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

Audrey Chia. Private Sector Philanthropy for UHC

2

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.

Audrey ChiaPrivate Sector Philanthropy for UHC

3

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

Audrey Chia. Private Sector Philanthropy for UHC

4

HOW CAN PRIVATE SECTOR PHILANTHROPY FACILITATE UHC?

Audrey Chia. Private Sector Philanthropy for UHC

5

Audrey Chia. Private Sector Philanthropy for UHC

6

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.

Audrey Chia. Private Sector Philanthropy for UHC

9

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.

Audrey Chia. Private Sector Philanthropy for UHC

11

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

Audrey Chia. Private Sector Philanthropy for UHC

12

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

Audrey Chia. Private Sector Philanthropy for UHC

13