Insights & Perspectives

Blog, News and Insights

In-depth analysis of supply chain dynamics, healthcare infrastructure, and diplomatic development across the Zambian landscape.

Sustaining Health M&E Under Budget Cuts

Proving It With Less: Sustaining M&E and Quality Improvement When Technical Budgets Are Cut First

Development assistance for health is falling to levels last seen in 2009, and co-investment funders now buy outcomes per dollar. That makes the technical function cut first, monitoring and evaluation, the one that decides which programmes survive. Here's how to sustain it with less.

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Proving It With Less: Sustaining M&E and Quality Improvement When Technical Budgets Are Cut First
Life After the Grant: Building Funding Resilience When Donor Support Falls Away
Sustaining Health M&E Under Budget Cuts

Life After the Grant: Building Funding Resilience When Donor Support Falls Away

37 low- and middle-income countries relied on US aid for more than 10% of their health budgets. When that support falls away, the organisations that endure aren't the ones that find the biggest replacement grant. They're the ones that act in the right order. Here's the sequence.

Media Team
Keeping the Shelves Stocked: Designing HIV, TB and Malaria Commodity Supply Chains That Survive a Funding Shock
Health Commodity Supply Chain Resilience

Keeping the Shelves Stocked: Designing HIV, TB and Malaria Commodity Supply Chains That Survive a Funding Shock

The main US-funded supply mechanism spent $1.15 billion across 73 countries in 2024, and it's being wound down by May 2026. Replacing a donor-run chain means rebuilding an operating system, not filling a line item. Here's the order to do it in.

Media Team

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