Our Mission

The Center for Policy Impact in Global Health, based at the Duke Global Health Institute, is an innovative policy lab that addresses critical challenges in financing and delivering global health.

Our analytic work and policy dialogue/engagement aims to address three important gaps in global health financing:

  • A gap in financing crucial but neglected “global functions” that benefit the poor
  • A “middle income gap” that can arise when countries graduate from development assistance for health­
  • A domestic health financing gap in low-income countries and middle-income countries.


Our Work
Our Publications

Read our latest publications

Driving health progress during disease, demographic, domestic finance, and donor transitions (the “4Ds”)​
The "4Ds" that Threaten Middle-Income Countries M...
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Closing the domestic health financing gap in low- and middle-income countries
Enhancing domestic revenues: constraints and opportunities ...
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Donor transitions from HIV programs: What is the impact on vulnerable populations?
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Stories From Africa Seminar Series
Seminar One Brookings Blog: Is trade with India changing Africa’s health care landscape? S
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Policy Blog

How do major health donors prepare for country exits?
June 28, 2019
This blog was first published in Brookings Future Development Blog. The authors, Kaci Kennedy McDade, Osondu Ogbuoji, Marco Schäferhoff, and Gavin Yamey have authored a review “Health aid in
The “4 Ds” that Threaten Middle-Income Countries
June 28, 2019
This blog was first published in Global Health NOW June 26, 2019. The authors, Shashika Bandara, Kaci Kennedy McDade, Hanna Huffstetler, and Wenhui Mao are major contributors to the 4Ds proj
Measuring the gap between ability and effort in domestic revenue mobilization
April 30, 2019
This blog was first published in Brookings Future Development Blog. The authors, Ipchita Bharali and Indermit Gill have authored a policy brief and a report "Enhancing domestic revenues: con