Health Financing

Innovative Financing for Global Health R&D

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R4D is identifying innovative approaches to financing global health R&D that reduce barriers and risk in the development of new health technologies. New and improved products are needed to reduce the burden of disease, but creating these products requires difficult long-term scientific efforts, with uncertain return on investment.

New and improved vaccines and drugs are urgently needed to reduce the burden of suffering and loss from diseases such as AIDS, tuberculosis, and malaria in developing countries. But creating these new health products requires extremely difficult long-term scientific efforts, and the markets for these kinds of life-saving vaccines and drugs are both uncertain and may not be very lucrative. Because of these barriers and risks, many scientific organizations and biopharmaceutical companies shy away from investing in these areas.

Main Contact: 
Robert Hecht
Duration: 
April, 2008 - December, 2012
Funder: 
International AIDS Vaccine Initiative
Status: 
Active
Staff Associated with Project: 
Aarthi Rao
Amrita Palriwala
Robert Hecht
Kimberly Manno Reott

R4D’s Affinity MacroFinance receives top honors at international finance competition

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8 March, 2010

An initiative co-sponsored by the Results for Development Institute (R4D) and the Corporación Andina de Fomento (CAF) has won top honors at the Marketplace on Innovative Financial Solutions for Development, a competition hosted by the Agence Française de Développement (AFD), the Bill and Melinda Gates Foundation, and the World Bank.

Connected Expert(s): 
David de Ferranti
Connected Expert(s): 
David Stevens
Funder: 
Agence Française de Développement
Funder: 
The Bill and Melinda Gates Foundation
Funder: 
The World Bank
Attached File(s): 
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Affinity MacroFinance 2016_The Year In Review.pdf

Impact on the Global Financial and Economic Crisis on the AIDS Response

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The secretariat of the Health Financing Task Force at the Results for Development Institute prepared this paper for the 25th meeting of the UNAIDS Programme Coordinating Board to evaluate the impact of the global financial crisis on HIV/AIDS programs in developing countries.

The secretariat of the Health Financing Task Force at the Results for Development Institute prepared this paper for the 25th meeting of the UNAIDS Programme Coordinating Board to evaluate the impact of the global financial crisis on HIV/AIDS programs in developing countries.

Publication & Resource Type: 
Publications
Year Published: 
2009
Main Contact: 
Aarthi Rao
R4D Author(s): 
Aarthi Rao
R4D Author(s): 
Amrita Palriwala
R4D Author(s): 
Robert Hecht
Link to Publication-Resource: 
Read the Full Report

Critical Choices In Financing: The Response To The Global HIV/AIDS Pandemic

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This paper examines potential long-term costs and financing options for the global AIDS response under four different scenarios and provides policy recommendations based on projected epidemiological and financial impacts.

This paper was published as part of the November/December 2009 edition of Health Affairs, a special issue focusing on the global response to the HIV/AIDS pandemic. The paper presents the findings of the aids2031 Costs and Financing Working Group, and addresses the following key questions: 

Publication & Resource Type: 
Journal Articles
Year Published: 
2009
Main Contact: 
Robert Hecht
R4D Author(s): 
Farzana Muhib
R4D Author(s): 
Robert Hecht
Author(s): 
Robert Hecht, Lori Bollinger, John Stover, William McGreevey, Farzana Muhib, Callisto Emas Madavo and David de Ferranti
Connected Project: 
aids2031: Costs and Financing Working Group
Link to Publication-Resource: 
Critical Choices In Financing

R4D receives joint Gates-Rockefeller grant to identify innovative private health initiatives in the developing world

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3 August, 2009

Through the launch of its Center for Health Market Innovations (CHMI), R4D will collaborate with a network of in-country partners to identify and evaluate innovative programs that improve the quality and affordability of private health care in the developing world.

Connected Expert(s): 
Donika Dimovska
Connected Expert(s): 
Eva Ros
Connected Expert(s): 
Gina Lagomarsino
Connected Expert(s): 
Maria Belenky
Connected Project(s): 
Center for Health Market Innovations (CHMI)
Funder: 
The Bill and Melinda Gates Foundation
Funder: 
The Rockefeller Foundation
Attached File(s): 
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CHMI Press Release.pdf

GAVI Alliance Board Paper on Prioritization Principles

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Given finite donor funding and the likelihood of future scarcity, the GAVI Alliance requested an analysis of possible parameters to allow for effective and fair allocation and prioritization of resources. In a paper presented to the Board in November 2009, a set of principles to help guide this tough decision-making process was proposed.

Nina Schwalbe, Managing Director Policy and Performance, presented to the GAVI Alliance Board a proposed set of principles to guide the Board’s prioritization decisions, in an effort to best make use of scarce resources. The proposal focused on numerous potential parameters, including first and foremost honoring current commitments, considering a narrower focus on targeted vaccines, and establishing criteria to regulate funding decisions on new program applications.

Publication & Resource Type: 
Publications
Year Published: 
2009
R4D Author(s): 
Aarthi Rao
R4D Author(s): 
Amrita Palriwala
R4D Author(s): 
Helen Saxenian
R4D Author(s): 
Kira Thorien
R4D Author(s): 
Robert Hecht
Author(s): 
Paul Wilson, Gian Gandhi
Funder(s): 
The Global Alliance for Vaccines and Inmmunization (GAVI)
Connected Project: 
Review of GAVI Alliance Eligibility Policies
Attached Publications & Resources: 
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GAVI_Alliance_Prioritization_Report_20091114.pdf

GAVI Alliance Board Paper on Graduation Policy

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As part of the Board's request to study and revise its existing eligibility criteria, certain countries currently receiving GAVI aid are expected to become ineligible. For this reason, proper and fair graduation procedures need to be established to ensure a smooth and sustainable transition to self-financing.

Sissel Hodne Steen, Chair of the Programme and Policy Committee (PPC) and Gian Gandhi, Senior Manager-Policy, Policy and Performance team presented to the Board new graduation procedures. Since GAVI’s launch, all countries with less than or equal to US$1,000 Gross National Income (GNI) per capita in 2003 have been considered eligible. The Board requested the eligibility policy be reviewed and revised during 2009.

Publication & Resource Type: 
Publications
Year Published: 
2009
Main Contact: 
Amrita Palriwala
R4D Author(s): 
Aarthi Rao
R4D Author(s): 
Amrita Palriwala
R4D Author(s): 
Helen Saxenian
R4D Author(s): 
Kira Thorien
R4D Author(s): 
Robert Hecht
Author(s): 
Gian Gandhi, Paul Wilson
Funder(s): 
The Global Alliance for Vaccines and Inmmunization (GAVI)
Connected Project: 
Review of GAVI Alliance Eligibility Policies
Attached Publications & Resources: 
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GAVI_Alliance_Graduation_Report_20091114.pdf

GAVI Alliance Board Paper on Eligibility Policy

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The GAVI Alliance Board requested its country eligibility policy be reviewed and revised during 2009. The results of the study can be found in this paper.

Since GAVI’s launch, all countries with less than or equal to US$1,000 Gross National Income (GNI) per capita in 2003 have been considered eligible. The Board requested the eligibility policy be reviewed and revised during 2009. Sissel Hodne Steen, Chair of the Programme and Policy Committee (PPC) and Gian Gandhi, Senior Manager-Policy, Policy and Performance team presented the study team's recommendations to the Board at the annual retreat in November 2009.

Publication & Resource Type: 
Publications
Year Published: 
2009
Main Contact: 
Amrita Palriwala
R4D Author(s): 
Aarthi Rao
R4D Author(s): 
Amrita Palriwala
R4D Author(s): 
Helen Saxenian
R4D Author(s): 
Kira Thorien
R4D Author(s): 
Robert Hecht
Author(s): 
Gian Gandhi, Paul Wilson
Funder(s): 
The Global Alliance for Vaccines and Inmmunization (GAVI)
Connected Project: 
Review of GAVI Alliance Eligibility Policies
Attached Publications & Resources: 
application/pdf icon
GAVI_Alliance_Eligibility_Report_20091114.pdf

Presentation to GAVI Alliance Board on Country Eligibility and Graduation Procedures

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The Global Alliance for Vaccines and Immunization (GAVI) spent 2009 reviewing its policy to determine whether or not a country is eligible to receive aid. Here is the presentation made to the GAVI Board in November 2009 of findings from the eight-month study. It includes information on proposed indicators and their thresholds, as well as recommended procedures for assisting countries that graduate from GAVI support.

 The Global Alliance for Vaccines and Immunization (GAVI) spent 2009 reviewing its policy to determine whether or not a country is eligible to receive aid. Here is the presentation made to the GAVI Board in November 2009 of findings from the eight-month study. It includes information on proposed indicators and their thresholds, as well as recommended procedures for assisting countries that graduate from GAVI support.

Publication & Resource Type: 
Presentations
Year Published: 
2009
Main Contact: 
Amrita Palriwala
R4D Author(s): 
Aarthi Rao
R4D Author(s): 
Amrita Palriwala
R4D Author(s): 
Helen Saxenian
R4D Author(s): 
Kira Thorien
R4D Author(s): 
Robert Hecht
Author(s): 
Gian Gandhi, Paul Wilson
Funder(s): 
The Global Alliance for Vaccines and Inmmunization (GAVI)
Connected Project: 
Review of GAVI Alliance Eligibility Policies
Attached Publications & Resources: 
application/pdf icon
GAVI_Alliance_Board_Presentation_20091114.pdf
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