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The share of private sector funding, relative to public sector funding, for drug, vaccine, and diagnostic research & development (R&D) differs considerably across diseases. Private sector investment in overall health R&D exceeds $150 billion annually, but is largely concentrated on non-communicable chronic diseases with only an estimated $5.9 billion focused on "global health", targeting diseases that primarily affect low and middle-income countries (LMICs). We examine the evidence for five specific disincentives to private sector global health R&D investment: scientific uncertainty, weak policy environments, limited revenues and market uncertainty, high fixed and sunk costs, and downstream rents from imperfect markets. Though all five may affect estimates of net returns from an investment decision, they are worth examining separately as each calls for a different intervention or remediation to change behavior.
Donor countries and multilateral organizations may pursue multiple goals with foreign aid, including supporting low-income country development for strategic/security purposes (national security, regional political stability) and for short-and long-term economic interests (market development and access, local and regional market stability). While the literature on the effectiveness of aid in supporting progress on different indicators of country development is inconclusive, donors are interested in evidence that aid funding is not permanent but rather contributes to a process by which recipient countries develop to a point that they are economically self-sufficient. In this report, we review the literature on measures of country self-sufficiency and descriptive evidence from illustrative case studies to explore conditions associated with transitions toward self-sufficiency in certain contexts.
An ongoing stream of EPAR research considers how public good characteristics of different types of research and development (R&D) and the motivations of different providers of R&D funding affect the relative advantages of alternative funding sources. For this project, we seek to summarize the key public good characteristics of R&D investment for agriculture in general and for different subsets of crops, and hypothesize how these characteristics might be expected to affect public, private, or philanthropic funders’ investment decisions.
Asset-Based Community Development (ABCD) is a development framework which focuses on the capacities, skills and social resources of people and their communities, rather than initially focusing on the needs, deficiencies, constraints and problems of a community.1 This document contains three sections. The first section summarizes several papers which either (1) apply ABCD or similar asset-focused development frameworks in a rural/agricultural context and to development in Sub-Saharan Africa, or (2) provide general guidance on the implementation of ABCD approaches to development. The second section provides more detail on how Oxfam and the Coady International Institute have applied ABCD in Ethiopian communities.
Finally, in order to provide an example of how ABCD might be applied to a Foundation project, the third section briefly notes how an ABCD strategy might differ from the Foundation’s proposed constraints-based Bihar strategy.