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	<title>Evidence for Decision-Making | Results for Development</title>
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		<title>Beyond design: building the implementation capacity health reforms need</title>
		<link>https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/</link>
					<comments>https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/#respond</comments>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Mon, 09 Nov 2026 22:25:23 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?p=18508</guid>

					<description><![CDATA[<p>The post <a href="https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/">Beyond design: building the implementation capacity health reforms need</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>The post <a href="https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/">Beyond design: building the implementation capacity health reforms need</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Tracking aid for the WHA nutrition targets: 2024 update and the latest projections</title>
		<link>https://r4d.org/resources/tracking-aid-for-the-wha-nutrition-targets-2024-update-projections/</link>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Mon, 26 Oct 2026 18:52:32 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?post_type=resource&#038;p=18486</guid>

					<description><![CDATA[<p>Explore a decade of nutrition aid trends and discover why declining development assistance makes domestic resource mobilization for nutrition more critical than ever.</p>
<p>The post <a href="https://r4d.org/resources/tracking-aid-for-the-wha-nutrition-targets-2024-update-projections/">Tracking aid for the WHA nutrition targets: 2024 update and the latest projections</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>R4D has been tracking aid for nutrition since 2015 and monitoring progress toward the World Bank’s first Global Investment Framework for Nutrition (<a href="https://r4d.org/resources/tracking-aid-wha-nutrition-targets-global-spending-roadmap-better-data/">see our 2015–2022 analysis</a>). In 2024, the World Bank published a new Global Investment Framework for Nutrition, with a new set of cost estimates: scaling up evidence-based nutrition interventions to 90 percent coverage will require an additional $128 billion over 2025–2034 (approximately $13 billion per year), on top of the estimated $6.3 billion already spent each year. At the same time, the global aid landscape has shifted dramatically, including the closure of USAID in July 2025 and deep aid cuts by other major donors.</p>
<p>These developments prompted a new analysis of the nutrition aid landscape building on our previous work using an updated, AI-enabled methodology and adds projections of aid to nutrition for 2025 and 2026. This report reviews aid for nutrition trends spanning a decade and comments on the current nutrition financing landscape, calling attention to the decrease in aid for nutrition through development channels and the enhanced need for domestic resource mobilization for nutrition.</p>
<p>Please contact  <a href="https://r4d.org/about/our-team/abbe-mccarter/">Abbe McCarter</a> or <a href="https://r4d.org/about/our-team/mary-dalimonte/">Mary D’Alimonte</a> for any questions or comments on these materials.</p>
<p><em>We are grateful for the support provided by the 2026 research team, with support from Rebecca Olson. R4D is also grateful to the core team that helped spearhead this initiative in 2016, including Mary D’Alimonte, Jack Clift, Emily Thatcher, Stephanie Heung and Augustin Flory, and to integral team members who joined as the analysis evolved into what it is today, including Caroline Andridge, Kyle Borces, Ryan LeMier, Felicity Nelson, Abbe McCarter and David Christensen.</em></p>
<p>For more on previous methodologies and for an archive of past reports, please see the <a href="https://r4d.org/resources/tracking-aid-wha-nutrition-targets-global-spending-roadmap-better-data/">2015-2022 analysis resource page</a>.</p>
<p>The post <a href="https://r4d.org/resources/tracking-aid-for-the-wha-nutrition-targets-2024-update-projections/">Tracking aid for the WHA nutrition targets: 2024 update and the latest projections</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Mapping Digital Health and AI in Nigeria</title>
		<link>https://r4d.org/resources/mapping-digital-health-and-ai-in-nigeria/</link>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Fri, 16 Oct 2026 16:18:01 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?post_type=resource&#038;p=18475</guid>

					<description><![CDATA[<p>A landscape assessment of Nigeria’s digital health and AI landscape, including barriers to adoption, promising applications and opportunities for sustainable transformation.</p>
<p>The post <a href="https://r4d.org/resources/mapping-digital-health-and-ai-in-nigeria/">Mapping Digital Health and AI in Nigeria</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p data-pm-slice="1 1 []">Nigeria has a growing digital health ecosystem, with significant investments in health technology, digital infrastructure and artificial intelligence (AI). Yet fragmented data systems, gaps in governance, infrastructure challenges and financing constraints continue to limit the adoption and scale of digital health solutions.</p>
<p>Commissioned through the <a href="https://r4d.org/news/r4d-to-support-delivery-of-rapid-on-demand-technology-expertise/">Tech Community of Expertise Helpdesk</a>, this landscape assessment examines Nigeria’s digital health and AI ecosystem, drawing on policy and program documents and interviews with stakeholders across government, development partners and the private sector. The report identifies key barriers to adoption, promising applications of AI in health care and opportunities to strengthen the foundations for responsible, sustainable digital transformation. It also outlines priority areas where technical assistance and investment could support Nigeria’s ongoing health sector reforms.</p>
<p><em>This report has been prepared by Results for Development (R4D) for the Foreign, Commonwealth & Development Office (FCDO). The views expressed in this report are those of the authors and do not necessarily reflect the views or policies of the FCDO or the UK Government.</em></p>
<p>The post <a href="https://r4d.org/resources/mapping-digital-health-and-ai-in-nigeria/">Mapping Digital Health and AI in Nigeria</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Pilirani Kumasewera</title>
		<link>https://r4d.org/about/our-team/pilirani-kumasewera/</link>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Tue, 13 Oct 2026 18:38:04 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?post_type=expert&#038;p=18458</guid>

					<description><![CDATA[<p>Pilirani Kumasewera is an education technology specialist and entrepreneur whose work focuses on digital learning solutions and evidence-based approaches to education in Malawi.</p>
<p>The post <a href="https://r4d.org/about/our-team/pilirani-kumasewera/">Pilirani Kumasewera</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>Pilirani Kumasewera is an education technology specialist and entrepreneur whose work focuses on digital learning solutions and evidence-based approaches to education in Malawi. He is an R4D Fellow and Country Lead for Malawi at <a href="https://r4d.org/projects/edtech-hub/">EdTech Hub</a>, a global research consortium primed by R4D.</p>
<p>In his role with EdTech Hub, Pilirani supports the design and delivery of evidence-based approaches to education technology. He builds and manages relationships with government, development partners and implementing organizations, and provides technical assistance tailored to Malawi’s context. He collaborates with EdTech Hub’s global network of specialists to connect research with national priorities and support improved learning outcomes.</p>
<p>Pilirani is also the founder of Padziwe, an education technology company focused on developing digital content and platforms that support teachers and learners with practical, tech-enabled education solutions. Through Padziwe, his work has impacted more than 10, 000 learners and earned several awards and recognitions, including selection as one of the African Union’s top 10 education innovations in Africa. He currently serves on the Board of Padziwe Digital Learning Limited.</p>
<p>Pilirani holds a Bachelor of Science in Library and Information Science from Mzuzu University in Malawi.</p>
<p>The post <a href="https://r4d.org/about/our-team/pilirani-kumasewera/">Pilirani Kumasewera</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>From Evidence To Action: Building a Health Policy Feedback Mechanism in Indonesia</title>
		<link>https://r4d.org/resources/from-evidence-to-action-building-a-health-policy-feedback-mechanism-in-indonesia/</link>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Mon, 05 Oct 2026 21:38:51 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?post_type=resource&#038;p=18428</guid>

					<description><![CDATA[<p>In large, decentralized countries like Indonesia, national health policies are interpreted and implemented by officials at many different levels, from provinces and districts to individual health facilities. At each level, policies may be adapted to local realities. But what local officials learn through implementation does not always make its way back to national decision-makers. That [&#8230;]</p>
<p>The post <a href="https://r4d.org/resources/from-evidence-to-action-building-a-health-policy-feedback-mechanism-in-indonesia/">From Evidence To Action: Building a Health Policy Feedback Mechanism in Indonesia</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>In large, decentralized countries like Indonesia, national health policies are interpreted and implemented by officials at many different levels, from provinces and districts to individual health facilities. At each level, policies may be adapted to local realities. But what local officials learn through implementation does not always make its way back to national decision-makers. That can make it hard to understand what is working, what is impeding progress, and what may need to change. In Indonesia, participatory national-subnational planning forums exist, but meaningful subnational input into policy evaluation remains limited.</p>
<p>To address these challenges, Indonesia&#8217;s Health Development Policy Agency (BKPK) in the Ministry of Health is working with Results for Development and Gadjah Mada University to build and test a structured, two-way policy feedback mechanism. This brief shares key lessons from developing the mechanism and its first pilot phase of implementation with three provincial health offices, six district health offices, and local health policy and systems research institutions from those districts.</p>
<p>Early lessons suggest that policy feedback mechanisms require trust and relationship-building, clear roles, regular opportunities for joint reflection, and institutional arrangements that enable implementation evidence to influence policy decisions. Ultimately, Indonesia’s leaders hope to embed two-way feedback and learning as a routine governance practice that connects policy design with implementation and enables adaptation to local realities.</p>
<p>This work brings together learning from R4D’s <a href="https://r4d.org/projects/strengthening-ecosystem-health-policy-systems-research-asia/">Asia Health Policy and Systems Research Initiative</a> and <a href="https://r4d.org/projects/advancing-realistic-health-system-design-and-planning-for-phc/">Advancing Realistic Health System Design and Planning</a> project, both funded by the Gates Foundation.</p>
<p><strong>A related blog examines the development and early implementation of this policy feedback mechanism in Indonesia. <a href="https://r4d.org/blog/can-local-experience-improve-national-health-policy/">Read it here</a>. </strong></p>
<p>&nbsp;</p>
<p>The post <a href="https://r4d.org/resources/from-evidence-to-action-building-a-health-policy-feedback-mechanism-in-indonesia/">From Evidence To Action: Building a Health Policy Feedback Mechanism in Indonesia</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Can Local Experience Improve National Health Policy?</title>
		<link>https://r4d.org/blog/can-local-experience-improve-national-health-policy/</link>
					<comments>https://r4d.org/blog/can-local-experience-improve-national-health-policy/#respond</comments>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Mon, 05 Oct 2026 18:59:43 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?p=18412</guid>

					<description><![CDATA[<p>The post <a href="https://r4d.org/blog/can-local-experience-improve-national-health-policy/">Can Local Experience Improve National Health Policy?</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>The post <a href="https://r4d.org/blog/can-local-experience-improve-national-health-policy/">Can Local Experience Improve National Health Policy?</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Strengthening Nigeria’s health financing system: Impact briefs from an evaluation of R4D’s technical assistance to Nigeria’s federal health financing reforms</title>
		<link>https://r4d.org/resources/evaluation-report-health-financing-nigeria/</link>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Fri, 02 Oct 2026 16:50:47 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?post_type=resource&#038;p=18411</guid>

					<description><![CDATA[<p>Strengthening Nigeria’s Health Financing System: Impact briefs from an evaluation of R4D’s technical assistance to Nigeria’s federal health financing reforms</p>
<p>The post <a href="https://r4d.org/resources/evaluation-report-health-financing-nigeria/">Strengthening Nigeria’s health financing system: Impact briefs from an evaluation of R4D’s technical assistance to Nigeria’s federal health financing reforms</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Through the Gates Foundation-supported <a href="https://r4d.org/projects/technical-assistance-health-care-financing-government-nigeria/">Federal-Level Technical Assistance on Primary Health Care Financing</a> initiative, Results for Development (R4D) worked alongside Nigeria’s Federal Ministry of Health and Social Welfare, the National Health Insurance Authority, and partners across the health financing system. The goal was to strengthen how the country plans, funds, purchases, and tracks primary health care and health insurance.</p>
<p>This series of four impact briefs shares what changed, how R4D contributed, and what it will take to sustain progress. Each brief focuses on one area of reform and draws on government, funder, and partner perspectives.</p>
<h3><a href="https://r4d.org/wp-content/uploads/Nigeria_Health-Financing-TA_Impact-Brief-1_R4D.pdf" target="_blank" rel="noopener">Brief 1: Laying the Foundation</a></h3>
<p>How NHIA developed its first strategic plan, institutionalized annual operational planning, and invested in leadership capacity to carry health insurance reform from strategy into implementation.</p>
<h3><a href="https://r4d.org/wp-content/uploads/Nigeria_Health-Financing-TA_Impact-Brief-2_R4D.pdf" target="_blank" rel="noopener">Brief 2: From Plans to Resourced Activities and Health Outcomes</a></h3>
<p>How Planning and Budgeting Committees at the federal level and in Kaduna, Kano, and Lagos strengthened the link between health sector priorities and public resources.</p>
<h3><a href="https://r4d.org/wp-content/uploads/Nigeria_Health-Financing-TA_Impact-Brief-3_R4D.pdf" target="_blank" rel="noopener">Brief 3: Strategic Purchasing Into Practice</a></h3>
<p>How a revised benefit package, sharper targeting of vulnerable populations, and stronger guidelines turned strategic purchasing from principle into practice under Nigeria’s Basic Health Care Provision Fund.</p>
<h3><a href="https://r4d.org/wp-content/uploads/Nigeria_Health-Financing-TA_Impact-Brief-4_R4D.pdf" target="_blank" rel="noopener">Brief 4: Turning Data Into Decisions</a></h3>
<p>How stronger oversight and better data strengthened accountability and elevated health insurance coverage as a national priority.</p>
<h2>About the evaluation</h2>
<p>The briefs draw on a retrospective evaluation of R4D’s 2022–2025 technical assistance, conducted using the Outcome Harvesting methodology. The evaluation team reviewed 11 project documents and conducted 15 key informant interviews with government, funders, partners, and R4D staff. All outcomes were validated with key stakeholders in Abuja on 22 July 2026. The full evaluation report sets out the methodology and complete findings.</p>
<p>The following R4D project team members led and supported the implementation of this work: <a href="https://r4d.org/about/our-team/felix-abrahams-obi/">Felix Obi</a>, <a href="https://r4d.org/about/our-team/joshua-elaigwu/">Josh Elaigwu</a>, <a href="https://r4d.org/about/our-team/stanley-ezenwa/">Stanley Ezenwa</a>, <a href="https://r4d.org/about/our-team/john-chinonyerem-njoku/">John Njoku</a>, <a href="https://r4d.org/about/our-team/esther-agbon/">Esther Agbon</a>, Roli Akpolo and Feyikemi Adeniyi.</p>
<p>The following R4D Learning and Results team members led the evaluation and wrote the report: <a href="https://r4d.org/about/our-team/katie-bowman/">Katie Bowman</a>, <a href="https://r4d.org/about/our-team/leah-ewald/">Leah Ewald</a> and <a href="https://r4d.org/about/our-team/maria-jose-pastor/">Maria Jose Pastor</a>.</p>
<p>The post <a href="https://r4d.org/resources/evaluation-report-health-financing-nigeria/">Strengthening Nigeria’s health financing system: Impact briefs from an evaluation of R4D’s technical assistance to Nigeria’s federal health financing reforms</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>What it takes to embed nurturing care in primary health care</title>
		<link>https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/</link>
					<comments>https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/#comments</comments>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Fri, 25 Sep 2026 13:00:00 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?p=18349</guid>

					<description><![CDATA[<p>The post <a href="https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/">What it takes to embed nurturing care in primary health care</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>The post <a href="https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/">What it takes to embed nurturing care in primary health care</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Ethiopia National Food and Nutrition Financing Framework of Action</title>
		<link>https://r4d.org/resources/ethiopia-national-food-and-nutrition-financing-framework-of-action/</link>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Tue, 01 Sep 2026 21:04:56 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?post_type=resource&#038;p=18275</guid>

					<description><![CDATA[<p>Ethiopia’s new Food and Nutrition Financing Framework sets priority actions to mobilize sustainable financing and accelerate progress toward ending malnutrition.</p>
<p>The post <a href="https://r4d.org/resources/ethiopia-national-food-and-nutrition-financing-framework-of-action/">Ethiopia National Food and Nutrition Financing Framework of Action</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>Ethiopia’s Ministry of Health, led by the Seqota Declaration Federal Program Delivery Unit within the Nutrition Coordination Lead Executive Office, has finalized the <em>National Food and Nutrition Financing Framework of Action: Ending Malnutrition in Ethiopia Through Sustainable Financing</em>. The Framework was developed with oversight from the Ministry of Health and technical support from the Finance Capacity Development Platform (FCDP) for Scaling Up Nutrition (SUN) countries, made available through the SUN Anglophone Africa Hub and UNICEF.</p>
<p>Despite significant progress over the past decades, Ethiopia continues to face a high burden of malnutrition, with rates of child stunting and wasting above the average across Africa. At the 2025 Nutrition for Growth (N4G) Summit, <strong>the Government of Ethiopia committed to mobilizing $638 million USD for nutrition by 2030, 25% of the $2.55 billion Seqota Declaration funding requirement</strong>, and to establishing a robust system to ensure the effective allocation, tagging, and tracking of nutrition-related financial resources.</p>
<p>The Framework provides a shared understanding of the full resource need to end malnutrition in Ethiopia, <strong>estimated at an average of ETB 26 billion annually from 2026–2030, roughly 2.7% of the country’s total approved federal budget</strong>, and lays out a roadmap of priority actions to help the government meet the financing and governance commitments it made at N4G.</p>
<p>The Framework is organized around seven pillars for sustainably financing food and nutrition, each with their own set of concrete actions mapped to Ethiopia’s FNS or N4G commitments:</p>
<ol>
<li><strong>Set Financial Direction</strong></li>
<li><strong>Strengthen Sectoral Nutrition Planning</strong></li>
<li><strong>Ensure Active Nutrition Review by Planning Commissions</strong></li>
<li><strong>Enhance Multi-sectoral Accountability</strong></li>
<li><strong>Advocate to Senior Officials and Parliament</strong></li>
<li><strong>Mobilize Additional Innovative Financing</strong></li>
<li><strong>Establish the Next Decade of Action (2031–2040)</strong></li>
</ol>
<p>With the Framework validated by all key government sectors and partners, the next phase of work will focus on cascading national guidance to the regional level through costed Regional Food and Nutrition Investment Plans to guide implementation of the framework’s recommended actions.</p>
<p><em>FCDP is a SUN Movement resource available to all 67 SUN Countries. The platform aims to transform the nutrition financing landscape by inspiring and igniting government leaders to elevate nutrition financing as a priority and accelerate impact across sectors.</em></p>
<div class="button-wrap "><a href=" https://r4d.org/finance-capacity-development-platform-for-sun-countries-fcdp/ " target="_blank">Learn more about FCDP</a></div>
<div class="button-wrap "><a href=" https://www.linkedin.com/company/finance-capacity-development-platform/posts/?feedView=all " target="_blank">Follow FCDP on LinkedIn</a></div>
<p><img fetchpriority="high" decoding="async" class="size-full wp-image-15221 alignleft" src="https://r4d.org/wp-content/uploads/SUN-FCDP-logo-350-px-wide-1.png" alt="Scaling Up Nutrition (SUN) Finance Capacity Development Platform (FCDP) logo" width="350" height="154" /></p>
<p>The post <a href="https://r4d.org/resources/ethiopia-national-food-and-nutrition-financing-framework-of-action/">Ethiopia National Food and Nutrition Financing Framework of Action</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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		<title>Translating an ambitious vision into realistic health system progress: Insights from a global convening</title>
		<link>https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/</link>
					<comments>https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/#comments</comments>
		
		<dc:creator><![CDATA[Katie Fly]]></dc:creator>
		<pubDate>Tue, 04 Aug 2026 18:01:19 +0000</pubDate>
				<guid isPermaLink="false">https://r4d.org/?p=18155</guid>

					<description><![CDATA[<p>The post <a href="https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/">Translating an ambitious vision into realistic health system progress: Insights from a global convening</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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										<content:encoded><![CDATA[<p>The post <a href="https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/">Translating an ambitious vision into realistic health system progress: Insights from a global convening</a> appeared first on <a href="https://r4d.org">Results for Development</a>.</p>
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