4 Responses

  1. Garth Luke
    Garth Luke May 9, 2012 at 5:03 pm

    In reply to Joel’s comment about saving lives, World Vision estimates that the delay could result in at least 250,000 lives not being saved over 4 years. This assumes an average cost of $2,000 per life saved (based on Global Fund figures – http://bit.ly/JeiHqL) and 18-20% of the aid budget going to health. The cut in planned ODA is $2.9 billion over four years.

    It is often possible to save lives for much less, for instance the most cited figure to prevent people dying of TB is $250 and even less for malaria and some vaccine preventable children’s diseases (see http://www.dcp2.org/pubs/PIH) .

    There are established effective health strategies to prevent deaths from AIDS, TB, malaria, maternal and infant health and early and poorly spaced births. There are also significant unmet needs for additional funding in all of these areas.

  2. Joel Negin
    Joel Negin May 9, 2012 at 10:56 am

    Hi Stephen,
    Thanks for this balanced set of rapid reviews. Lots to digest. Not sure if Tim Costello’s claim that this budget will lead to 200,000 deaths is sound science but the anger over the broken commitment is understandable.
    On the Africa increase, page 18 of the CAPF states that of the $1.5b going to Africa in 2015-16, $1b of that will be from global programs and $500m from country programs. So, as you note, still an increase from the suggested $200m cap but the emphasis certainly does seem to be on using multilateral partners.
    From a public health perspective, interesting to note lots of emphasis on water and sanitation – an area that is often neglected by aid programs (toilets just aren’t such an easy aid image to sell!).
    Thanks again for your reviews and look forward to more discussion on this…

  3. Megan
    Megan May 9, 2012 at 10:32 am

    Hi Stephen,
    I agree with your assertion about New Policy Proposals (NPPs) leading to fragmentation and confusion in the aid program, but not sure how you arrived at the figure of $1.5 billion. Could you please clarify?
    Many thanks

    1. Jonathan Pryke
      Jonathan Pryke May 9, 2012 at 11:30 am


      We got the figure from adding together the NPP’s outlined on page 5 (‘budget highlights’) of the blue book (which you can find by following the link at the bottom of Stephen’s post), which actually comes to $1.47 billion. Although these figures do cover different time commitments (1, 2 and 4 years) I think the point was to highlight that the NPP culture is still very alive and well even though the review recommended it be cut completely.


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