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This proposed Resource Allocation Framework may inform country-level allocation decisions by the Pandemic Fund for its first call for proposals supporting surveillance, laboratories, and human resources. This framework incorporates three measures of pandemic risk and one index of need for surveillance capacity for an overall allocation index.

World Bank reform will involve tackling a set of institutional challenges, from mobilizing more financing to taking on more risk. But it will also need to reckon with the more fundamental trade-offs between providing public goods and addressing poverty.