From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br><div class="gmail_quote">CROSSPOSTED FROM: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<p class="MsoNormal" style="margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:14.4pt"><b><font color="maroon" face="Arial" size="3"><span style="font-size:12.0pt;font-family:Arial;color:maroon;font-weight:bold" lang="EN">Who Sets the Global Health Research Agenda? <br>

The Challenge of Multi-Bi Financing<u></u><u></u></span></font></b></p>

<p style="margin-left:.5in;line-height:21.6pt"><span><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:normal" lang="EN">Devi Sridhar</span></font></b></span>,<font face="Arial"><span style="font-size:10.0pt;font-family:Arial" lang="EN"> </span></font><a name="13a08ff0f6fa5fda_aff1"></a><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:normal" lang="EN">Blavatnik School of Government &
Department of Politics and International Relations, University of Oxford,
Oxford, UK<u></u><u></u></span></font></p>

<p style="margin-left:.5in;line-height:21.6pt"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial" lang="NO-BOK">PLoS
Med 9(9): e1001312. doi:10.1371/journal.pmed.1001312 - September 25, 2012<br>
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<u></u><u></u></span></font></b></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">Available online at: <a href="http://bit.ly/RkUfsI" target="_blank"><font color="black"><span style="color:windowtext">http://bit.ly/RkUfsI</span></font></a><br>

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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial" lang="EN">“…….A
major challenge in the governance of research funding is priority-setting. As a
former health minister in sub-Saharan <u></u>Africa<u></u>
noted, “<i><span style="font-style:italic">Everyone is chasing the
money—reputable universities, the UN agencies, partnerships, civil
society groups, so who is actually doing what developing countries really need,
rather than what donors want?”</span></i> [1] <br>
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<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial" lang="EN">The past 15 years have been
called revolutionary in global health in terms of the funding raised and the
number of initiatives launched. One of the side effects of having more money,
institutions, and initiatives in global health is increased competition among
the various parties. And, the priorities of funding bodies largely dictate what
health issues and diseases are studied.<br>
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<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial" lang="EN">In this Essay, I argue that
the challenge of agenda-setting that occurs in research funding is a
consequence of a larger phenomenon in global health, “multi-bi
financing.” <br>
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Multilateral funding refers to monies given to an organization that involves
two or more governments or other institutions, the prime example being the
United Nations; bilateral funding refers to monies given from one government or
institution to another such as the US Agency for International Development
(USAID) grants to <u></u><u></u>Haiti<u></u><u></u>.<br>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial" lang="EN">Multi-bi financing refers to
the practice of donors choosing to route non-core funding—earmarked for
specific sectors, themes, countries, or regions—through multilateral
agencies and to the emergence of new multistakeholder initiatives. Drawing on
insights from political science and international relations, I put forward an
explanation for why these developments are occurring and discuss the
consequences for global health research governance….” [au]<u></u><u></u></span></font></p>

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