Without PEPFAR, it’s safe to say that almost all of Africa would be stuck near zero HIV treatment coverage. Instead, 49 percent of HIV-infected people were receiving life-saving treatment in 2014, rising to 56 percent by 2015, and the top-performing countries are still gaining ground. This dramatic increase in treatment coverage is a prodigious achievement—and the United States deserves most of the credit. But despite these accomplishments, much more work is needed to reach the end of the epidemic.
CGD Policy Blogs
In the past, I’ve highlighted how tobacco taxes are unique in the world of public policy, going so far as to argue that tobacco taxes are the single best health policy in the world. And while I still think tobacco taxes are special, the roundtable pointed out important ways in which tobacco taxes are not all that different from other taxes.
Having tried and mostly failed to track what was going on with US Government performance and spending on Ebola, I welcome the GAO’s overview of obligations and disbursements by appropriation account and strategy pillar. Now the scope of this report appears to be narrow, so let’s hope there’s more to come. A performance audit should go beyond the money to look at what actually happened; what organizations, activities and products were funded; what were the results on the outcomes that matter—Ebola transmission, rapid control of Ebola outbreaks; whether second-order economic impacts were mitigated; and how outbreak preparedness has evolved over time.
CGD’s new report on family planning, Aligning to 2020: How the FP2020 Core Partners Can Work Better, Together, offers three big recommendations for donors on the path to 2020. They are laid out in greater detail later in this blog, but in brief we urge donors to be more strategic and collaborative in how resources area allocated at the national level; we would like to see stronger incentives developed and rolled out for co-financing and performance; and we encourage greater accountability and learning across the results chain.
CGD founding president Nancy Birdsall has seen a few US presidents come and go in her long career as a leading development economist, but her message to all occupants of the White House has remained fairly steady: Enact smart policies that help developing countries build stable, prosperous economies of their own—and that will help people at home too. This week she joins the CGD Podcast to talk about some of those ideas, and why development should be a priority for the next US president.