Value Proposition and Innovative Models for Multi-Sectoral Engagement in Global Health Proceedings of a Workshop (2020) / Chapter Skim
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3 Multi-Sectoral Engagement in Global Health: A Perspective from Industry Leadership
3 Multi-Sectoral Engagement in Global Health: A Perspective from Industry Leadership
Pages 13-24
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From page 13... ...
. • Many companies lack a focus on shared value -- a socially progressive core purpose that defines their production model around how their products may benefit society.
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Health-related businesses, noted Brink, include health insurance, health provision, health commodities, medicines, diagnostics, health technologies, and health information systems. Businesses outside of the health industry include extractive industries such as mining, oil, and gas; heavy industries such as construction, transport, power, engineering, forestry, pulp, and paper; and white collar businesses such as technology and banking.
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Brink believed that businesses could also work to understand the major health issues within their communities and to determine if they play a role in either exacerbating or reducing the associated health risks. Mining Industry Involvements in Global Health According to Brink, the mining industry will address safety issues, but it is less focused on the health outcomes of its employees.
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The graph shows that just after treatment commenced, sick days returned to normal levels. However, across 3 years without treatment, the disease progressed, and the predicted sick leave increased to 20 days per month.
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SOURCE: Jonathan Brink: Evaluation of the Impact of the Provision of Triple Combination Antiretroviral Therapy to Employees Through the In-House Health Programme at a Large South African Mining Company. Masters Thesis, Univer sity of Cape Town, 2018.
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FIGURE 3-4 TB incidence by CD4 count. SOURCE: Jonathan Brink: Evaluation of the Impact of the Provision of Triple Combination Antiretroviral Therapy to Employees Through the In-House Health Programme at a Large South African Mining Company.
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Road Safety Models in South Africa Discovery Insure works with the motor vehicle insurance business to integrate technology into vehicles that monitor and measure driver behaviors such as breaking, accelerating, and swerving. Brink explained that companies then reward customers for adopting good driving behaviors.
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The company is working to address the leading causes of traffic accidents related to drinking alcohol, using cell phones, and driving behavior exhibited in the 15 minutes prior to a crash (see Figure 3-6)
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Brink explained that Discovery Insure was invited to a meeting of local government, provincial government officials, and national government officials who were promoting a new road safety concept with smartphones. Through this example Brink illustrated the point that it can be difficult for strong interventions to be taken up by the people and institutions that need to be involved for them to be scaled.
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Brink explained that that Gates Foundation has invested $20 million through the Global Fund over a 3-year period to extend Goodbye Malaria into additional provinces. The now $30 million initiative is effective primarily because of its public–private partnership (PPP)
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In closing, Brink noted that partners cannot be self-serving -- operating with ethics and integrity is integral to dissolving problems and creating successful partnerships. DISCUSSION Brenda Colatrella, associate vice president of corporate responsibility and president of the Merck Foundation at Merck & Co., Inc., asked Brink what advice he would give to businesses that are not engaged in public health but want to become engaged and that are concerned about slowly changing double standards and about the "rush to judgment that the private sector often feels when engaging in public health." Brink suggested that the business could find a business coalition or like-minded people concerned with the same issues with whom it could work to develop a path forward.
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Cara Bradley, chief corporate engagement officer at PATH, then asked Brink how Discovery Insure had tried to approach the government and noted that she would have expected a "win-win" situation and was surprised that the government resisted taking Discovery's work to scale. Brink explained that he lacked easy answers to Ratzan's and Bradley's questions, but "the benefits and the opportunities are there, and somehow we need to find a way that is going to get the interest of business." He suggested going straight to chief executive officers (CEOs)
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