Engaging the Private Sector and Developing Partnerships to Advance Health and the Sustainable Development Goals—A Workshop Series
October 27–28, 2016
215 Euston Road
London, UK NW1 2BE
The Forum on Public–Private Partnerships for Global Health and Safety (PPP Forum) fosters a collaborative community of multisectoral leaders from business, government, foundations, humanitarian and professional organizations, academia, and civil society to leverage the strengths of multiple sectors and disciplines to yield benefits for global health and safety. The PPP Forum is premised on the understanding that partnerships among these stakeholders can facilitate dialogue and knowledge exchange; use innovation and technological and process efficiencies; and synergistically advance humanitarian, international development, and global health interests. The U.S. National Academies of Sciences, Engineering, and Medicine provides a neutral, evidence-based platform through which the PPP Forum is convened.
The 2-day public workshop has been planned by an ad hoc expert committee. The intended audience is the PPP Forum members and the organizations they represent, other public and private entities that have participated in or are considering collaboration across sectors to further global health and safety, and academics and researchers across multiple disciplines who are focused on understanding the value proposition and effect of various models of public–private partnerships (PPPs) to advance health and the Sustainable Development Goals (SDGs).
The SDGs are 17 specific goals and 169 associated targets that set quantitative objectives across the social, economic, and environmental dimensions of sustainable development, all to be achieved by 2030. Health has been recognized as crucial for sustainable human development and an essential contributor to the economic growth of society. The 2030 Agenda offers an opportunity to acknowledge health as pivotal to economic growth and sustainable development. The SDGs explicitly recognize the centrality of health to development in Goal 3, which is devoted to “Ensure healthy lives and promoting well-being for all at all ages,” and includes nine targets (excluding those on means of implementation).
However, beyond Goal 3, many of the SDGs include targets that are essential to address the environmental and social determinants of health. For example, under Goal 2 are targets that call for ending hunger in vulnerable populations including infants, and ending all forms of malnutrition. Under Goal 5 are targets that focus on the elimination of harmful practices that influence gender disparity and health, and call for the universal access to sexual and reproductive health. Goal 6 includes targets that promote universal and equitable access to safe and affordable drinking water, and access to adequate and equitable sanitation and hygiene. Under Goal 11 are targets that call for access to basic services, energy, housing, transportation, and others that influence health. Reduction of waste that affects human health and the environment is a target under Goal 12. Several other goals have targets that make a call for ending factors that promote health disparities.
Goal 17 of the SDGs, “Strengthen the means of implementation, and revitalize the global partnership for sustainable development,” is acknowledged to be a crucial mechanism for achieving the goals. PPPs are currently used in different sectors with evidence indicating that they are most widely established in health care, infrastructure, water supply, and agriculture. PPPs can combine the strengths of private actors, such as innovation, technical knowledge and skills, managerial efficiency, and entrepreneurial spirit, and the role of public actors, including social
responsibility, social justice, public accountability, and local knowledge, to create an enabling environment for delivering high-quality health infrastructure and services. Despite the increased popularity of PPPs in developed and developing countries and the increased attention of PPPs in the SDGs, there still exists skepticism around notions of partnerships and its forms. Questions as to their actual effectiveness, efficiency, and convenience still remain.
However, it is documented that the private sector has been tapped to act as a major driver for success in pushing forward the SDGs, with the United Nations (UN) secretary-general making a compelling call for “responsible companies to deliver solutions.” There is growing recognition that the private sector is seen not only as a source of financing in this process but also as a partner in national development and development planning. The case has been made that every company, large and small, has the potential to make a very significant contribution toward shared economic, social, and environmental progress whether through core business operations and value chains, social investments, philanthropic contributions, or advocacy efforts. As illuminated in the PPP Forum’s December 2015 workshop on shared value in global health, investing in health can contribute to national development through increased productivity, improved employee health and well-being, and improved population health.
Since the announcement of the SDGs, countries have been mapping out their national action plans, updating health and development information, reviewing national priorities, assessing the focus of current international development assistance and determining which policies, laws, and strategies are already aligned with SDG targets and what changes are needed. In this process, many are identifying opportunities for greater alignment and effectiveness in reaching their goals through partnerships.
Considering this context, the PPP Forum is convening a workshop series to examine opportunities for the private sector to engage in partnerships to advance health and the SDGs, especially in low- and middle-income countries. Part I of the series explored the global context for the SDGs, especially regarding expectations of opportunities for the business community and how individual companies are approaching this challenge in their business plans and social investments. The second workshop of the series is being held October 27–28, 2016, in London with the objectives to better understand perspectives on PPPs from stakeholders in countries across all income levels that are critical to planning for and implementing the SDGs. Sessions will explore how PPPs can advance the
social, environmental, and economic development agenda of countries and facilitate multisectoral dialogue on what is and is not working to make progress. Finally, participants will seek to identify elements critical to the creation of an effective enabling environment and the mutual trust needed for effective PPPs.
Through the workshop series, PPP Forum members, workshop speakers, and participants have explored the potential development of a “framework” that could help shape effective PPPs for health results through the SDGs at country level. Such a framework would be based on two key assumptions: the broad definition of health and health determinants, and that the parties in the partnership have a shared understanding of both the health and development status and identified priorities of the country. With the call for all countries to articulate their priorities for achieving the SDGs over the next 15 years, there is an unprecedented opportunity to share and align priorities for partnership development.
Speakers, forum members, and other participants are asked to consider in advance and during the workshop the following potential elements of a PPP framework that have been called “what ifs” to promote discussion of the components of such a framework:
What if businesses approached their engagement in health PPPs based on SDG priorities that have been identified by countries through their national plans?
- The partnership is built from the beginning on a clear, shared sense of purpose and common health objectives based on country-set priorities. Perhaps increased coherence between the private sector and national development plans can more successfully ensure that the delivery of resources matches the objectives of the country, and change can be more sustainable.
What if businesses had clear definition of the core knowledge, skills, resources, and assets they are prepared to bring into a PPP to support a country’s outlined SDG and health priorities?
- Avoiding duplication and moving toward complementary engagement
- Increasing potential for leveraging other resources (see question 3) and building capacity needed for sustainable change
- What if multiple businesses across sectors had a better understanding of how to coordinate and collaborate on their engage
ment in-country while working toward separately targeted health priorities based on their core competencies?
- Building coherence across business engagement in countries to advance health and identified SDG priorities
- Opening opportunities for business-to-business partnerships
- Facilitating transformational partnerships
October 27, 2016
|Jeremy Farrar, Wellcome Trust|
|9:20 a.m.||Introduction to the Workshop from the Planning Committee Co-Chairs|
|Jo Boufford, The New York Academy of Medicine|
|Renuka Gadde, Becton, Dickinson and Company (BD)|
|9:30 a.m.||Health, Economic Development, and Human Development Within the Context of the SDGs|
|Pedro Conceição, United Nations Development Programme|
|10:15 a.m.||Business Investments to Promote Country Ownership and the SDGs in Africa|
|Marcel Mballa-Ekobena, Independent Investment Director, Institutional Funds–Sub-Saharan Africa|
|11:15 a.m.||Moderator: Christian Acemah, Uganda National Academy of Sciences|
|Nelson Sewankambo, Uganda National Academy of Sciences|
|Angela Akol, FHI 360|
|Margaret Kigozi, Business and Professional Women, Uganda|
|2:00 p.m.||Spotlight Discussion: Andrew Jack, Financial Times|
|2:15 p.m.||Moderator: Simon Bland, UNAIDS|
|Kira Fortune, Pan American Health Organization|
|Alexander Schulze, Swiss Agency for Development and Cooperation|
|Chris Bruce, British Telecom|
|3:45 p.m.||Lord Mark Malloch-Brown, Business and Sustainable Development Commission|
|4:30 p.m.||Moderator: Jo Ivey Boufford|
|Civil Society Engagement to Monitor Public-Sector Commitments|
|Beck Smith, Save the Children|
|Opportunities for Law, Governance, and Regulatory Design in Improving Accountability of PPPs|
|Roger Magnusson, University of Sydney|
|5:30 p.m.||RAPID ASSESSMENT OF DAY 1 AND OUTLINE FOR DAY 2|
|5:45 p.m.||INFORMAL RECEPTION|
October 28, 2016
|8:45 a.m.||Recap of Day 1 Key Messages|
|9:00 a.m.||Moderator: Jo Ivey Boufford|
|Engaging at the Global Level to Catalyze Partnerships at the Local Level|
|Mozammil Siddiqui, Gavi, the Vaccine Alliance|
|Kevin Etter, United Parcel Service (UPS)|
|Strengthening Laboratory Capacity to Scale Prevention, Treatment, and Care|
|Jane Mwangi, U.S. Centers for Disease Control and Prevention (CDC) Kenya|
|Renuka Gadde, BD|
|10:45 a.m.||Moderator: Renuka Gadde|
|Building Capacity in Scientific Research and Innovation to Support Development Through Regionally Led Partnerships|
|Frans Swanepoel, Future Africa Institute|
|Tim Genders, Project Isizwe|
|Partnering to Address Local Health Priorities|
|Maureen Kamene Kimenye, Ministry of Health, Kenya|
|Honorable Ahmed Sheikh Mohamed, Mandera County Health Section, Kenya|
|Benjamin Makai, Safaricom|
|12:15 p.m.||Facilitators: Jo Ivey Boufford and Renuka Gadde|
|1:15 p.m.||ADJOURN WORKSHOP|