CORPORATE SECTOR CONTRIBUTIONS TO THE GLOBAL EFFORT TO STOP TB Stop TB Partnership Forum Dr Kate Taylor, Director Global Health Initiative March

WHO IS THE WORLD ECONOMIC FORUM? The World Economic Forum is an independent international non-profit organisation committed to improving the state of the world. The Forum provides a collaborative framework for the world's leaders to address global issues, engaging particularly its corporate members (the world’s leading 1000 companies) in global citizenship.

WHAT IS THE GLOBAL HEALTH INITIATIVE? Forum Members Automotive Chemicals Consumer goods Energy Food and beverage Information and communications Logistics and transport Media Metals and mining Pharmaceuticals Partners Increased quality and quantity of private sector activity against HIV Tuberculosis Malaria

WHY THE PRIVATE SECTOR? Workers and their families Surrounding communities Suppliers and contractors Consumers Expertise Reach Communications and marketing Distribution Project management R&D Resources In kind contributions of products and services People Cash Companies can bring... Private sector as implementation partners - rather than ‘just’ donors

BUT HOW TO ENGAGE A NON-ENGAGED PRIVATE SECTOR? Percent of firms’ surveyed who expressed some concern about HIV, TB and malaria HIV Malaria TB Source:

BUILD A PARTNERSHIP OVER TIME Extend the participation Indian Business Alliance to Stop TB Targeted core of committed companies DOTS in workplace Innovative contributions drawing on core business to support RNTCP - district-by-district outreach Establish a shared vision Advocacy and outreach Develop an offering

INDIAN BUSINESS ALLIANCE TO STOP TB STATEMENT Companies will review their workforce practices to:  Review company policies to include TB  Build sustainable workplace programmes to treat TB  Integrate TB initiatives into their community activities Make stopping TB a priority Openly share company TB programmes Companies will share programme results to:  Enable recognition  Facilitate transfer of good practices  Create ongoing transparency (including reporting of detection and treatment rates) between business and other partners Partner to stop TB Companies will work with key partners from the public sector and civil society including:  World Health Organisation and Stop TB Partnership  Indian Ministry of Health, RNTCP and state programmes  NGOs Recruit other interested companies Companies will develop a critical mass of targeted efforts to:  Increase numbers of companies with policies and programmes  Increase depth of participation by Alliance companies

Indian Business Alliance to Stop TB Strong technical expertise Raising TB awareness Implement- ation of DOTS by business Expanding the Alliance Strong partnership co-ordination ALLIANCE ROLES AND RESPONSIBILITIES Public sector Companies Business organisations

ALLIANCE ROLES AND RESPONSIBILITIES Technical support, sharing model across SEARO Technical support, sharing model across STB Partnership Technical support, provide TB therapy, monitoring/evaluation, increasing role in coordination Public sector Alliance initiation, advocacy and early development Corporate survey to overlay with RNTCP mapping Business organisations Workplace and community DOTS programme covering 3.5 M villages Adding TB to Foundation’s HIV workplace training activities TB programme to cover office and field sales staff Adding TB to HIV workplace activities National SMS campaign and hotlines, workplace programmes in plants DOTS for workers, community, and tribal village programmes TB workplace activities, developing policy and advocacy materials with RNTCP Companies

POTENTIAL BENEFITS? CO-INVESTING FOR ARVS FOR MILLIONS Model Company pays for employees’ costs Outside donor pays for marginal cost of expansion to family and beyond Benefits Companies support running costs Programmes use or augment existing public facilities - thereby strengthening public infrastructure Implementation is rapid and accountable *Top 300 Sub-Saharan public companies **Assumed dependent ratio Source: McKinsey & Co. Large companies Total employees (‘000s) Total employees and families (‘000s) Multinationals Large nationals* South Africa Nigeria Zimbabwe Ivory Coast Kenya Ghana Total 130 1, , , ,280 x 5 - 6** Multinationals Large nationals* South Africa Nigeria Zimbabwe Ivory Coast Kenya Ghana Think of the multipliers for SMEs and communities

POTENTIAL CHALLENGES? PERCEIVED RELEVANCE Companies that are seriously concerned about TB’s impact on their firm and also see HIV/AIDS as a serious threat Asia Source: Companies that are seriously concerned about HIV/AIDS’ impact on their firm and also see TB as a serious threat Global 74 %84 % 5 %4 % Getting companies to engage on TB is a good entry point for future HIV advocacy... … but companies need a better understanding of the links between HIV and TB

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HOW CAN BUSINESSES RESPOND? WorkersFamiliesCommunity around sites Wider community Social environment Who? Suppliers, contractors Work placeDistributors Customers Business value chain Where? PolicyEducation, awareness Prevention Care Interventions Voluntary counselling and testing Treatment What? Business coalitions and partnerships can pool resources, coordinate action, and create synergies in expertise

HIV AND TB EPIDEMICS TARGET WORKERS Mobile Men with Money Can afford to buy sex Can afford to buy drugs Unaware, then bring HIV home to their partners and children HIV will enter the ‘mainstream’ population TB will follow

SO WHAT ARE PARTNERSHIPS? Success factors Address basic and important problems that have not been solved Develop mutual understanding and trust Articulate defined roles, goals and milestones Target synergies from each party’s strengths Establish shared responsibilities Deliver mutual benefits PhilanthropyAllianceJoint VenturePartnership Partner Pariah Participant

KEY PRINCIPLES OF PUBLIC PRIVATE PARTNERSHIPS The roles and relationships of business and government are changing, particularly with regard to provision of public goods Business, however, is not government and serves different purposes and different stakeholders The core responsibilities of businesses may mean they initiate new programmes for public goods In doing so, businesses do not assume the broader responsibilities of government, i.e. the roles of businesses are and should be limited These limits are not - but should be - well defined and understood Such an understanding or framework for discussion between stakeholder groups will enable future partnerships