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Business Investing in Malaria Control: Economic Returns and ... - Path

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KEY POINTS<br />

KEY POINTS<br />

• <strong>Malaria</strong> is bad for bus<strong>in</strong>ess: the disease<br />

is responsible for decreased productivity,<br />

employee absenteeism <strong>and</strong> <strong>in</strong>creased healthcare<br />

spend<strong>in</strong>g, <strong>and</strong> can negatively impact a<br />

company’s reputation. In 2005, nearly three<br />

quarters of companies <strong>in</strong> the Africa region<br />

reported that malaria was negatively affect<strong>in</strong>g<br />

their bus<strong>in</strong>ess.<br />

• <strong>Malaria</strong> <strong>in</strong>fection <strong>in</strong> company employees<br />

can impact the local economy through the<br />

deterioration of human capital; losses <strong>in</strong><br />

sav<strong>in</strong>gs; obstruction of the availability of local<br />

resources, <strong>in</strong>vestments <strong>and</strong> tax revenues; <strong>and</strong><br />

stra<strong>in</strong>ed public health budgets.<br />

• Both small <strong>and</strong> large bus<strong>in</strong>esses have proven to<br />

be powerful contributors <strong>in</strong> the fight aga<strong>in</strong>st the<br />

disease. Three companies <strong>in</strong> Zambia—Mopani<br />

Copper M<strong>in</strong>es, Konkola Copper M<strong>in</strong>es <strong>and</strong><br />

Zambia Sugar—have made dramatic progress<br />

<strong>in</strong> a 10-year period, decreas<strong>in</strong>g malaria cases<br />

<strong>and</strong> absenteeism by more than 90%.<br />

• Companies have been able to scale up malaria<br />

control quickly <strong>and</strong> have seen a rapid return<br />

on <strong>in</strong>vestment. <strong>Malaria</strong>-related spend<strong>in</strong>g at the<br />

cl<strong>in</strong>ics of these three companies decreased by<br />

more than 75%, <strong>and</strong> a very conservative estimate<br />

showed that the companies ga<strong>in</strong>ed an annualized<br />

<strong>in</strong>ternal rate of return of 28%.<br />

• Strong models exist for bus<strong>in</strong>esses to take leadership<br />

roles <strong>in</strong> controll<strong>in</strong>g malaria, protect<strong>in</strong>g<br />

their workers <strong>and</strong> their families, strengthen<strong>in</strong>g<br />

their bus<strong>in</strong>esses <strong>and</strong> extend<strong>in</strong>g programmes<br />

<strong>in</strong>to communities.<br />

i) In Bioko Isl<strong>and</strong>, Equitorial Gu<strong>in</strong>ea, <strong>in</strong>vestments<br />

by Marathon Oil helped reduce<br />

malaria parasite prevalence <strong>in</strong> children<br />

by 57% <strong>in</strong> just four years; the project was<br />

extended through 2013 to develop local<br />

capacity <strong>and</strong> extend the programme to the<br />

ma<strong>in</strong>l<strong>and</strong>.<br />

ii) In Ghana, gold producer AngloGold Ashanti<br />

reduced malaria cases among m<strong>in</strong>ers <strong>in</strong><br />

the Obuasi region from 6600 per month<br />

<strong>in</strong> 2005 to 1150 per month <strong>in</strong> 2006, <strong>and</strong><br />

became the first private-sector partner<br />

to be the pr<strong>in</strong>cipal recipient of a US$ 138<br />

million grant from the Global Fund to Fight<br />

AIDS, Tuberculosis <strong>and</strong> <strong>Malaria</strong>.<br />

iii) BHP Billiton’s malaria control programme<br />

helped reduce malaria <strong>in</strong>fections from 625<br />

per 1000 population to fewer than 200 per<br />

1000 <strong>in</strong> Mozambique’s Maputo Prov<strong>in</strong>ce.<br />

The <strong>in</strong>itiative’s success helped secure<br />

two grants totall<strong>in</strong>g US$ 47 million from the<br />

Global Fund for regional control of malaria.<br />

• The private sector is a critical partner <strong>and</strong> can<br />

collaborate with <strong>and</strong> complement national<br />

programmes to leverage resources for <strong>and</strong><br />

implement effective malaria control. The<br />

benefits reaped by malaria control efforts <strong>in</strong><br />

the bus<strong>in</strong>ess context are fragile <strong>and</strong> can be<br />

temporary unless durable <strong>in</strong>vestments are<br />

made to ensure cont<strong>in</strong>ued success. Country<br />

partners, <strong>in</strong>clud<strong>in</strong>g the private sector, have <strong>and</strong><br />

must cont<strong>in</strong>ue to play an active role <strong>in</strong> secur<strong>in</strong>g<br />

<strong>in</strong>-country <strong>and</strong> external fund<strong>in</strong>g to achieve the<br />

proven benefits of malaria control.<br />

BUSINESS INVESTING IN MALARIA CONTROL: ECONOMIC RETURNS AND A HEALTHY WORKFORCE FOR AFRICA<br />

11

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