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Rapid Priority Setting in Low- and Middle-Income Countries: The Potential of Adaptive Health Technology Assessments

Health budgets are limited and decision makers in all countries face very challenging decisions about which health interventions will be provided, and which will not. COVID has only added to this pressing priority setting problem. In this blog, we highlight key takeaways from our recent commentary in the BMJ Global Health, where we make the case for “adaptive health technology assessment,” or “aHTA.”

A doctor administering a COVID-19 test.

The Future of Development – What Will It Take to Achieve Universal Health?

Among the many disparities and inequities that COVID-19 has shone a light upon, the chasm in health outcomes between rich and poor countries is being particularly sharply highlighted. While Israel, the US, the UK, and a handful of high- and upper-middle income countries are charging forward with their vaccination programmes, many of the poorest are left behind—sometimes to rapidly soaring infection rates, as in India. Universal health—that is, a basic level of health and nutrition achieved globally—seems a distant prospect.

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COVID-19 Financing and Development Pathways: Initial Reflections from the Asian Development Bank

COVID-19 and the economic crisis it unleashed have spurred unprecedented action from governments and international institutions. Multilateral development banks (MDBs) like the Asian Development Bank (ADB) swiftly committed resources to COVID-19 response and recovery efforts in 2020 and 2021, including a $20 billion countercyclical support facility and a $9 billion facility specifically for COVID-19 vaccine procurement and vaccination program implementation.

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Renewing US Multilateral Engagement for a More Effective Approach to Fragile States

Even before the Biden-Harris administration took office, they made clear that one of their top international priorities would be renewing the United States’ commitment to multilateralism. Within the international financial institutions (IFIs)—the World Bank and the International Monetary Fund (IMF)—as well as the United Nations, the US agenda over the next four years will be one of re-engaging with management and rebuilding coalitions with allied shareholders to advance priority issues and approaches. One of these priority areas will be improving the effectiveness of engagement in fragile states.

A figure of the relative contributions of select HICs, MICs, and LICs with different levels of progressivity

Financing Global Health Security Fairly

The world is in the midst of its worst pandemic in 100 years. We have seen human health, livelihoods, and businesses destroyed, but we have also seen unprecedented collective efforts to bring the pandemic under control. Since its inception in April 2020, the Access to COVID-19 Tools Accelerator (ACT-A) has been at the centre of these efforts. Led by a Facilitation Council co-hosted by the World Health Organization (WHO) and the European Commission, ACT-A brings together nine core implementing partners in collaboration with country governments, civil society organizations, and the private sector to develop the tools needed to test, treat, and prevent COVID-19.

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Forging an MDB System: The Missing Piece in the Governance Architecture

Few would argue that collaboration and collective efforts across the multilateral development banks (MDBs) are not urgently needed. Yet while the logic and need are obvious, the actual extent of collaboration between MDBs is limited. Our recent paper explores how this gap in the international financial architecture might usefully be filled. It addresses what a new cross-MDB governing body might do and what it might look like.

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