Janeen Madan Keller

📣 New @cgdev.org Tough Times, Tough Choices brief The #GlobalFund faces shrinking donor support and increasing demands for reform. Read our recommendations on how the Fund can meet the moment: www.cgdev.org/publication/... with @rachelbonnifield.bsky.social & @peterbaker17.bsky.social

New @cgdev.org blog w Jocilyn Estes on the US bilateral GH compacts There's a lot we still don't know... and the risks of operationalizing a reconfigured approach (even if long overdue) at unprecedented speed & scale are real--with lives & public health gains at stake www.cgdev.org/blog/what-we...

Child mortality is expected to rise to 4.8m deaths in 2025, an increase of 200,000 preventable deaths compared to 2024. Read @jmadankeller.bsky.social and Rosie Eldridge’s recap of Gavi’s pledging summit in a CNN article on increased child deaths due to aid cuts: https://go.cgdev.org/3XHIuny

New @cgdev.org piece w @rachelbonnifield.bsky.social on charting PEPFAR’s next chapter We propose a three-track framework, w some ideas on how to operationalize this evolution, with a healthy dose of caution on need for a prudent approach to safeguard PEPFAR's legacy

ICYMI: New @cgdev.org‬ blog with Witold Więcek on a high-impact opportunity in global health that's especially relevant amid budget constraints: optimizing vaccine regimens & doses Thanks to Alex Tabarrok for coverage in @marginalrev.blogsky.venki.dev marginalrevolution.com/marginalrevo...

Tomorrow! Dr. Seth Berkley joins @rglenner.bsky.social to discuss his new book, Fair Doses: An Insider’s Story of the Pandemic and the Global Fight for Vaccine Equity. They’ll unpack the science & lessons from the global vaccine effort. There's still time to RSVP! ⬇️ https://go.cgdev.org/4qtZdb7

The World Bank Group is planning to reorganize its research functions. The results could be even uglier than the powerpoint: an end to independent research at the institution and conflicts of interest all over... New blog with @eeshani.bsky.social, link in reply.

Tmw/Thursday: Don't miss this stellar #AnnualMeetings @cgdev.org panel on solutions to the GH financing crisis @sanianishtar.bsky.social @gavi.org @jarottingen.bsky.social @wellcometrust.bsky.social Mamta Murthi World Bank Hitoshi Hirata JICA & @rglenner.bsky.social www.cgdev.org/event/sustai...

@cgdev.org is hosting a lineup of thought-provoking events during the IMF & World Bank Annual Meetings. We hope to see you there! #CGDEvents #2025AnnualMeetings

A new PEPFAR blueprint is taking shape. If backed by real resources, it could lay the groundwork for a sustainable transition and true country ownership. @rachelbonnifield.bsky.social & @jmadankeller.bsky.social unpack strategic shifts that could define PEPFAR’s next chapter: https://bit.ly/3Kvx7eT

Vaccines are one of the most powerful tools in public health. They have saved hundreds of millions of lives by preventing deadly diseases like measles, polio, and smallpox. Before vaccines, these infections were common; surviving them often meant facing severe complications or lifelong disability.

USAID funded roughly half the world’s supply of ready-to-use therapeutic food. The dismantling of the agency has disrupted the global supply chain that provides the packets, leaving thousands of malnourished children at risk of dying.

✍️ New article: "The world left its fight against tuberculosis unfinished — how can we complete the job?"

With a $2.5B shortfall, Gavi, the Vaccine Alliance, faces tough choices.💉📉 Ahead of this week’s Board meeting, @cgdev.org experts propose five ways Gavi 6.0 can stretch resources while protecting its most impactful work: bit.ly/3IyStXX

In February, the US gov shut down the Demographic & Health Surveys. It was the only data source on maternal & child health, births, household structure in many countries – making it crucial for research. In a new article I explain why it should be rescued. ourworldindata.org/demographic-...

How do you find $2.5 B in savings when every decision has consequences for access to life-saving vaccines? With Center for Global Development colleagues, here are 2 core principles and 5 suggestions. Give it a read and let us know what you think. #gavi

1st edition of our @cgdev.org series "Tough Times, Tough Choices" is hot off the press Facing budget cuts, we argue WHO's leadership must chart a path of retrenchment to a lean @who.int for the global good w/ @peterbaker17.bsky.social & @rachelbonnifield.bsky.social www.cgdev.org/publication/...

From coop to cave: Inside the high-tech hunt for #H5N1 and Disease X Great piece in the @telegraphnews.bsky.social by @sneweyy.bsky.social www.telegraph.co.uk/global-healt...

#FfD4 kicks off next week against the backdrop of aid cuts & a traffic jam of replenishments among health & other concessional funds But it's clear these funds need a major overhaul. Our new @cgdev.org blog highlights 3 action items: www.cgdev.org/blog/concess... cc: @clemencelanders.bsky.social

"It’s fair to say that humanitarianism's “Great Depression” moment has come. The sudden, almost overnight loss of US Government funding has exacerbated a reality where the majority of humanitarian needs were already unfunded. Something has to give."

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...

Cutting US funding for @gavi.org which leads on global vaccination efforts is incredibly shortsighted and misguided @charlesjkenny.bsky.social & I argued why in this @cgdev.org blog 👇 www.cgdev.org/blog/why-tru...

The Trump admin's proposed solution for high US drug prices is misguided, writes @rachelbonnifield.bsky.social, @charlesjkenny.bsky.social, & @jmadankeller.bsky.social. It risks stifling drug innovation and slashing access abroad, with little benefit to US patients⬇️ www.cgdev.org/blog/market-...

US drug prices are way too high—but the Trump EO to “fix” them would make things worse for everyone. We break down the economics of reference pricing here — and explain why it’s a bad approach for the US 👇 With @charlesjkenny.bsky.social and @jmadankeller.bsky.social www.cgdev.org/blog/market-...

📣New @cgdev.org blog on the latest Trump EO to curb high drug prices We breakdown why the proposed policy prescription of "reference pricing" is misguided... with a healthy dose of econ101 🤓 w/ @charlesjkenny.bsky.social & @rachelbonnifield.bsky.social www.cgdev.org/blog/market-...

🚨My latest: Trump's deportation tactics are undermining the bird flu response, outreach workers say. Detecting cases is key but farmworkers at highest risk - mainly immigrants - are afraid to leave home for care. @kffhealthnews.org / ABC kffhealthnews.org/news/article...

In DC for spring meetings? Join me & @clemencelanders.bsky.social on Wed Apr 23 for a @cgdev.org event on how multilateral funds can evolve in the face of shrinking resources and growing needs RSVP ➡️ www.cgdev.org/event/how-do...

A week ago, the Trump administration laid off thousands of people at HHS and its agencies. The cuts were so deep, and touched so much, we're still learning about the impacts. Here are a couple stories that have stood out to me. 1) @levfacher.bsky.social on the gutting of a pain-research office.

Rollout of ‘miracle’ HIV prevention drug is threatened by Trump cuts to global AIDS relief program www.statnews.com/pharmalot/20... via @statnews.com

Millions of women in some of the world's poorest countries will lose access to contraception as a result of Trump aid cuts -- that's bad for women's health, their communities, and for economies www.nytimes.com/2025/04/01/h...

@jmadankeller.bsky.social & @charlesjkenny.bsky.social take a look at the consequences of the US cancelling support for GAVI. 20-500K additional deaths: www.cgdev.org/blog/why-tru...

Survey of PEPFAR contractors Jan 24-28 suggested 36% of organizations had already shut down by that point. As of February 9, most services remained paused. Of 65 PEPFAR partners surveyed, less than 10% had restarted providing any services. www.amfar.org/wp-content/u...

The more detailed #PEPFAR limited waiver language is being sent to implementers. As has been noted, PrEP can only be offered to pregnant & breastfeeding women. BUT, it also says that even those already on #PrEP CANNOT continue on it. #foreignaidfreeze

Curious how many mothers and children worldwide will die from slashing USAID programs? We'll never know, because we're gonna stop counting.

“USAID-backed studies have been shuttered, data streams have dried up, researchers and technical staff have been fired or put on leave, a system to predict food crises has been muzzled, and a USAID-supported global health journal has stopped reviewing manuscripts.” From our @science.org news team 🧪

One-third of all US global health assistance, just over $4 billion per year, has been directed through USAID in recent years. Shuttering its maternal, child health, tuberculosis, malaria, HIV and other programs will have predictable, terrible, results for those served. www.kff.org/interactive/...

NEW: Our @kff.org explainer on Trump’s Executive Order Pausing Foreign Aid, related actions, and Implications for PEPFAR and other Global Health Programs. We walk through what has happened to date, and what is still unknown. www.kff.org/policy-watch...

To respond to viral claims from Elon Musk and others: No, 90 Percent of Aid Is Not Skimmed Off Before Reaching Target Communities Explainer with @justsand.bsky.social here: www.cgdev.org/blog/no-90-p...

These are the very real, devastating, and wide-ranging consequences being felt from efforts to thwart USAID’s critical, life-saving work around the world - important reporting by @stephanienolen.bsky.social www.nytimes.com/2025/02/01/h...

Exactly this. Reviewing foreign aid for consistency w/admin policy goals is reasonable. Many programs can absorb a 90 day pause w/o catastrophic impact. But a real stop work on bi-partisan malaria & HIV programs--delivering lifesaving medicines & bednets--quite literally means people will die.