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<div id="post-1118"> <h2>July 10, 2009 </h2> <h3><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/will-barack-obama-call-the-world-bank-for-advice-about-fixing-the-us-health-system.php" rel="bookmark" title="Permanent Link to Will Barack Obama Call the World Bank for Advice about Fixing the U.S. Health System?">Will Barack Obama Call the World Bank for Advice about Fixing the U.S. Health System?</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/author/ruth-levine/" title="Posts by Ruth Levine">Ruth Levine</a> in <a href="https://web.archive.org/web/20090925035949/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/20090925035949/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/nice" rel="tag">NICE</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/world-bank" rel="tag">World Bank</a> </h4> <p><p>Along with positive feedback on <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/wedding-bells-for-gavi-the-world-bank-and-the-global-fund.php">yesterday’s post</a> about the Global Fund, GAVI and the World Bank (all from individuals who didn’t want to post a comment publicly), I got one question: “Why did you say ‘<em>self-proclaimed</em> comparative advantage in financing and systems issues’? The Bank obviously has the comparative advantage on those topics.”</p> <p>How obvious the Bank’s comparative advantage is depends on the answer to the question “compared to what”?</p> <p>Compared to the Global Fund to Fight AIDS, TB and Malaria and the GAVI Alliance, two organizations established to collect and distribute money for disease-specific programs in developing countries, it’s undoubtedly true that the Bank has a set of assets that make it better suited to engaging in broad discussions about the direction of health financing and organization. The Bank has staff with knowledge about trends in health insurance, for example, and relatively easy access to Ministries of Finance. The Bank’s health sector portfolio has for a long while included many projects designed to improve management information systems, logistics and supply chain functions, health worker training, policymaking at central and subnational levels, and other “systems” stuff. In contrast, the Global Fund and GAVI don’t focus on those areas, for the most part, and have limited policy-level contacts outside of the health sector. So, compared to those two other organizations, the Bank has both the comparative and the absolute advantage in the health systems domain. <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/will-barack-obama-call-the-world-bank-for-advice-about-fixing-the-us-health-system.php#more-1118" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/will-barack-obama-call-the-world-bank-for-advice-about-fixing-the-us-health-system.php#comments" title="Comment on Will Barack Obama Call the World Bank for Advice about Fixing the U.S. Health System?">2 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-1103"> <h2>July 9, 2009 </h2> <h3><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/wedding-bells-for-gavi-the-world-bank-and-the-global-fund.php" rel="bookmark" title="Permanent Link to Wedding Bells for GAVI, the World Bank and the Global Fund?">Wedding Bells for GAVI, the World Bank and the Global Fund?</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/author/ruth-levine/" title="Posts by Ruth Levine">Ruth Levine</a> in <a href="https://web.archive.org/web/20090925035949/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/20090925035949/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/health-systems" rel="tag">Health Systems</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/who" rel="tag">WHO</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/world-bank" rel="tag">World Bank</a> </h4> <p><p>The global health meeting circuit is abuzz with discussions about whether the World Bank, the GAVI Alliance and the Global Fund to Fight AIDS, TB and Malaria will be able to forge a partnership to effectively support health system strengthening in low-income countries – and how that might happen through some undefined activity called “joint programming.” <a href="https://web.archive.org/web/20090925035949/http://www.internationalhealthpartnership.net/taskforce.html">Paris in May</a>, <a href="https://web.archive.org/web/20090925035949/http://www.who.int/dg/speeches/2009/global_health_initiatives_20090622/en/index.html">Venice in June</a>, <a href="https://web.archive.org/web/20090925035949/http://go.worldbank.org/A7O7NUKMR0">Washington in July</a>. . . the conversation goes on and on, presumably with the intention of coming up with a mutually-agreed plan within the next several months.</p> <p>The impetus to mobilize money and technical expertise to support improved health sector performance is strong. For the past several years a combination of evidence and anecdote has revved up concerns that (a) donor funding for health organized into disease-, population- or intervention-specific pots can cause problems and distortions, such as inefficiencies in information systems and drug supply chains, and poaching of health workers; and (b) ambitious disease-, population- and intervention-specific goals can’t be achieved without robust systems for financing, regulating and delivering public and private health care. <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/wedding-bells-for-gavi-the-world-bank-and-the-global-fund.php#more-1103" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/wedding-bells-for-gavi-the-world-bank-and-the-global-fund.php#comments" title="Comment on Wedding Bells for GAVI, the World Bank and the Global Fund?">9 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-1100"> <h2>July 1, 2009 </h2> <h3><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/the-acronym-party-part-2-gavi%e2%80%99s-new-call-for-nominations-for-iac-members-for-the-amc-secretariat.php" rel="bookmark" title="Permanent Link to The Acronym Party (Part 2): GAVI’s New Call for Nominations for IAC Members for the AMC Secretariat">The Acronym Party (Part 2): GAVI’s New Call for Nominations for IAC Members for the AMC Secretariat</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/author/scott-kniaz/" title="Posts by Scott Kniaz">Scott Kniaz</a> in <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/category/vaccines" title="View all posts in Vaccines" rel="category tag">Vaccines</a> Tags: <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/amc" rel="tag">AMC</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a> </h4> <p><p>If the title is a bit confusing, let me do some deciphering. In its role as the <a href="https://web.archive.org/web/20090925035949/http://www.vaccineamc.org/">AMC (Advance Market Commitment)</a> Secretariat, the <a href="https://web.archive.org/web/20090925035949/http://www.gavialliance.org/">GAVI Alliance</a> Secretariat is seeking an additional member for its Independent Assessment Committee (IAC), this time with specific expertise in vaccine industry economics. With the formal launch of the <a href="https://web.archive.org/web/20090925035949/http://www.vaccineamc.org/updatejun_09.html">AMC for pneumococcal vaccines</a>, the IAC will oversee several core components of the AMC process; specifically, it reviews and approves the technical product profile (TPP) for the vaccine, determines AMC eligibility of vaccine candidates, and monitors information regarding the influence of the AMC on the development and production of specific vaccines. In addition, the IAC will establish when and if an adjustment of the pre?set long term price of vaccines is necessary and will have a dispute resolution function.</p> <p>The GAVI Alliance Secretariat is accepting applications from candidates with expertise in: clinical performance and delivery systems, contract law, public health, and public/private finance. For more information, please see the <a href="https://web.archive.org/web/20090925035949/http://www.vaccineamc.org/files/IAC4thcallforapps.pdf">current call for nominations</a> (deadline extended to July 17). </p> </p> <p class="posted"><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/07/the-acronym-party-part-2-gavi%e2%80%99s-new-call-for-nominations-for-iac-members-for-the-amc-secretariat.php#respond" title="Comment on The Acronym Party (Part 2): GAVI’s New Call for Nominations for IAC Members for the AMC Secretariat">No Comments</a></p> </div> <div class="br"><br/></div> <div id="post-1073"> <h2>June 12, 2009 </h2> <h3><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/06/vaccine-amc-really-launched-today.php" rel="bookmark" title="Permanent Link to Vaccine AMC (Really) Launched Today">Vaccine AMC (Really) Launched Today</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/author/ruth-levine/" title="Posts by Ruth Levine">Ruth Levine</a> in <a href="https://web.archive.org/web/20090925035949/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/20090925035949/http://blogs.cgdev.org/globalhealth/tag/amc" rel="tag">AMC</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/world-bank" rel="tag">World Bank</a> </h4> <p><p>Four years after we published <a href="https://web.archive.org/web/20090925035949/http://www.cgdev.org/content/publications/detail/2869/">Making Markets for Vaccines</a> laying out a way for donors to make a binding commitment to purchase a not-yet-developed vaccine, the pilot Advance Market Commitment has been <a href="https://web.archive.org/web/20090925035949/http://www.vaccineamc.org/updatejun_09.html">launched</a> at the G8 Finance Ministers’ Pre-Summit Meeting in Lecce, Italy. Six donors (Italy, the UK, Canada, Russia, Norway and the Bill & Melinda Gates Foundation) have worked closely with the GAVI Alliance and the World Bank — along with many others who devoted countless hours to the design and implementation questions — to make the policy proposal a reality. They have stuck with this project through thick and thin, and have demonstrated impressive fortitude despite current financial pressures within donor agencies. <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/06/vaccine-amc-really-launched-today.php#more-1073" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/06/vaccine-amc-really-launched-today.php#comments" title="Comment on Vaccine AMC (Really) Launched Today">2 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-763"> <h2>March 26, 2009 </h2> <h3><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/03/health-systems-strengthening-whither-the-world-bank.php" rel="bookmark" title="Permanent Link to Health Systems Strengthening: Whither the World Bank?">Health Systems Strengthening: Whither the World Bank?</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/author/april-harding/" title="Posts by April Harding">April Harding</a> in <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/category/health-systems" title="View all posts in Health Systems" rel="category tag">Health Systems</a> Tags: <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/health-systems" rel="tag">Health Systems</a> </h4> <p><p><em>With <a href="https://web.archive.org/web/20090925035949/http://www.cgdev.org/content/expert/detail/2708/" target="_blank">Ruth Levine</a>.</em></p> <p>The <a href="https://web.archive.org/web/20090925035949/http://www.internationalhealthpartnership.net/taskforce.html" target="_blank">High Level Taskforce on Innovative International Financing for Health Systems</a> met week before last in London. To their great credit, they’ve posted draft reports from their two Working Groups so interested observers can see the where they’re going. Working Group 1 seeks to identify the health systems-related constraints to achieving global health goals, and presents estimates of costs of achieving priority goals (e.g. targeted reductions in maternal and child health). Working Group 2 (WG2) aims to identify new sources of funding and lay out the best options for channeling the funding to countries to improve health system performance. Further work and consultation is pending over the next three months, and then the Taskforce will provide their suggestions to the G8 for consideration at the July Summit in Italy. <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/03/health-systems-strengthening-whither-the-world-bank.php#more-763" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/03/health-systems-strengthening-whither-the-world-bank.php#comments" title="Comment on Health Systems Strengthening: Whither the World Bank?">2 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-730"> <h2>March 16, 2009 </h2> <h3><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/03/the-acronym-party-gavi%e2%80%99s-new-call-for-nominations-for-iac-members-for-the-amc-secretariat.php" rel="bookmark" title="Permanent Link to The Acronym Party: GAVI’s New Call for Nominations for IAC Members for the AMC Secretariat">The Acronym Party: GAVI’s New Call for Nominations for IAC Members for the AMC Secretariat</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/author/scott-kniaz/" title="Posts by Scott Kniaz">Scott Kniaz</a> in <a href="https://web.archive.org/web/20090925035949/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/20090925035949/http://blogs.cgdev.org/globalhealth/tag/amc" rel="tag">AMC</a>, <a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a> </h4> <p><p>If the title is a bit confusing, let me do some deciphering. In its role as the AMC (Advance Market Commitment) Secretariat, the <a href="https://web.archive.org/web/20090925035949/http://www.gavialliance.org/">GAVI Alliance</a> Secretariat is seeking 3 additional members for its Independent Assessment Committee (IAC), each with expertise in one of the following areas: public health, public-private finance, and vaccine industry economics. With the upcoming launch of the <a href="https://web.archive.org/web/20090925035949/http://www.vaccineamc.org/">pilot AMC for pneumococcal vaccines</a>, the IAC oversees several core components of the AMC process; specifically, it reviews and approves the technical product profile (TPP) for the vaccine, determines AMC eligibility of vaccine candidates, oversees monitoring of AMC, reviews and modifies AMC prices, resolves disputes, etc. For more information on the call for nominations and the AMC in general, please see <a href="https://web.archive.org/web/20090925035949/http://www.vaccineamc.org/">www.vaccineamc.org</a>.</p> </p> <p class="posted"><a href="https://web.archive.org/web/20090925035949/http://blogs.cgdev.org/globalhealth/2009/03/the-acronym-party-gavi%e2%80%99s-new-call-for-nominations-for-iac-members-for-the-amc-secretariat.php#respond" title="Comment on The Acronym Party: GAVI’s New Call for Nominations for IAC Members for the AMC Secretariat">No Comments</a></p> </div> <div class="br"><br/></div> <div> <div class="alignleft"></div> <div class="alignright"></div> </div> <br/> </div> </div>  <div id="right"> <ul> <li id="text-377439231" class="widget widget_text"> <div class="textwidget"><p><a href="https://web.archive.org/web/20090925035949/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. 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