Center For International Development

Since 2000, a large and complex global infrastructure has emerged to help finance public health improvement in low- and middle-income countries. These institutions have helped drive historic improvements in child survival, HIV mortality, and access to modern contraception—yet serious questions have arisen about their long-term sustainability, their effects on country-led health systems, and whether they create incentives that are misaligned with long-term public health impart. Today on CID’s Speaker Series podcast, Jason Keene, Masters in Public Administration and International Development student at the Harvard Kennedy School, interviews Rachel Silverman, Assistant Director of Global Health Policy and a Senior Policy Analyst at the Center for Global Development, gives us a brief overview of the current health financing architecture. She also discusses three “hot topics” in global health financing: fiscal and programmatic accountability and incentive models; strategies to “transition” countries away from re