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CGD Policy Blogs


Retiring the IMF Wage Bill Ceiling

A new report by Medicins sans Frontieres is among the latest to call on the IMF to drop wage bill ceilings with low-income countries. Alongside three other recommendations, MSF recommends that the IMF and ministries of finance drop wage bill ceilings given their distortionary and negative impact on the expansion of the health care workforce to combat HIV/AIDS.

PEPFAR(THER)*: Double the Money, Double the Impact?

In anticipation of the G8 summit and its focus on commitments to international development in Germany next week, President Bush called on Congress a short while ago to double the funding for PEPFAR from 15 to 30 billion dollars when the current plan expires in 2008. The plan for PEPFAR 2, as described in a White House press release is a "continuation and expansion" of the initial PEPFAR program:

10 African Countries Consider "Paying for Performance" in Health

Strengthening health systems to improve utilization, quality and efficiency of service delivery is a challenge that continues to stump smart people working in public health and development. A promising and increasingly prominent solution is paying health workers, health facilities and households to behave in ways that generate better health results. A few months ago, Ruth Levine reported on an upcoming workshop that would convene teams of African implementers and researchers to develop performance-based incentive schemes within their own health systems. Below, Rena Eichler reports back on her experiences from that workshop.

Sex, Hypocrisy and Development

Sex, lies and developmentThe sudden resignation on Friday of Ambassador Randall Tobias, the first U.S. director of foreign assistance, stunned staff at the U.S. Agency for International Development (USAID) and the State Department and left the administration’s beleaguered aid reform effort without a leader.

Chronic Diseases Hit Hard in Developing Countries

Every week we hear of new strides against infectious disease: greater access to ARVs for poor country AIDS patients; more pledges of assistance from the G8; new therapies coming on-line from non-profit partnerships. Infectious diseases in poor countries are finally getting the attention and resources they deserve. However, it would be easy in all the attention given to infectious diseases to forget that the greatest mortality and illness in the world is now caused by chronic diseases.