Five Early Observations as Global Health Transition Accelerates
By Pascale Leroueil
The major global health financing mechanisms were all built with transition in mind. Gavi phases out support as countries cross a GNI per capita threshold. The Global Fund uses a combination of income classification and disease burden to determine eligibility, with countries expected to assume greater domestic financing as their economies grow and epidemics recede. PEPFAR has historically moved countries along a continuum toward domestic ownership. The underlying logic across all three has been the same: as countries develop economically and reduce disease burden, external financing would gradually give way to domestic systems. Transition would be orderly, phased, and driven by genuine improvements in capacity and fiscal space.
Photo courtesy of World Bank Photo Collection.
Source: ThinkWell (link opens in a new window)
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