Projects & Papers

Current Projects

Driving health progress during disease, demographic, domestic finance and donor transitions (the “4Ds”): partnership and policy analysis with transitioning countries

With the support of the Bill & Melinda Gates Foundation, on February 1, 2019, the Center kicked off a new two-year study on health transitions in middle-income countries. The study is examining the interplay between the epidemiological transition, demographic changes, and shifts in both domestic and donor financing for health.  The centerpiece of this work will be to conduct disease, demographic, and financial modeling to assess how public health and financing systems can best respond to disease and demographic transitions over a 10-15 year time period. We will work in close collaboration with in-country research partners to address three critical, inter-linked research questions: (i) What is the impact of donor transitions on household health, household health-seeking, and household finances? (ii) What resources will be needed to meet the evolving health care needs of the population between 2019 and 2030? (iii) Will countries be able to meet these needs: are they sufficiently prepared to fill the health financing gap created by donor exits? Do they have the right delivery systems in place? What are their challenges in reaching UHC?

Enhancing domestic revenues: constraints and opportunities

This is a new cross-country comparative study that examines country tax capacity, effort, and gaps. This study is part of a larger project on innovative ways to close critical health financing gaps. An executive summary is provided on the dedicated study page. Under each link, you can access the full report of the study, a short policy brief, and a blog. This is a collaborative report by the Center and the Duke Center for International Development (DCID).

Stories from Africa Seminar Series

The Center received a grant from the Duke Africa Initiative to establish a cross-cutting seminar series jointly organized by four centers at Duke University: The Center for Policy Impact in Global Health (CPIGH), DCID, Duke-Margolis Center for Health Policy, and the Duke Global Health Innovations Center (GHIC). These seminars took place during the fall 2018 semester and focused on health and economic development issues in Africa. You can watch the seminar sessions and read blogs on Brookings Future Development blog here.

Donor Transitions from HIV Programs and the Impact on Key Populations

The Center worked in partnership with Pharos Global Health Advisors to conduct an in-depth study of the challenges and risks of HIV transitions for key populations in six middle-income countries. We offer recommendations on how to improve the transition process and maintain essential HIV programs and services for key populations when donor support winds down.

Innovative Ways to Close Critical Health Financing Gaps

This project examines ways to close three gaps that pose major challenges to global health improvement: the under-funding of global public goods, a health financing gap in middle-income countries, and a gap in the provision of domestic resources for health in low- and middle-income countries.

Transitioning from donor assistance for health: in-country  perspectives, experiences, and preferences in Ghana and Sri Lanka

Our Center has been awarded a Duke Global Health Institute Faculty Pilot grant  to conduct a one year study (July, 2018 to June, 2019) that will look at the decision-making processes that underlie a country’s preparation for, or response to, donor transitions. This mixed-methods study will focus on two lower-middle-income countries, Ghana and Sri Lanka, to: (a) explore the perspectives and experiences of in-country stakeholders with donor transition, (b) catalog their responses/adjustments to the losses arising from transition (including loss of external financing and technical assistance), and (c) understand the “why” behind the chosen response strategies adopted by each.

Technical support to Partnership for Maternal Newborn and Child Health (PMNCH)’s financial accountability portfolio in 2018

In collaboration with Open Consultants,  the Center for Policy Impact in Global Health provided support to the PMNCH in the analysis and production of the 2017 accountability brief for commitments made to the Every Woman Every Child Global Strategy for Women’s, Children’s and Adolescents’ Health.

Development Assistance for Health to Achieve Universal Health Coverage

This study analyzes development assistance for health  to achieve universal health coverage (UHC). It focused in particular on donor investments into two of the most important foundations of UHC, health systems strengthening and health security, both of which are critical to achieving the health-related Sustainable Development Goals.

The study was commissioned by the International Health Partnership for UHC 2030 and the World Health Organization, and conducted by consultants and researchers at SEEK Development; Duke University (the Center for Policy Impact in Global Health and the Duke Center for International Development); RTI International; and the University of California, San Francisco.

Strengthening the United States Government’s Role in Research and Development for Global Health

The Center conducted a study commissioned by the Global Health Technologies Coalition in collaboration with the Duke Margolis Center for Health Policy to understand the U.S. government’s role in global health research and development. The report on the findings of the project can be found here.

Developing evidence-based policy options to support China’s achievement of the health SDGs

Gavin Yamey is a co-investigator on this DGHI project, led by Professor Shenglan Tang. The project aims to generate evidence-based approaches and offer policy options that can be used by the Chinese government to develop and implement effective health policies and achieve health equity throughout China.

Accountable health financing solutions in sub-Saharan Africa

Gavin Yamey is collaborating with Duke’s Innovations in Healthcare on this project; working with regional bodies and country-level multi-stakeholder platforms, the project aims to share knowledge, strengthen accountability, and promote health financing policies and processes that advance universal health coverage.

Disease Control Priorities, 3rd Edition (DCP3)

The Center’s director, Gavin Yamey, is a co-author on two upcoming chapters of the third edition of the Disease Control Priorities Project (DCP3).  These chapters are focused on (i) identifying the highest priority inter-sectoral interventions to improve health, and (ii) developing an “essential” list of interventions to be included in universal health coverage packages.

Investing in Health: The Economic Case

Gavin Yamey, along with his co-authors Naomi Beyeler, Hester Wadge, and Dean Jamison, authored a new report “Investing in Health: The Economic Case” at the World Innovation Summit for Health on 30th November, 2016. The report summarizes the evidence on the impressive returns to investing in health and makes a strong case for governments and donors to invest in cost-effective interventions.

Recent Publications by Center Authors

Trends in global health financing
Authors: Marco Schäferhoff, Sebastian Martinez, Osondu Ogbuoji, Miriam Lewis Sabin, Gavin Yamey

Enhancing domestic revenues: constraints and opportunities (Report)
Authors: Graham Glenday, Ipchita Bharali, Ziyuan Wang

Domestic revenue mobilization: estimating the gaps between ability and effort (Policy Brief)
Authors: Indermit Gill, Graham Glenday, Ipchita Bharali

Improving resource mobilisation for global health R&D: a role for coordination platforms?
Authors: Naomi Beyeler, Sara Fewer Marcel Yotebieng, Gavin Yamey

Aid Effectiveness in the Sustainable Development Goals Era. Commentary on ““It’s About the Idea Hitting the Bull’s Eye”: How Aid Effectiveness Can Catalyse the Scale-up of Health Innovations”
Authors: Osondu Ogbuoji, Gavin Yamey

Donor transitions from HIV programs: What is the impact on vulnerable populations?
Authors: Kelly Flanagan, Hannah Rees, Hanna Huffstetler, Kaci Kennedy McDade, Gavin Yamey, Diana Gonzalez, and Robert Hecht

Intensified multilateral cooperation on global public goods for health: three opportunities for collective action (Full)
Author: Center for Policy Impact in Global Health

Intensified multilateral cooperation on global public goods for health: three opportunities for collective action (Brief)
Author: Center for Policy Impact in Global Health

Valuing Health as development: going beyond gross domestic product
Authors: Gavin Yamey, Osondu Ogbuoji, Victoria Y Fan, David E Bloom, Klaus Prettner | Citation: BMJ 2018; 363 doi:

Alma Ata at 40 Years: reflections from the Lancet Commission on Investing in Health 
Authors: Gavin Yamey, Osondu Ogbuoji, et al. | Citation: The Lancet Global Health 2018; doi:

Funding innovation in neglected diseases
Authors: Gavin Yamey, Amie Batson, Peter H KilmarxMarcel Yotebieng | Citation: BMJ 2018360 doi:

Improving tracking of aid for women’s, children’s, and adolescents’ health
Authors: Gavin Yamey, Marco Schäferhoff, Kaci Kennedy | Citation: The Lancet Global Health 2018; doi: 10.1016/S2214-109X(18)30320-6

Referee Report For: Mainstreaming as rhetoric or reality? Gender and global health at the World Bank
Authors: Gavin Yamey, Kaci Kennedy | Citation: Wellcome Open Res 2018, doi: 10.21956/wellcomeopenres.15116.r31183

Transitioning from foreign aid: is the next cohort of graduating countries ready?
Authors: Gavin Yamey, Diana Gonzalez, Ipchita Bharali, Kelly Flanagan, Robert Hecht

How many lives are at stake? Assessing 2030 sustainable development goal trajectories for maternal and child health
Authors: John W McArthur, Krista Rasmussen, Gavin Yamey | Citation: BMJ 2018;360:k373 doi: 10.1136/bmj.k373

How to convene an international health or development commission: ten key steps
Authors: Gavin Yamey, Lawrence H. Summers, Dean T Jamison, and Jessica Brinton | Citation: Health Policy and Planning, 2018, 1–7; doi: 10.1093/heapol/czx179

Intersectoral Policy Priorities for Health
Authors: David A. Watkins, Rachel Nugent, Helen Saxenian, Gavin Yamey, Kristen Danforth, Eduardo González-Pier, Charles N. Mock, Prabhat Jha, Ala Alwan, and Dean T. Jamison | Citation: Disease Control Priorities, Third Edition : Volume 9. Improving Health and Reducing Poverty. Washington, DC: World Bank DOI: 10.1596/978-1-4648-0527-1

A framework for stimulating economic investments to prevent emerging diseases
Authors: Daniel L Schar, Gavin Mark Yamey, Catherine C Machalaba, William B Karesh | Citation: Bulletin of the World Health Organization; Type: Perspectives; Article ID: BLT.17.199547

Strengthening Domestic Resource Mobilization: Moving from theory to practice in low-and middle-income countries
Authors: Raul Felix Junquera-Varela, Marijn Verhoeven, Gangadhar P. Shukla, Bernard Haven, Rajul Awasthi, and Blanca Moreno-Dodson | Citation: World Bank doi:10.1596/978-1-4648-1073-2

Financing of international collection action for epidemic and pandemic preparedness
Authors: Gavin Yamey, Marco Schäferhoff, Ole Kristian Aars, Barry Bloom, Dennis Carroll, Mukesh Chawla, Victor Dzau, Ricardo Echalar, Indermit Singh Gill, Tore Godal, Sanjeev Gupta, Dean Jamison, Patrick Kelley, Frederik Kristensen, Ceci Mundaca-Shah, Ben Oppenheim, Julie Pavlin, Rodrigo Salvado, Peter Sands, Rocio Schmunis, Agnes Soucat, Lawrence H Summers, Anas El Turabi, Ron Waldman, Ed Whiting | Citation: Lancet Global Health 2017;

International Collective Action for Epidemic and Pandemic Preparedness: An Economic Policy Brief for the G20 Health Working Group
Authors: Gavin Yamey, Marco Schäferhoff, Ruth Young, Nicolai Braun, Christina Figiel, Jessica Kraus, Sebastián Martinez, Ipchita Bharali, Naomi Beyeler, Sara Fewer, Sam Manning

Strengthening the United States Government’s Role in Product Development for Global Health
Authors: Gavin Yamey, Andrea Thoumi, Jonathan Gonzalez-Smith, Cynthia Binanay, Ipchita Bharali, Zeena Johar, David Ridley, Nick Chapman

Opinion: Why tax reform is a gateway to sustainable development
Author: Graham Glenday | Citation: Devex website; 29th October, 2016

Trends in State-Level Child Mortality, Maternal Mortality, And Fertility Rates in India
Authors: Vidit Munshi, Gavin Yamey and Stéphane Verguet | Citation: Health Affairs 2016; 35: 1759-1763

Next generation maternal health: external shocks and health-system innovations
Authors: Margaret E Kruk, Stephanie Kujawski, Cheryl A Moyer, Richard M Adanu, Kaosar Afsana, Jessica Cohen, Amanda Glassman, Alain Labrique, K Srinath Reddy, Gavin Yamey | Citation: Lancet 2016; 388: 2296–306

Mexico’s path towards the Sustainable Development Goal for health: an assessment of the feasibility of reducing premature mortality by 40% by 2030
Authors: Eduardo González-Pier, Mariana Barraza-Lloréns, Naomi Beyeler, Dean Jamison, Felicia Knaul, Rafael Lozano, Gavin Yamey, Jaime Sepúlveda | Citation: Lancet Global Health 2016, 4:e714-e725

Protecting human security: proposals for the G7 Ise-Shima Summit in Japan
Authors: Japan Global Health Working Group | Citation: Lancet 2016, 387:2155-62

How much donor financing for health is channelled to global versus country-specific aid functions?
Authors: Marco Schäferhoff, Sara Fewer, Jessica Kraus, Emil Richter, Lawrence H Summers, Jesper Sundewall, Gavin Yamey, Dean T Jamison | Citation:  Lancet 2015;386: 2436-2441

Global health 2035: a world converging within a generation
Authors: Dean T Jamison, Lawrence H Summers, George Alleyne, Kenneth J Arrow, Seth Berkley, Agnes Binagwaho, Flavia Bustreo, David Evans, Richard G A Feachem, Julio Frenk, Gargee Ghosh, Sue J Goldie, Yan Guo, Sanjeev Gupta, Richard Horton, Margaret E Kruk, Adel Mahmoud, Linah K Mohohlo, Mthuli Ncube, Ariel Pablos-Mendez, K Srinath Reddy, Helen Saxenian, Agnes Soucat, Karen H Ulltveit-Moe, Gavin Yamey | Citation:  Lancet 2013; 382: 1898–955