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“One step at a time.” This well-known axiom applies broadly to individual endeavors, such as learning to play a musical instrument or building a home. It also applies to grand aspirations of governments, such as providing citizens access to affordable, quality health care.

From 2020-2025, PMEL helped FCDO Nepal cultivate a portfolio approach to aid delivery, building synergies across individual programs and strengthening their collective contribution to higher-level strategic goals.

Health systems strengthening efforts increasingly focus on integrating fragmented initiatives financed by donors into country-led and financed programs.

A new report documents a sharp decline in prison populations in the U.S. during the pandemic and the number of COVID-19 related infections and deaths.

This article predicts an up-to-30 percent increase in annual losses from riverine flooding due to climate change, and offers approaches to evaluate adaptation.