Philanthropy for Universal Health Coverage
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Philanthropy for Universal Health Coverage
Audrey Chia
National University of Singapore
Outline
• Private Sector Philanthropy
– Forms and expressions
– Beyond financing
• Contributions of Private Sector Philanthropy
• Engaging the Private Sector
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Universal Health Coverage
• Goal: • The goal of universal health coverage is to ensure that all people
obtain the health services they need without suffering financial hardship when paying for them.
• Enabling factors– A strong, efficient, well-run health system that meets priority health
needs through people-centred integrated care…– Affordability – a system for financing health services so people do not
suffer financial hardship when using them. This can be achieved in a variety of ways.
– Access to essential medicines and technologies to diagnose and treat medical problems.
– A sufficient capacity of well-trained, motivated health workers to provide the services to meet patients’ needs based on the best available evidence.
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Source: http://www.who.int/features/qa/universal_health_coverage/en/
Private sector philanthropy –expressions and forms
• From traditional to innovative
• From ad hoc to strategic or programmed
• From short term to longer term engagement
• Beyond financial giving
– Knowledge, talent
– Social capital
– Volunteering and time
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HOW CAN PRIVATE SECTOR PHILANTHROPY FACILITATE UHC?
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Philanthropy in Asia
Corporate Social ResponsibilityDuration
Ad Hoc
Medium to Long term
Volition
Mandatory, e.g., required by law
India 2% of annual net profit in last 3 yrs
IndonesiaVoluntary
Strategic
Organisations for CSR e.g.,Global Business Council
Venture Philanthropy
Focus
Finance First
Social First Organisations
VP firms
E.g., Bamboo Ventures, Acumen
VP arms of banksor foundations
E.g., LGT VP
VP networks(aggregators)
E.g., AVPN
Investees
Social Ventures
Social Entrepreneurs
Stage
Early/angel/pioneer
Mid (after proofof concept)
Late: for scaleand spread
Giving Circles
Formal and networked, interest based
Usually bigger amounts and more ambitious
E.g., Dasra
Informal,friendship
based
E.g., New Day Asia
CorporateSocial
Innovation
CorporateVenture Capital
Corporate SocialEntrepreneurship
Bottom of PyramidSocial Impact
Investing
Sectors
Traditional philanthropic giving
Family
Estate planning, trusts, Wills
Individual
Legacy giving, trusts, wills
Crowdfunding
Specific, Ad Hoc
Grassroots giving
Much room forinnovation here
E.g., Planned, regular giving
Foundations
Corporate
Individual or Family
Approach
Ad HocStrategic
Ecosystem building(not direct giving)
Academic institutions (knowledge)
Business Associations
Religious organisations thatencourage charitable giving
CivicOrganisations e.g.
Rotary
Banks & financialinstitutions
Regulatoryenvironment, e.g.,
Tax
Philanthropy: A Map
Private Sector Philanthropy: An overview
Audrey Chia. Private Sector Philanthropy for UHC
7© Chia & Lim, 2016
Social Impact-Finance Spectrum
© Audrey Chia8
From Chia, A. 2015 Potential and Prospects for Philanthropy in Implementing Post-2015 Development Goals
Private Sector Philanthropy & UHCUHC Component Case 1
Funding a Social venture, e.g.,Various private entities and HealthpointIndia
Case 2Creating social ventures, e.g., Danone Communities
Case 3Developing a new product/service for BoP, e.g. DSM and 45 Rice
Case 4Donation or support, e.g., Corporate Giving Circles with John Fawcett Foundation
Access To clean water, medicines, medical advice, diagnostics, generic medicines
Better nutrition and clean water.10 locations in Africa, Asia, France, Mexico.
To better nutrition To eye checks and cataract surgery
Affordability Water $2 a monthConsultation $ 0.40 a time
Deliberately kept affordable
Same affordably priced meals, but higher nutritional content
Free for those who can show financial need
Capacity building Community Health workers to follow up
Of the community, including retailers, micro entrepreneurs
Of food suppliers and caterers
Training of community doctors and health workers.
Health system strengthening
To some extent –linking last mile to the health system; electronic health records.
Not much.More. Building blocks for good health
Not much.More. Building blocks for good health
Strives to work with local hospitals; takes cataract surgery to the last mile via bus, plane and boat.
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Example: Private Sector funding & collaborating with Healthpoint India
Affordability: cross-subsidy
models
Access to medicines
and building blocks for
good health
Capacity-building
Audrey ChiaPrivate Sector Philanthropy for UHC
Photos: Mr Amit Jain, ehealthpoint
Engaging the Private Sector• Identify specific, strategically chosen causes that align with
companies’ areas of interest and expertise• Use vivid illustrations, simple messages, and defined tasks
– Instead of appealing to companies to tackle diseases, ask companies if they can help transport vaccines.
• Facilitate private sector engagement with recipients and stakeholders to understand needs and develop programs that will maximize impact.
• Don’t just ask for money– Encourage businesses to apply their unique strengths and
expertise to address specific concerns
• Encourage businesses to consider partnerships with other organizations for higher impact.
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Trends
• Private sector increasingly focused on:– More holistic approach to social programs
– Alignment with their mission and expertise• Need to move beyond viewing private sector as just a
source of financing
• External pressures from regulators– Integrated reporting of social performance and
governance• Partners who can demonstrate governance & impact
will be more desirable
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Contact info
Dr Audrey Chia
Associate Professor, NUS Business School & Joint Associate Professor, Saw Swee Hock School of Public Health
National University of Singapore
audreychia@nus.edu.sg
In collaboration with
Dr Lim Yee Wei
Associate Professor, Saw Swee Hock School of Public Health
National University of Singapore
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