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International organizations influence national-level health sector priorities by affecting how much funding is available for healthcare delivery within countries and setting limits on how that funding is used. They exert particular influence in setting disease-specific targets, developing clinical guidelines, and using investment cases. But for the most part, the processes they follow in undertaking these activities do not account for limited country resources or the other uses those resources could be put to.
Many low-and lower-middle-income countries currently procure a large portion of their health commodities through centralized, donor-managed procurement mechanisms, and often at subsidized prices or as donations. Over the next several decades, however, the landscape of global health procurement will change dramatically as countries grow richer and lose aid eligibility; disease burdens shift; and technological breakthroughs change the portfolio of commodity needs. This working group considers how the global health community can ensure the medium- to long-term relevance, efficiency, quality, affordability, and security of global health procurement.
Paying for global health programs on the basis of their outcomes has the potential to focus various actors on a single goal and make those investments more efficient and impactful. Yet in the face of institutional inertia, risk aversion, and operational challenges, few such projects have made the jump from theory to real-world implementation.
The Center for Global Development has convened the Hospitals for Health working group to find ways to improve the performance of hospitals as contributors to health in developing countries while strengthening their integration in the broader health delivery system.
As the founding executive director of UNAIDS prepared to step down at the end of 2008, CGD and the Economic Governance Programme of Oxford University convened an expert working group to develop recommendations for the incoming leadership of UNAIDS, the Programme Coordinating Board, and other stakeholders.