Strengthening of Community Health through development of partnerships with the private sector Maxwell Hammond, GIZ Ghana December, 2013

GIZ worldwide GIZ is a federally-owned enterprise operating worldwide in the area of international cooperation for sustainable development. GIZ works on behalf of the Federal Government as well as other public and private, national and international clients. GIZ promotes complex reforms and processes of change in different sectors such as: Sustainable economic development, energy, transport, infrastructure management, health, environment, climate and biodiversity. The objective is to sustainably improve the living conditions and prospects for people in developing and transition countries. GIZ GHANA - Your partner for sustainable development 2

130 countries 17,000 employees (70% as national personnel) EUR 2 billion business volume (2011) GIZ Berlin, Germany GIZ Bonn, Germany GIZ Brussels, Belgium GIZ offices GIZ Head Office, Eschborn, Germany GIZ offices in German Development Cooperation Houses GIZ GHANA - Your partner for sustainable development 3 GIZ worldwide

GIZ GHANA - Your partner for sustainable development 4 GIZ in Ghana On behalf of the German Government, GIZ cooperates with Ghanaian government, companies, trade associations, international institutions, private foundations as well as civil society groups. Apart from that, we also work on behalf or for other international organisations, Governments, companies and/or foundations. As an experienced service provider GIZ offers customised solutions to complex challenges. GIZ Ghana implements projects and programmes in the following areas: Agriculture Decentralisation Development Partnerships with the Private Sector Good Financial Governance HIV & Health Peace & Security Renewable Energy Sustainable Economic Development Sustainable, innovative & efficient service provider Since 1983

GIZ GHANA - Your partner for sustainable development 5 Personnel of the GIZ in Ghana Update: Personnel of the GIZ in Ghana Update:  34 Development Advisors  30 Seconded International Staff  8 Integrated Experts (CIM)  30 Returning Experts (CIM)  149 National Personnel  17 Seconded National Experts 268 Total Finance Finance O verall Turnover for 2012: € 29.8 Million

GIZ GHANA - Your partner for sustainable development 6 Development Partnerships with the Private Sector Private Sector Cooperation Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH >> Development Partnerships combine business interests of companies with development policy goals of the public sector – in a way that both partners reach their objectives faster, cheaper and more efficiently.

GIZ GHANA - Your partner for sustainable development 7 Development Partnerships with the Private Sector Programme initiated in 1999 Over 1,500 partnerships to date In more than 70 countries From ‘A’ for agriculture to ‘W’ for water Incl. energy, environment, trade and health

GIZ GHANA - Your partner for sustainable development 8 Common goals Private Sector objectives Development Cooperation objectives Development Partnerships Assurance of supply chains, market entry and expansion in developing and emerging countries Marketing of products Finding new customers and ensuring customer loyalty Corporate Social Responsibility (CSR) Improvement of local economic conditions Establishment of sustainable supply chains Mobilisation of capital and know-how Involvement of local communities in economic cycles

TITLEPARTNERSECTOR Oil Palm and Cocoa Production; and HealthGolden Star Resources Health Employee Wellbeing Programme with strengthening of the Ghanaian Health System Newmont Ghana Limited Health EWP-electronic health informationGCNetHealth Health Stewardship for Private Sector EngagementGolden Star Resources Health Community System Strengthening in Financial Literacy, and Health & Social Protection Keegan Resources (Ghana) Health Ghana: DPPs to strengthen Community Health

Applying holistic approaches to workplace health in developing countries Integrating HIV prevention into comprehensive wellbeing programmes Challenging employers and governments to foster healthy lifestyles amongst workers, families and nearby communities Employee Wellbeing programme (EWP) An innovative initiative of GIZ Ghana

EWP Partners in Ghana Public Ghana AIDS Commission Ghana Revenue Authority Ghana Urban Water Ltd. (former AVRL) Ministry of Health Ghana Health Service Private Sector Unit Occupational Health Unit NACP, NTP NADMO Parliament of Ghana Private Accra Brewery Ltd. Archer Daniels Midland Ltd. Blue Skies Ltd. Ghana Community Network Services Ltd. Golden Star Resources Ltd. Japan Motors Trading Company Ltd. Keegan Resources Newmont Ghana Gold Ltd. Superlock Technologies Ltd. UT Group

The EWP Concept SOCIAL PROTECTION HEALTH & SAFETY NATIONAL SYSTEMS STRENGTHENING Environmental Health Insurances: Health, Property, Accident, Life Insurances: Health, Property, Accident, Life Retirement Preparedness Financial Wellness Social Protection Health Coordination Preventive Occupational Safety Pandemic Preparedness Curative Staff & Family Psycho-Social Development Partnerships with the Private Sector Policy M&E System EWP

SOCIAL PROTECTION HEALTH & SAFETY NATIONAL SYSTEMS STRENGTHENING Coordination Policy M&E System EWP Community Community Health Fair Disease Prevention Package Pandemic Preparedness & Risk Communication NHIS Promotion Financial Wellness Strengthening of Health Systems The EWP Concept

a.Higher enrolment on HIV testing with holistic approach b.EWP programme integrated into HR structure of the GRA c.EWP programme integrated into CSR programmes of companies such as UT financial literacy programmes d.The concept of EWP is gaining grounds with many more companies showing interest e.National EWP coordination body formed in 2012: members include PSU, OHD and ICD of GHS, GBCEW, GEA among others Among staff of partners and other employers: Acceptance of EWP concept Results and achievements

More than 3,000 persons trained in HIV peer education and other topics ~152,000 persons counseled and tested for HIV and other diseases Prevalences –~2.0% HIV –~2,5% high blood sugar –~18% high blood pressure –~12% hepatitis B positive About a third need referrals for further care

a.Database of individual health records for socio-demographic, behavioural and bio-medical factors collected since 2006 for ~ 200,000 persons b.Meets strategic need of national bodies (MOH, PPME etc.) -valuable information asset monitor trends at country level improve health service delivery disease and risk factors surveillance inform health policy decisions resource allocation Wealth of information Results and achievements

Lessons learnt  HIV prevention programming when embedded in holistic approach, like the EWP, increases acceptance  Sustainability requires that programme be mainstreamed into corporate structure with own budget  Making a business case is vital for acceptance by management of institutions  Partnership between public and private sector as well as civil society is key for successful implementation of EWP  National coordination body on EWP is crucial in the area of policy and M&E

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