Cape Town, 23rd February 2009

TB : Rationale for Corporate Action

Adjo MfodwoGlobal Business Coalition on HIV/AIDS, TB and Malaria

Tuberculosis Incidence

» 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

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

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Number of new TB cases by country, 2007

4Source: WHO Over 1 million

Rate of new TB cases per 100,000 pop, 2007

5Source: WHO Over 300 per 100,000 pop

HIV prevalence in new TB cases, 2007

6Source: WHO> 50%

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)

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

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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 epidemicsDemonstrated capacity in corporate mobilization: 220+ members on 5 continents

Extensive network in Africa, supported by: Offices in Johannesburg, Nairobi and ParisRobust infrastructure in New York

Experienced broker for public-private partnerships:Private Sector Focal Point at the Global Fund to Fight AIDS, TB & MalariaStrong relationships with Stop TB, PEPFAR, PMI, GTZ

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

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Broad Areas of Engagement Definition

I.Workplace and Employee Engagement (HIV)

HIV/AIDS PolicyPrevention and education programsPrograms that enable people to determine their HIV status and support deal with the outcomeAccess to treatment support and care

II.Core Competency Donations by companies of products, services and expertiseExtending policies and programs to suppliers and business associates

III.CommunityCollaboration between business and the public sector, and NGOsPhilanthropic donations from companies

IV.Advocacy and Leadership

Business leaders promoting change and taking leadership role in fight against HIV/AIDSDocumentation and reporting on outcomes of programs. Monitoring and evaluation of these programs

V. HIV/AIDS & Gender

Targeted, gender-appropriate interventions for HIV/AIDS recognizing that men and women have different cultural and biological needs and vulnerabilities relating to the epidemic

VI.Tuberculosis and Malaria

Existence of programs appropriate for the companies workforce and the communities in which they operate

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

TB engagement surveyed

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

GBC company interviews reveal that….

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

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The business sector brings unique strengths to the fight against TB

Private sector companies….…can implement comprehensive workplace TB education effortshave daily access to their workers… to screen, to treat, to support those on treatmenthave unique opportunities to reach out to communities where they operate

AND…Can urge and support companies in their supply chain to do the samecan apply the core competencies they use in day-to-day operations, such as IT and communications, product distribution, marketingcan be powerful advocates on TB issues by engaging with the public sector

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

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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.

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Thank You!

Member Opportunities

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

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

Southern African Events 2010

» Motherland Tour Concert- Sun City, 6 March 2010Link: http://www.bit.ly/motherlandtour

» Leading African Women’s Forum- Sun City, 7 March 2010Contact: Louis DaGama: Director, Princess of

Africa Foundation.Email: louis@princessofafrica.com