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The International Decision Support Initiative (iDSI) is a global network of health, policy, and economic expertise working to achieve Universal Health Coverage. The initiative works with countries to support better decision-making on how public money for health can be spent more efficiently, effectively, equitably, and sustainably. This can help ensure fairer access to the right healthcare, treatment, and medicines at the right time. The iDSI secretariat is based at the Center for Global Development.
From outbreak preparedness spending to building better health technology assessment (HTA) capacity, iDSI and CGD’s work helps governments to make better decisions for better health.
One of the things I am proudest of having done in Washington was having the idea as Chief Economist of the World Bank that the Bank should devote its annual World Development Report to making the case for improving both the quantity and quality of global health investment.
Many low- and middle-income countries aspire to universal health coverage (UHC), but for rhetoric to become reality, the health services offered must be consistent with the funds available, which may require tough tradeoffs. An explicit health benefits package—a defined list of services that are and are not subsidized—is essential in creating a sustainable UHC system.
This report of the Rethinking U.S. Foreign Assistance Program summarizes the rationale for continued U.S. investment in global health, looks into the evolution of the Global Health Initiative, and recommends a re-boot for the whole enterprise.
Globally, over a billion people are likely to experience a mental disorder in their lifetime, with the majority in low- and middle-income countries (LMIC). Mental illnesses are responsible for 7.4% of global disease burden, and frequently among the top causes of disability including in middle-income countries. These illnesses impose a severe economic burden not only on the individuals suffering from these illnesses but on their families, communities, healthcare systems, and governments.