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Cape Town, 23rd February 2009

TB : Rationale for Corporate Action. Adjo Mfodwo Global Business Coalition on HIV/AIDS, TB and Malaria. Cape Town, 23rd February 2009. Tuberculosis Incidence. About 1/3 of the worlds population carries latent TB Up to 10 million new cases of active TB annually

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Cape Town, 23rd February 2009

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  1. TB : Rationale for Corporate Action Adjo Mfodwo Global Business Coalition on HIV/AIDS, TB and Malaria Cape Town, 23rd February 2009

  2. TuberculosisIncidence • About 1/3 of the worlds population carries latent TB • Up to 10 million new cases of active TB annually • Up to 2 million TB deaths per year • South Africa is one of the 22 high burden disease countries • MDR & XDR TB are on the increase globally

  3. Tuberculosis and HIV: deadly dual epidemic TB is the most common cause of death in HIV-infected patients worldwide – yet TB is curable! • Huge increase in TB over last 20 years – especially in Southern Africa • 1/3 of the 33M people living with HIV are co-infected with TB • TB latent infection in HIV-negative: 5-10% lifetime risk of TB disease • But in HIV+, the annual risk is 10% • Among new TB patients, the proportion of HIV+ is… • 8% globally • 44% in South Africa • As with HIV, recent feminization of the TB epidemic • Globally Men normally 2x as likely to have TB, but in Sub Saharan Africa, ratio is about 1:1 • TB is the leading infectious killer of women of reproductive age globally

  4. Number of new TB cases by country, 2007 Source: WHO Over 1 million

  5. Rate of new TB cases per 100,000 pop, 2007 Over 300 per 100,000 pop Source: WHO

  6. HIV prevalence in new TB cases, 2007 > 50% Source: WHO

  7. Why is TB a business issue? • Three quarters of those who become ill with TB are between the ages of 15 and 54  people in their prime working years • In the workplace, the TB causes decreased productivity and disrupts workflow; it increases both direct costs (treating workers) and indirect costs (replacing, re-training and reintegrating workers) • TB is a community issue, companies need to be socially responsible • Worldwide, TB results in a decline in worker productivity totaling US$13 billion and a loss of income totaling US$16 billion every year. • (World Economic Forum: Tackling Tuberculosis: The Business Response-Feb 2008)

  8. TB is a source of concern among business executives globally WEF Executive Opinion Survey (2007) of over 11,000 respondents in 130 countries: • Nearly one-third expect TB to affect their business in the next 5 years • One in 10 expects serious effects • Companies in countries hard hit by HIV/AIDS are particularly worried about TB. • Companies in sub-Saharan Africa, Asia, and Eastern Europe are most concerned

  9. Global Business Coalition and TB GBC’s mission is to mobilize the power of the global business community to fight the HIV/AIDS, tuberculosis and malaria epidemics Demonstrated capacity in corporate mobilization: 220+ members on 5 continents Extensive network in Africa, supported by: Offices in Johannesburg, Nairobi and Paris Robust infrastructure in New York Experienced broker for public-private partnerships: Private Sector Focal Point at the Global Fund to Fight AIDS, TB & Malaria Strong relationships with Stop TB, PEPFAR, PMI, GTZ

  10. GBC’s TB Strategy: Maximized corporate engagement, enhanced PPPs, greater visibility and resources

  11. GBC global assessment of business action on HIV/AIDS, TB & Malaria (2008) TB engagement surveyed

  12. GBC company interviews reveal that…. • Company TB programs tend to fall under the occupational health umbrella—that is, they may not be managed in the same way as company HIV programs • Companies feel that there needs to be more advocacy around TB: it lacks the prominence of HIV and malaria • Respondents indicated that corporate HIV/AIDS programs are a successful template and can be a starting point for TB engagement

  13. Companies are less active on TB than HIV. Companies operating in Africa are more engaged than others. Gender TB Malaria HIV

  14. The business sector brings unique strengths to the fight against TB • Private sector companies…. • …can implement comprehensive workplace TB education efforts • have daily access to their workers… to screen, to treat, to support those on treatment • have unique opportunities to reach out to communities where they operate • AND… • Can urge and support companies in their supply chain to do the same • can apply the core competencies they use in day-to-day operations, such as IT and communications, product distribution, marketing • can be powerful advocates on TB issues by engaging with the public sector

  15. Benefits of Business Engagement For the employee: • Treatment adherence made easier • No loss of wages • Lower cost of treatment (or free) • Minimizes the stigma around TB among employers/ employees For the company: • Building healthier workforces (prompt tx, reduced transmission) • Cost-saving by reduced absenteeism, staff turnover and re-training • Savings on medical insurance and direct medical costs • Opportunity to concretely demonstrate its social commitment • Means to build goodwill and reputation 15

  16. Benefits of Business Engagement For the community: • TB management cures people, returning them to an active, productive life, which in turn benefits their children and other dependents For the national TB program: • Reaching the ‘unreached’- new routes to potential new patients, increased national coverage • Extra resources: infrastructure, providers, management skills • Standardization of quality TB care (PPM)  can cut diagnostic delays, increase treatment rates Successful engagement on TB requires cross-sectoral collaboration with government, communities and business each playing their unique and important role. 16

  17. Thank You!

  18. Member Opportunities

  19. Washington DC, June 7&8- Two day conference and awards dinner • Track 1: Smarter Strategy, Planning and Financing • Track 2: Smarter Program Design and Implementation • Why you should attend……. • Find out about innovative, best practices in global health and development • Get practical steps to stretch investments, get bigger results and improve ROI • Discover funding and co-financing opportunities • Expanded networking opportunities For more information and to register visit: http://conference.gbcimpact.org

  20. Southern African Events 2010 • TB Workshop: Increasing Corporate Engagement on TB. KwaZulu Natal, May 31st • Youth Day Event: HIV Prevention in Youth Johannesburg, June 24th • Women’s Day Event, Johannesburg, August 5th • Southern African Conference: TB & Global Fund Engagement, Johannesburg, October 11-13

  21. Southern African Events 2010 • Motherland Tour Concert • Sun City, 6 March 2010 Link: http://www.bit.ly/motherlandtour • Leading African Women’s Forum • Sun City, 7 March 2010 Contact: Louis DaGama: Director, Princess of Africa Foundation. Email: louis@princessofafrica.com

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