exaggerate the precision of their success indicators. Second, they need to be clear to everyone about which objectives they are pursuing.
It would be strange to try learning how to play music without listening to musicians. Similarly, learning about results-based aid programs requires listening to people who design and implement them. That is just what we did last week in a set of workshops about implementing programs that pay for results – programs which apply some or all of the principles that we’ve discussed here at the Center as Cash on Delivery Aid. As a result of discussing real experiences, we discovered that some of the challenges are quite different than we had anticipated while a number of common concerns have simply failed to materialize.