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<a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth">Global Health Policy</a> <div class="clear"></div> </div> <h1 class="title" style="font-size: 32px; font-weight: bold;"><a style="text-decoration: none;color: #F23914;" href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/wp-content/themes/cgd-blogs_new/images/blog_icons/Health_large.gif"> <span style="position: relative; bottom: 24px;">Global Health Policy</a></h1><div style="height:20px"></span> </div> <table style="width:100%" cellpadding="0" cellspacing="0"> <tr>  <td id="section-content" valign="top"> <h1 class="title">Posts in: Global Health</h1> <div style="height:20px"> </div> <div id="post-2130"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/efficiency-the-missing-link-in-global-health.php" rel="bookmark" title="Permanent Link to Efficiency: The Missing Link in Global Health">Efficiency: The Missing Link in Global Health</a></h1> <h4 class="noline">November 23, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/amandaglassman/" title="Posts by Amanda Glassman">Amanda Glassman</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/amandaglassman/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/amandaglassman.thumbnail.jpg" alt="Amanda Glassman" width="110" height="110" class="bookcover left"/></a><p>In a refreshing and necessary change from the last decade’s focus on more money, the <a href="https://web.archive.org/web/20101130123205/http://www.who.int/whr/2010/en/index.html">2010 World Health Report</a> —released yesterday by the WHO—focuses part of its attention on the problem of health system inefficiencies, estimating that 20% to 40% of all health spending ($1.5 trillion USD) is currently wasted. The report indicates that this level of waste—a combined result of poorly used inputs and corruption/fraud—is of similar magnitude in both poor and wealthy countries. Although these numbers are merely illustrative (based on specific country studies or systematic reviews and extrapolated to entire groups of countries), the evidence does suggest that the technical efficiency problem is huge. If you add the problems of allocative efficiency to the mix—that countries and their donor partners are not fully financing the set of interventions that would maximize health given the budget constraint—the report makes a convincing case that there is much that governments and donors could do to free up resources for better health.</p> <p> <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/efficiency-the-missing-link-in-global-health.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/efficiency-the-missing-link-in-global-health.php#comments" title="Comment on Efficiency: The Missing Link in Global Health">1 Comment »</a></h4> <div style="height:30px;"> </div> </div> <div id="post-2126"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/data-revolution-one-vital-registration-at-a-time.php" rel="bookmark" title="Permanent Link to Data Revolution: One Vital Registration at a Time?">Data Revolution: One Vital Registration at a Time?</a></h1> <h4 class="noline">November 23, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/bill-savedoff/" title="Posts by Bill Savedoff">Bill Savedoff</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/bill-savedoff/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/bill-savedoff.thumbnail.jpg" alt="Bill Savedoff" width="110" height="110" class="bookcover left"/></a><p>Recent blogs by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/you-say-you-want-a-data-revolution.php">Nandini Oomman</a> and <a href="https://web.archive.org/web/20101130123205/http://www.karengrepin.com/2010/11/how-do-you-do-research-on-health.html">Karen Grepin</a> have asked whether there’s enough interest to make the necessary investments in improving health systems research and, by extension, in the data necessary for such analysis. I’ve been coming at this same question from a different direction, asking whether we can identify a measurable health outcome that could serve as the basis for a <a href="https://web.archive.org/web/20101130123205/http://www.cgdev.org/section/initiatives/_active/codaid">Cash on Delivery aid</a> program. Some examples might include payments for each additional child who survives to age five, for each averted maternal death, or for each 1 percent reduction in the incidence of an infectious disease like HIV or malaria. In each case, the effort has been stymied by the poor quality of existing data – even for indicators like child mortality, maternal mortality, and the spread of infectious diseases that are widely cited, but often wildly inaccurate.</p> <p> <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/data-revolution-one-vital-registration-at-a-time.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/data-revolution-one-vital-registration-at-a-time.php#respond" title="Comment on Data Revolution: One Vital Registration at a Time?">Comment »</a></h4> <div style="height:30px;"> </div> </div> <div id="post-2119"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-2-or-why-soft-drink-supply-chains-could-inspire-better-performance-in-global-health.php" rel="bookmark" title="Permanent Link to Coke in Africa 2, or Why Soft Drink Supply Chains Could Inspire Better Performance in Global Health">Coke in Africa 2, or Why Soft Drink Supply Chains Could Inspire Better Performance in Global Health</a></h1> <h4 class="noline">November 17, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/amandaglassman/" title="Posts by Amanda Glassman">Amanda Glassman</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/amandaglassman/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/amandaglassman.thumbnail.jpg" alt="Amanda Glassman" width="110" height="110" class="bookcover left"/></a><p>In response to my previous post on <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-please-market-diet.php">Coke in Africa</a>, comments from A. Barnes and Eric Meade draw our attention to the use of Coca-Cola distribution networks as ways to distribute essential medicines and supplies in poor countries. This is one of those nuggets that people always highlight when lamenting lack of access in Africa and elsewhere, but is it a good idea?</p> <p>Prashant Yadav is a professor of supply chain management at Zaragoza-MIT Logistics Center that works across the developing world. In a recently released <a href="https://web.archive.org/web/20101130123205/http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1656386">paper</a>, Yadav and his co-authors compare medicine supply chains to soft drink supply chains. While Yadav’s paper doesn’t help us decide if piggybacking on Coke distribution is a good idea, it reveals that soft drink supply chains have plenty of features to emulate: <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-2-or-why-soft-drink-supply-chains-could-inspire-better-performance-in-global-health.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-2-or-why-soft-drink-supply-chains-could-inspire-better-performance-in-global-health.php#comments" title="Comment on Coke in Africa 2, or Why Soft Drink Supply Chains Could Inspire Better Performance in Global Health">1 Comment »</a></h4> <div style="height:30px;"> </div> </div> <div id="post-2056"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-please-market-diet.php" rel="bookmark" title="Permanent Link to Coke in Africa: Please Market Diet!">Coke in Africa: Please Market Diet!</a></h1> <h4 class="noline">November 9, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/amandaglassman/" title="Posts by Amanda Glassman">Amanda Glassman</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> Tags: <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/tag/non-communicable-disease" rel="tag">Non-Communicable Disease</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/amandaglassman/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/amandaglassman.thumbnail.jpg" alt="Amanda Glassman" width="110" height="110" class="bookcover left"/></a><p>Last week’s <em>Bloomberg Businessweek</em> <a href="https://web.archive.org/web/20101130123205/http://www.businessweek.com/magazine/content/10_45/b4202054144294.htm">reports</a> on Coca-Cola’s efforts to expand its market in Africa, which the reporter Duane Stanford describes as the final frontier in Coke profits.</p> <blockquote><p>Coke is now in a street-by-street campaign to win drinkers, trying to increase per-capita annual consumption of its beverages in countries not yet used to guzzling Coke by the gallon. To do so, Coca-Cola is applying lessons learned in Latin America, where an aggressive courtship of small stores helped boost per-capita consumption in Mexico to the highest in the world.</p></blockquote> <p>While recognizing the importance of Coke as a contributor to economic development – Coke is Africa’s largest employer – let’s also take a moment to look at this “success” in Mexico and its <a href="https://web.archive.org/web/20101130123205/http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342009001000020">implications for health</a>. <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-please-market-diet.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/11/coke-in-africa-please-market-diet.php#comments" title="Comment on Coke in Africa: Please Market Diet!">3 Comments »</a></h4> <div style="height:30px;"> </div> </div> <div id="post-2052"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/10/if-medical-science-is-biased-what-does-it-mean-for-development%e2%80%a6.php" rel="bookmark" title="Permanent Link to If Medical Science Is Biased, What Does It Mean for Development…?">If Medical Science Is Biased, What Does It Mean for Development…?</a></h1> <h4 class="noline">October 26, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/william-savedoff/" title="Posts by William Savedoff">William Savedoff</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/william-savedoff/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/william-savedoff.thumbnail.jpg" alt="William Savedoff" width="110" height="110" class="bookcover left"/></a><p>In <a href="https://web.archive.org/web/20101130123205/http://www.theatlantic.com/magazine/archive/2010/11/lies-damned-lies-and-medical-science/8269">“Lies, Damned Lies and Medical Science,”</a> David H. Freedman profiles the work of Dr. John Ioannidis who studies the quality of medical research and finds it to be full of findings that range from misleading and overhyped to completely false. As concerned patients, this raises the big question of whether medical professionals can be trusted to give us good advice when the evidence base is so flawed. But the dynamic that Ioannidis reveals in medical research is also a clear problem for anyone working in health policy research.</p> <p>For me, the most troubling issue revealed by Ioannidis’ research occurs when he moves from identifying the specific sources of research errors to asking questions about why such errors are so widespread and systemic. He concludes that the entire research process is full of bias: <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/10/if-medical-science-is-biased-what-does-it-mean-for-development%e2%80%a6.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/10/if-medical-science-is-biased-what-does-it-mean-for-development%e2%80%a6.php#comments" title="Comment on If Medical Science Is Biased, What Does It Mean for Development…?">8 Comments »</a></h4> <div style="height:30px;"> </div> </div> <div id="post-2040"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/10/welcome-amanda-glassman-cgd-director-of-global-health-policy.php" rel="bookmark" title="Permanent Link to Welcome Amanda Glassman: CGD Director of Global Health Policy">Welcome Amanda Glassman: CGD Director of Global Health Policy</a></h1> <h4 class="noline">October 18, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/nancy-birdsall/" title="Posts by Nancy Birdsall">Nancy Birdsall</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/nancy-birdsall/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/nancy-birdsall.thumbnail.jpg" alt="Nancy Birdsall" width="110" height="110" class="bookcover left"/></a><p>I am pleased to announce that Amanda Glassman joins CGD today as the new director of CGD’s Global Health Policy program and a CGD research fellow. Amanda was chosen from a crowded field of highly qualified candidates, and I am delighted to welcome her to CGD. <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/10/welcome-amanda-glassman-cgd-director-of-global-health-policy.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/10/welcome-amanda-glassman-cgd-director-of-global-health-policy.php#respond" title="Comment on Welcome Amanda Glassman: CGD Director of Global Health Policy">Comment »</a></h4> <div style="height:30px;"> </div> </div> <div id="post-1925"> <h1><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/07/progress-towards-the-goal-in-rwanda.php" rel="bookmark" title="Permanent Link to Progress toward the Goal in Rwanda">Progress toward the Goal in Rwanda</a></h1> <h4 class="noline">July 14, 2010 </h4> <h4 style="font-weight: normal;">Posted by <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/katiestein/" title="Posts by Katie Stein">Katie Stein</a> in <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" title="View all posts in Global Health" rel="category tag">Global Health</a> Tags: <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/tag/population" rel="tag">Population</a> </h4> <p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/author/katiestein/"><img src="https://web.archive.org/web/20101130123205im_/http://blogs.cgdev.org/globalhealth/files/userphoto/katiestein.thumbnail.jpg" alt="Katie Stein" width="110" height="110" class="bookcover left"/></a><p>In addition to marking Spain’s first World Cup victory, this past Sunday was <a href="https://web.archive.org/web/20101130123205/http://www.unfpa.org/public/world-population-day/">World Population Day</a>. Even though it did not receive the same attention as Andrés Iniesta’s goal in overtime, population is a critical component of global development.</p> <p>In this week’s <a href="https://web.archive.org/web/20101130123205/http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2961063-X/fulltext">Lancet</a>, Nick Wadhams highlights a rare success story in family planning in Sub-Saharan Africa. Rwanda is a country of 11 million people, all of whom reside on a piece of land that is slightly smaller than Maryland (whose population is 5.8 million), making it one of the most densely populated countries in the world.</p> <p>In 1994, 800,000 to 1 million Rwandans were murdered in a horrific genocide, leaving 5.5 million people in the country. Since then, the population has doubled, and most outside NGOs, bilateral and multilateral agencies have found it difficult to tell a country that recently lost 20% of its population to control the number of births per woman. <a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/07/progress-towards-the-goal-in-rwanda.php" class="more-link">Read More…</a></p> </p> <h4 align="right"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/2010/07/progress-towards-the-goal-in-rwanda.php#comments" title="Comment on Progress toward the Goal in Rwanda">3 Comments »</a></h4> <div style="height:30px;"> </div> </div> <div> <div class="alignleft"><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health/page/2">« Previous Entries</a></div> <div class="alignright"></div> </div> <br/> </td>  <td style="width:20px"></td>  <td id="section-sidebar" valign="top"><div id="sidebarNav"> <ul> <li id="text-377439231" class="widget widget_text"> <div class="textwidget"><p><a href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/"><strong>Global Health Policy</strong></a> is a group blog discussing the issues facing the donor community on everything from HIV/AIDS financing to pharmaceutical R&D to broader health systems concerns. Comments are strongly encouraged, and suggestions for new posts can be sent to us <a href="https://web.archive.org/web/20101130123205/mailto:globalhealthpolicy@cgdev.org">here</a>.</p> <p style="border-top: 1px solid #ccc;padding-top: 10px;"><strong>The Race Against Drug Resistance</strong><br>A short film tells the story of Khalifa, a nurse in Ghana who contracted typhoid. She takes one drug and then another—each more expensive than the last—but still she isn’t well. The film uses expert interviews and animation to explain why drug resistance threatens us all—and what we can do about it.</p> <p><a href="https://web.archive.org/web/20101130123205/http://www.youtube.com/watch?v=3KggflMCx24" rel="prettyPhoto" title=""><img src="https://web.archive.org/web/20101130123205im_/http://www.cgdev.org/images/blog/drug_resistance_thumb_200.jpg"/></a></p> <p>Learn more about our <a href="https://web.archive.org/web/20101130123205/http://www.cgdev.org/section/initiatives/_active/drugresistanceglobalhealth">Combating Drug Resistance</a> initiative.</p> </div> </li> <li id="global-translator" class="widget widget_global_translator"><h2 class="widgettitle">Translator</h2> <div id="translation_bar"><map id="gltr_flags_map" name="gltr_flags_map"><area shape="rect" coords="0,0,16,11" href="https://web.archive.org/web/20101130123205/http://blogs.cgdev.org/globalhealth/category/global-health" id="flag_en" title="English"/><area shape="rect" coords="20,0,36,11" 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