Exploring Partnership Governance in Global Health Proceedings of a Workshop (2018) / Chapter Skim
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4 Examining Lessons Learned from the Development and Iterative Improvement of PublicPrivate Partnerships and Their Governance
4 Examining Lessons Learned from the Development and Iterative Improvement of PublicPrivate Partnerships and Their Governance
Pages 27-50
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From page 27... ...
In addition, the panelists delved into the creation of iterative processes for continuously improving governance and how they approached adjusting to the evolving priorities of PPP partners and the global health environment. Table 4-1, included at the end of the chapter, provides an overview of the five partnerships included in this session.
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From page 28... ...
The third element is supporting disease-specific partnerships, the first of which provided seed funding for the Union for International Cancer Control (UICC) City Cancer Challenge, a multisectoral initiative supporting cities with more than one million people to take the lead in designing, planning, and implementing cancer treatment solutions as a means of increasing the number of individuals with access to quality cancer treatments.1 Since the launch, AA partners have initiated or expanded more than 20 company-driven programs.
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From page 29... ...
AA is flexible and allows members to choose which working groups they serve. In Rollmann's opinion, AA has effectively built into its governance structure a process for continual learning and refinement.
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From page 30... ...
DREAMS program is a $385 million multisectoral partnership devoted to preventing HIV transmission among adolescent girls and young women. To achieve this objective, explained Lauren Marks, she and her colleagues realized they would need to focus beyond the health system by addressing education, economic empowerment, and family planning.
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From page 31... ...
Fund, based in Japan, grew out of a 2011 conversation between BT Slingsby and Tachi Yamada about the Japanese pharmaceutical industry's absence from global health initiatives despite ranking third in the world in new drug development. "We were trying to create a fund to act as a catalytic entity to bring more partners from Japan to the global fight against these diseases like malaria, HIV/AIDS, tuberculosis, and many of the neglected tropical diseases," explained Slingsby.
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From page 32... ...
Members serving on governing bodies volunteer their time, and sustained leadership and engagement from high-level experts require thoughtful management. GHIT is a public Japanese entity with a global mission and international partners that, at times, requires aligning differing legal standards.
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From page 33... ...
ACHAP was founded to test whether it was possible to tackle HIV/AIDS on that scale and to ascertain if involving the private sector to help organize and manage projects would increase the impact. Merck & Co., Inc., began looking for partners in this effort, and the government of Botswana and the Bill & Melinda Gates Foundation joined Merck and the Merck Company Foundation to create ACHAP.
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From page 34... ...
To promote alignment, transparency, and accountability, ACHAP worked closely with the National AIDS Coordinating Agency, participated in the national forum of development partners, and established the Madikwe Forum5 for the ACHAP board and permanent secretaries of all government departments involved in the AIDS response to meet regularly to identify and work through bottlenecks. The permanent secretaries would assign specific ministries to tackle those bottlenecks and report back at the next meeting of the forum.
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From page 35... ...
With ACHAP's collaboration and financial support, Botswana also built a national network of HIV clinics; developed national counseling and testing infrastructure and services; developed a cadre of physicians, nurses, and community health workers to build the national response; implemented and scaled up safe voluntary male circumcision and behavior change programs for prevention; and developed local capacity to address TB/HIV co-infection. The important factors that led to these successes, said Sturchio, were that ACHAP focused on alignment with government and all partners, on being adaptable as circumstances changed, on learning by doing, and on being willing to change priorities if it became clear that an activity was not going to have the desired impact.
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From page 36... ...
Another measure of success, she said, was the extent to which the HIV epidemic has been reduced significantly in the southern states where Avahan worked. Avahan had five levels in its governance structure: organizational governance focused on processes and systems, donor oversight to regularly review progress, partner meetings for ongoing coordination and mutual accountability, government oversight to monitor role clarity and expectations, and the community advisory group.
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From page 37... ...
As a result, ACHAP started focusing on prevention and behavior change, using insights from social marketing, behavioral economics, and learning from previous work on health promotion and prevention. Scott Ratzan from the Anheuser-Busch InBev Foundation noted that many of the programs discussed over the course of the day focused on infectious diseases and, for the most part, delivering effective treatments.
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From page 38... ...
Sturchio said that when ACHAP facilitated and financially supported building a network of clinics, the clinics were initially intended to serve as infectious disease control centers but ultimately served as an investment in building health care infrastructure for delivering a range of primary care interventions. He also noted that when the newly elected president of Botswana had different priorities, ACHAP adapted to that reality and discovered that its capabilities in program design and implementation were transferable to other areas and to countries outside of Botswana.
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From page 39... ...
EXAMINING LESSONS LEARNED 39 can address one of the barriers to appropriate care in general in these countries. In addition, AA is looking for ways to extend the impact of the programs companies already have in order to give a greater benefit to patients in the countries in which its partners work.
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From page 40... ...
, BIO, EFPIA, JPMA, and PhRMA Partners: World Bank, Union for International Cancer Control (UICC)
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From page 41... ...
initiatives (accessed reduce premature deaths April 16, 2018) from NCDs by one-third by 2030 continued
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From page 42... ...
; the Bill & young women (Botswana, Melinda Gates Foundation; Cote Girl Effect; Johnson & D'Ivoire, Johnson; Gilead Sciences; Kenya, ViiV Healthcare Lesotho, Malawi, Mozambique, Namibia, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe)
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https://www.pepfar. by 40 percent among dreamspartnership.org gov/documents/ adolescent girls and (accessed April 16, 2018)
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44 EXPLORING PARTNERSHIP GOVERNANCE IN GLOBAL HEALTH TABLE 4-1 Continued Target Operating Country/ Years Region Partners Focus 2013– Worldwide Full partners: Japanese Research; product GHIT FUND Ministry of Foreign development Affairs; Japanese Ministry of Health, Labour and Welfare; United Nations Development Programme (UNDP) ; Astellas; Daiichi Sankyo Company; Eisai Company; Shionogi & Co.; Takeda; Gates Foundation; Wellcome Trust; Chugai Pharmaceutical Co.; Eisai Co.; Fujifilm; Shionogi Associate partners: Otsuka Pharmaceutical Co.; Sysmex Affiliate partners: GlaxoSmithKline; Johnson & Johnson; Kyowa Kirin; Merck; Mitsubishi Tanabe Pharma; Nipro; Sumitomo Dainippon Pharma
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From page 45... ...
https://ghitfund.org/ partnerships that bring org/about/governance/ impact/impact (accessed Japanese innovation, leadership (accessed April 16, 2018) investment, and April 16, 2018)
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From page 46... ...
46 EXPLORING PARTNERSHIP GOVERNANCE IN GLOBAL HEALTH TABLE 4-1 Continued Target Operating Country/ Years Region Partners Focus 2003– India Bill & Melinda Gates Prevention, Avahan (Andhra Foundation; lead education, and Pradesh, implementing partners; service Karnataka, capacity-building partners; Maharashtra, other supporting partners; Tamil Nadu, monitoring and evaluation Manipur, partners; knowledge Nagaland) building partners
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From page 47... ...
high-risk populations -- 2018) female sex workers, http://www.thelancet.com/ men who have sex https://www.ncbi.nlm.
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From page 48... ...
Its goal is to provide comprehensive, innovative, and catalytic solutions through Public Private Community Partnerships (PPCPs) to achieve sustainable population health.
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From page 49... ...
comprehensive-hivaidsprevention programs, org/sites/default/ partnerships.pdf (2014) health care access, files/archive/doc/ patient management, and events/6.06.07/ACHAP_ http://www.achap.org/ treatment of HIV/AIDS Presentation_June_6_ annual.php (2012, 2013, Event.pdf (2007)
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