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Call for a New “Global Health Architecture”

Call for a New “Global Health Architecture”

Last Friday, Stanford’s Policy Review published a feature written by global health luminaries Mark Dybul, Peter Piot, and Julio Frenk entitled Reshaping Global Health.  The article reads as a call to action, urging the global …

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Africa’s Success Story: Child Mortality Declines

Africa’s Success Story: Child Mortality Declines

Last week’s print edition of the Economist reports “the best story in development,” which describes huge declines in child mortality across Africa.  Too often, good stories about Africa are buried in the back pages of newspapers and magazines.  In this case, the …

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Global Fund Announces $1.6 Billion in Additional Funding

Global Fund Announces $1.6 Billion in Additional Funding

In a positive turn, the Global Fund announced on Wednesday that it has more funding to give out than it originally anticipated.  To the tune of $1.6 billion.  Where, you might ask, did that come from?  In their “news flash” released yesterday, they write:
There were many factors that piled …

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Lessons in Sustainability: The Global Health Council

Lessons in Sustainability: The Global Health Council

On April 20th, the Global Health Council created shockwaves in the global health community by announcing that it will close its doors in “the coming months”.  This was only 1 week after announcing the cancellation of its flagship conference.  …

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The Case for Business Cases about Global Health

The Case for Business Cases about Global Health

This week, the European Foundation of Management Development (EFMD) announced the winners of its annual business case competition.  In addition to a bit of shameless self-promotion, I am pleased to see that business cases about global health …

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The Global Fund’s Transformation

The Global Fund’s Transformation


Time for reform: 1200 pages – an application to the Global Fund

As I wrote last week, the recent appointment of Gabriel Jaramillo as General Manager to The Global Fund signals the international community’s conclusion that the Fund is “too big to fail”.  A former banker, Jaramillo has …

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Too Big to Fail: The Global Fund at a Crossroads

Too Big to Fail: The Global Fund at a Crossroads


Earlier this year, the global health community watched with bated breath as The Global Fund to Fight AIDS, Tuberculosis and Malaria stood at a precipice.
The chain of events was like a series of …

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Food and international folly

Food and international folly

I had the pleasure of gorging a bit (no pun intended, but please read on) on TED talks a few days ago, and in the process, spent a couple hours listening to several talks in their “Food Matters” theme.  One talk in particular by Carolyn Steel captured my interest:

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As AIDS turns 30, a Round-Up of HIV/AIDS News

On the HIV/AIDS front, news has been coming fast and furiously this week and last, as the United Nations conducts its High Level Meeting on HIV/AIDS, South Africa hosts its HIV/AIDS conference …

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Pay for performance – a grand experiment

A few weeks ago, I wrote about the new Medicare initiative to reward hospitals with better performance metrics, and punish those with worse.  On Monday, the New York Times published an article which gave greater detail about the proposed payment …

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Public health professionals have a sense of humor too

Public health professionals have a sense of humor too


CDC Zombie Blog

It’s 11pm, I’m tired, and I still haven’t written my post.  And so, because I’m feeling a bit punchy, I’m resorting to posting a simple image which served to make me laugh, as well as visit the CDC website, a site which …

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What does Democracy have to do with it?

Let me start with saying how happy I am to be living in a new democracy.  Today is election day in South Africa, as voters go to the polls for the fourth municipal elections in the history of the Republic of South Africa.  Although I’m an observer in this democratic …

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Rewarding quality through Medicare reform

In my last post, I was discouraged by the lack of incentives for innovation in the public health system.  I bemoaned in particular the payment systems that reward bad care in equal measure to good care, a surefire recipe (to my mind) for a stagnant system.
Lo and behold, the Obama …

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The Innovation Premium

I just got back from a lecture hosted by the INSEAD Africa Initiative featuring Hal Gregersen, professor of leadership at INSEAD.  Hal’s forthcoming book, the Innovator’s DNA (co-written by Jeffrey Dyer and Clayton Christensen) outlines …

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The other side of the coin: Cost

On Friday, Julia touched upon one of my favourite subjects: Community Health Workers.  I am a strong advocate of her position for paying CHWs – and for reasons that ironically have to do with lowering costs. 
For the last couple weeks, I’ve been focusing on the financing of healthcare …

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About the Author

Cynthia Schweer Rayner
Cynthia Schweer Rayner

Cynthia Schweer Rayner is an independent consultant and philanthropy advisor specializing in public health, social entrepreneurship and scalable business models for positive social change. As a recovering management consultant, she spent several months living in South Africa, and later co-founded the US branch of an organization providing support to orphaned and vulnerable children. In 2009, she was an LGT Venture Philanthropy Fellow, working with mothers2mothers (m2m), a multinational non-profit organization employing mothers living with HIV as peer educators to positive pregnant women. She currently works with individuals, companies and nonprofits to finance and develop models for positive change. Cynthia has an MBA from INSEAD and a BA in English Literature from Georgetown University. She currently lives in Cape Town and visits New York frequently, where she co-owns a Manhattan-based yoga studio, mang'Oh yoga (www.mangohstudio.com).

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