I have written about the kind of problem malaria is, and the challenges this poses to silver bullet solutions elsewhere on this blog, a theme I explore in more depth in my soon-to-be published book. In the wake of this weeks announcement of a new vaccine, I thought it useful to highlight some of the challenges that still […]

Despite increased prominence and funding of global health initiatives, attempts to scale up health services in developing countries are failing, with serious implications for achieving the Millennium Development Goals. A new paper argues that a key first step is to get a more realistic understanding of health systems, using the lens of complex adaptive systems. […]

The international development sector has been in a tug of war around the ‘results agenda’ for the past few months. This post explores the tensions and suggests a way to bring the sides together by focusing on the relevance and appropriateness of different approaches.* I: The Results Tug of War Development results is one of many […]

Big thanks to Alanna Shaikh and Bill Brieger for feedback and comments. Debates about malaria eradication in the aid blogosphere, along with recent scientific evidence, highlight the urgent need to improve our understanding of the complex dynamics of this terrible affliction and to use it to adapt ongoing eradication programmes. A nearly hopeless case? According […]