The Duke Global Health Institute (DGHI) was created to address health disparities in our local community and worldwide. Recognizing that many global health problems stem from economic, social, environmental, political, and health care inequalities, DGHI brings together interdisciplinary teams to solve complex health problems and to train the next generation of global health scholars.
On December 1, 2016, DGHI launched an innovative policy lab, The Center for Policy Impact in Global Health (the Center), which aims to address critical challenges in the financing and delivery of global health by informing key debates, decision‐making, and policy formulation at global and country levels (see http://centerforpolicyimpact.org). In its first two years of operation, the Center’s analytic work and policy engagement focused on three important gaps in global health financing (see http://centerforpolicyimpact.org/our-work):
- A gap in financing crucial but neglected “global functions” of health aid (e.g. global health R&D, pandemic preparedness,and fostering global health leadership)
- A “middle income gap” that can arise when countries graduate from development assistance for health (DAH)
- A domestic health financing gap in low-income countries (LICs) and middle-income countries (MICs).
To date, the Center’s analytic work has included estimating the costs of fully funding critical global functions; exploring new mechanisms to mobilize resources to close funding gaps for these functions; understanding the relationship between health aid flows and health needs in graduating MICs; and examining the capacities of LICs and MICs to raise additional financing for health. The Center has also played a convening role. For example, it hosted a workshop (co-hosted with CEPI, the Coalition on Epidemic Preparedness Innovations) at the National Academy of Medicine, Washington, DC, USA, on financing international collective action for epidemic and pandemic preparedness. The workshop led to a report delivered to the G20.
Within Duke, the Center’s key partnerships are with the Duke Center for International Development (DCID; http://dcid.sanford.duke.edu/), the Duke Margolis Center for Health Policy (the Margolis Center; https://healthpolicy.duke.edu/), and the Duke Global Health Innovation Center (GHIC; http://dukeghic.org/). Beyond Duke, the Center collaborates with academics and think tanks worldwide in the fields of global health and development policy. Its country work has been conducted in partnership with state and federal governments, colleagues at the international financial institutions, and in-country universities and think tanks.
On June 15, 2019, the Center will launch a 15-month study that will focus on a new way to raise funding for global health product development. Specifically, we will develop an investment case for the creation of a “global aggregator financing mechanism” (a funding platform that would pool funds from multiple sources) to fund late stage clinical trials of global health products underdevelopment. There is currently too little funding for late-stage trials (phases IIb and III) of products for poverty-related and neglected diseases (PRNDs), there are too few funders, and the financing is highly fragmented, creating inefficiencies. The result is that for many fatal or disabling conditions, the prospects for developing urgently needed control tools are very poor.
This new “aggregator” project will have three work streams:
- Work stream 1 (consultative work stream): literature review and consultation with key stakeholders to identify the specific need for and ideal characteristics of an aggregator;
- Workstream 2 (analytic work stream): economic and health impact analysis and technical modeling to estimate the potential health and economic impacts of an aggregator, and the ways in which it could lower costs and drive efficiencies; and
- Workstream 3 (advocacy planning work stream): policy analysis to lay out a high-level stakeholder and advocacy roadmap that could be used to generate buy-in and political will for policy implementation and/or investment in an aggregator mechanism.
In terms of scope, this project will focus on five high-income country R&D funders (the European Commission, Germany, the Netherlands, the United Kingdom, and the USA) and four middle-income country funders (China, India, Kenya, and South Africa).
The Center is now seeking an Associate in Research who will provide research support for this “aggregator” project. The project team comprises the Center’s Director, Deputy Director, and Senior Associate in Research together with a team of three consultants based in the US, Germany, and Australia.
- A masters’ level degree in a relevant discipline that has an international focus (e.g. a masters in health economics, health financing, epidemiology, biostatistics, global health, public health, or public policy)
- At least three years of relevant work experience, including policy work on global health research and development
- Strong quantitative research skills, including in conducting health economics research (e.g. costing, cost-benefit analysis, cost-effectiveness analysis)
- Strong qualitative research skills (including conducting stakeholder interviews and using coding software).
- An in-depth understanding of the global health product development landscape/ecosystem
- Expertise/experience in global health financing and policy
- Experience working in a low- or middle-income country.
Key responsibilities and estimated time spent on each:
- Conduct a literature review on the potential mechanisms and institutional options to mobilize additional financing—and improve country capacity—for late-stage trials of products for PRNDs. This review will include an examination of the role and impact of existing funding aggregators for R&D (e.g. the Global Antimicrobial Resistance R&D Hub, TDR’s ESSENCE program). (Estimated time: 20%)
- Provide research support for the qualitative study (we expect to conduct around 170-190 expert interviews—about 15-20 in each of the nine priority countries/regions). (Estimated time: 30%)
- Provide research support (including data collection) for the investment case analysis. Components of this analysis will include estimating the costs of implementing the aggregator mechanism; evaluating ways to reduce the costs of late-stage trials for PRNDs; evaluating alternative design configurations for an aggregator that would have an impact on cost efficiencies; and calculating the economic benefits that might accrue from the creation of the aggregator mechanism. (Estimated time: 30%)
- Help draft all publications (journal articles, policy briefs, policy papers, Op-Eds) arising from this project. (Estimated time: 10%)
- Provide administrative and project management support. (Estimated time: 10%)
Strong candidates will bring:
- Experience in searching for, appraising, and synthesizing evidence from both the peer-reviewed literature and the grey literature
- An excellent grasp of health economics and financing
- Strong organizational, administrative, and project management skills
- Exceptional writing and communications skills
- Strong computer and database management skills, and
- A very good understanding of the global health policy landscape, particularly as it relates to multilateral and bilateral health and development financing and to global health R&D.
The work environment is fast‐paced, rapidly‐evolving, and highly results‐driven.
The ideal candidate will be self-motivated and will be able to work independently, especially during periods when the Director and/or Deputy Director (Research Lead) are on duty travel.
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