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

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Figure 2.8<br />

Map of Lubombo region<br />

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

38<br />

LSDI is a cross-border public-private partnership<br />

focused on reduc<strong>in</strong>g the malaria burden<br />

<strong>in</strong> Lubombo, an area spann<strong>in</strong>g three countries:<br />

South Africa, Swazil<strong>and</strong> <strong>and</strong> Mozambique<br />

(Figure 2.8). The partnership aims to improve the<br />

health <strong>and</strong> economic viability of the region by<br />

(20–22):<br />

• support<strong>in</strong>g regional <strong>in</strong>door residual spray<strong>in</strong>g of<br />

<strong>in</strong>secticides;<br />

• ensur<strong>in</strong>g early effective treatment of malaria<br />

cases by implement<strong>in</strong>g rapid diagnostic tests<br />

<strong>and</strong> artemis<strong>in</strong><strong>in</strong>-based comb<strong>in</strong>ation therapy;<br />

• monitor<strong>in</strong>g <strong>and</strong> evaluat<strong>in</strong>g malaria control<br />

activities;<br />

• ensur<strong>in</strong>g the susta<strong>in</strong>ability of malaria control<br />

through capacity development, fundrais<strong>in</strong>g <strong>and</strong><br />

<strong>in</strong>tegration of activities with<strong>in</strong> the prov<strong>in</strong>cial<br />

health systems.<br />

For the first two years, f<strong>in</strong>anc<strong>in</strong>g for LSDI came<br />

entirely from private-sector sources. LSDI now<br />

has many public- <strong>and</strong> private-sector partners,<br />

<strong>in</strong>clud<strong>in</strong>g BHP Billiton; The <strong>Bus<strong>in</strong>ess</strong> Trust; the<br />

South African Medical Research Council; the<br />

South Africa, Mozambique <strong>and</strong> Swazil<strong>and</strong> health<br />

m<strong>in</strong>istries; <strong>and</strong> the University of Cape Town.<br />

“The company realized that someth<strong>in</strong>g had to<br />

be done <strong>and</strong> it had to be done on a regional<br />

basis (beyond the Mozal community) … but<br />

we grappled with where the boundary of<br />

responsibility lay—government or corporate.<br />

We acknowledged that the control of<br />

malaria was not BHP Billiton’s core bus<strong>in</strong>ess<br />

but realized that we needed an <strong>in</strong>tegrated<br />

approach. <strong>Malaria</strong> doesn’t recognize boundaries<br />

<strong>and</strong> we had to address a broader<br />

geographic malaria agenda to ensure a<br />

susta<strong>in</strong>able future for our operations.”<br />

– Carlos Mesquita, Mozal general manager

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