Thanks for this fantastic comment! - yes I agree my comparison with the center for effective aid policy fairly weak, I was trying to find a real life example of moving governments being very difficult, and I could have found a more analogous one. I’m not sure I’m this case countries “asking” is necessarily a signal that shifts are more likely. I think there are lots of motives for government s asking for help here, including employing local friends with lucrative salaries, and hoping these relationships might being in more donor money. But maybe I’m too cynical!
I agree the outcomes will vary based on a huge variety of things including the factors you mention. I think we need better indications though of which of these might lead to effective technical support. It’s tricky and needs more decent research.
If there were more non local staff you would be right, but from the podcast it did seem they were planning on hiring mostly local people?
Your right on RCTs (have edited post), I got that wrong, but I still think we can use routinely collected data on health outcomes to see if Health metrics have improved, before and after at least. I don’t think it needs to be too expensive to assess.
Thanks for this fantastic comment! - yes I agree my comparison with the center for effective aid policy fairly weak, I was trying to find a real life example of moving governments being very difficult, and I could have found a more analogous one. I’m not sure I’m this case countries “asking” is necessarily a signal that shifts are more likely. I think there are lots of motives for government s asking for help here, including employing local friends with lucrative salaries, and hoping these relationships might being in more donor money. But maybe I’m too cynical!
I agree the outcomes will vary based on a huge variety of things including the factors you mention. I think we need better indications though of which of these might lead to effective technical support. It’s tricky and needs more decent research.
If there were more non local staff you would be right, but from the podcast it did seem they were planning on hiring mostly local people?
Your right on RCTs (have edited post), I got that wrong, but I still think we can use routinely collected data on health outcomes to see if Health metrics have improved, before and after at least. I don’t think it needs to be too expensive to assess.