Global Health Experts Discuss How Major Donors Approach Country Transitions

Brookings Institution’s “Future Development”: How do major health donors prepare for country exits?
Kaci Kennedy McDade, policy associate; Osondu Ogbuoji, deputy director and head of research; and Gavin Yamey, director and professor, all at the Center for Policy Impact in Global Health at Duke University’s Duke Global Health Institute; and Marco Schäferhoff, managing director at Open Consultants, discuss how major global health funders approach country transitions when they reduce support as countries graduate from low- to middle-income status, highlighting several general findings: “There is no common transition approach or philosophy among donors. … Multilateral donors approach transitions in somewhat similar ways. … Bilateral donors approach transitions differently from multilateral donors and from each other. … For donors with broad development portfolios, health-specific transitions can be unique from other sectors” (6/28).