A learning world for the Global Fund

A global fund for the health MDGs?

1500 www.thelancet.com Vol 373 May 2, 2009 A disadvantage of early vaccination in infancy can be reduced immunogenicity because of acquired immune responses that are less mature, and interference from maternal antibodies. However, newer vaccines supported for potential introduction into some developing countries pose safety as well as effi cacy questions about timing. More than 30% of children ...

Earmarking for global health: benefits and perils of the World Bank’s trust fund model

• Trust funds (non-core voluntary aid) for health projects made up nearly half of the World Bank’s total funding for health and social services in 2012-13 • The Bank has four major types of trust funds: IBRD/IDA bank executed trust funds, IBRD/IDA recipient executed trust funds, financial intermediary funds, and IFC trust funds. These funds have distinct purposes, implementation mechanisms, and...

Towards a global fund for the health MDGs?

As we had expected, our Comment proposing a global fund for the health Millennium Development Goals (MDGs) sparked a lively debate. We would like to address some of the reactions published in The Lancet (June 20, p 2110–11), which echo those in other fora. Alvaro Bermejo voices concern that a global fund for all the health MDGs (including the health systems needed to deliver health services and...

How Should Global Fund Use Value-for-Money Information to Sustain its Investments in Graduating Countries?

It has been debated whether the Global Fund (GF), which is supporting the implementation of programs on the prevention and control of HIV/AIDS, tuberculosis (TB) and malaria, should consider the value-for-money (VFM) for programs/interventions that they are supporting. In this paper, we critically analyze the uses of economic information for GF programs, not only to ensure accountability to the...

The precarious promise of the Global Fund.