Pete Baker

How Gavi 6.0 Can Take a Bigger Leap Gavi’s board and leadership must stretch scarce resources to fulfill a challenging double mandate: (1) stabilizing immunization outcomes and fiscal solvency in Gavi-eligible countries facing severe he...

Amid a broader global health financing crisis, @gavi.org faces a $2.5B budget shortfall

Read our new @cgdev.org brief on how Gavi 6.0 can take a bigger leap w @rachelbonnifield.bsky.social @peterbaker17.bsky.social @tomldrake.bsky.social & @orinlevine.bsky.social

www.cgdev.org/publication/...

thanks Terence!

A Lean World Health Organization for the Global Good In this brief—the first in the Tough Times, Tough Choices series that will target the major global health and development institutions and their funders—we propose a different approach: radically stre...

1st edition of our @cgdev.org series "Tough Times, Tough Choices" is hot off the press

Facing budget cuts, we argue WHO's leadership must chart a path of retrenchment to a lean @who.int for the global good

w/ @peterbaker17.bsky.social & @rachelbonnifield.bsky.social

www.cgdev.org/publication/...

Celebrating Ten Years of the international Decision Support Initiative Over the last decade, iDSI has partnered with countries to develop evidence-informed priority-setting institutions and processes. Read our blog for a summary of key successes, challenges, and lessons ...

Excited to have contributed to a special issue of BMJ Evidence Based Medicine, summarising India’s experience of institutionalizing health technology assessment, with valuable lessons for other LMICs.
Read on @cgdev.org ⬇
bit.ly/4h2UGGC

Gavi and the Global Fund Replenishments: Donors Must Demand Real Reform In the midst of a global health funding crisis, Gavi and the Global Fund are seeking substantial replenishments: $9 billion over five years and $18 billion over three years, respectively (Figure 1).…

"The goal must be rapid transformation of Gavi & the Global Fund toward an approach that is more sustainable, efficient, empowering, and resilient to future shocks."

@peterbaker17.bsky.social‬ & @jmadankeller.bsky.social‬ on the Gavi & Global Fund replenishment cycle:

Gavi and the Global Fund Replenishments: Donors Must Demand Real Reform In the midst of a global health funding crisis, Gavi and the Global Fund are seeking substantial replenishments: $9 billion over five years and $18 billion over three years, respectively (Figure 1). B...

Gavi and the Global Fund are seeking substantial replenishments in an uncertain fundraising environment.

@peterbaker17.bsky.social & @jmadankeller.bsky.social argue that this replenishment cycle is the moment for donors to push for real and long-overdue reform💡⬇️
www.cgdev.org/blog/gavi-an...

Gavi and the Global Fund Replenishments: Donors Must Demand Real Reform In the midst of a global health funding crisis, Gavi and the Global Fund are seeking substantial replenishments: $9 billion over five years and $18 billion over three years, respectively (Figure 1). B...

New @cgdev.org blog.

@jmadankeller.bsky.social & I ask: can donors and the AU tie the replenishments of @GlobalFund and @gavi to real reform, in line with Lusaka Agenda? Empowering countries & building sustainable health systems that can withstand aid volatility?

www.cgdev.org/blog/gavi-an...

Panellists gather at the lunchtime side event called Health taxes for a healthy future in Geneva.

At a #WHA78 side event, countries shared how #HealthTaxes can fund systems & save lives.

Read highlights from Tonga, Thailand, Ghana & the Philippines, plus reflections from @HelenClarkNZ, WHO & partners: ahpsr.who.int/newsroom/new...

Cigarette taxation and socioeconomic inequalities in under-5 mortality across 94 low-income and middle-income countries: a longitudinal ecological study High cigarette taxes are associated with a large decrease in absolute inequality in child mortality in LMICs. These findings support raising cigarette taxes to the WHO-recommended 75% or more of the r...

Nice study showing cigarette taxes are progressive on the health side:

www.thelancet.com/journals/lan...

💸 Health taxes save lives and raise revenue – so why aren’t more countries using them?

Join us 19 May, 12:00–14:00 in Geneva during #WHA78 to explore barriers & opps for #HealthTaxes w/ leaders incl. @HelenClarkNZ, Ana Akauola & @AlisonDDCox.

Register > ahpsr.who.int/newsroom/eve...

Research Assistant - Center for Global Development - Career Page Apply to Research Assistant at Center for Global Development in Washington, DC.

Come work with @markusgold.bsky.social and me on global development stuff.

centerforglobaldevelopment.applytojob.com/apply/Yb82j2...

Uk aid cuts even worse/sooner than expected

Thrilled to see our analysis covered in @economist.com! US foreign aid cuts will have a devastating impact on health systems around the world.

@cgdev.org @peterbaker17.bsky.social

Tuberculosis Doesn’t Respect Borders—US Aid Cuts Could Fuel a Global Health Crisis Reducing access to vital treatments against drug-resistant TB will likely pose huge risks for everyone, including Americans. The 90-day freeze on most aid while this assessment is carried out causes r...

I've written a blog post looking at how US AID cuts could impact drug resistance to TB drugs, and intern then negative long term consequences this could have for Americans.

www.cgdev.org/blog/tubercu...

"The UK government will cut spending on development assistance from 0.5% to 0.3% in 2027 to fund the greater investment in defence", Prime Minister Keir Starmer says.
 
@cgdev.org’s @ianmitchell1.bsky.social responds:

26 Countries Are Most Vulnerable to US Global Health Aid Cuts. Can Other Funders Bridge the Gap? In this blog, we conceptualise this as a health system shock, present a back-of-the-envelope assessment of LMICs that are most exposed, and discuss possibilities for short-term policy responses from o...

Trump’s actions are triggering a global health financing crises. We need an emergency response. But what to prioritise?

In this @cgdev.org blog we identify 26 countries that are most vulnerable & least able to respond, and discuss 3 options for funders.

👇

www.cgdev.org/blog/26-coun...

Achieving Value for Money in Global Development: Six Recommendations for the FCDO As part of a wave of public reviews and consultations, the UK Foreign, Commonwealth and Development Office (FCDO) has issued a call for inputs on reforming how it thinks about the value for money…

Since merging w/ the Foreign Office & the creation of FCDO, the UK no longer has the reputation as a value for money champion.💷

To help rethink the approach to maximizing VFM, @tomldrake.bsky.social & @peterbaker17.bsky.social provide six recommendations for the FCDO ⬇
bit.ly/3QumZTA

NEW: @ianmitchell1.bsky.social & @samhugh3s.bsky.social find a 1 year US aid freeze could trigger an economic shock of 1% of GNI in 23 economies—with 8 countries, incl. South Sudan, Somalia & Ethiopia, facing a devastating 3%+ hit.
Which other countries could step up?
www.cgdev.org/blog/which-c...

with @rachelbonnifield.bsky.social @tomldrake.bsky.social Javier Guzman @anastassiad.bsky.social

Decoupling “Stop Work” Orders from “Stop Basic Care”: How New Aid Models Can Protect Countries from Unreliable External Financing The Trump administration’s stop-work order highlights precisely why we need a new model for health aid—one in which domestic financing supports the highest priority, core health services. On 20 Januar...

USAID crisis shows the global health golden age has become the age of donor instability.

A New Compact is needed to protect core services:

✅Countries prioritise & finance essential health services.
✅Donors acknowledge instability & top-up national plans.

@cgdev.org blog: cgdev.org/blog/decoupl...

Changing Course to a Good-Faith Aid Review: How Four Principles Could Advance the American Interest and Save Lives Making the case for how to conduct a good-faith, smart aid review in service of the administration’s goals and the American people.

The last week has been v bad for US foreign assistance -- and that's bad for America.

But there's still time for Secretary Rubio--who has a track record of supporting smart aid--to avert looming disaster and enact a *real* (and needed!) review and reform. Here's how:

www.cgdev.org/blog/changin...

Trump’s Election Gives the UK a Clear Global Health Mission: Champion Family Planning and Reproductive Rights The US role in global health appears increasingly uncertain as President-elect Trump prepares to enter the White House. While his previous term provides clues about future directions, evolving dynamic...

Trump is near certain to take an axe to family planning programs. These are likely very high ROI investments and UK aid should lean in

www.cgdev.org/blog/trumps-...

With Trump's inauguration just days away, many people are worried about what his second term will mean for global reproductive rights. In a new blog, my colleagues and I argue that the UK should step up to champion family planning and reproductive rights:
www.cgdev.org/blog/trumps-...

Trump’s Election Gives the UK a Clear Global Health Mission: Champion Family Planning and Reproductive Rights The US role in global health appears increasingly uncertain as President-elect Trump prepares to enter the White House. While his previous term provides clues about future directions, evolving dynamic...

The Trump admin is likely to step back from support for sexual & reproductive health & rights (SRHR) globally.

@katherineklemperer.bsky.social, @peterbaker17.bsky.social
& other experts argue that opens a space for the UK to step up and play a pivotal role for SRHR ⬇
www.cgdev.org/blog/trumps-...

Trump's election is a worrying day for family planning and reproductive rights. In this @cgdev.org blog we argue there is both a strong value for money case and a strong strategic case for the UK to step into the breach left by the US, and propose policy options for the UK:

👇

With contributions from ReBUILD's Sophie Witter...

Money Talks: The Lusaka Agenda Financing Alignment Indicators Just over a year ago, the Future of Global Health Initiatives process concluded with the publication of the Lusaka Agenda, which recognized that the current global health financing architecture needs ...

The Lusaka Agenda called for global health funds such as the Global Fund & Gavi to empower countries and align their financing with government systems. Today we outline 6 indicators that could track progress on this alignment.

www.cgdev.org/blog/money-t...

Pandemic Proof: Funding the WHO for Pandemic Preparedness Catharina Boehme, Assistant Director-General for External Relations and Governance at the WHO, joins guest-host Pete Baker to discuss the outcomes of the WHO Investment Round and the opportunities and...

🎧 The latest ep. of Pandemic Proof is here!

Catharina Boehme joins @peterbaker17.bsky.social to discuss the outcomes of @who.int's Investment Round & the opportunities and risks it presents for strengthening global health & pandemic preparedness.

Tune in ⬇
www.cgdev.org/blog/pandemi...

The Fast and Furious Journey of Adaptive Health Technology Assessment in Low- and Middle-Income Countries In a world of limited resources and rising health care demand, decision-makers are permanently urged to make explicit, evidence-based decisions about which services or health technologies to fund, for...

All countries need a faster "adaptive HTA" option for quicker priority setting. But when is this the right technique, rather than full HTA?

This @cgdev.org blog proposes criteria: urgency, size of the budget & health impact, political salience & uncertainty.

www.cgdev.org/blog/fast-an...

This Universal Health Coverage Day marks one year since the launch of the Lusaka Agenda, which aims to address challenges in financing health coverage in LMICs.

@peterbaker17.bsky.social & Sophie Witter propose a tracker to measure the agenda's progress. Explore ⬇
www.cgdev.org/blog/lusaka-...