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Fund</h1> <div id="post-1118"> <h2>July 10, 2009 </h2> <h3><a href="https://web.archive.org/web/20090924191351/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/20090924191351/http://blogs.cgdev.org/globalhealth/author/ruth-levine/" title="Posts by Ruth Levine">Ruth Levine</a> in <a href="https://web.archive.org/web/20090924191351/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/20090924191351/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/nice" rel="tag">NICE</a>, <a href="https://web.archive.org/web/20090924191351/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/20090924191351/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/20090924191351/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/20090924191351/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/20090924191351/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/20090924191351/http://blogs.cgdev.org/globalhealth/author/ruth-levine/" title="Posts by Ruth Levine">Ruth Levine</a> in <a href="https://web.archive.org/web/20090924191351/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/20090924191351/http://blogs.cgdev.org/globalhealth/tag/gavi" rel="tag">GAVI</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/health-systems" rel="tag">Health Systems</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/who" rel="tag">WHO</a>, <a href="https://web.archive.org/web/20090924191351/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/20090924191351/http://www.internationalhealthpartnership.net/taskforce.html">Paris in May</a>, <a href="https://web.archive.org/web/20090924191351/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/20090924191351/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/20090924191351/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/20090924191351/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-1088"> <h2>June 19, 2009 </h2> <h3><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/give-the-global-fund-a-gold-star-for-their-hard-hitting-evaluationnow-comes-the-hard-part.php" rel="bookmark" title="Permanent Link to Give the Global Fund a Gold Star for Their Hard-Hitting Evaluation…Now Comes the Hard Part">Give the Global Fund a Gold Star for Their Hard-Hitting Evaluation…Now Comes the Hard Part</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/author/april-harding/" title="Posts by April Harding">April Harding</a> in <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/category/global-fund" title="View all posts in Global Fund" rel="category tag">Global Fund</a> Tags: <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/world-bank" rel="tag">World Bank</a> </h4> <p><p>In 2002, the Global Fund (GF) was established to be a “new and improved” model for health aid. Founding head, Richard Feachem coined the pithy phrase “Raise it. Spend it. Prove it.” to capture their raison d’etre. A <a href="https://web.archive.org/web/20090924191351/http://www.theglobalfund.org/en/terg/evaluations/5year/">hard-hitting evaluation</a> of their first five years has just been published. It gives them: an A – for “raising it”; a B – for “spending it”; and, a D minus, for “proving it”.</p> <p>Much to their credit, the evaluation assessed not just the grants, but also how the Fund’s structure, and modus operandi, influences how the grant activities are identified and implemented. GF funders and board members are now in a position to make informed decisions about changes that could make the GF work better. By any measure, hard work awaits. <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/give-the-global-fund-a-gold-star-for-their-hard-hitting-evaluationnow-comes-the-hard-part.php#more-1088" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/give-the-global-fund-a-gold-star-for-their-hard-hitting-evaluationnow-comes-the-hard-part.php#comments" title="Comment on Give the Global Fund a Gold Star for Their Hard-Hitting Evaluation…Now Comes the Hard Part">7 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-1040"> <h2>June 10, 2009 </h2> <h3><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/an-underwhelming-hearing-for-an-overdue-appointment.php" rel="bookmark" title="Permanent Link to An Underwhelming Hearing for an Overdue Appointment">An Underwhelming Hearing for an Overdue Appointment</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/author/david-wendt/" title="Posts by David Wendt">David Wendt</a> in <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/category/hivaids-and-other-infectious-diseases" title="View all posts in HIV/AIDS and other Infectious Diseases" rel="category tag">HIV/AIDS and other Infectious Diseases</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/category/pepfar" title="View all posts in PEPFAR" rel="category tag">PEPFAR</a> Tags: <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/pepfar" rel="tag">PEPFAR</a> </h4> <p><p><em>This is a joint post with <a href="https://web.archive.org/web/20090924191351/http://www.cgdev.org/section/about/staff#Drog">Christina Droggitis</a>.</em></p> <p>Today in Windhoek, Namibia, the AIDS Implementation Meeting kicked off, notably without the presence of a Global AIDS Coordinator to provide U.S. government leadership to the many attendees regarding the future direction of the PEPFAR program. In Washington yesterday, a <a href="https://web.archive.org/web/20090924191351/http://www.foreign.senate.gov/hearings/2009/hrg090609p.html">confirmation hearing</a> was held for Dr. Goosby, Obama’s nominee for Global AIDS Coordinator. At around 2:20, the room was almost full, largely with Washington-based advocates on issues related to HIV/AIDS. Many, like us, had submitted questions they hoped would be asked. At around 2:40 Dr. Goosby, Sen. Feingold, Sen. Lugar and a handful of staffers took their seats. The opening remarks ran longer than the questions, which totaled only eight.</p> <p>In <a href="https://web.archive.org/web/20090924191351/http://www.foreign.senate.gov/testimony/2009/GoosbyTestimony090609p.pdf">Dr. Goosby’s opening statement</a> he made points concerning four of the <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/questions-for-dr-goosby-how-can-you-make-pepfar-even-better.php">five questions</a> posted by Nandini Oomman:</p> <ul> <li>PEPFAR needs to move towards a sustainable country-owned response (two-in-one),</li> <li>Country health systems need to be strengthened, and</li> <li>It’s important to address the particular needs of women and girls. <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/an-underwhelming-hearing-for-an-overdue-appointment.php#more-1040" class="more-link">More…</a></li> </ul> </p> <p class="posted"><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/06/an-underwhelming-hearing-for-an-overdue-appointment.php#comments" title="Comment on An Underwhelming Hearing for an Overdue Appointment">3 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-974"> <h2>May 19, 2009 </h2> <h3><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/05/research-to-action-hivaids-monitor%e2%80%99s-new-web-tool.php" rel="bookmark" title="Permanent Link to Research to Action: HIV/AIDS Monitor’s New Web Tool">Research to Action: HIV/AIDS Monitor’s New Web Tool</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/author/christinadroggitis/" title="Posts by Christina Droggitis">Christina Droggitis</a> in <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/category/hivaids-and-other-infectious-diseases" title="View all posts in HIV/AIDS and other Infectious Diseases" rel="category tag">HIV/AIDS and other Infectious Diseases</a> Tags: <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/hivaids-monitor" rel="tag">HIV/AIDS Monitor</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/pepfar" rel="tag">PEPFAR</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/world-bank-map" rel="tag">World Bank MAP</a> </h4> <p><p>Curious to know what PEPFAR has done to strengthen local capacity? What about actions taken by the Global Fund to support national AIDS plans? Or maybe you’re interested to know evidence that shows the need for the World Bank to invest in information technology?</p> <p>The <a href="https://web.archive.org/web/20090924191351/http://www.cgdev.org/section/initiatives/_active/hivmonitor">HIV/AIDS Monitor</a> team is pleased to introduce a <a href="https://web.archive.org/web/20090924191351/http://www.cgdev.org/section/initiatives/_active/hivmonitor/impact1" target="_blank">new web tool</a> for tracking influence, policy change and other donor activities. Now you can easily track the impact of evidence-based recommendations from the HIV/AIDS Monitor team to PEPFAR, the Global Fund and the World Bank to improve their design, delivery and management of aid for HIV/AIDS. <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/05/research-to-action-hivaids-monitor%e2%80%99s-new-web-tool.php#more-974" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/05/research-to-action-hivaids-monitor%e2%80%99s-new-web-tool.php#comments" title="Comment on Research to Action: HIV/AIDS Monitor’s New Web Tool">1 Comment</a></p> </div> <div class="br"><br/></div> <div id="post-826"> <h2>April 6, 2009 </h2> <h3><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/04/first-ladies%e2%80%99-meeting-in-strasbourg-more-than-a-fashion-face-off.php" rel="bookmark" title="Permanent Link to First Ladies’ Meeting in Strasbourg: More than a Fashion Face-Off">First Ladies’ Meeting in Strasbourg: More than a Fashion Face-Off</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/author/nandini-oomman/" title="Posts by Nandini Oomman">Nandini Oomman</a> in <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/category/hivaids-and-other-infectious-diseases" title="View all posts in HIV/AIDS and other Infectious Diseases" rel="category tag">HIV/AIDS and other Infectious Diseases</a> Tags: <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/michelle-obama" rel="tag">Michelle Obama</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/pepfar" rel="tag">PEPFAR</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/strasbourg" rel="tag">Strasbourg</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/white-house" rel="tag">White House</a>, <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/womens-health" rel="tag">Women's Health</a> </h4> <p><p>The media wasted no time in pitting Michelle Obama and Carla Bruni-Sarkozy against each other in a <a href="https://web.archive.org/web/20090924191351/http://www.chicagotribune.com/news/nationworld/michelle-vs-carla-in-europe,0,140736.story" target="_blank">First Ladies’ Fashion Face-Off</a>, as President Obama and the First Lady dazzle the crowds in Europe. While it is clear that haute couture and “flawless dressing” are passé, the discussion in Strasbourg between the sensible First Ladies to work collaboratively to fight against AIDS, and for women’s health was the real winner. Bruni-Sarkozy in December 2008 was named a goodwill ambassador to the <a href="https://web.archive.org/web/20090924191351/http://www.theglobalfund.org/" target="_blank">Global Fund To Fight AIDS, Tuberculosis and Malaria</a>, and roping Michele Obama into this effort is one smart move. Not only will this boost the Obama-Sarkozy camaraderie to tackle global economic issues but it may also catapult the White House onto the ramp, as it were, to mobilize its efforts in the fight against AIDS. While the U.S.’ signature AIDS program PEPFAR, launched and closely monitored by then President George W. Bush, is most certainly the lead financier of the global AIDS response (including its significant contributions to the Global Fund), the current Administration has been relatively silent about its direct involvement in PEPFAR as it transitions to its next phase. The Strasbourg discussions reveal that shimmer of hope that maybe Michelle Obama will get on that catwalk and make AIDS and other global health issues, including women’s health her business, in addition to the many other issues she is tackling with a lot of fashion and common sense. The <a href="https://web.archive.org/web/20090924191351/http://www.cgdev.org/hivmonitor" target="_blank">HIV/AIDS Monitor</a> at CGD eagerly awaits the (perhaps?) spring launch of this activity from the White House, especially as we prepare to launch our own analysis of gender and the HIV/AIDS response in Africa.</p> </p> <p class="posted"><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/04/first-ladies%e2%80%99-meeting-in-strasbourg-more-than-a-fashion-face-off.php#comments" title="Comment on First Ladies’ Meeting in Strasbourg: More than a Fashion Face-Off">3 Comments</a></p> </div> <div class="br"><br/></div> <div id="post-770"> <h2>March 27, 2009 </h2> <h3><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/03/belt-tightening-at-the-global-fund%e2%80%a6how-about-making-it-performance-based.php" rel="bookmark" title="Permanent Link to Belt-Tightening at the Global Fund…How About Making It Performance-Based?">Belt-Tightening at the Global Fund…How About Making It Performance-Based?</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/author/steve-rosenzweig/" title="Posts by Steve Rosenzweig">Steve Rosenzweig</a> in <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/category/hivaids-and-other-infectious-diseases" title="View all posts in HIV/AIDS and other Infectious Diseases" rel="category tag">HIV/AIDS and other Infectious Diseases</a> Tags: <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund" rel="tag">Global Fund</a> </h4> <p><p>The Global Fund for AIDS, Tuberculosis and Malaria, an innovative funding mechanism founded in 2002 to fight three killer diseases across the developing world, is currently facing a <a href="https://web.archive.org/web/20090924191351/http://www.aidspan.org/index.php?issue=102&article=3" target="_blank">$4 billion shortfall</a> through 2010, according to the Fund’s Executive Director Michel Kazatchkine. This has led the Global Fund to ask countries to <a href="https://web.archive.org/web/20090924191351/http://www.aidspan.org/index.php?issue=101&article=1" target="_blank">scale back their budgets</a> for the most recent funding round – Round 8 – by 10% ($300 million in total), with the possibility of <a href="https://web.archive.org/web/20090924191351/http://www.voanews.com/english/archive/2009-02/2009-02-04-voa23.cfm?CFID=151328236&CFTOKEN=19095894&jsessionid=de309e53602847c7ca3843201b6311356334" target="_blank">further cutbacks of up to 25%</a> for the second phase of these 5 year grants if new funding does not come through. <a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/03/belt-tightening-at-the-global-fund%e2%80%a6how-about-making-it-performance-based.php#more-770" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/2009/03/belt-tightening-at-the-global-fund%e2%80%a6how-about-making-it-performance-based.php#comments" title="Comment on Belt-Tightening at the Global Fund…How About Making It Performance-Based?">3 Comments</a></p> </div> <div class="br"><br/></div> <div> <div class="alignleft"><a href="https://web.archive.org/web/20090924191351/http://blogs.cgdev.org/globalhealth/tag/global-fund/page/2">« Previous Entries</a></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/20090924191351/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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