logo
As Global Aid Recedes, The Need For Proven Solutions Grows

As Global Aid Recedes, The Need For Proven Solutions Grows

Forbes02-06-2025
Written by Lauren Hendricks, President and CEO, Trickle Up
We've entered a new era of austerity. The global pullback on international aid is still unfolding, and the sector is only beginning to process the full implications. International development foundations will need to choose between the immediate need of providing emergency supplies and providing long-term investment in economic inclusion-based poverty alleviation. This trade-off is daunting, and points to a future where choices are not about priorities, but about survival.
Global development efforts face uncertainty — and communities that need aid will suffer if we do not change our approach.
Yet within this sobering reality, there is also a sense of possibility. The shift in resources is pushing the sector to confront long-overdue questions and explore new models. Impact investors, philanthropic venture funds, and blended finance models are stepping in where traditional funding is pulling back.
These changes mean international development groups must step up now, more than ever, to ensure that vital humanitarian and development efforts continue to reach those who need them. As global development faces growing uncertainty and shrinking aid budgets, one thing is clear: we must invest in what works, and we must embrace the knowledge and lived experience of local leaders.
The Data Mandate: Prove It or Lose It
As development dollars become scarcer, the pressure to demonstrate cost-effectiveness and results is only intensifying. Donors—large and small—are going to double down on data and evidence of efficacy.
In the emerging funding landscape, we will need to prove not only that our poverty alleviation programs increase income, but that they improve outcomes in health, education, women's empowerment, and more. On top of that, we'll need to identify ways to reduce costs without compromising on quality and show funders that investing in economic inclusion delivers multiple returns, across sectors and across time.
The Abdul Latif Jameel Poverty Action Lab (J-PAL) recently published a brief that identifies six development programs that save lives, reduce disease, and help the poorest people in the world transition out of extreme poverty. Among them, only one approach has been repeatedly proven to sustainably move the most vulnerable households out of poverty: the Graduation Approach. This holistic, time-bound model equips families with the resources and support they need to build lasting livelihoods, and it works across contexts and geographies, from the remote rural communities of India, Burkina Faso, and Ethiopia, all the way to the post-conflict settings of Uganda and Colombia.
Participants in economic inclusion programs continue to earn and save more than their peers even after the programs end.
The benefits of the approach persist years after the programs end, with participants earning more, saving more, and experiencing greater food security and social inclusion. Plus, as household income grows, we witness life-changing outcomes in health access, education, and nutrition.
A Social Return on Investment (SROI) analysis on the MPowered project—an economic inclusion program focused on women—showed that for every Indian rupee invested, the project generated INR 6.7 in social value. This is a powerful case for scaling graduation programs, especially those rooted in gender equity, digital access, and local leadership.
Locally-Led Is No Longer Optional
There's now an opening for national governments, local organizations, and regional institutions to step up. Leaders from the Global South represent the communities most impacted by global challenges, and they're ready to offer the clearest solutions.
As traditional donors retreat, local leaders have an opportunity to reclaim ownership of the international development agenda and truly decolonize aid. And with their on-the-ground knowledge of local markets, community dynamics, and lived realities, partnering with these local leaders can unlock more effective solutions, and mobilize the funding needed to scale them.
Working with local leaders to advance the international development agenda has become essential.
This will require some deep shifts in mindset and practice for international NGOs. We must ask ourselves: What role do local organizations want us to play in the next chapter of development? How do we support rather than direct? And how do we shift power, resources, and decision-making to the communities we serve?
A New Chapter Begins
Working to support those who are experiencing extreme poverty and exclusion has never been more urgent. In the current funding climate, the Graduation approach isn't just a smart policy, it's smart economics: cost-benefit analyses show that long-term income gains often exceed the cost of implementation.
In short, if we want to efficiently reduce poverty, we must fund approaches grounded in evidence—and Graduation delivers. When paired with the partnership of local leaders, the Graduation approach becomes a powerful engine for sustainable change, rooted in trust, tailored to context, and scaled for impact.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

UK Clinicians Want Clearer AI Guidance and Oversight
UK Clinicians Want Clearer AI Guidance and Oversight

Medscape

timean hour ago

  • Medscape

UK Clinicians Want Clearer AI Guidance and Oversight

Artificial intelligence (AI) is playing a growing role in healthcare worldwide, but UK clinicians remain cautious, citing practical and ethical concerns, research has revealed. Alongside rising global adoption, regulators are moving to address safety and trust. The Medicines and Healthcare products Regulatory Agency (MHRA) has joined as a founding member of the new Health AI Global Regulatory Network, positioning the UK at the forefront of international oversight. Global Uptake Rising, UK Lags Behind Elsevier's Clinician of the Future 2025 report, published last month, surveyed 2206 clinicians (1781 doctors and 425 nurses) in 109 countries. The responses included answers from 78 UK doctors or physician associates and 31 nurses. Nearly half of respondents globally (48%) reported using AI at work, almost double the 2024 figure of 26%. In the UK, uptake was lower. Only 34% of UK clinicians reported using AI at work, with just 21% of doctors doing so. Common uses included identifying drug interactions (20%), writing clinical notes (18%), second opinions (18%), patient letters (16%), analysing medical images (15%), medication summaries (12%), and multidisciplinary reviews of complex cases (8%). Despite high patient volumes — 60% of UK clinicians said they lacked time to deliver good care, compared with 74% globally — many felt digital diagnostic tools remained inadequate. Scepticism and Distrust UK clinicians were more sceptical than average about AI's potential benefits and were less likely to use it for clinical decision-making, with 53% indicating they would not, and 45% saying they would not rely on AI tools for second opinions. Thirty-three percent described AI as unreliable, compared with 23% who considered it trustworthy. Dr Rahul Goyal, clinical executive at Elsevier and a practising GP, told Medscape News UK that caution reflects the NHS's structure. He cited strict regulatory oversight, national guidelines, evidence-based practice, and accountability as factors. 'While these priorities help safeguard patient care, they can also make clinicians more cautious about adopting new technologies like AI,' he said. He also pointed to 'tech debt' within NHS systems, with many still paper-based and lacking routine clinical decision support. 'As a result, clinicians are understandably more sceptical about using new technologies,' Goyal said. Confidentiality and Trust Most Key When asked what would increase their confidence in AI, 81% of UK clinicians highlighted data confidentiality. The same proportion wanted AI tools trained for factual accuracy, morality, and safety — well above the 63% global average. Trust in international governance was low. Just 27% of UK respondents said they trusted their organisation's AI oversight. Globally, 74% said clearer guidance on AI use would boost trust. The findings align with concerns expressed in Medscape's September 2024 UK Doctors and AI Report. It found that while more than half of clinicians were enthusiastic about the future of AI in healthcare, 1 in 3 of the 745 respondents lacked confidence that it could ensure confidentiality. The vast majority (83%) agreed there was a need for oversight of AI in healthcare settings. Push for Regulation A General Medical Council report earlier this year echoed these concerns, with doctors warning that NHS IT systems must improve before wider adoption. Respondents highlighted concerns about confidentiality risks, over-reliance, de-skilling, errors, and lack of independent evaluation. Many called for regulators to provide more guidance. The lower adoption rate of AI in the UK 'underscores the prevailing caution, and reinforces the need for greater integration, clear guidance, and reassurance as AI becomes more prominent in UK healthcare,' Goyal said. He expressed support for the MHRA's leading role in the new Health AI Global Regulatory Network, describing it as 'a proactive step toward addressing clinicians' concerns.' AI and digital tools are reshaping healthcare, he said, but 'their success depends on building systems that empower clinicians to use them confidently and responsibly.' Looking Ahead While concerns persist, many clinicians see potential benefits. Nearly half (46%) of UK respondents said AI could improve consultation quality, and 62% expected it to improve patient outcomes within 3 years. Goyal said that success depends on integration into NHS systems, clinician training, and patient acceptance. 'If AI is used as a tool to improve access, enhance communication, and empower patients with information, then it is a win,' he said. 'However, if it is poorly implemented or perceived as impersonal, it could widen the gap between GPs and patients.'

General Dynamics Stock: The Best Defense Prime
General Dynamics Stock: The Best Defense Prime

Yahoo

timean hour ago

  • Yahoo

General Dynamics Stock: The Best Defense Prime

This article first appeared on GuruFocus. When investors look at defense contractors, names like Lockheed Martin and Northrop Grumman often dominate the conversation. But General Dynamics stands in a uniquely advantageous position that quietly combines consistent defense contract revenue with its crown jewel, a growth engine in its aerospace and private jet division: Gulfstream. While the others lean almost entirely on government contracts, GD has a hybrid identity. This hybrid is what makes it, arguably, the best-positioned prime defense contractor for long-term capital appreciation with a healthy defensive backbone. Warning! GuruFocus has detected 7 Warning Signs with GD. Gulfstream: A Built-In Growth Engine The centerpiece of GD's growth narrative is Gulfstream Aerospace, which produces some of the most iconic and in-demand business jets globally. At a time when corporate and high-net-worth individuals are doubling down on private travel, Gulfstream continues to capture outsized interest with revenue up 45.2% year over year in Q1 25. The G700 and G800 programs represent major technology leaps, offering long-range, ultra-luxury aircraft with increased operating efficiency. GD has positioned itself as not just a defense stalwart but a growth company in disguise. Gulfstream demand is inelastic often backed by corporate necessity or ultra-high-net-worth individual preferences that don't waver during typical economic cycles. While business jet deliveries across the industry took a temporary hit during COVID, General Dynamics maintained its backlog and is now benefiting from a post-pandemic normalization and even acceleration of demand. With corporate tax cuts being extended without end in sight, it would seem one of the primary beneficiaries would be Gulfstream and its luxe private jets. More importantly, Gulfstream's growth feeds back into GD's earnings diversification. Defense primes tend to be at the mercy of budget cycles. Not so for GD. With Gulfstream, they capture margin-rich, non-defense sales from private buyers and corporate fleet operators, many of whom are more economically resilient than ever. Excellence in Execution Against Competitors While looking at General Dynamics on its own would show that execution and delivery is fairly exceptional for a company of its size, it especially stands out when compared to the broader market, GD trades at a 20x PE multiple, which although comparable to its competitors, GD does not face the same issues. Lockheed Martin: in the last month saw its crown jewel, the f-35 program have its air force orders cut in half, reportedly due to cost overruns, which without question will hit the bottom line and investors in the company, also trading at roughly a 20 PE albeit with headwinds and negative exposures. (LMT Earnings in Q2 resulted in a greater than 10% decline) Northrop Grumman: year over year displayed a 6% decline in revenues, displaying a sluggish adaptation to realities in the defense industry, and also took a 477 million dollar hit to the B-21 raider program in Q1. Again an example of missing targets and taking surprise expenses, not a great outcome for investors when the company trades at a 20x earnings multiple. Raytheon: has quite a bit of civilian exposure with Pratt and Whitney and as a result faces a more cyclical business structure, while oil is currently low and would benefit RTX, this is not a certainty going forward and leaves investors susceptible to this risk (it also comes at a premium with the highest earnings multiples of any GD competitor at a 43x PE). Also from an operations side, they were fined a billion dollar criminal charge due to bribery by the DOJ in the last year, another example of questionable execution. Boeing: lastly is in all honesty a disaster of a company, struggling to get any significant wins other than the NGAD contract, which upon a deeper dive seems to be a quasi-bailout to the company rather than a legitimately earned contract as the company is struggling financially along with facing the damages of the 737 Max disaster. Even with rather direct support from the US government the company is still hemorrhaging cash flows and going on 5 years later, not displaying positive earnings. With General Dynamics, you get the reliable execution and strong margins typical of a top-tier defense prime without the baggage. It's the kind of company you can hold with confidence, free from the headline risk or operational drama that plagues some of its peers. Ramping Production and Higher Revenues Over the past few years, supply chain dysfunction has been the pain point of both commercial aerospace and defense production. GD wasn't immune. Gulfstream production was throttled by component delays, especially avionics and engines. However, 2024 marked a turning point. The company's latest guidance suggests that supply chains are stabilizing, and full-rate production is back on the table across key programs. On the defense side, the same applies. General Dynamics Land Systems and Marine Systems have both seen normalization in their subcontractor inputs. This bodes well for delivery timing and profit margins. For a firm heavily involved in long-cycle military hardware like Columbia-class submarines or Stryker land vehicles normalized production cadence directly translates into stronger free cash flow. From a purely hypothetical valuation perspective/ a reality check on its current market price, 14.93 EPS guided for 2025, and model assumptions of a 7% discount rate, 4% growth rate in earnings over the next 5 years (a conservative estimate, real ttm EPS growth is hovering around 10% over the last year) and 3% for longer term a DCF would confirm that GD is cheap at current valuations. Assuming the company can execute on modest earnings growth, there is significant value to the upside in a risk-off non cyclical investment. Uncertainty in Contracts? Not for GD One of the underappreciated elements of General Dynamics story is the nature of its defense contracts. While political dysfunction in Washington can create noise around government spending, GD's contracts are less exposed to discretionary cuts than most. The U.S. Navy's Columbia-class submarine program, for instance, is a top national defense priority, the contract of 23.4 billion and 5.1 billion modification (production underway)have essentially been locked in and would not be logistically possible to cancel or cut. This is also ignoring that canceling or deferring these types of programs is virtually off the table for strategic reasons. The war in Ukraine has also sharply altered the European security calculus. General Dynamics European Land Systems (GDELS) is capitalizing on increased armored vehicle demand across the continent. In other words, even if the U.S. were to tighten its budget belt slightly, international orders could offset that. A Tax Tailwind for Gulfstream Tax policy might not be the first thing that comes to mind when evaluating defense equities, but for Gulfstream, it matters. Business jet purchases in the U.S. benefit from accelerated depreciation provisions especially under bonus depreciation rules that have been in place and extended with the Tax Cuts and Jobs Act. Although bonus depreciation is being phased down from its peak 100% level, it's still an influential factor. For high-earning individuals or corporations, being able to write off a major capital purchase like aGulfstream G700 in the first year remains a powerful incentive. In a high-margin segment like private aviation, tax policy can often be the final nudge that pushes a client to close a purchase. General Dynamics' investor materials have subtly nodded to this tailwind, and it's something that can continue supporting Gulfstream orders especially as election year tax rhetoric heats up and uncertainty grows around 2026 expirations (*The "Big Beautiful Bill" was shortly after this passed by US congress extending these cuts). Final Thoughts: The Quiet King of Defense While Northrop gets the headlines with recent involvement in conflicts, General Dynamics plays a quieter, more balanced game. Its dual engines of government contract stability and private aerospace growth give it a level of resilience that few can match. Whether you see escalating global conflict or looking for long-term capital appreciation from a capital-efficient compounder, GD quietly checks every box. In a world full of binary growth vs. safety trade-offs, General Dynamics offers both. For that reason, it is very well the best defense prime in the game and with current prices, a strong buy. Sign in to access your portfolio

Social Media In Healthcare: Proven Strategies To Strengthen Your Reputation
Social Media In Healthcare: Proven Strategies To Strengthen Your Reputation

Forbes

timean hour ago

  • Forbes

Social Media In Healthcare: Proven Strategies To Strengthen Your Reputation

Lauren Parr is the co-founder and Product Director at RepuGen, one of the leading healthcare reputation management platforms. Patients today are forming opinions about healthcare providers long before stepping through the door. Social media platforms like Facebook, Instagram and even TikTok have evolved into hubs where patients search for symptoms, explore provider reviews and form first impressions long before booking an appointment. highlights this shift, projecting that virtual health services will grow from $8.7 billion in 2023 to over $50.9 billion by 2032. With more than 80% of internet users aged 18-49 turning to social media for health-related information, healthcare practices are being evaluated not only on clinical outcomes but also on how they present themselves online. Reputation, trust and connection are increasingly shaped in real time, through posts, responses, reviews and shares. Social media is your first impression, and often your only chance to make one. Patients scroll, scan and decide within seconds whether your practice feels trustworthy. If you're silent or inconsistent online, they'll move on without a second thought. Building A HIPAA-Compliant Social Media Strategy One of the biggest concerns for healthcare providers online is patient privacy. HIPAA compliance must be at the core of any healthcare social media strategy. Providers should never share protected health information (PHI) without explicit, documented patient consent. Even well-intentioned posts can inadvertently violate HIPAA if they reveal identifiable details. Strategies for maintaining compliance include: A well-defined, HIPAA-compliant strategy allows practices to engage confidently without risking violations or damaging trust. Crafting Engaging, Patient-Centered Content Compliance sets the boundaries, but content is where practices can genuinely connect with their audience. Healthcare consumers seek authenticity, clarity and value in the information they encounter online. Patient success stories (with written consent) are among the most effective forms of content. They humanize your practice and build trust by showing real-world impact. Educational content also resonates deeply. Explainers on common health conditions, prevention tips or seasonal health advice position your practice as a reliable source of knowledge and expertise. Visual storytelling is key. Video posts, infographics and behind-the-scenes images of staff foster connection and familiarity. Examples of effective content include: Ultimately, content should serve patients first, promoting transparency and education over self-promotion. Proactive Engagement And Reputation Management Managing your online reputation means being responsive and professional, regardless of whether the feedback is positive or negative. Ignoring reviews is not an option in the modern healthcare landscape. • Responding To Positive Reviews: Thank patients sincerely, reinforcing appreciation and demonstrating your practice's human side. Example: "Thank you for sharing your experience! We're glad we could support you and look forward to continuing your care." • Responding To Negative Reviews: Maintain professionalism, avoid defensiveness and refrain from disclosing any patient-specific details, even when attempting to clarify the situation. Example: "Thank you for your feedback. We're sorry to hear about your experience. Please call our office so we can discuss and address your concerns directly." Timely and respectful engagement strengthens patient loyalty and shows potential patients that your practice values quality and accountability. Leveraging Social Media Reviews For SEO And Visibility Reviews are not just about reputation; they're critical for discoverability. Search engines and social media platforms alike factor them into visibility algorithms. Platforms like Facebook are critical. Approximately 89% of hospitals actively use Facebook to engage audiences, making it the leading platform in healthcare marketing. Encouraging satisfied patients to leave reviews there can significantly impact your online presence. Meanwhile, Twitter (now X) serves as a hub for health-related conversations, with over 1 million tweets on health topics posted daily. Participating in relevant discussions and sharing content can amplify your reach to patients, peers and journalists. By incorporating reviews into your broader social strategy, you boost both credibility and online visibility. Conclusion Social media offers healthcare practices an opportunity to move beyond transactional interactions and establish genuine connections with patients. To make the most of it, providers need more than just frequent posts; they need a strategy that respects patient privacy, delivers clear and helpful information and prioritizes real engagement. By approaching social media with care, consistency and compliance, practices can enhance their reputation, foster patient loyalty and establish themselves as trusted voices in the communities they serve. Forbes Communications Council is an invitation-only community for executives in successful public relations, media strategy, creative and advertising agencies. Do I qualify?

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store