Such a system might well reduce duplication of ethics review, but in order to succeed, a number of changes would need to be mandated.
The goal of UHC and the responsibility of moving towards it, therefore, need to be mandated by national laws [ 4, 61, 62].
And program managers responsible for maternal and newborn health services need to be mandated and held accountable for delivery of all high-impact elements of care at this stage of the lifecycle, including those now falling under the responsibility of other programs.
There needs to be a mandate that any borrower who qualifies for a loan modification be offered one and a clear ban on "dual tracking," the bank tactic of pursuing foreclosure while evaluating a borrower for new loan terms.
From a policy perspective, however, there still needs to be a national mandate in order for the federal government to get there.
The ability of international institutions to respond to the serious challenges of today's world needs to be reinforced and their mandates reviewed.
Low inflation will gradually erode this difference, but joining the euro system before the change is well advanced would be risky.Second, the European Central Bank (ECB) needs to be given a different mandate.
On a program level, the responsibility for this pretest information needs to be clarified: public health authorities could mandate obstetric-care providers.
It needs to be aligned with the democratic mandate that governments bring and the actions of all of us as individual citizens and consumers.
But Sudan's government would not, at present, accept the humiliation of what would be a largely western military presence; the AU force, for now, is the only game in town.In any event, the AU force's mandate needs to be beefed up so that it can be allowed to go after the militias that kill civilians rather than just monitor a failing ceasefire.
