PSI Corporate partnerships impact report 2014

CORPORATE PARTNERSHIPS I M P A C T

R E P O R T

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Photo Credit: Regina Moore

DEAR PARTNERS & FRIENDS, For over 40 years in more than 65 countries, Population Services International (PSI) has used markets, embraced marketing, and delivered cost-effective health impact at scale to poor and vulnerable health consumers. Our success and long-term commitment to the people we serve has been possible through partnerships with governments, corporations, other NGOs, and local stakeholders.

Building solutions to the world’s greatest health challenges requires approaches that create and share value at all levels, and across all sectors. Only by focusing on the triple bottom line and the three pillars of sustainability -- people, planet and profits -- can we advance the global development agenda.

Partnering with business has taught us about being agile, failing faster, and embracing the right risks, in a sector that is traditionally very risk-averse. In 2014, we were proud to partner with 14 major corporations that support nearly half of PSI’s global network members in innovative ways.

For example, working through PSI’s teams on the ground, together we provided over 360 million liters of clean drinking water to those in need; developed a framework to guide NGOs through new funding mechanisms; mobilized resources to address the Ebola crisis in West Africa; and shared knowledge and expertise to improve our operations in nearly a dozen countries.

We are proud of what we have achieved with our corporate partners in 2014, and we look forward to doing more together in the coming years.

Sincerely,

Karl Hofmann President/CEO

C0NTENTS 04 06 08 10 12 14 18 20 22

2014 Partnership Impact

Where We Work

Marketing Products and Services

Franchising for Health

Communicating for Social Change

Innovations: Noncommunicable Diseases

Building Capacity

Thought Leadership

Where We’re Going

Photo Credit: Talmar Soe

2014 PARTNERSHIP IMPACT TOGETHER WITH OUR PARTNERS IN 2014, WE:

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WHERE WE WORK PSI is proud to partner with 14 motivated and strategic corporate partners in nearly 30 countries. Our collaborations span across PSI’s priority health areas and throughout each of our focus regions, and continuously grow and evolve as health needs change.

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MARKETING PRODUCTS AND SERVICES PROVIDING SAFE DRINKING WATER AROUND THE WORLD This year, we are excited to celebrate ten years of partnership on Procter & Gamble’s (P&G) signature health and hygiene program, P&G Children’s Safe Drinking Water (CSDW). Through CSDW, P&G works with partner organizations to raise awareness of the clean water crisis and provide clean water to people in need. As a long-term partner, P&G provides funding to nine of our network members to buy water treatment products and provide behavior change education programs to support the provision of household water treatment using P&G water purification technology. P&G’s packets–P&G Purifier of Water– are effective in purifying highly turbid water and are particularly suited for emergency use.

In February of 2014, we kicked off a landmark public-private partnership with P&G and the United States Agency for International Development (USAID). With a joint investment, we will distribute 10 million packets of P&G Purifier of Water, producing 100 million liters of clean drinking water in Myanmar.

At the launch event in Myanmar, we were honored to host distinguished guests USAID Administrator Rajiv Shah, USAID Myanmar Mission Director Chris Milligan, and P&G Vice President for Global Government Relations, Carolyn Brehm.

Carolyn Brehm of P&G and Dr. Rajiv Shah of USAID celebrate the program launch in Myanmar.

I want mothers and families to learn ways to take better care of their children’s health. Diarrhea is preventable and so, we should be good role models for our children by washing our hands with soap and ensuring that our water is safe to drink”.

– Dr. Aye Aye Mu, PSI/Myanmar Sun Quality Health network provider

Over the next two years, hundreds of such training activities will be carried out across Myanmar, led by PSI facilitators, educating mothers and children on how to use P&G Purifier of Water packets with simple tools available at home – a ladle or long spoon, a bucket for the purified water, a cloth to filter and, of course a packet of P&G Purifier of Water.

CONGRATS P&G! In 2014, P&G’s CSDW program reached a major milestone. Since the program’s inception, P&G Purifier of Water packets have treated 7 billion liters or water.

That’s one liter of water for each person on the planet!

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INCREASING ACCESS TO HIV PREVENTION SERVICES IN LESOTHO GOOD CENTS: HIV

In partnership with Johnson & Johnson, USAID and the Lesotho Ministry of Health, PSI piloted a one-year program to reduce HIV/sexually transmitted infection and increase access to HIV prevention services among men who have sex with men (MSM).

1,413 men were reached through peer education, community events and men’s health workshops, with messages of the importance of knowing their HIV status, getting screened for sexually transmitted infections and seeking treatment when necessary. 82,000 HIV-prevention kits were distributed, ensuring correct and consistent use of condoms and condom-compatible lubricant. HIV-prevention kits consist of a pack of two male condoms, two lubricant sachets and an instruction.

Photo Credit: Gareth Bentley

HIV/AIDS may subtract an additional 1% a year from GDP economic growth in some sub-Saharan African countries, owing to the continuing loss of skilled and unskilled workers in the prime of life.1

IMPACT STORY: HEPATITIS C PREVENTION IN VIETNAM Meet Ms. Sung: Grandmother, breast cancer survivor, coffee shop owner and seller of low dead space syringes (LDSS).

With Merck, known as MSD outside the United States and Canada, we are strengthening capacity in HCV prevention programming across multiple healthcare sectors through the world’s first-ever social marketing pilot to reduce supply and demand side barriers to safer syringe use.

By recruiting service providers like Sung to promote and sell clean LDSS, PSI is cutting down on needle sharing, which is the leading cause of HCV infection. While Sung uses subtle signs, such as a color-coded lamp to let customers know they can buy clean LDSS from her, we are also engaging in large scale marketing activities to improve access to information for those most at risk.

During the day, Sung operates a neighborhood coffee shop out of her home in Vietnam. But she’s open for business at all hours.

“I sell LDSS anytime someone knocks on my door,” she says.

Sung sees the program as a win-win opportunity. By selling LDSS, she helps more than 100 people prevent HCV & HIV every day, while generating additional revenue to strengthen her business.

Sung is proud to be one of more than 1,000 outlets that are a part of PSI/Vietnam’s network to sell LDSS, ensuring that Hepatitis C (HCV) and HIV prevention products and information are available late at night after pharmacies close.

In 2014, PSI reached 10,308 at risk individuals with critical HCV prevention messaging and sold nearly 2.5 million clean LDSS. In Vietnam, there are an estimated 273,000 people who inject drugs, but prior to this program only one out of every five received harm reduction services.2 9

FRANCHISING FOR HEALTH GOOD CENTS: MATERNAL HEALTH Pregnancy-related deaths of women and newborns are estimated to cost the world at least $15 billion in lost productivity every year.3

IMPROVING MATERNAL HEALTH IN UGANDA In 2012, MSD for Mothers founded the MSD for Ugandan Mothers Program (MUM) in partnership with PSI and our network member in Uganda, PACE. The three-year commitment brings together the key components of the maternal health ecosystem to improve private sector quality, accessibility and affordability of care in Uganda.

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ACCESS TO INFORMATION Maama Ambassadors provide education, sell essential maternal health products and facilitate referral and transport to facilities for care. We trained 232 Maama Ambassadors in 2014, reaching 11,018 pregnant women.

PRIVATE HEALTH PROVIDERS MUM is helping to expand PACE’s ProFam franchise network of private health clinics. In 2014, we expanded into 44 districts with an additional 89 clinics joining the ProFam network. Currently 120 ProFam facilities are part of the MUM project, offering comprehensive maternal health services.

FINANCING Through MUM, women are able to access affordable care through community savings and insurance schemes that they otherwise could not afford. Since the start of the pilot schemes in March 2014, ProFam clinics accepting the insurance performed 1,147 client visits, including 32 antenatal care visits and 25 deliveries.

ACCESS TO MEDICINE MUM is developing a sustainable supply chain for maternal health products through wholesale pharmacies and drug shops to ensure that women have access to the medicine they need.

COMMUNITY SUPPORT MUM clubs allow pregnant women to meet with and support other moms in their village.

TRANSPORTATION TO CARE Working through Transaid and with local motorcycle taxi drivers, MUM is developing models to ensure women can get to a health facility for check-ups and to deliver their baby. Through MUM, a total of 1,021 mothers were transported to facilities by 168 trained riders.

QUALITY ASSURANCE MUM builds providers’ capacity to offer high-quality, and quality assured maternal health services. An additional 125 providers were trained on quality assurance.

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COMMUNICATING FOR SOCIAL CHANGE FIGHTING MALARIA IN CAMEROON Every day, malaria threatens the lives of nearly half the global population. This entirely preventable and treatable mosquitoborne illness caused more than 600,000 deaths and an estimated 207 million cases in 2012.4

You do it because it’s the right thing to do.

But also it makes very good business sense.”

– Suzanne McCarron, President, ExxonMobil Foundation

Malaria is a great burden to households and health care systems, and impedes economic development in endemic countries. Companies around the world – from local businesses to multinational corporations – are leveraging their resources and expertise to drive progress against malaria in the communities in which they work.

We know that prevention, testing and treatment of malaria go far beyond the initial investment. In addition to saving lives, investing in malaria control accelerates progress for other health and development goals. Suzanne McCarron, President of the ExxonMobil Foundation, says, “each dollar that keeps a young person malaria-free also helps keep him or her healthy enough to attend school– and be well enough to succeed.

Malaria control efforts also strengthen health care systems at large: for instance, bed nets not only protect families from catching malaria, they also prevent other mosquito-borne diseases like dengue fever. Lastly, ensuring that adults remain free of malaria allows them to better support their families and communities, helping countries reach their full economic potential.”

Together with ExxonMobil, we’re fighting malaria by targeting over 132,000 people along their pipeline in Cameroon. Working with local government, community health workers and 128 trained health care providers, we’ve delivered public education campaigns, distributed insecticide treated bed nets, and rapidly diagnosed and treated malaria, thereby reducing the number of preventable deaths due to the disease. At the district hospital in Kribi alone, which benefits from the project’s training and supervision, the percentage of deaths due to malaria was 13% by May 2014, compared with 26% over the first half of 2013.

The partnership with ExxonMobil is essential. With the support of the private sector, we can accelerate the fight against malaria.

The government alone will not be able to achieve this goal.”

– Andre Mama Fouda, Minister of Public Health, Cameroon

To ensure our health impact is long lasting, we help families adopt healthy behaviors such as consistent and proper bed net use. We took an integrated approach to addressing the needs of the community by expanding the impact of the program to include life-saving services to treat diarrhea and pneumonia, two other leading causes of child deaths.

GOOD CENTS: MALARIA Malaria affects approximately half of the world’s population. In high transmission areas, malaria decreases GDP by as much as 1.3% every year. 5

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Our collaboration is helping to reduce health care spending, absenteeism and lost revenue that cost African families and countries billions of dollars in direct costs and lost productivity each year.

Recognizing the widespread benefits of investing in malaria, we are proud to work with ExxonMobil, governments and the global malaria community to fight this disease.

Photo Credit: Jackie Presutti

BUILDING BRIGHTER FUTURES THROUGH HANDWASHING Pneumonia and diarrhea remain the leading causes of deaths in children under five, with 6,000 children dying every day. We are working together with Unilever and local governments to address these preventable deaths by creating a culture of handwashing with soap in schools and communities.

THE LIFEBUOY SCHOOL OF 5 PROGRAM We partner with Unilever on the Lifebuoy School of 5 program. The 21-day behavior change communication program developed by Lifebuoy, Unilever’s leading soap brand, allows teachers and community health workers to engage school-aged children to change behaviors through handwashing programs and activities, such as song writing, comic books and pledges.

We know that when children learn and understand healthy behaviors, they help pass on life-saving information to their families at home and future generations – setting off a powerful ripple effect.

SPOTLIGHT: LIFEBUOY & SAFEWAT IN VIETNAM In Vietnam, we’re driving home the importance of integrating handwashing with safe drinking water.

By packaging Lifebuoy soap with PSI’s water purification solution, SafeWat, we have increased product visibility and reinforced the message. We have expanded distribution through rural consumer goods and pharmacy outlets in two provinces.

PSI designed an innovative ‘clip strip’ display to help crowded rural outlets improve visibility of Lifebuoy soap and SafeWat household water treatment for rural customers in need of both products.

We’ve worked hard on targeting common misconceptions such as, if water looks or smells clean, it is safe to drink. From March to August of 2014, we reached 4,059 caregivers through faceto-face outreach.

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INNOVATIONS: NONCOMMUNICABLE DISEASES GOOD CENTS: NONCOMMUNICABLE DISEASES (NCDs) NCDs are estimated to cause cumulative global economic losses of $47 trillion by 2030—equivalent to approximately 75% of the 2010 global GDP. The economic toll for low­and middle­income countries alone is projected to reach $21 trillion.6

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PSI has strategically focused on combating cervical cancer, diabetes and hypertension. We are innovating with private sector partners to incorporate screening and treatment of NCDs to help those at risk manage or avoid these preventable diseases. By leveraging the 10,000 private health clinics that are part of PSI’s global social franchise network, and building on the products and services these franchises offer, we will ultimately reduce the burden of NCDs on health systems worldwide.

REDUCING HYPERTENSION IN KENYA In partnership with PS Kenya*, AstraZeneca has launched Healthy Heart Africa to treat 10 million people in Africa for hypertension by 2025. We are pioneering this program by leveraging the health services offered by our Tunza clinics. Our goal is to improve the health of people at risk for hypertension by increasing awareness and education of risk factors, improving training and treatment guidelines for providers, and improving access to quality hypertension screening and treatment, and affordable medications. *PS Kenya, formerly PSI/Kenya, is an independent, locally registered entity that remains part of the PSI network.

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IMPACT STORY: HELPING MOMS STAY HEALTHY DURING PREGNANCY With support from Novo Nordisk and the World Diabetes Foundation, PASMO* is working through Red Segura social franchises in Nicaragua to offer prenatal clients access to screening, diagnosis and treatment for gestational diabetes mellitus (GDM). The program is strengthening capacity in four private sector hospitals that serve beneficiaries of the national social security system, and helping new moms, like Margarita in the story below, build the foundation for a healthy life for themselves and their families.

A mother of two with a third baby on the way, Margarita worries about her health and her ability to care for her family.

She works hard in her home, preparing meals, doing laundry, cleaning the house, and taking care of her two sons, Carlos and Jaime. She is 6 months pregnant with her third baby, and was recently diagnosed with GDM on her latest prenatal visit to her local Red Segura clinic.

providers that PASMO has trained, including lab technicians, nurses, physicians, and nutritionists, on how to properly diagnose, treat, and educate women to manage GDM during pregnancy. She says, “Mothers are the agents of change in their household due to their important role as caregiver. The nutritional counseling women receive through this program is not only helping to improve their health, but also the wellbeing of their family by promoting healthy eating and lifestyle choices at home”.

Concerned at first about what GDM meant for her and the health of her baby, Margarita talked with her doctor and enrolled in the GDM management program, which includes weekly consultations with a nutritionist, To date, a total of 1,605 women in Nicaragua have been screened for GDM a personalized nutrition and exercise plan and through this program, and, like Margarita, 305 have been diagnosed for regular glucose testing. As part of the program she GDM and offered both treatment and lifestyle interventions. also receives text message alerts with reminders and tips about how to stay healthy during her pregnancy. Getting her blood sugar in control is key for a healthy pregnancy and a safe birth, and to ensure that her baby With the help of Dr. Ramirez and the GDM program, Margarita is not born with an increased risk of developing diabetes later was reassured that her baby would be born healthy. She can in life. now focus on her most important aspiration: that her children study hard, do well in school, and go far in life.

Her doctor is excited to be able to offer such a program to patients like Margarita. Dr. Ramirez is one of 113 health *PASMO is PSI’s local affiliate in Central America PASMO’s Diabetes Specialist conducting an informational session on risk factors for gestational diabetes with expectant mothers at Nuevo Hospital Monte España as part of World Diabetes Day activities.

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IMPROVING PREVENTION, TREATMENT AND MANAGEMENT OF DIABETES IN INDIA THE PROBLEM

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OUR SOLUTION Enter Project UDAY. Working hand in hand with Eli Lilly and Company through their Lilly NCD Partnership, PSI and program partners PHFI and Project Hope began Project UDAY, a comprehensive approach to improve prevention, treatment and optimal management of diabetes and high blood pressure in India.

Our approach is two fold. We use mass media to educate the public on diabetes and its risk factors, which will lead to increased self-referral and prevention. We also educate private healthcare providers on screening and tracking of patients with diabetes, as well as the correct handling, prescribing and dispensing of insulin.

To date, we have trained over 260 health care providers in identifying people with diabetes or those at risk of the disease. This includes 136 pharmacists, who are often the primary point of contact for health needs in the region.

In addition to training on database maintenance, and correct dispensing and filling of prescriptions, we also work with providers to develop their capacity to advise patients on treatment adherence and lifestyle modification.

Through this pilot program, we will reach 400,000 adults in Haryana and Andhra Pradesh. Once the pilot demonstrates successful patient and health system impact, we intend to advocate for scale up of the program nationwide, helping people live happier, healthier lives across India.

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Photo Credit: Gurmeet Sapal

BUILDING CAPACITY PFIZER EXECUTIVE GLOBAL HEALTH TEAM PROGRAM Since 2003, Pfizer and PSI have partnered on Pfizer’s Global Health Fellows (GHF) program. The Pfizer fellows have volunteered their expertise to various PSI country offices serving three to six month assignments centered on improving PSI’s sales, marketing and supply chain operations.

In 2014, building on our long history of successful partnership, we hosted the first Pfizer Executive Global Health Team (PEGHT). Developed in collaboration with Pxyera Global, the program was a terrific example of partnership for both Pfizer and PSI. Twelve Pfizer senior executives volunteered their skills representing functions such as research and development, commercial operations and legal affairs. At Pfizer, these colleagues are responsible for significant annual operations and oversee thousands of employees.

This partnership helped to further educate Pfizer leaders on how the social sector delivers health products and services, and offered them insights into emerging markets. The PEGHT team visited PSI programs in Ethiopia and India. The team conducted site visits and in-depth meetings with local and national governments, donors, partner NGOs, and local private sector players.

Through these experiences, team members developed their understanding of the role that NGOs and corporations play in global development.

The PEGHT made a set of strategic recommendations to PSI that will help us remain agile in the face of transformative changes in the development field. Ultimately, these recommendations will aid PSI in continuing to be at the forefront of bringing important health interventions to those that need them the most.

I observed firsthand the delivery of healthcare in India and the complexities that healthcare workers face on a daily basis in the developing world. I left the experience with a much clearer understanding and appreciation of the role of NGOs in the delivery of health solutions and the critical importance of public-private partnerships in addressing unmet health needs.”

– Chris Scully, Chief Commercial Officer, Pfizer Global Established Pharma Business

Pfizer staff participating in a community health event in Uttar Pradesh, India. PSI community health workers teach family planning through interactive sessions.

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Partnering with PSI on the recent Executive Global Health Team experience was a wonderful opportunity for Pfizer. Our senior leaders were able to share their business acumen to help PSI advance its public health mission. In return the Pfizer participants developed their own new insights regarding healthcare delivery in emerging markets. It was a win for both partners!”

Immersive global pro bono programs are quickly emerging as the new model for corporate leadership development due to their ability to engage employees in new cultures and communities abroad while building leadership skills and strengthening employee-company relationships.”

– Deirdre White, CEO, Pyxera Global

– Caroline Roan, VP, Corporate Responsibility, Pfizer; President, Pfizer Foundation

Dow employees working to support urban sanitation models in Ethiopia.

BUILDING URBAN SANITATION MODELS PSI and Dow worked together to support urban sanitation models for Ethiopia. Specifically, a team of talented Dow employees provided pro-bono support through the company’s Dow Sustainability Corps/Leadership in Action programs by lending their expertise in business modeling and product design to assist PSI in creating a viable franchise of pay-for-use toilets. Together, we also explored income opportunities for the collection, treatment and reuse of liquid waste. With Dow’s guidance, PSI investigated the economics of sanitation in urban areas and the potential market for waste byproducts such as fertilizer. Through collaboration, PSI and Dow worked to identify the path forward to help solve some of the urban sanitation challenges in Ethiopia and elsewhere.

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THOUGHT LEADERSHIP PARTNERSHIP ROUND TABLE In June of 2014, PSI in partnership with the Tuck School of Business co-hosted a two and a half day event, The Partnership Round Table, focused on ‘Doing Well by Doing Good’.

This event brought together leaders from the private, public and academic sectors to explore advancing today’s partnerships through ideation, strategy sessions and networking. Tuck’s campus at Dartmouth provided an intimate setting for honest conversation and good-natured debate.

Through sessions with influential business, marketing and partnership leaders, Round Table participants learned how to best capitalize on current partnerships and provide the space for new partnerships to take shape.

I found the speakers to have incredible breadth and depth on the topics they led, were very open for questions and dialogue, and complimented each other nicely.”

– Nate Lawton, Brand Director, P&G

FEATURED SESSION TOPICS INCLUDED:

I have already engaged some of my policy and communication colleagues at Bayer with some ideas about how to streamline our advocacy efforts so they are more meaningful and productive to the business and larger societal goals.”

– Gwen Mayers, Deputy Director of Advocacy Relations, Bayer Women’s Healthcare

• Global Health Simulation // Created by PSI and Tuck • A Corporations Purpose in Modern Society // Paul A. Argenti, Professor of Corporate Communications, Tuck • Fulfilling Your Brand Promise – Activating Your Cause // Kevin Keller, Professor of Marketing, Tuck • Social Marketing – Theory to Practice // Punam Keller, Professor of Management, Tuck • Reverse Innovation // Chris Trimble, Adjunct Associate Professor of Business, Tuck • Patient Centered Insights // Al Mulley, Director, The Dartmouth Center, Geisel School of Medicine

We were joined by representatives from: Accenture Development Partnerships, Alere, Bayer, Eli Lilly and Company, Merck, Novartis, P&G, Pfizer, and Zurich Insurance Group.

Please let us know if you would like to reserve a space at the 2015 Partnership Round Table.

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NUTRITION LEARNING JOURNEY We know that two billion people in the world suffer from various forms of malnutrition.12 By harnessing the power of a multi-sectoral approach in addressing undernutrition in affected countries, the full economic growth potential of the region could be unlocked.

GOOD CENTS: NUTRITION Estimates show annual investments of $347 million would provide micronutrients to 80% of the world’s malnourished population, and would yield $5 billion in improved earnings and healthcare spending.11

To that effect, in May we traveled to Ethiopia with colleagues from Nutriset, P&G and Unilever, as well as private philanthropists, to better understand opportunities that exist to work with the local public and private sector to address malnutrition in the country, and build a market with both social and financial impact. This learning journey provided access to market players, beneficiaries and stakeholders as well as government and potential partners, with guided in-depth discussion on the country’s nutrition landscape and innovative ideas for addressing the issue.

INCREASING NGO IMPACT THROUGH PRIVATE INVESTOR CAPITAL We undertook a joint effort with Zurich Insurance Group to develop a framework and highlight key considerations on the potential for private investor capital to increase NGO impact. The goal of this work was to facilitate more frequent and meaningful engagement between NGOs, investors and donors. The report identified the specific conditions in which private investor capital has the capability to help NGOs deliver greater impact with available resources while simultaneously providing investors with both social impact and a financial return. We will continue our joint work by assessing the feasibility of one of the transaction models identified in our report– that of a development impact bond– and intend to test this model in practice. Meaningful impact will only come from taking action and implementing solutions.

Download the report.

WORLD CONTRACEPTION DAY FRAMEWORK FOR ACTION World Contraception Day (WCD) takes place annually on September 26. The WCD Coalition is a partnership of 11 organizations from around the world including PSI, and is sponsored by Bayer HealthCare. In 2014, the Coalition developed a framework for action to support awareness and access to modern contraception and has called on global and national family planning and reproductive health communities to focus on the following four priorities: 1. Knowledge is power. Addressing the lack of knowledge of contraceptive methods available – from short acting methods to LARC* – by improving age-appropriate comprehensive sexuality education and information for young people and making the information more widely available.

2. Practicing safe sex saves lives. Ensuring that young people have access to high-quality, confidential sexual and reproductive health services so they are equipped with the knowledge and resources they need to make smart, educated decisions about their sexual health care.

3. Sex is not just about reproduction. Addressing myths and misconceptions about sex and contraception to empower young people to talk to their healthcare providers and partners about sex and to use contraception without fear of prejudice or disrespect.

4. Equality and empowerment are key. Tackling gender inequality and empowering and educating young women and men about their sex and family planning rights and responsibilities.

Read the framework. | *LARC: Long Acting Reversible Contraception 21

WHERE WE’RE GOING: 2015 AND BEYOND TOGETHER, WE CAN SAVE LIVES, GROW STRONGER ECONOMIES, AND BUILD A BETTER WORLD. Currently, billions of dollars in productivity and livelihood are lost every year due to unnecessary illness and death.

Noncommunicable diseases (NCDs) alone are wreaking havoc on developing nations and are slated to cripple economic growth with estimated losses of $47 trillion by 2030.13 2.5 billion people– 36 percent of the world’s population– lack improved sanitation facilities, and over 750 million people still use unsafe drinking water sources14. Inadequate access to sanitation services and safe water, coupled with poor hygiene practices, kills and sickens thousands every day, and leads to diminished opportunities in education and economic productivity for thousands more.

WE CAN CHANGE THIS It is through strategic partnership and aligned vision with our corporate partners that we are able to test innovative solutions and scale up proven concepts. Corporations can help address complex development challenges in ways that harness their core business skills and interests. We know that cross-sector collaboration is essential to achieve global development and sustainability goals, and to improve businesses worldwide.

By building healthier communities around the world, we can halt the financial hemorrhage due to illness and turn that capacity into a sustainable engine to drive future economic growth.

Tapping into the strength of PSI’s 10,000 social franchises, and our global social marketing cables, we are able to deliver health to even the hardest to reach last mile, ensuring that everyone has an opportunity to achieve their full potential.

Working together, we can strengthen health systems and improve delivery of quality health products, services and behaviors to ensure that those in need have access the health and wealth they deserve.

36%

of the world’s population lacks improved sanitation facilities.

$47 TRILLION

is the estimated economic loss in developing counties by 2030 due to NCDs.

Businesses must reconnect company success with social progress. Shared value is not social responsibility, philanthropy, or even sustainability, but a new way to achieve economic success. It is not on the margin of what companies do but at the center.” 17 – Michael Porter & Mark Kramer, Founders, FSG

THE RETURN ON INVESTMENT IS CLEAR By helping people live healthier lives, we reduce healthcare spending and limit lost income due to absenteeism in school and work. With emerging markets accounting for 70% of global economic growth over the next five years,15 and $5 trillion in spending power of 3 billion people at the base of the world’s economic pyramid,16 we can transform the economic loss due to illness and death into productivity and working capital, thereby catalyzing economic growth and market capacity in the communities we work.

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3 BILLION PEOPLE $5 TRILLION at the base of the world’s economic pyramid hold

in spending power.

COLLABORATE WITH US As a social marketing organization with over 40 years of experience applying established commercial concepts to address complex public health challenges, we are no stranger to harnessing the power of private sector markets for social good.

Building on the success of our corporate partnerships to date, we seek to collaborate with private sector firms committed to making a positive difference in the markets they serve. Our core characteristics strongly position us as a key partner for achieving impact at scale: • Global scale in over 65 markets worldwide; • Existing infrastructure in countries with strong supply chain and distribution capability; • Last mile (and last meter) access to consumers; • Strong relationship with governments and communities; and • A passion for measuring our results.

We are part of a new ‘convergence economy’ in which new cross-sector alliances are delivering innovative solutions that promise faster, more scalable and sustainable outcomes.” 18 – Gib Bulloch, Managing Director, Accenture Development Partnerships

If you’re interested in learning more about our work, or want to explore a potential collaboration to build health and wellness in the developing world, please contact: Cate O’Kane, Deputy Director of Corporate Partnerships & Philanthropy, at cokane@psi.org or 202-572-4556.

Visit us: www.psi.org/partnership/corporate-partnerships

THANK YOU We would like to extend our gratitude to all of our current corporate partners, supporters, and PSI program staff.

Without these strong relationships, none of the successes detailed in this report would be possible. Thank you for your support and passion for the work that we do. It is a pleasure to work together to grow health and wealth around the world.

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ENDNOTES COVER © Gareth Bentley / The Image Foundry

MARKETING PRODUCTS AND SERVICES 1 World Bank. HIV/AIDS, Human Capital, and Economic Growth Prospects for Mozambique Africa Region. (2003).

2 WHO. IBBS Data presented by the WHO at the National Consultation on Hepatitis in Hanoi. December 2012.

FRANCHISING FOR HEALTH 3 USAID. USAID Congressional Budget Justification FY2002: program, performance and prospects – the global health pillar. United States Agency for International Development: Washington, DC. 2002.

BEHAVIOR CHANGE COMM. 4 WHO “Factsheet on the World Malaria Report,” 2013.

5 Gallup, John. L and Jeffrey D. Sachs. The Economic Burden of Malaria. American Journal of Tropical Medicine and Hygiene. 64(1, 2)S, 2001, pp. 85–96.

INNOVATIONS IN NCDS 6 World Economic Forum and Harvard School of Public Health. The Global Economic Burden of Non-communicable Disease. September 2011.

7 WHO. Factsheet on Noncommunicable Diseases. March 2013.

8 WHO. Global Status Report on NCDs. P 21. 2011.

9 WHO. Factsheet on Noncommunicable Diseases, India Health Profile.

10 Ramachandran A et al. Increasing expenditure on health care incurred by diabetic subjects in a developing country: a study from India. Diabetes Care, 2007, 30:252–256.

THOUGHT LEADERSHIP 11 J Hoddinott; M Rosegrant; M Torero (2012) ‘Challenge Paper: Hunger and Malnutrition’ Copenhagen Consensus.

12 IFAD/FAO/WFP (2011). The State of Food Insecurity in the World 2011. Rome, Italy: FAO.

WHERE WE’RE GOING 13 World Economic Forum and Harvard School of Public Health. The Global Economic Burden of Noncommunicable Disease. September 2011.

14 WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation. 2013.

15 The Economist. “The world turned upside down” April 15, 2010.

16 The World Bank, 2014. Global Consumer Database.

17 Porter, Michael E. and Kramer, Mark R. (2011). Creating Shared Value. Harvard Business Review (Jan 2011).

18 Bulloch, Gib; Lacy, Peter; Jurgens, Chris. Accenture. (2011). Convergence Economy: Rethinking International Development in a Converging World.

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Photo Credit: Emily Carter

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