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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 health community to “give up a lot of turf” and assemble a Bretton Woods-style conversation to reshape the Global Health […]

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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 headline is sensationalist but true.  The trends of child mortality in a majority of African […]

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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 up on the plus side of the […]

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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.  As I read the reports, I kept asking myself, is this yet another casualty of recent funding […]

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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 and emerging markets are getting recognition.  The winners were selected in 14 categories, and then a panel of judges […]

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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 wasted no time in making promised changes to […]

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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 dominoes falling.  Earlier, in October 2011, cash-strapped donor countries with austerity budgets said “no” when the Fund asked for $20 billion in replenishment […]

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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: How Food Shapes our Cities.  Carolyn is […]

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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 in Durban and the media takes the opportunity to commorate the 30-year anniversary of the global fight against AIDS.  I thought I’d link to […]

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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 methodology.  According to the article, the “plan has drawn fire from hospitals” due to a clause which requires […]

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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 isn’t usually the source if mirth.  According to the Wall […]

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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 process, the ability to witness […]

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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 administration is leading the […]

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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 the five essential qualities or skills that innovators possess: Associating, Observing, Experimenting, Questioning, and Networking. Contrary to the title of […]

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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 and advocating for new mechanisms to […]

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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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