The Center is set up to focus on efficient use of resources so that more can be done with existing and new resources. We need actions to save million more lives with urgent interventions in NCDs and other emerging health challenges while promoting sustainable financing for communicable diseases, maternal and child health, family planning, and health systems. NCDs kill over 36 million people every year and it contributes to 63% of global deaths. 80% of these deaths are in developing countries. Trillions of lost revenues and productivity are now taking place and the loss is expected to increase. The number of people over 60 years is growing rapidly and will be 1 billion strong within 10 years. At least 200 million women of reproductive age do not have access to family planning services and commodities. While maternal deaths have been reduced, we still see over 250,000 annual deaths from pregnancy related complications. More deaths are caused by tobacco use than from HIV/AIDS.

Billions of dollars are now invested in the development sector with the aim of rapid improvement in the lives of millions of people and reduce poverty. The WHO 2010 World Health Report discussed about health system inefficiencies, estimating that 20% to 40% of all health spending ($1.5 trillion USD) is wasted. These are illustrative figures. The real point here is that there is much can be done by governments and donors to free up resources which are needed for health interventions. One of the key goal of the Paris Declaration of 2005 was increasing the efficiency of development assistance. Financing mechanisms such as GAVI, the Global Fund to fight AIDS, TB, and Malaria, IFC, MCC, PEPFAR, UNITAID, World Bank, regional banks, IMF etc. are in place and moving billions of dollars to projects all over the world. Private philanthrophists and Foundations are also expanding their resource allocation to various interventions to improve quality of life. Bill Gates and Warren Buffett are planning a $600 billion mega foundation.

In addition, new donors such as China, India, Brazil, and Russia are also expanding their bilateral assistance programs. These large scale investments pose major challenges on implementation capacity because of limited human resources, poor infrastructure, and inadequate systems to manage programs that require scaling up for impact within a shorter period of time. Uncoordinated donor funds, duplication of resource allocation, inefficient parameters to assess program investment, and corrupt institutions and individual means less money reaching the poorest of the poor. 




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