Sub-Saharan Africa

Projects

aids2031 is a international consortium of partners examining the future of the HIV/AIDS epidemic. The Costs and Financing Working Group is focused on modeling and analyzing the long-term costs and financing of the epidemic, and examining scenarios in which major policy shifts now can improve the future expenditure and financing situation.

CHMI is a global network of partners that systematically identifies, documents, and analyzes health market innovations, disseminates information about these models, and facilitates strategic linkages among entrepreneurs, funders, policymakers, and researchers.

The Ministry of Health, with support from the joint IFC/World Bank Health in Africa Initiative, launched the Country Assessment on July 20th, 2009. At present the R4D study team is conducting a large-scale review of the Ghanaian private health sector, with the ultimate goal of offering concrete, actionable recommendations on effectively harnessing the potential of private providers of health services.

As a first step in the development of an ongoing cross-learning platform, six countries and their development partners will convene a joint learning workshop in Delhi, India on February 3 – 5, 2010. The workshop will bring together practitioners to share learning around the successes and problem-solve around the challenges of implementing demand-side health financing reforms to expand health coverage. 

The Ministerial Leadership Initiative for Global Health (MLI) brings together expertise in leadership development and specialized technical areas needed to design and successfully make and implement health sector policy. As a technical partner in MLI, R4D is providing technical assistance focused on improvements in equitable financing and donor harmonization in Ethiopia, Mali, Nepal, Senegal, and Sierra Leone.

The Strengthening Institutions Program, a joint program of the Global Development Network and R4D, aims to strengthen policy debates around public expenditure issues in developing countries by providing support to emerging think tanks to conduct analyses of spending in the health, education, and water sectors.

The Transparency and Accountability Program (TAP) strengthens the capacity of independent monitoring organizations (IMOs) in developing countries to promote improvements in social sector public spending and better hold their governments accountable for expenditure decisions and actions.

Transforming Health Systems is an initiative of the Rockefeller Foundation that seeks to strengthen health systems by supporting global level analysis of policies that drive a global health systems agenda and country level work to implement catalytic demonstrations of health systems transformation. 

Publications & Resources

R4D is committed to disseminating the tools and publications that emerge from our projects, in both print and electronic formats.

This paper reviews recent measures to improve fiscal transparency in Nigeria, highlights the role played by civil society organizations (CSOs), and identifies strategies which CSOs and government officials in various African countries may adopt in order to promote more constructive and transparent dialogue on fiscal management issues.

This working paper is based on a review of a sample of Country Procurement Assessment Reports undertaken in twenty-three Sub-Saharan countries. The paper analyzes the procurement systems and seeks to find ways to improve the quality of public expenditures.

This paper aims to identify themes emerging from practice within, and recent efforts to improve, public financial management (PFM) systems in Africa. Given the themes identified, it also seeks to suggest a perspective on the role non-governmental civil society organizations (CSO) could play in strengthening PFM in the future.

This report describes 33 innovative pro-poor healthcare financing and delivery programs in South Asia and Sub-Saharan Africa that are led by or engage the private heath sector.

The paper develops an analytical framework applied to India, Uganda, and Afghanistan for conceptualizing the governance/stewardship function within health systems and the role of government in the context of an expanded role for private service provision and financing.

The report identifies and characterizes a number of contracting models that exist in the Zambian health sector.

This report estimates Ghana’s resource requirements for scaling up the country’s workforce plans.

This report estimates Ethiopia’s resource requirements for scaling up the country’s workforce plans.

This report estimates Mozambique’s resource requirements for scaling up the country’s workforce plans.

This report estimates Uganda’s resource requirements for scaling up the country’s workforce plans.

This report estimates Liberia’s resource requirements for scaling up the country’s workforce plans.

News & Events

On February 3-5, R4D and its partners convened delegations from six countries – Ghana, India, Indonesia, Philippines, Thailand and Vietnam - for a Joint Learning Workshop on Universal Health Coverage in Gurgaon, India. The three day workshop served as a forum for participants to share their experiences implementing health reforms and learn from other countries.

As part of efforts to build international benchmarks for the quality of public spending and promote informed decisions on resource allocations in developing countries, the Transparency and Accountability Program (TAP) and Global Development Network co-hosted the first peer review workshop for the Strengthening Institutions program in Prague on January 13th-15th.