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22. Every Dollar Counts: How Global AIDS Donors Can Better Link Funding Decisions to Performance
- Author:
- David Wendt, Nandini Oomman, and Christina Droggitis
- Publication Date:
- 04-2010
- Content Type:
- Policy Brief
- Institution:
- Center for Global Development
- Abstract:
- Billions of dollars have been allocated to fight HIV/AIDS in poor countries over the past decade, yet less than half of those requiring treatment receive it, and for every two people put on treatment, five more become infected. This situation, in combination with the global economic crisis and the growing pressure to respond to broader global health objectives, is forcing donors to consider how to do more with their available funds. One way to improve the effectiveness of HIV/AIDS programs is to tie funding decisions to performance. Performance-based funding rewards effective programs and gives incentives for poor performers to improve. Donors have experimented with this approach, but they should do much more to ensure that funding decisions reflect and respond to how well funding recipients meet the objectives of their programs.
- Topic:
- Health, Third World, and Foreign Aid
23. Cash on Delivery: A New Approach to Foreign Aid
- Author:
- Nancy Birdsall, Ayah Mahgoub, and William D. Savedoff
- Publication Date:
- 11-2010
- Content Type:
- Policy Brief
- Institution:
- Center for Global Development
- Abstract:
- Foreign aid often works, but it is often criticized for being ineffective or even for undermining progress in developing countries. This brief describes a new approach, Cash on Delivery Aid, which gives recipients full responsibility and authority over funds paid in proportion to verified measures of progress. Through the example of using COD Aid to support universal primary-school completion, the brief illustrates a practical approach to aid that holds the promise of making aid more effective and less burdensome by fundamentally restructuring the relationships of accountability among funders, recipients, and their respective constituencies.
- Topic:
- Development, Education, Third World, and Foreign Aid
24. Think Long Term: How Global AIDS Donors Can Strengthen the Health Workforce in Africa
- Author:
- Nandini Oomman and Christina Droggitis
- Publication Date:
- 09-2010
- Content Type:
- Policy Brief
- Institution:
- Center for Global Development
- Abstract:
- For the past decade, global AIDS donors—including the U.S. President's Emergency Plan for AIDS Relief (PEFPAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund), and the World Bank's Multi-Country HIV/AIDS Program for Africa (the MAP)—have responded to HIV/AIDS in sub-Saharan Africa as an emergency. Financial and programmatic efforts have been quick, vertical, and HIV-specific. To achieve ambitious HIV/AIDS targets, AIDS donors mobilized health workers from weak and understaffed national health workforces. The shortages were the result of weak data for effective planning, inadequate capacity to train and pay health workers, and fragmentation and poor coordination across the health workforce life-cycle. Ten years and billions of dollars later, the problem still persists. The time has passed for short-term fixes to health workforce shortages. As the largest source of global health resources, AIDS donors must begin to address the long-term problems underlying the shortages and the effects of their efforts on the health workforce more broadly.
- Topic:
- Development, Globalization, Health, Human Welfare, Humanitarian Aid, and Foreign Aid
- Political Geography:
- Africa
25. Performance Incentives for Global Health: Potential and Pitfalls
- Author:
- Rena Eichler and Ruth Levine
- Publication Date:
- 05-2009
- Content Type:
- Policy Brief
- Institution:
- Center for Global Development
- Abstract:
- Global health donors, like national governments, have traditionally paid for inputs such as doctors' salaries or medical equipment in the hope that they would lead to better health. Performance incentives offered to health workers, facility managers, or patients turn the equation on its head: they start with the performance targets and let those most directly affected decide how to achieve them. Funders pay (in money or in kind) when health providers or patients reach specified goals. Evidence shows that such incentives can work in a variety of settings. But making them effective requires careful planning, implementation, and monitoring and evaluation.
- Topic:
- Health, Humanitarian Aid, Third World, and Foreign Aid