Projects

ALLOCATIVE EFFICIENCY IN GLOBAL FUND MALARIA GRANTS: A SYSTEMS APPROACH:

Employing a system dynamics approach, this study first tries to understand how the introduction of malaria interventions, bundled into a given system, results in observed outputs and outcomes and how limited resources can be optimally deployed. Using this framework the study will examine the allocative efficiency in a set of Global Fund grants for malaria.

Project Partners & Funders: The Global Fund to Fight AIDS, Tuberculosis and Malaria

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ASSESSING THE ALLOCATIVE EFFICIENCY OF THE FLEXI POOL FINANCING UNDER THE NATIONAL RURAL HEALTH MISSION OF INDIA (NRHM):

This project attempts to understand the allocative efficiency of the National Rural Health Mission (NRHM) flexipool fund -- a money pool allocated to each state to allow bottom up planning and allocation.  This project will use an intermediate outcomes approach with primary data from state facilities as well as community surveys, context mapping and comparison of ideal/reference resource allocation for the context.

Project Partners & Funders: Access Health International at the India School of Business  

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CHILDHOOD ILLNESSES RESEARCH:

The WDI Healthcare Research Initiative is engaged in developing a better understanding of illnesses that most significantly impact child health. Utilizing market dynamics and supply chain research as a framework, the initiative looks for ways to improve accessibility and affordability of medicines and vaccinations as well as improvements to the overarching early childhood healthcare architecture. 

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INTERVENTIONS FOR A Healthy market for SECOND-LINE TB DRUGS:

Active Pharmaceutical Ingredients (APIs) play an important role in the quality and cost of medicines, but so far very little is known about the market structure, cost drivers and incentives for capacity expansion for key APIs for malaria and TB drugs. The WDI Healthcare Research Initiative is helping to generate new thinking around structural changes in the upstream production stages, which can improve the overall affordability and accessibility to medicines for MDR-TB (second-line TB drugs). 
 
Project Partners & Funders: UNITAID
 
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ENHANCING ACCESS TO MEDICINES THROUGH INNOVATIONS IN WORKING CAPITAL FINANCING FOR DRUG SHOPS:

Providing healthcare in remote areas presents a variety of interrelated and complex issues including affordability and availability of medicines. This research specifically explores the lack of working capital within different layers of the healthcare distribution network as a factor influencing access to essential medicines.  

Project Partners & Funders: Management Sciences for Health (MSH) under the Sustainable Drug Seller Initiatives (SDSI) and the Bill and Melinda Gates Foundation 

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Tanzania Remote Distribution Incentive Project (TZ-RDIP):

The primary objective of the Tanzania Remote Distribution Incentive Project (TZ-RDIP) is to understand the key drivers influencing the availability and affordability of artemisinin combination therapies (ACTs) in remote medicine shops for the treatment of malaria.  This project is based on the premise that individuals with limited financial resources seek treatment in the private sector, but that good, quality medicines –especially for malaria—may not be reaching the remotest drug shops where these individuals seek their treatment.

Project Partners & Funders: The Bill and Melinda Gates Foundation and Clinton Health Access Initiative

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TECHNICAL ANALYSIS OF INTERVENTIONS FOR MORE AFFORDABLE MALARIA DRUGS:

Artemisinin Combination Therapies (ACTs), the recommended treatment for malaria, remain unaffordable to large segments of populations in malaria endemic countries. Currently, ACTs are being scaled up through financing from the Global Fund to Fight AIDS, Tuberculosis and Malaria, the US President's Malaria Initiative and more recently, through the Affordable Medicines Facility for malaria (AMFm). A deeper understanding of the markets for manufacturing and distributing ACTs is critical to ensure the appropriate market interventions to make ACTs more affordable are enacted. The WDI Healthcare Research Initiative uses technical analysis to advise multiple stakeholders on intervention strategies, methods to match supply and demand, and policy levers that can create more affordable ACTs.
 
Project Partners & Funders: UNITAID, The Bill and Melinda Gates Foundation, The Global Fund to Fight AIDS, Tuberculosis and Malaria
 
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DESIGNING A BETTER PROCUREMENT AND PRICING ARCHITECTURE for VACCINES:

A well designed vaccine pricing architecture can ensure more equitable vaccine prices and result in greater access to new vaccines globally. Using game theoretical models this research project attempts to explore the optimal architecture for vaccine pricing and procurement.

Project Partners & Funders: Decade of Vaccine Collaboration, Natalie Privett 
 
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Enhancing Public Sector Distribution of Essential Medicines through Improved Information Sharing:

The WDI Healthcare Research Initiative, together with its partners, is researching the feasibility and effectiveness of improved information flows in the public sector as a method to ensure consistent stocking of essential medicines throughout Zambia. Such distribution enhancements ensure quantities of medicines consumed at the clinic level are recorded and using an appropriate restocking algorithm, optimal quantities of medicines are shipped back to the clinic. 

Project Partners & Funders: The World Bank, Government of Zambia, London Business School, IBM, GCrown Agents
 
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