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2. Global health at a crossroads: policy recommendations in light of the Lancet Global Health 2050 Report
- Author:
- Christoph Strupat, Marco Schäferhoff, Martin Siegel, and Anna-Katharina Hornidge
- Publication Date:
- 01-2025
- Content Type:
- Working Paper
- Institution:
- German Institute of Development and Sustainability (IDOS)
- Abstract:
- At a time of global crisis and competing priorities, investing in health is among the most impactful and cost-effective decisions governments and stakeholders can make. Beyond being a fundamental right, health is a catalyst for growth, stability and resilience – particularly in uncertain times. The new Global Health 2050: the path to halving premature death by mid-century (Global Health 2050) report (Jamison et al., 2024) of the Lancet Commission on Investing in Health (the Commission) builds on a legacy of evidence-driven reports to provide strategies for making health a cross-cutting enabler of the Sustainable Development Goals (SDGs). Global Health 2050 provides a roadmap for further health improvements in all countries by mid-century, arguing that by 2050 countries can reduce by 50% the probability of premature death (PPD) in their populations. The Commission calls this goal “50 by 50”. Germany has solidified its role in global health through significant investments in the health sector and by designating global health as a political priority, as demonstrated by its Global Health Strategy and the inclusion of global health as one of the core themes of the Federal Ministry for Economic Cooperation and Development (BMZ). Given this political priority, it is essential to assess the implications of the Global Health 2050 report for Germany’s global health agenda, especially as global health stands at a crossroads following the withdrawal of the United States (US) from the World Health Organization (WHO) and cuts to its global health programmes. Therefore, the aim of this policy brief is to build upon the Commission’s findings and draw from scientific evidence to provide key recommendations for Germany’s global health agenda. Five recommendations have been synthesised that align with Germany’s global health engagement and offer promising strategies to help achieve the 50 by 50 goal: 1. Sustain or ideally increase funding for the Gavi, The Vaccine Alliance, and the Global Fund to Fight AIDS, Tuberculosis and Malaria at the upcoming replenishment conferences and strengthen Germany’s global health leadership through strong bilateral support, investments in pandemic preparedness and response (PPR) and better interministerial coordination. 2. Reconsider non-communicable diseases (NCDs) in future strategic direction of German international cooperation by reducing financial and geo-graphical barriers to access to medicines and addressing key NCD risk factors. 3. Promote health taxes on tobacco, alcohol, and sugar-sweetened beverages that can serve as an effective strategy to improve public health and generate domestic revenue. 4. Increase funding for R&D in neglected diseases. Expand regional manufacturing, and enhance global health innovation coordination to strength-en global health security and reduce dependence on external supply chains. 5. Nepal serves as a good example of Germany’s bilateral health and social protection support: advancing the 50 by 50 goal could be achieved by strengthening national health insurance, addressing climate risks, expanding health taxes and enhancing pharmaceutical access through the Arrow mechanism.
- Topic:
- Development, Investment, Public Health, Global Health, and Disease
- Political Geography:
- Global Focus
3. Overcoming silos for One Health: key determinants of One Health governance platforms in low- and lower middle-income countries
- Author:
- Christoph Strupat
- Publication Date:
- 01-2025
- Content Type:
- Working Paper
- Institution:
- German Institute of Development and Sustainability (IDOS)
- Abstract:
- This study addresses a critical gap in One Health governance literature by providing a comprehensive review of cross-sectoral One Health governance platforms in low- and lower-middle-income countries across Asia and Africa. These platforms are pivotal for building resilience and improving governance at the human–animal–environment interface. Using a scoping review methodology, the study identifies 34 One Health platforms established across 52% of these countries, with a primary focus on zoonotic diseases and a growing emphasis on antimicrobial resistance and food safety. A polycentric governance lens was applied to analyse the interplay of authority, resources and information in shaping platform functionality. Key findings highlight that authority imbalances and single-sector dominance undermine stakeholder engagement, insufficient financial and human resources hinder operational capacity. Furthermore, weak data-sharing protocols limit timely coordination and evidence-based decision-making. The review identifies critical entry points for enhancing platform efficacy: clarifying governance frameworks, investing in cross-sectoral human capacity-building and strengthening data-sharing infrastructures with robust protocols and interoperable platforms.
- Topic:
- Development, Governance, and Public Health
- Political Geography:
- Africa and Asia
4. Starr Forum: The US and the World Under Trump: The First 100 Days
- Author:
- Juliette N. Kayyem and Kori Schake
- Publication Date:
- 04-2025
- Content Type:
- Video
- Institution:
- MIT Center for International Studies
- Abstract:
- Starr Forum: The US and the World Under Trump: The First 100 Days: Wednesday, April 16th, 2025. Juliette Kayyem and Kori Schake analyzed President Trump’s first 100 days in office and what this means for our nation and the world. Speakers: Juliette Kayyem is the faculty chair of the Homeland Security and Security and Global Health Projects at Harvard University and the Harvard Kennedy School of Government. She also serves as a senior national security analyst for CNN where she has been described as CNN’s “go to” for disasters. A contributing writer to The Atlantic, Professor Kayyem has a weekly security segment on NPR’s Boston station WGBH. Her most recent book, "The Devil Never Sleeps: Learning to Live in an Age of Disasters," was described in a New Yorker profile as an “engagingly urgent blueprint for rethinking our approach to disaster preparedness and response.” She served as President Obama’s assistant secretary for intergovernmental affairs at the Department of Homeland Security. Kori Schake leads the foreign and defense policy team at the American Enterprise Institute. She is the author of "Safe Passage: the Transition from British to American Hegemony," and a contributing writer at the Atlantic, War on the Rocks, and Bloomberg. Before joining AEI, Dr. Schake was the deputy director-general of the International Institute for Strategic Studies in London. She has had a distinguished career in government, working at the US State Department, the US Department of Defense, and the National Security Council at the White House. She has also taught at Stanford, West Point, Johns Hopkins University’s School of Advanced International Studies, National Defense University, and the University of Maryland. She has written additional books, including "America vs the West: Can the Liberal World Order Be Preserved?" and is coeditor, along with former Secretary of Defense Jim Mattis, of “Warriors & Citizens: American Views of Our Military.” Moderator: Evan Lieberman is the Total Professor of Political Science and Contemporary Africa and the director of the MIT Center for International Studies. He conducts research on the political-economy of development, especially in sub-Saharan Africa. He studies the democratic politics of governing ethnically and racially diverse societies, including the challenges of public health, climate adaptation, and ensuring respect for human dignity. Lieberman is the author, most recently, of "Until We Have Won Our Liberty: South Africa after Apartheid."
- Topic:
- Security, Foreign Policy, Domestic Politics, Public Health, and Donald Trump
- Political Geography:
- North America and United States of America
5. Strengthening Health System Response to Sexual Violence in Afghanistan
- Author:
- Barbara Buckinx, Charu Lata Hogg, and Ila Prabhuram
- Publication Date:
- 01-2025
- Content Type:
- Policy Brief
- Institution:
- Liechtenstein Institute on Self-Determination, Princeton University
- Abstract:
- This policy report summarizes insights from a workshop organized by the Liechtenstein Institute on Self-Determination (LISD) at Princeton University on November 5, 2024. The workshop, titled “Strengthening Health System Response to Sexual Violence in Afghanistan,” was co-organized by All Survivors Project (ASP) and cosponsored by the SPIA Afghanistan Policy Lab and the Center for Health and Wellbeing, and was held under the Chatham House Rule.
- Topic:
- Women, Sexual Violence, Public Health, and Healthcare System
- Political Geography:
- Afghanistan and South Asia
6. The Devastating Impact of Lebanon’s Environmental Failures
- Author:
- Peter S. Germanos and Samara Azzi
- Publication Date:
- 01-2024
- Content Type:
- Commentary and Analysis
- Institution:
- The Washington Institute for Near East Policy
- Abstract:
- For decades, Lebanon has suffered under a systematic and intentional mismanagement of country resources and capital, with devastating repercussions. Poverty rates in Lebanon have skyrocketed, and the healthcare and education systems have crumbled, leaving millions vulnerable. Less discussed but no less dangerous is the environmental degradation that the country’s elite have allowed to occur. Lebanon’s deteriorating environment adds another layer of tragedy to the widespread economic crisis; sewage contaminates drinking water, generators spew toxic fumes, excessive groundwater usage renders it saline, and irrigation with sewage water contaminates agricultural produce. The price for Lebanese is becoming increasingly well documented. Cancer cases have surged, and the Lebanese people can expect to continue to suffer in the future as well. This situation was not, however, a foregone conclusion, or due solely to global climate change outside of Lebanese control. Rather, Lebanon’s significant environmental degradation is due in large part to systemic corruption and a total lack of effective regulation. Understanding the scope of this issue is vital to realizing what the people of Lebanon are facing, along with developing a plan to address some of these interconnected environmental and governance challenges.
- Topic:
- Corruption, Environment, International Cooperation, Pollution, and Public Health
- Political Geography:
- Middle East and Lebanon
7. Japan’s Border Measures during Covid-19: How the Crisis Shaped ‘Others’ to Protect the ‘Stability of Self’
- Author:
- Vuslat Nur Şahin Temel and Zhao Xiru
- Publication Date:
- 01-2024
- Content Type:
- Journal Article
- Journal:
- Uluslararasi Iliskiler
- Institution:
- International Relations Council of Turkey (UİK-IRCT)
- Abstract:
- The Covid-19 pandemic has prompted countries to implement a wide range of specific cross-border security measures. The fear and anxiety induced by this crisis have rapidly expanded and contracted countries’ understanding of ‘self’ and ‘other’. This study examines Japan’s shift from liberal pre- Covid-19 border policies to the most stringent border closure measures among the G7 countries during the pandemic. In this study, we argue that the pandemic-induced fear increased anxiety in Japan’s public health safety identity, rapidly reshaping the conceptualization of the ‘self’ and ‘other’ in crisis scenarios. This shift aligns with Japan’s historical narrative of combating unprecedented threats to public health.
- Topic:
- Borders, Public Health, Human Security, COVID-19, Isolation, Ontological Security, and Anxiety
- Political Geography:
- Japan and Asia
8. Election 2024 in Pakistan - A Catalyst for Strengthening Global Health Security Partnerships
- Author:
- Saeed Ahmad
- Publication Date:
- 07-2024
- Content Type:
- Special Report
- Institution:
- East-West Center
- Abstract:
- Dr. Saeed Ahmad, a Public Health Coordinator with Pakistan’s Ministry of National Health Services, "explores the impact of Pakistan’s 2024 electoral outcomes on health policy formulation, resource allocation, and continued partnership and engagement with the United States on global health security and sustainable development."
- Topic:
- Security, Development, Elections, Partnerships, and Public Health
- Political Geography:
- Pakistan, South Asia, and United States of America
9. Multilateralism Index 2024
- Author:
- Institute for Economics and Peace (IEP)
- Publication Date:
- 10-2024
- Content Type:
- Special Report
- Institution:
- Institute for Economics & Peace (IEP)
- Abstract:
- There are growing calls to transform the multilateral system, which is widely seen as being in crisis. Yet solving the crisis of multilateralism requires understanding what that crisis entails. What parts of the multilateral system are in crisis, and what parts are still functioning? Where is commitment to multilateralism flagging, and where does it remain strong? Where is multilateral action failing to translate into concrete results, and where is it delivering? Who is being left out of multilateral engagement, and who is being included? And what are the trends over time? To help answer these questions, the International Peace Institute (IPI) and the Institute for Economics and Peace (IEP) developed the Multilateralism Index. This 2024 edition of the Index assesses changes in international cooperation between 2013 and 2023 across five domains: Peace and Security, Human Rights, Climate Action, Public Health, and Trade. Each domain is evaluated across three dimensions: Participation, Performance, and Inclusivity
- Topic:
- Security, Climate Change, Human Rights, Multilateralism, Peace, Trade, Public Health, and International Order
- Political Geography:
- Global Focus
10. Considering Returns on Federal Investment in the Negotiated “Maximum Fair Price” of Drugs Under the Inflation Reduction Act: an Analysis
- Author:
- Edward W. Zhou, Paula G. da Silva, Debbie Quijada, and Fred D. Ledley
- Publication Date:
- 03-2024
- Content Type:
- Working Paper
- Institution:
- Institute for New Economic Thinking (INET)
- Abstract:
- The Inflation Reduction Act (IRA) of 2022 contained landmark provisions authorizing government to negotiate a “maximum fair price” for selected Medicare Part D drugs considering the manufacturer’s research and development costs, federal support for discovery and development, the extent to which the drugs address unmet medical needs, and other factors. This working paper describes federal investment in the discovery and development of the ten drugs selected for price negotiation in the first year of the IRA as well as the health value created through Medicare Part D spending on these drugs. We identified $11.7 billion in NIH funding for basic or applied research leading to approval of these drugs with median investment costs of $895.4 million/drug. This early public investment provided a median cost savings to industry of $1,485 million/drug, comparable to reported levels of investment by industry. From 2017-2021, Medicare Part D spent $126.4 billion (median $10.7 billion) for these products before rebates. Excluding two products for diabetes, Medicare Part D spending was $97.4 billion and the total health value created was 650,940 QALYs or $67.7 billion (WTP/QALY=$104K) representing a negative residual health value of -$29.7 billion (before rebates). We argue that a negotiated fair price should provide returns on both private and public investments in these products commensurate with the scale and risk of these investments, with the principal return on public sector investments being the residual health value (net price) accruing to those using the product. These empirical data provide a cost basis for negotiating a fair price that rewards early government investments in innovation and provides social value for the public.
- Topic:
- Economics, Health, Public Health, Pharmaceuticals, and Public Investment
- Political Geography:
- North America and United States of America