Private Sector Opportunities in Indoor Residual Spraying and Malaria Control in West Africa
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ALGERIA ANGOLA BENIN BOTSWANA BURKINA FASO BURUNDI CAMEROON PrivateCAPE VERDE Sector CENTRAL Opportunities AFRICAN REPUBLIC CHAD COTE D’IVOIRE DJIBOUTIin Indoor EGYPT Residual ETHIOPIA GABONSpraying GAMBIA GHANA GUINEA IVORY COAST KENYA LESOTHO LIBERIA LIBYA MADAGAS- CAR MALAWI MALIand MAURITANIA Malaria Control MAURITIUS in MOROCCO MOZAM- BIQUE NAMIBIA NIGER West NIGERIA Africa REPUBLIC OF CONGO RWANDA SENEGAL SEYCHELLES SIERRA LEONE SOMALIA SOUTH AFRICA SU- DAN SWAZILAND TANZANIA TOGO TUNISIA UGANDA WESTERN SAHARA ZAMBIA ZIMBABWE ALGERIA ANGOLA BENIN BOTSWANA BURKINA FASO BURUNDI CAMEROON CAPE VERDE CENTRAL AF- RICAN REPUBLIC CHAD COTE D’IVOIRE DJIBOUTI EGYPT ETHIOPIA GABON GAMBIA GHANA GUINEA IVORY COAST KENYA LESOTHO LIBERIA LIBYA MADAGASCAR MALAWI MALI MAURITANIA MAURI- TIUS MOROCCO MOZAMBIQUE NAMIBIA NIGER NIGERIA REPUBLIC OF CONGO RWANDA SENEGAL SEYCHELLES SIERRA LEONE SOMA- LIA SOUTH AFRICA SUDAN SWAZILAND TANZANIA TOGO TUNISIA UGANDA WESTERN SAHARA ZAMBIA ZIMBABWE ALGERIA ANGOLA BENIN BOTSWANA BURKINA FASO BURUNDI CAMEROON CAPE VERDE CENTRAL AFRICAN REPUBLIC CHAD COTE D’IVOIRE DJIBOUTI EGYPT ETHIOPIA GABON GAMBIA GHANA GUINEA IVORY COAST KENYA LESOTHO LIBERIA LIBYA MADAGASCAR MALAWI MALI A special thanks to our workshop co-hosts: The West Africa Malaria Workshop was supported by: About GBCHealth’s Corporate Alliance on Malaria in Africa (CAMA) The Corporate Alliance on Malaria in Africa (CAMA) is a coalition of companies from across industries and around the world committed to decreasing the burden of malaria in Africa. CAMA brings the collective force and voice of the private sector to improve the impact of malaria control efforts in sub-Saharan Africa. About GBCHealth GBCHealth represents private sector companies and top NGOs leading the business fight for improved global health. Through work that includes supporting community programs; leveraging core competencies; facilitating leadership and advocacy by business leaders; and brokering public-private partnerships, GBCHealth helps drive the achievement of global health goals. GBCHealth also manages the private sector delegation to the Global Fund to Fight AIDS, Tuberculosis and Malaria, serving as an entry-point for corporate col- laboration and engagement with the Fund and its recipients worldwide. 2 PRIVATE SECTOR OPPORTUNITIES 2013 TABLE OF CONTENts Executive Summary & Recommendations ................................................ 6 Workshop Overview and Objectives ........................................................... 8 Background: IRS in West Africa .................................................................... 9 How and Why Companies Should Implement an IRS Program ........11 Models for Successful Partnerships ............................................................13 Addressing the Challenge of Resistance Management .......................15 Financing a Corporate IRS Program ...........................................................18 Monitoring and Evaluating IRS Programs ............................................... 20 IRS Research Updates .....................................................................................22 Country Breakfast Sessions ..........................................................................23 Conclusion ...........................................................................................................25 Appendix I: Agenda .........................................................................................26 Appendix II: Workshop Participants ...........................................................31 3 ACRONYMS & ABBREVIATIONS AIRS Africa Indoor Residual Spraying project ANVR African Network on Vector Resistance CAMA Corporate Alliance on Malaria in Africa IRS Indoor Residual Spraying IVCC Innovative Vector Control Consortium IVM Integrated Vector Management LLINs Long Lasting Insecticidal Nets M&E Monitoring and Evaluation MDGs Millennium Development Goals NMCP National Malaria Control Program PMI President’s Malaria Initiative RBM Roll Back Malaria WARN West Africa Roll Back Malaria Network WHO World Health Organization WHO/AFRO World Health Organization Africa Regional Office 4 PRIVATE SECTOR OPPORTUNITIES 2013 5 EXECUTIVE SUMMARY & KEY REcommENDatioNS Indoor residual spraying (IRS) is one of The event achieved the following results: the most effective malaria vector control • Promoted and increased private sector interventions and has played a key role engagement and investment in West in malaria elimination in countries around African workplace and community IRS the world. IRS remains a top priority and malaria control activities for controlling malaria in Africa. The private sector has initiated, funded and • Demonstrated the business case for IRS managed many successful IRS programs, and malaria control in West Africa most frequently led by the extractive • Highlighted best-in-class company IRS and agricultural industries and often programs in partnership with National Malaria Control Programs (NMCPs). Companies • Shared IRS and resistance management such as AngloGold Ashanti, Rio Tinto trends from international and country- and the non-profit RTI International are level experts exercising leadership in IRS programming • Established connections among key and implementation, ensuring that their malaria control stakeholders across workforces and surrounding communities sectors, including NMCP officials, are protected from malaria through Coalition and WHO representatives, integrated and comprehensive programs. technical and academic experts and corporate leaders With less than 800 days remaining before the December 31st, 2015 deadline of At the workshop, companies developed attaining the Millennium Development Goal IRS knowledge and cultivated relationships (MDG) of zero malaria deaths, the time is with government and technical partners. right to increase private sector partnership Companies already managing IRS programs in IRS programming to achieve global improved technical expertise and knowledge malaria goals. of best practices, learning from cross- sector colleagues to push the boundaries of In this context, GBCHealth’s CAMA and the corporate excellence in IRS programming. Roll Back Malaria Partnership (RBM) held Companies considering new IRS programs a two-day workshop in September 2013 took the first steps to protect their in Ghana to examine the challenges and employees and communities and left the opportunities related to private sector IRS workshop inspired and committed. and malaria control activities. Recommendations across all sectors The workshop, “Private Sector included the following points: Opportunities in IRS and Malaria Control in West Africa,” brought together 60 regional COMPANIES CAN: participants including senior corporate agriculture executives and health managers • Work with governments to align from the mining, pharmaceutical, energy, corporate IRS programs with national food and beverage industries; Ministry malaria control strategies. Companies of Health/NMCP representatives from should reach out to NMCPs to 11 countries, World Health Organization understand priorities and gaps where technical experts and leading researchers they can assist and also keep NMCPs from the region. informed of progress on corporate malaria programs. 6 PRIVATE SECTOR OPPORTUNITIES 2013 EXECUTIVE • Collaborate with research organizations Each country must initiate a vector to develop more effective—and cost- control strategy that incorporates effective—insecticide formulations for vector resistance management. IRS that are active against resistant • Provide concrete guidance and mosquitoes. recommendations for corporate • Contribute to national IRS interventions involvement in IRS beyond parallel beyond spraying, leveraging private spraying programs, including sector strengths in operations highlighting needed support in delivery, S and logistics, communication, and funding, community outreach and other U infrastructure development. key areas. MM WEST AFRICAN GOVERNMENTS CAN: TECHNICAL PARTNERS CAN: ARY • Increase the number of companies • Develop an IRS Statement of Guidance involved by developing and promoting that will guide the implementation of the business case for corporate IRS programs. engagement in IRS. Governments should also develop strategies COALITIONS (E.G. RBM, CAMA) CAN: that build regional and national entomological capacity in collaboration • Enhance corporate engagement on IRS with the private sector. programs through increased advocacy and by convening representatives • Create an oversight committee that across sectors for partnership harmonizes nationwide malaria/IRS development. activities across stakeholders (e.g., Malaria Vector Control Oversight • Work with the government in removing Committee in Ghana). taxes and tariffs and rolling back import barriers on malaria products. • West Africa is the region with the highest insecticide resistance in Africa. 7 ALGERIA ANGOLA BENIN BOTSWANA BURKINA FASO BURUNDI CAMEROON CAPE VERDE CENTRAL AFRICAN REPUBLIC CHAD COTE D’IVOIRE DJIBOUTI EGYPT ETHIOPIA GABON GAMBIA GHANA GUINEA IVORY COAST KENYA LESOTHO LIBERIA LIBYA WMADAGASCARorkshop OVEMALAWIRV I E MALIW MAURITANIA MAURITIUS MOROCCOAND MOZAMBIQUE OBJECTIVE NAMIBIAS NIGER NIGERIA REPUBLIC OF CONGO RWANDA SENEGAL SEYCHELLES SIERRE LEONE SOMALIA SOUTH AFRICA SUDAN SWAZILAND TANZANIA TOGO Indoor residual spraying (IRS) is one of the organizations, agriculture and food and primary malaria vector control interventions. beverage industries operating in West Africa,