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Begin New Search Content Type Policy Brief Publishing Institution Center for Global Development Publication Year within 10 Years

51. Refocusing Gavi for Greater Impact

Author:
Amanda Glassman, Charles Kenny, Justin Sandefur, and Sarah Dykstra
Publication Date:
02-2015
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Gavi, the Vaccine Alliance, pools donor funds to increase immunization rates in developing countries. Vaccines have saved millions of lives. Results from new research at the Center for Global Development suggest Gavi could save more lives by shifting support away from lower-cost vaccines provided to middle-income countries toward more underused vaccines and support to the poorest countries.

52. The Cost and Cost-Effectiveness of Alternative Strategies to Expand Treatment to HIV-Positive South Africans: Scale Economies and Outreach Costs

Author:
Mead Over, Gesine Meyer-Rath, Daniel J. Klein, and Anna Bershteyn
Publication Date:
04-2015
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
The South African government is currently discussing various alternative approaches to the further expansion of antiretroviral treatment (ART) in public-sector facilities. Alternatives under consideration include the criteria under which a patient would be eligible for free care, the level of coverage with testing and care, how much of the care will be delivered in small facilities located closer to the patients, and how to assure linkage to care and subsequent adherence by ART patients. We used the EMOD-HIV model to generate 12 epidemiological scenarios. The EMOD-HIV model is a model of HIV transmission which projects South African HIV incidence and prevalence and ARV treatment by age group for alternative combinations of treatment eligibility criteria and testing. We treat as sunk costs the projected future cost of one of these 12 scenarios, the baseline scenario characterizing South Africa's 2013 policy to treat people with CD4 counts less than 350. We compute the cost and benefits of the other 11 scenarios relative to this baseline. Starting with our own bottom-up cost analyses in South Africa, we separate outpatient cost into non-scale-dependent costs (drugs and laboratory tests) and scale-dependent cost (staff, space, equipment and overheads) and model the cost of production according to the expected future number and size of clinics. On the demand side, we include the cost of creating and sustaining the projected incremental demand for testing and treatment. Previous research with EMOD-HIV has shown that more vigorous recruitment of patients with CD4 counts less than 350 appears to be an advantageous policy over a five-year horizon. Over 20 years, however, the model assumption that a person on treatment is 92 percent less infectious improves the cost-effectiveness of higher eligibility thresholds over more vigorous recruitment at the lower threshold of 350, averting HIV infections for between $1,700 and $2,800 (under our central assumptions), while more vigorous expansion under the current guidelines would cost more than $7,500 per incremental HIV infection averted. Granular spatial models of demand and cost facilitate the optimal targeting of new facility construction and outreach services. Based on analysis of the sensitivity of the results to 1,728 alternative parameter combinations at each of four discount rates, we conclude that better knowledge of the behavioral elasticities would be valuable, reducing the uncertainty of cost estimates by a factor of 4 to 10
Political Geography:
South Africa

53. Results-Based Payments Reduce the Real Costs of Corruption in Foreign Aid

Author:
Charles Kenny and William Savedoff
Publication Date:
01-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Why don't foreign aid programs simply pay recipients for attaining agreed upon results? The idea has been around for decades, but it continues to meet resistance. Some donors worry that programs that pay for outputs or outcomes would not be able to control how funds are used and would thus be vulnerable to corruption. This brief explains why results-based payment systems are actually likely to be less vulnerable to corruption than traditional input-tracking approaches by making the effects of corruption-the failure of programs to deliver results-more visible.
Topic:
Corruption, Development, and Foreign Aid

54. Publishing Government Contracts: Addressing Concerns and Easing Implementation (Brief)

Author:
Charles Kenny
Publication Date:
11-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Government contracts regarding the use of public property and finances should be published by default. Many jurisdictions already require that contracts be made public in response to requests for the information; some now publish contracts proactively. Doing so helps new entrants compete in the market for public contracts, helps governments model their projects on other successful examples, and allows citizens greater insight into how their taxes are being spent. This brief, summarizing the conclusions of the Working Group on Government Contract Publication, provides a practical outline for reaping the benefits of open contracts while addressing legitimate concerns about costs, collusion, privacy, commercial secrecy, and national security.
Topic:
Economics and Government
Political Geography:
United Kingdom

55. The Brazil-Norway Agreement with Performance-Based Payments for Forest Conservation: Successes, Challenges, and Lessons

Author:
Nancy Birdsall, Frances Seymour, and William Savedoff
Publication Date:
08-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
In March 2004, the Brazilian government initiated a range of policies and enforcement actions (under the Action Plan for Preservation and Control of Deforestation in the Legal Amazon) that brought sharp reductions in the rate of deforestation. In 2008, Brazil signed an agreement with Norway to receive payments during a 5-year period for bringing greenhouse gas emissions from deforestation below a 10-year average (1996–2005). Norway pledged up to US$1 billion for this agreement, which stipulated that these funds would be donated to the Amazon Fund (Fundo Amazônia), managed by the Brazilian National Development Bank and invested in actions to prevent deforestation and to promote the conservation and sustainable use of the Amazon biome.
Topic:
Climate Change, Treaties and Agreements, and Natural Resources
Political Geography:
Norway and Brazil

56. Stopping Deforestation: What Works and What Doesn't

Author:
Jonah Busch and Kalifi Ferretti-Gallon
Publication Date:
05-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
A new Center for Global Development meta-analysis of 117 studies has identified the key factors that drive or deter deforestation. Some findings confirm conventional wisdom. Building roads and expanding agriculture in forested areas, for example, worsen deforestation, whereas protected areas deter deforestation. Encouragingly, payments for ecosystem services (PES) programs that compensate people who live in or near forests for maintaining them are consistently associated with lower rates of deforestation. But contrary to popular belief, poverty is not associated with greater deforestation, and the rising incomes brought about by economic growth do not, in themselves, lead to less deforestation. Community forest management and strengthening land tenure, often thought to reduce deforestation while promoting development, have no consistent impact on deforestation.
Topic:
Agriculture, Economics, Environment, and Poverty

57. Time for FAO to Shift to a Higher Gear

Author:
Vijaya Ramachandran
Publication Date:
05-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
In 2012, the Center for Global Development (CGD) convened the Working Group on Food Security, bringing together 22 experts in food policy, nutrition, agriculture, and economic development from around the world. The group's task was to review pressing challenges to agricultural development and food security and take stock of the Rome-based United Nations food agencies charged with addressing them. The working group decided to focus on the largest of those agencies—the Food and Agriculture Organization (FAO)—and has two key recommendations.
Topic:
Climate Change, Human Welfare, International Organization, and Food

58. Delivering on a Data Revolution in Sub-Saharan Africa

Author:
Amanda Glassman and Alex Ezeh
Publication Date:
07-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Despite improvements in censuses and household surveys, the building blocks of national statistical systems in sub-Saharan Africa remain weak. Measurement of fundamentals such as births and deaths, growth and poverty, taxes and trade, land and the environment, and sickness, schooling, and safety is shaky at best. The challenges are fourfold: (1) national statistics offices have limited independence and unstable budgets, (2) misaligned incentives encourage the production of inaccurate data, (3) donor priorities dominate national priorities, and (4) access to and usability of data are limited. The Data for African Development Working Group's recommendations for reaping the benefits of a data revolution in Africa fall into three categories: (1) fund more and fund differently, (2) build institutions that can produce accurate, unbiased data, and (3) prioritize the core attributes of data building blocks.
Topic:
Development
Political Geography:
Africa

59. The Quality of Official Development Assistance 2014

Author:
Nancy Birdsall, Homi Kharas, and Nabil Hashmi
Publication Date:
07-2014
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
The Quality of Official Development Assistance (QuODA) measures donors' performance on 31 indicators of aid quality to which donors have made commitments. The indicators are grouped into four dimensions associated with effective aid: maximizing efficiency, fostering institutions, reducing the burden on partner countries, and transparency and learning. The 2014 edition finds that donors are overall becoming more transparent and better at fostering partner country institutions but that there has been little progress at maximizing efficiency or reducing the burden on partner countries. The World Bank's concessional lending arm, the International Development Association (IDA), performs very well in QuODA, ranking in the top 10 of 31 donors on all four dimensions. The United States ranks in the bottom half of all donors on three of the four dimensions of aid quality and last on reducing the burden on partner countries. The United Kingdom ranks in the top third on three of four dimensions of aid quality and scores particularly well on transparency and learning. The Global Fund ranks in the bottom third on fostering institutions but ranks in the top third on the other three dimensions of aid quality, including the top spot in maximizing efficiency.
Topic:
Foreign Policy, Development, Economics, Foreign Aid, and Foreign Direct Investment
Political Geography:
United States and United Kingdom