This project, in collaboration with the Duke’s Innovations in Healthcare group and working with regional bodies and country-level multi-stakeholder platforms, shared knowledge, strengthened accountability, and promoted health financing policies and processes that advance UHC.
The Portfolio-To-Impact (P2I) model is a recently developed product portfolio tool that enables users to estimate the funding needs to move a portfolio of candidate health products such as vaccines and drugs along the product development path from late stage preclinical to phase III clinical trials, as well as potential product launches over time. In this project, we are partnering with the European Vaccine Initiative to use the P2I tool to analyze EVI’s portfolio, which includes vaccine candidates for various diseases of poverty and emerging infectious diseases at different stages of development.
In 2018, a research team from Duke University and Policy Cures Research, in collaboration with TDR, the Special Programme for Research and Training in Tropical Diseases, published the first analysis of the pipeline of products for poverty-related neglected tropical diseases (PRNTDs) using a financial modelling tool called Portfolio-to-Impact (P2I). The analysis summarized the pipeline of candidate products for PRNTDs and estimated (a) the costs to move these candidates through the pipeline, (b) the likely launches, and (c) the additional costs to launch critical “missing” products. In a new project, the Center is partnering with Policy Cures Research to update both the pipeline portfolio review and the cost modeling.
Despite observed differences in healthcare delivery systems across Africa and Asia, countries on both continents share similar factors that influence health and healthcare. This academic dialogue series aims to create a flow and exchange of ideas surrounding the similar global health issues between the two continents.
In March 2018, the government of India approved a publicly funded health insurance scheme that is officially called the Prime Minister (or Pradhan Mantri) Jan Arogya Yojana (PM-JAY), also known as Ayushman Bharat (and known colloquially as “Modicare” after Indian Prime Minister Narendra Modi). With funding from a Duke Global Health Institute pilot grant, the Center for Policy Impact in Global Health is conducting a mixed method study.
Achieving the health-related Sustainable Development Goals (SDGs) will require significant increases in financial resources from many different sources, including domestic resource mobilization (DRM). In this pilot project, we are partnering with the Duke Center for International Development to examine the role of DRM for health in India (in Assam, Karnataka, and Uttar Pradesh) and Ethiopia. The project takes a “holistic” public financial management (PFM) approach—one that integrates analysis of taxation, allocation, efficiency, and insurance —and applies it to mobilizing domestic resources for health.
The Center’s team has written for or been interviewed by a wide variety of global media networks, including the BBC, TIME magazine, MSNBC, Al Jazeera, and Reuters.
The Center for Policy Impact in Global Health at the Duke Global Health Institute is conducting a study to assess country-level capacity for delivery of COVID-19 vaccines in low- and middle-income countries.
This project analyzed development assistance for health (DAH) 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.
There have been significant improvements in recent years in the early stage development of products for poverty-related and neglected diseases (PRNDs). However, there are still major challenges in the funding of late-stage clinical trials of candidate products for these diseases.
This project, in collaboration with Professor Shenglan Tang, generated evidence-based approaches and offered policy options to be used by the Chinese government for developing and implementing effective health policies and achieving health equity throughout China.
The global health landscape is undergoing a set of rapid and profound transitions that threaten to stall or even derail progress in global health improvement. The 4Ds project analyzes four of these major, inter-linked transitions—shifts in diseases, demography, development assistance for health (DAH), and domestic health financing.
This project is studying the health and financial benefits of public investments in reproductive, maternal, newborn, adolescent, and child health (RMNACH).
Many middle-income countries (MICs) are transitioning away from health aid and towards full county ownership of their health programs. Both aid donors and MICs must take steps to ensure that these programs are sustained and do not face disruptions when donors exit. However, many global health donors have only recently begun to consider formalized exit strategies and plans. Even when this planning has happened, there is little publicly available information on the governance of transitions.
In our previous work, we explained that the “middle-income dilemma” in global health is that “although most of the poor now live in pockets of poverty in middle-income countries [MICs] and face high mortality rates, these countries are regarded as too rich to qualify for aid.” A crucial question facing donors is what role they can still play in supporting MICs after these countries have transitioned away from receiving external assistance.
An important United Nations sustainable development goal target for health aims to “achieve universal health coverage, including financial risk protection, access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.”
This project was a series of cross-cutting seminars on health and economic development issues in Africa in 2018. This series was organized by four centers at Duke University: The Center for Policy Impact in Global Health (CPIGH), Duke Center for International Development (DCID), Duke-Margolis Center for Health Policy, and the Duke Global Health Innovations Center (GHIC).
This project, commissioned by the Global Health Technologies Coalition in collaboration with the Duke Margolis Center for Health Policy, assessed the U.S. government’s role in global health research and development. The report on the findings of the project can be found here.
Hunger, food insecurity, and challenges to promoting sustainable agriculture were all major development roadblocks even before the COVID-19 pandemic. Most low- and middle-income countries (LMICs) are not on track to achieve Sustainable Development Goal 2 (SDG 2), “end hunger, achieve food security and improved nutrition…
This project addresses ways to finance under-funded but crucial global public goods for health, such as developing new medicines and vaccines for poverty-related and neglected diseases, and other global functions of donor aid for health. Our research examines (a) how much funding is needed to adequately support such global functions, (b) innovative mechanisms to help close the financing gap, and (c) the institutional arrangements that are needed to move these financing solutions forward.
This project, funded by a pilot grant from the Duke Global Health Institute, is a one year study that analyzes decision-making processes that underlie a country’s preparation for and response to donor transitions. We are partnering on this project with the University of Ghana and the Institute for Health Policy, Sri Lanka. The study uses a mixed-methods approach, focusing on Ghana and Sri Lanka, to (a) explore the perspectives and experiences of in-country stakeholders with donor transition, (b) document responses to the losses arising from transition (including loss of external financing and technical assistance), and (c) address the “why” behind the chosen response strategies adopted.
The Center for Policy Impact in Global Health (CPIGH) at the Duke Global Health Institute is conducting a study that uses game theory to inform how COVID-19 vaccines could be distributed globally for both maximum public health impact and equity.
Questions? Please contact Gavin Yamey.
To stay up to date on our work subscribe to our mailing list.