THE INTERSECTION OF PHILANTHROPY AND SUSTAINABLE HEALTH FELIX OSEI-SARPONG USAID GHANA, HPNO Presented at GIC Conference ACCRA. September 14, 2012
PHILANTHROPY Philanthropy: In modern practical terms, it is "private initiatives for public good, focusing on quality of life“.
Philanthropy is the mystical mingling of a joyous giver, an artful asker, and a grateful recipient. Douglas M. Lawson
SUSTAINABLE HEALTH: • A definition of sustainable healthcare is given by the journal Nutrition Practitioner as - "A complex system of interacting approaches to the restoration, management and optimization of human health that has an ecological base, that is environmentally, economically and socially viable indefinitely, that functions harmoniously both with the human body and the non-human environment, and which does not result in unfair or disproportionate impacts on any significant contributory element of the healthcare system."
TRENDS IN GLOBAL PHILANTHROPY • Global philanthropy, remittances, and private capital investment totaled $575 billion in 2010 (latest available data), accounting for 82% of the developed world’s economic dealings with developing countries. • Government aid grew to one of its highest levels at $128 billion, it accounted for only 18% of total financial flows and continues to be a minority shareholder in the international development landscape. Source: Center for Global Prosperity’s 7th annual Index
TRENDS IN GLOBAL PHILANTHROPY cont. • Foreign assistance has been reinvented over the last decade, as private philanthropy and public‐private partnerships have taken on an ever more important and larger role in the delivery of assistance. • In 2010, 82% of the developed world’s total economic engagement with the developing world was through private financial flows, including investment, philanthropy, and remittances.
TRENDS IN GLOBAL PHILANTHROPY cont. • • • •
Rise of remittances Relative decline of ODA’s importance Technology’s impact (disintermediation) Rise of social entrepreneurship, social enterprise, social finance, and expanding hybrid cross-sectoral (nonprofit <->for profit) universe • These flows have proven to be sustainable even in the face of global recession.
U.S Total Net Economic Engagement with Developing Countries, 2010
INTERSECTION BETWEEN PHILANTHROPY AND SUSTAINABLE DEVELOPMENT
PHILANTHROPY AND SUSTAINABLE HEALTH IN GHANA • Ghana has benefitted immensely from many years of philanthropic initiatives in the health Sector. • Philanthropic funds have served as catalyst for so many health initiatives. • The health status of many Ghanaians have improved through the generous donation of philanthropic organizations.
FUTURE OF PHILANTHROPY IN GHANA
• Ghana is likely to face decline in donor funding in light of its middle income status. • Philanthropic contribution will be essential to support Government in the sustenance of a number of health development programs.
FUTURE OF PHILANTHROPY IN GHANA • Multilateral and bilateral agencies are increasingly recognizing the impact of philanthropy and remittances and the value of including civil society in aid discussions.
• Governments are also increasingly expressing interest in better measures of their philanthropy.
DRAFT COUNTRY DEVELOPMENT COOPERATION STRATEGY (CDCS, 2013-2017) RESULTS FRAMEWORK REVISED 06/06/2012
GOAL:
Ghana's Transition Towards Established Middle Income Status Accelerated
DEVELOPMENT OBJECTIVE 1: Strengthened Democratic Governance
DEVELOPMENT OBJECTIVE 2: Sustainable and Broadly Shared Economic Growth
DEVELOPMENT OBJECTIVE 3: Equitable Improvements in Health Status
DEVELOPMENT OBJECTIVE 4: Improved Reading and Maths Performance in Primary School
RESPONSIBILITIES OF PHILANTHROPIC ORGANIZATIONS • Ownership of the beneficiary: The indispensible requisite • Continuity and matching funds are crucial • Independent process monitoring is required • Comparative analysis of programs and of project results • Networking among donors, exchange of experience • Ultimate potential of collaboration: Identification of development paths in mutual interest Co-ordinated time planning and shared investment
WAY FORWARD FOR SUSTAINABLE HEALTH • Create policies for philanthropy as an investment in society. • Develop an inclusive environment for philanthropic investment. • “Professionalize” the field. • Improve collaboration, communication, and knowledge sharing. • Mobilize “field level” leadership behind this agenda (sustainable Health ).
“A sustainable health system also has three key attributes: affordability, for patients and families, employers, and the government; acceptability to key constituents, including patients and health professionals; and adaptability, because health and health care needs are not static (i.e., a health system must respond adaptively to new diseases, changing demographics, scientific discoveries, and dynamic technologies in order to remain viable)�. A Successful and Sustainable Health System — How to Get There from Here Harvey V. Fineberg, M.D., Ph.D. N Engl J Med 2012; 366:1020-1027March 15, 2012
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