Ideas to Action:

Independent research for global prosperity

Tag: Value for Money

 

Photo of a stethoscope and a calculator

Global Health Development Value Frameworks: Are We Calculating Well and Wisely?

The last several years have seen the development of many decision-support tools (“value frameworks”) for supporting policy and investment decisions. These tools make use of lots of numbers representing factors of undoubted importance in decision making, and they synthesise this information into a decision-relevant score or ranking or choice recommendation. Sometimes it is hard to trace how the numbers are combined; in other cases, although the relevant formulae are spelled out, it is hard to see why the numbers are combined in a particular way.

Pallets of UK aid being loaded onto trucks

How to Allocate UK Overseas Development Assistance

The UK Parliament published its review of UK ODA earlier this week. The report is clear that some departments have spent aid badly and recommends the Secretary of State for International Development should “have ultimate responsibility for ODA spent across Government.” I propose that, in the spending review next year, the Development Secretary and HM Treasury should lead a new process for allocating ODA across Government.

The Need for New Approaches to Global Health Aid Allocation

Aid allocation has been a topic of much investigation across several fields. In particular, many studies have looked at the patterns of development assistance for health (DAH). For example, a study by Hanlon and colleagues found that regional variations in DAH country allocations were only in part explained by differences in disease burden or income levels. If DAH allocation is not primarily driven by the health and financial needs of those receiving it, then on what grounds is it allocated?

Y-Ling Chi, Kalipso Chalkidou and Jesse Bump
Publication

Today, politicians are under growing pressure to squeeze more out of every dollar and guarantee greater access to better, more affordable healthcare for their citizens. In such a resource-constrained environment, wasting trillions of dollars on health every year is not viable. This note provides an overview of some of the approaches and policy options that the National Health Service in England has been using to maximise value for money.

Defining Benefits for Universal Health Care—How Governments Can Get the Most Bang for Their Health Care Buck

Vaccinate children against measles and mumps or pay for the costs of dialysis treatment for kidney disease patients? Pay for cardiac patients to undergo lifesaving surgery, or channel money toward efforts to prevent cardiovascular disease in the first place? For universal health care (UHC) to become a reality, policymakers looking to make their money go as far as possible must make tough life-or-death choices like these.

WHO’s Draft Concept Note: Treating the Symptoms, Not the Causes?

Global health policy enthusiasts will be excited to see that WHO has recently published a draft Concept Note on the 2019-2023 Programme of Work under the stewardship of its new Director-General. We see two glaring missed opportunities: 1) more centrality to universal health coverage (UHC) as an organizing principle for WHO and its work, and 2) more emphasis on enhancing the value for money of public spending on UHC and elsewhere.

The Future of Family Planning – Podcast with Rachel Silverman

At a London conference earlier this month, some donors promised generous funding for family planning services in developing countries. At the same time, however, future support from the US is in doubt, and progress towards the FP2020 family planning goals has been extremely limited. Just how much progress have we made, and how far do we have to go? What difference will the new pledges make, and how should they be used? Rachel Silverman, CGD’s assistant director of global health policy, responds to these questions in this week’s podcast. 

Should Theresa May Ditch the Aid Target?

Aid is amazingly good value for money. For the same money the government willingly spends to save a life in a developed country such as the UK, we save around 100 or even 1,000 lives in the developing world.

Two Views on Fighting World Poverty

Yesterday, Lant Pritchett expressed his bewilderment at my open letter to Bill Gates advocating cash for the poor rather than chickens. I think Lant’s right and he’s wrong. We have to focus on the big picture and economic growth as a society, but I think there’s a strong argument for directly tackling the worst poverty now.

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