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Global Health Initiative Could Lead the Way for Broader Foreign Assistance Reform, but Questions Remain

The Global Health Initiative (GHI) seeks to bring U.S. global health efforts under a coordinated, integrated, sustainable, women-centered, and country-owned umbrella of global health foreign assistance. The U.S. is expected to spend $63 billion on global health over six years (2009-2014). Given the size of this effort, the GHI reforms may be the testing ground for any future reforms of U.S. foreign assistance.

Do PEPFAR, the Global Fund, and the World Bank MAP Make Funding Decisions Against Performance? And Why This Matters NOW!

With contributions from David Wendt.

In 2008, international AIDS assistance from the G-8, European Commission, and other donor governments reached its highest level to date--US $8.7 billion—a greater than fivefold increase from 2002 levels. Despite this increase, it is unlikely that this funding trend will continue in the current global economic downturn.

Related Content

HIV/AIDS Monitor Report: Are Funding Decisions Based on Performance?

CGD Brief: Every Dollar Counts: How Global AIDS Donors Can Better Link Funding Decisions to Performance

As funding becomes more constrained, donors and recipient countries will need to do more and better with the same amount of money—for HIV treatment, prevention and care, health systems strengthening, family planning, maternal and child health and nutrition. This pressure pushes donors to ensure that funding goes only to the most effective programs. How might they do that?