Strengthening of Community Health through development of partnerships with the private sector Maxwell Hammond, GIZ Ghana December, 2013 GIZ • GIZ is a federally-owned enterprise operating worldwide in the area of international cooperation for sustainable development. worldwide • 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. 2 GIZ GHANA - Your partner for sustainable development GIZ worldwide • 130 countries • 17,000 employees (70% as national personnel) • EUR 2 billion business volume (2011) GIZ Head Office, Eschborn, Germany GIZ Berlin, Germany GIZ Bonn, Germany GIZ Brussels, Belgium GIZ offices GIZ offices in German Development Cooperation Houses 3 GIZ GHANA - Your partner for sustainable development Sustainable, innovative & efficient service provider 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 4 GIZ GHANA - Your partner for sustainable development 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. 6 GIZ GHANA - Your partner for sustainable development 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 7 GIZ GHANA - Your partner for sustainable development Common goals Private Sector 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) Development Cooperation objectives • Improvement of local economic conditions • Establishment of sustainable supply chains • Mobilisation of capital and know-how • Involvement of local communities in economic cycles 8 GIZ GHANA - Your partner for sustainable development Ghana: DPPs to strengthen Community Health TITLE PARTNER SECTOR Oil Palm and Cocoa Production; and Health Golden Star Resources Health Employee Wellbeing Programme with strengthening of the Ghanaian Health System Newmont Ghana Limited Health EWP-electronic health information GCNet Health Health Stewardship for Private Sector Engagement Golden Star Resources Health Community System Strengthening in Financial Literacy, and Health & Social Protection Keegan Resources (Ghana) Health Employee Wellbeing programme (EWP) An innovative initiative of GIZ Ghana • • • 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 EWP Partners in Ghana Public Private • • • • • • • 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 • • • • • • 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 Occupational Safety Insurances: Health, Property, Accident, Life Financial Wellness Preventive SOCIAL PROTECTION Staff & Family HEALTH & SAFETY Policy Retirement Preparedness Curative Psycho-Social EWP Pandemic Preparedness Environmental Health Social Protection NATIONAL SYSTEMS STRENGTHENING Development Partnerships with the Private Sector Health The EWP Concept SOCIAL PROTECTION Community HEALTH & SAFETY Policy • NHIS Promotion • Financial Wellness EWP NATIONAL SYSTEMS STRENGTHENING Strengthening of Health Systems • Community Health Fair • Disease Prevention Package • Pandemic Preparedness & Risk Communication Results and achievements Acceptance of EWP concept Among staff of partners and other employers: a. b. c. d. e. Higher enrolment on HIV testing with holistic approach EWP programme integrated into HR structure of the GRA EWP programme integrated into CSR programmes of companies such as UT financial literacy programmes The concept of EWP is gaining grounds with many more companies showing interest National EWP coordination body formed in 2012: members include PSU, OHD and ICD of GHS, GBCEW, GEA among others 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 Results and achievements Wealth of information a. b. Database of individual health records for socio-demographic, behavioural and bio-medical factors collected since 2006 for ~ 200,000 persons 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 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 18