Sustain and — where possible — increase funding for global health research and product development. Policymakers must ensure federal budgets prioritize robust funding for global health R&D across all U.S. agencies engaged in this work, including the Biomedical Advanced Research and Development Authority (BARDA), Centers for Disease Control and Prevention (CDC), Department of Defense (DoD), Food and Drug Administration (FDA), National Institutes of Health (NIH), and U.S. Agency for International Development (USAID).
Where they have discretion, U.S. agencies should designate a percentage of global health and disease-related budgets for R&D. Given that most global health R&D programs are not directly appropriated by Congress, agencies must prioritize funding for developing global health technologies within existing programs.
Improve coordination, alignment, and transparency of global health R&D efforts across U.S. agencies, with the help of international partners, to incubate innovation, promote best practices, leverage funding and expertise, fill gaps, and facilitate effective partnerships and transfers of research. This can include establishing a coordinated, whole-of-government strategy for global health R&D; improving agency reporting of global health R&D activities; and incorporating R&D as a core component of existing cross-government and international health initiatives, such as the Global Health Security Agenda.
Support a portfolio of incentives and financing mechanisms to stimulate needed R&D at all stages of product development. Prizes, advanced market commitments, development impact bonds, and tax credits, among other incentive mechanisms, can generate greater private sector engagement in R&D, especially for neglected diseases and conditions, bridging the divide between need and resources.
Support local innovators in the end-to-end development of products that meet the health needs of their countries. Through new partnerships, leveraged funding, and technical assistance, the United States can help local innovators navigate R&D roadblocks and turn good ideas into lifesaving technologies. Local innovation is key to developing affordable, accessible, and community-appropriate products, plus builds sustainable pathways to create jobs, economic stability, and health systems after countries graduate from traditional aid programs.