Devex Podcasts

Devex

We're the world’s leading independent news organization covering global development.

  1. 5d ago

    Theory of Change: #9: Mark Dybul says this was never the plan for PEPFAR

    For over two decades, the U.S. government has been a lynchpin in the global fight against HIV, pouring billions of dollars into treatment, prevention, and health systems strengthening through initiatives like the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR. Then came Elon Musk, the foreign aid freeze, and a disruptive set of reforms to U.S. global health programs under President Donald Trump’s “America First” Global Health Strategy. Against the backdrop of this tumultuous moment, the question remains: Was the old framework built to sustain solutions, or merely to sustain itself? Mark Dybul, who led PEPFAR from 2006 to 2009, joined the Theory of Change podcast to deliver a blunt assessment of the legacy and current trajectory of foreign assistance. Reflecting on the evolution of former President George W. Bush’s signature global health initiative, Dybul addressed the sharp criticisms now driving a broader push for reform. While acknowledging the lifesaving impact of past initiatives, Dybul pointed to a fundamental failure in long-term strategy: The shift toward true local ownership never fully materialized. In Dybul’s view, Musk’s Department of Government Efficiency surfaced uneasy truths about how the U.S. government has worked with countries to end the AIDS epidemic — and the opportunities that were missed along the way. "The diagnosis was correct. That indictment was correct. I mean, to be honest, it turned my stomach that 25 years later we were spending the same amount of money as when I walked out the door. That wasn't the plan." He also pushed back on projections that PEPFAR funding cuts could cause thousands of deaths, arguing that these underestimate governments’ ability to protect health programs — as well as opportunities for greater efficiency. As global health systems undergo a rapid overhaul, Dybul argues that the next 12 to 18 months represent a critical window. They must either adapt to a model centered on country sovereignty, local innovation, and mutual economic partnership, or risk watching the entire architecture collapse.

    Theory of Change: #9: Mark Dybul says this was never the plan for PEPFAR
  2. Jul 16

    This Week in Global Dev: #154: Turning World Cup hype into impact and governing AI for good

    With the FIFA World Cup entering its final week, we explore how NGOs operating in participating nations can leverage the tournament’s spotlight to advance their work. While tournament hype is notoriously fleeting, we break down how NGOs can translate a short-term spike in curiosity into sustained long-term impact. We also discuss our key takeaways from the United Nations’ Global Dialogue for AI Governance and the International Telecommunication Union’s AI for Good Summit, both of which we covered on the ground in Geneva, Switzerland. From the absence of major AI labs to how lower- and middle-income countries are demanding an equal voice in global tech regulation, we explore why the development sector must stop leaving AI’s future to technologists alone. To dig into these stories and others, David Ainsworth sits down with Catherine Cheney and Thomas Cserep for the latest episode of our weekly podcast series. In the sponsored segment of the podcast, hosted in partnership with The Pfizer Foundation, Devex Executive Vice President and Executive Editor Kate Warren speaks with Freddy Nkosi, Senior Director of Global Programs for West and Central Africa & DRC Country Director at VillageReach. They explore how locally-led supply chains and data-informed approaches are helping countries, such as the DRC and Cameroon, address last-mile challenges, supporting efforts to ensure vaccines reach remote and underserved communities when and where they are needed.

    This Week in Global Dev: #154: Turning World Cup hype into impact and governing AI for good
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