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Reposted by Janeen Madan Keller

Center for Global Development @cgdev.org · 16d

A new PEPFAR blueprint is taking shape.

If backed by real resources, it could lay the groundwork for a sustainable transition and true country ownership. @rachelbonnifield.bsky.social & @jmadankeller.bsky.social unpack strategic shifts that could define PEPFAR’s next chapter:
https://bit.ly/3Kvx7eT

PEPFAR’s Next Chapter: From the Ashes, a Path for Constructive US Global Health Engagement?

A new PEPFAR blueprint is beginning to take shape, offering a surprisingly strong foundation for a constructive path forward. If backed by real resources and well implemented, it could lay the groundw...

bit.ly

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Reposted by Janeen Madan Keller

Our World in Data @ourworldindata.org · Aug 18

Vaccines are one of the most powerful tools in public health. They have saved hundreds of millions of lives by preventing deadly diseases like measles, polio, and smallpox. Before vaccines, these infections were common; surviving them often meant facing severe complications or lifelong disability.

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Reposted by Janeen Madan Keller

The New York Times @nytimes.com · Aug 17

USAID funded roughly half the world’s supply of ready-to-use therapeutic food. The dismantling of the agency has disrupted the global supply chain that provides the packets, leaving thousands of malnourished children at risk of dying.

A $45 Treatment Can Save a Starving Child. US Aid Cuts Have Frozen the Supply

www.nytimes.com

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Reposted by Janeen Madan Keller

Our World in Data @ourworldindata.org · Jul 28

✍️ New article: "The world left its fight against tuberculosis unfinished — how can we complete the job?"

Bar chart showing the death rate from tuberculosis in 2021 for a selection of countries. Someone in Lesotho, the Central African Republic, or Gabon is at least 3,000 times more likely to die from TB than someone in the United States or Denmark. Data source: WHO (2024). Chart CC BY Our World in Data.

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Reposted by Janeen Madan Keller

Center for Global Development @cgdev.org · Jul 21

With a $2.5B shortfall, Gavi, the Vaccine Alliance, faces tough choices.💉📉

Ahead of this week’s Board meeting, @cgdev.org experts propose five ways Gavi 6.0 can stretch resources while protecting its most impactful work:
bit.ly/3IyStXX

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Reposted by Janeen Madan Keller

Saloni @scientificdiscovery.dev · Jul 21

In February, the US gov shut down the Demographic & Health Surveys.

It was the only data source on maternal & child health, births, household structure in many countries – making it crucial for research.

In a new article I explain why it should be rescued.
ourworldindata.org/demographic-...

Map of countries where the DHS was the only source of maternal mortality data

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Reposted by Janeen Madan Keller

Orin Levine @orinlevine.bsky.social · Jul 18

How do you find $2.5 B in savings when every decision has consequences for access to life-saving vaccines? With Center for Global Development colleagues, here are 2 core principles and 5 suggestions. Give it a read and let us know what you think. #gavi

Janeen Madan Keller @jmadankeller.bsky.social · Jul 18

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/...

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...

www.cgdev.org

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Janeen Madan Keller @jmadankeller.bsky.social · Jul 18

Vaccines are a global health best buy, so it's unfortunate Gavi is in this position at all

Nevertheless, Gavi's Board and leadership faces some tough choices on how to prioritize

We offer 5 options we see as the "least bad" choices, that yield savings while preserving Gavi's impact

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...

www.cgdev.org

Janeen Madan Keller @jmadankeller.bsky.social · Jul 18

We argue that @gavi.org should prioritize a dual mandate:

1) Stabilize vaccine budgets in the poorest countries

2) Transform the financing model over time through a radically simplified “New Compact Envelope Financing” approach

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Janeen Madan Keller @jmadankeller.bsky.social · Jul 18

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/...

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...

www.cgdev.org

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Janeen Madan Keller @jmadankeller.bsky.social · Jul 10

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/...

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...

www.cgdev.org

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Janeen Madan Keller @jmadankeller.bsky.social · Jul 3

From coop to cave: Inside the high-tech hunt for #H5N1 and Disease X

Great piece in the @telegraphnews.bsky.social by @sneweyy.bsky.social

www.telegraph.co.uk/global-healt...

From coop to cave: Inside the high-tech hunt for H5N1 and Disease X

The Telegraph joined scientists in Cambodia’s vibrant wet markets and vast bat caves to test revolutionary new disease surveillance tools

www.telegraph.co.uk

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Janeen Madan Keller @jmadankeller.bsky.social · Jun 27

#FfD4 kicks off next week against the backdrop of aid cuts & a traffic jam of replenishments among health & other concessional funds

But it's clear these funds need a major overhaul. Our new
@cgdev.org blog highlights 3 action items:

www.cgdev.org/blog/concess...

cc: @clemencelanders.bsky.social

www.cgdev.org

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Janeen Madan Keller @jmadankeller.bsky.social · Jun 26

"It’s fair to say that humanitarianism's “Great Depression” moment has come. The sudden, almost overnight loss of US Government funding has exacerbated a reality where the majority of humanitarian needs were already unfunded. Something has to give."

Stanford Social Innovation Review @ssir.org · Jun 24

"This is a part two we never thought we’d have to write."

This new article by authors from @rescue.org shares three concrete actions that NGOs, governments, and donors can take to counteract the collapse in humanitarian aid funding.

We Just Lost $54 Billion. Now What? (SSIR)

How humanitarian organizations can use cost evidence to survive global aid’s “Great Depression” and scale what works to save more lives.

ssir.org

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Reposted by Janeen Madan Keller

Atul Gawande @agawande.bsky.social · Jun 25

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible.
www.politico.com/news/2025/06...

RFK Jr. says US won’t donate to global vaccine effort

Kennedy ripped into Gavi, the Vaccine Alliance, in a video address at its pledging summit.

www.politico.com

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Janeen Madan Keller @jmadankeller.bsky.social · Jun 25

Cutting US funding for @gavi.org which leads on global vaccination efforts is incredibly shortsighted and misguided

@charlesjkenny.bsky.social & I argued why in this @cgdev.org blog 👇

www.cgdev.org/blog/why-tru...

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Reposted by Janeen Madan Keller

Center for Global Development @cgdev.org · May 15

The Trump admin's proposed solution for high US drug prices is misguided, writes @rachelbonnifield.bsky.social,
@charlesjkenny.bsky.social, & @jmadankeller.bsky.social.

It risks stifling drug innovation and slashing access abroad, with little benefit to US patients⬇️
www.cgdev.org/blog/market-...

The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse

The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...

www.cgdev.org

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Reposted by Janeen Madan Keller

Rachel Bonnifield @rachelbonnifield.bsky.social · May 13

US drug prices are way too high—but the Trump EO to “fix” them would make things worse for everyone.

We break down the economics of reference pricing here — and explain why it’s a bad approach for the US 👇

With @charlesjkenny.bsky.social and @jmadankeller.bsky.social

www.cgdev.org/blog/market-...

The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse

The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...

www.cgdev.org

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Janeen Madan Keller @jmadankeller.bsky.social · May 13

📣New @cgdev.org blog on the latest Trump EO to curb high drug prices

We breakdown why the proposed policy prescription of "reference pricing" is misguided... with a healthy dose of econ101 🤓

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

www.cgdev.org/blog/market-...

The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse

The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...

www.cgdev.org

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Reposted by Janeen Madan Keller

Amy Maxmen, PhD @amymaxmen.bsky.social · Apr 10

🚨My latest: Trump's deportation tactics are undermining the bird flu response, outreach workers say.

Detecting cases is key but farmworkers at highest risk - mainly immigrants - are afraid to leave home for care. @kffhealthnews.org / ABC

kffhealthnews.org/news/article...

Trump’s Immigration Tactics Obstruct Efforts To Avert Bird Flu Pandemic, Researchers Say - KFF Health News

Preventing and detecting bird flu infections among farmworkers is a key defense against a potential pandemic. Immigration raids and threats have undermined these efforts, researchers say.

kffhealthnews.org

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Janeen Madan Keller @jmadankeller.bsky.social · Apr 9

In DC for spring meetings? Join me & @clemencelanders.bsky.social on Wed Apr 23 for a @cgdev.org event on how multilateral funds can evolve in the face of shrinking resources and growing needs

RSVP ➡️ www.cgdev.org/event/how-do...

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Reposted by Janeen Madan Keller

Dan Diamond @ddiamond.bsky.social · Apr 9

A week ago, the Trump administration laid off thousands of people at HHS and its agencies.

The cuts were so deep, and touched so much, we're still learning about the impacts.

Here are a couple stories that have stood out to me.

1) @levfacher.bsky.social on the gutting of a pain-research office.

Unique pain research office eliminated in HHS purge

Pain is the most costly chronic health problem in the U.S. In latest RIFs at NIH, an entire division devoted to pain research was closed down.

www.statnews.com

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Janeen Madan Keller @jmadankeller.bsky.social · Apr 4

Rollout of ‘miracle’ HIV prevention drug is threatened by Trump cuts to global AIDS relief program www.statnews.com/pharmalot/20... via @statnews.com

Rollout of ‘miracle’ HIV prevention drug is threatened by Trump cuts to global AIDS relief program

PEPFAR had been set to lead the rollout of Gilead Science's lenacapavir, which has been hailed as a "miracle" of HIV prevention.

www.statnews.com

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Janeen Madan Keller @jmadankeller.bsky.social · Apr 4

Millions of women in some of the world's poorest countries will lose access to contraception as a result of Trump aid cuts -- that's bad for women's health, their communities, and for economies www.nytimes.com/2025/04/01/h...

Millions of Women Will Lose Access to Contraception as a Result of Trump Aid Cuts

The United States was a key supplier of contraceptives in many developing countries. The Trump administration has ended that support.

www.nytimes.com

Reposted by Janeen Madan Keller

Markus Goldstein @markusgold.bsky.social · Mar 28

@jmadankeller.bsky.social & @charlesjkenny.bsky.social take a look at the consequences of the US cancelling support for GAVI. 20-500K additional deaths: www.cgdev.org/blog/why-tru...

Why the Trump Administration's Plan to Cut Funding to Gavi is Shortsighted

In a list of thousands of terminated USAID awards that was sent to Congress this week is a devastating cut suggesting the Trump administration might be planning to end funding to Gavi, the global init...

www.cgdev.org

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