This report of the CGD working group on IMF Programs and Health Spending explores the controversy that surrounds IMF-supported programs in low-income countries and their effect on the health sector. Critics contend that programs unduly constrain health spending though macroeconomic, especially fiscal, policies that are too restrictive towards government spending and wage bill ceilings preventing a scaling up of the health workforce. The working group, chaired by CGD visiting fellow David Goldsbrough, examined the evidence through detailed case studies and cross-country data to make recommendations for the IMF and other relevant actors. They urge the IMF to explore a broader range of options on the fiscal deficit and government spending; clarify the role of the IMF with regards to aid projections; constrain the use of wage bill ceilings to very specific circumstances; and give greater emphasis to the smoothing of expenditures.
This CGD working group report offers five practical recommendations for strengthening the International Development Association (IDA)--the World Bank's soft-loan facility for the world's poorest countries--as donors begin replenishment talks that will shape IDA's course from mid-2008 through mid-2011. Among the recommendations: affirm IDA's central role in the international aid system; focus on core tasks; don't hold IDA hostage to broader geopolitical issues; get serious about finding ways to help fragile states; and sharpen incentives for performance.Learn more
This report of CGD's Global Health Forecasting Working Group, which was convened in early 2006 by senior fellow and director of programs Ruth Levine to sort out why demand forecasting has been so problematic, provides an elegant analysis of the problem and a sensible agenda for action. Their report offers specific recommendations that apply across a range of products and that could be implemented by identifiable public and private organizations.
Developing countries, donor agencies, and private philanthropies devote about $500 billion a year to improve the health of people in the developing world. But the lack of timely, accurate information about how this money is spent is undermining its impact. This problem can be solved. A working group organized by CGD's Global Health Policy Research Network offers four specific recommendations. Among the findings: place the highest priority on responding to the needs of in-country decision makers and make full use of modern information management technology.
This note explores the countries most likely to be selected for FY07 eligibility for the Millennium Challenge Account. The authors also discuss key issues the Board will face this year, including deciding eligibility for the four countries with signed compacts that do not pass the indicator test. Most controversially, the authors think it is highly likely that the Board will select both Indonesia and Jordan, but they do not believe that either would be an appropriate choice.
Challenges and Opportunities for the New Executive Director of the Global Fund: Seven Essential Tasks
In its first four years, the Global Fund to Fight AIDS, Tuberculosis and Malaria has become one of the most important aid agencies in the world. As the Global Fund undergoes its first leadership transition, this CGD Working Group Report identifies seven tasks for the new Executive Director, starting from country operations, where ultimate results are achieved; through supporting arrangements (such as technical assistance, performance-based funding, procurement and supply chain strategies, and secretariat operations) and ending with the overarching issues of financing and Board relationships. The report offers specific recommendations for the new Executive Director and for the Board.
In response to a request from the Millennium Challenge Corporation, CGD convened the Global Health Indicators Working Group to examine potential measures of a government's commitment to health. The group's report recommends eight indicators for consideration by the MCC and other donors as they assess recipient countries' readiness to make effective use of foreign assistance. Learn more
Donald Kaberuka, the new president of the African Development Bank, leads an institution whose financial standing has been restored from the near collapse of 1995, but whose operational credibility remains a work-in-progress. This CGD working group report offers external, independent advice to Kaberuka and the Bank's board of directors on broad principles to guide the Bank’s renewal. The report contains six bold yet achievable recommendations for management and shareholders as they address the urgent task of reforming Africa's development bank. Prominent among the recommendations is a strong focus on infrastructure.
Each year billions of dollars are spent on thousands of programs to improve health, education and other social sector outcomes in the developing world. But very few programs benefit from studies that could determine whether or not they actually made a difference. This absence of evidence is an urgent problem: it not only wastes money but denies poor people crucial support to improve their lives.
This new report by a group comprising several of Latin America's most influential economic policymakers, CGD senior fellow Liliana Rojas Suarez, and CGD president Nancy Birdsall suggests ways for the IDB to become more flexible and to step up its support for market oriented reforms. The IDB's new president, Luis Alberto Moreno, warmly endorsed the recommendations, calling them "a key agenda."
This MCA Monitor analysis draws on newly released data to explore which countries are most likely to be selected for FY 2006 funding from the Millennium Challenge Account. The authors predict that Burkina Faso, East Timor, and Tanzania are likely candidates from the low-income group, and that India is unlikely to be selected despite passing the indicators test.
This report was prepared by a Working Group convened by the Center for Global Development to identify key priorities the Paul Wolfowitz at the start of his tenure at the World Bank on June 1, 2005. It argues that Wolfowitz's biggest challenge will not be managing the Bank, with its 10,000 staff, but leading its shareholders, the nations of the world. The report offers five bold but practical recommendations for restoring the legitimacy and increasing the effectiveness of the world's largest development institution.
Making Markets for Vaccines: Ideas to Action presents the proposal from theory to practice, by showing how a commitment can be consistent with ordinary legal and budgetary principles. A draft contract term sheet is included, highlighting the key elements of a credible guarantee.
On August 31, 2004, the Millennium Challenge Corporation (MCC) announced some modest changes in the process it will use to select countries for MCC eligibility in FY 2005. This note examines the new set of indicators and the countries most likely to qualify in round two.
A Report of the Commission for Weak States and US National Security
Terrorists training at bases in Afghanistan and Somalia. Transnational crime networks putting down roots in Myanmar/Burma and Central Asia. Poverty, disease, and humanitarian emergencies overwhelming governments in Haiti and Central Africa. A common thread runs through these disparate crises that form the fundamental foreign policy and security challenges of our time. These crises originate in, spread to, and disproportionately affect developing countries where governments lack the capacity, and sometimes the will, to respond.
These weak and failed states matter to American security, American values, and the prospects for global economic growth upon which the American economy depends.