I remember sitting in a humid, corrugated iron warehouse outside Goma, staring at a stack of empty crates that were supposed to hold temperature-sensitive vaccines. …
Debt Service Against Health Budgets
April 2026
Who Pays for a Road
I once sat in a humid, corrugated metal office in Goma, watching a consultant present a glossy PowerPoint on a fifty-million-dollar bridge project. He was …
Why Vaccines Need a Cold Chain
I once spent three days in a humid warehouse outside Goma, watching a thermometer climb toward a red line that meant five thousand dollars of …
Creating Jobs Versus Creating Firms
I’ve spent enough time in dusty warehouses in Goma and Juba to know that a glossy PDF reporting on “milestones achieved” is usually just expensive …
Skills Training and Whether Jobs Follow
I spent a decade watching donor agencies pour millions into “capacity building” while ignoring the fact that the workshops were empty and the tools were …
Whether a Return Is Really Voluntary
I remember standing in a dust-choked yard outside Goma, watching a driver argue with a warehouse manager over a stack of damaged crates. The manager …
Herd Immunity and Its Misuse
I once spent three weeks in a dusty warehouse outside Goma, staring at a stack of cold-chain vaccine crates that were never going to make …
The Barriers Beyond School Fees
I spent a decade watching headquarters in Geneva and DC churn out hundred-page strategy documents, all filled with high-level jargon about “gender-transformative frameworks” and “empowerment …
Covering an Outbreak Without Causing Panic
I remember sitting in a humid, makeshift office in South Sudan, staring at a glossy donor report that claimed “unprecedented mobilization” in response to a …
Training Teachers Who Then Leave
I spent nine years watching NGOs move tons of medical supplies across borders, and if there is one thing I learned, it’s that a high-budget …