Johannesburg, 11 th October 2010

1. Business Action On TB Adjo Mfodwo Global Business Coalition on HIV/AIDS, TB and Malaria Johannesburg, 11th October 2010

2. Presentation Outline • Rationale for business engagement • GBC approach to Business engagement on TB • How some companies are taking action • Benefits of business engagement

3. Why is TB a business issue? • Three quarters of those who become ill with TB are between the ages of 15 and 54 i.e. people in their prime working years • In the workplace TB causes decreases productivity, disrupts workflow and increases both direct and indirect costs for business • TB is a community issue, goes beyond the workplace Worldwide, TB results in a decline in worker productivity totaling over $12 billion and a loss of income totaling $16 billion every year. • (World Economic Forum: Tackling Tuberculosis: The Business Response-Feb 2008)

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

5. 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 5

6. GBC company interviews revealed 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

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

8. GBC strategic approach to TB engagement Strategic Objective: To lead, structure and catalyze corporate action on TB

9. The spectrum of options:Every business can contribute! Source: WHO High Level Families, Communities and beyond Comprehensive workplace programme Treatment and care Diagnosis Low Level Referral Awareness

10. Business 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 their core competencies to the fight • Can be powerful advocates on TB issues by using their platforms and engaging with the public sector

11. Selected outcomes of business engagement Convenings Technical Support Tools & Resources Partnerships • High-level events • to raise awareness • and promote • advocacy • Rio • NYC • Washington DC • 400+ people • trained in global • technical • workshops: • China • Kenya • Russia • South Africa • TB Case Studies • Publication • TB e-learning • module • Workshop reports • IPIECA-GBC TB • publication • Booz-GBC Oil & • Gas industry • survey • Lilly MDR-TB • Partnership • Oil & Gas industry • partnerships • National TB • treatment centre • partnerships with • SA Government

12. Examples of GBC Member Engagement Core Competence Advocacy Workplace Community Eli Lilly BD Volkswagen Barrick Gold • Partnerships to combat MDR-TB in SA, China, Russia & India • Technology Transfer • Healthcare Worker Training • Advocacy & Awareness • BACTEC™ MGIT™ 960 • Lab Worker Training • Integrated TB & HIV Services • Environmental controls • Peer educators • Monitoring & Evaluation • Government Partnership- On site National Treatment Centre in South Africa • Mass awareness campaigns in mining communities • Peer educators • Integrated TB & HIV education

13. Benefits of Business Engagement For the employee & community: • Treatment adherence made easier e.g. no loss of wages, lower indirect costs • Reduces the stigma associated with TB among employers/ employees For the company: • Building healthier workforces (prompt tx, reduced transmission) • Cost-saving by reduced absenteeism, staff turnover and re-training • Many relationship and reputational benefits For the community: • TB management cures people, returning them to an active, productive life, which in turn benefits their partners, children and other dependents For the national TB program: • Reaching the ‘unreached’- new routes to potential new patients, increased national coverage • Additional resources (infrastructure, providers, management skills) and Standardised care. 13

14. Thank You!