Fundación Mundo Sano Paraguay 1535 (C1061ABC) Ciudad de Buenos Aires Argentina (+54 11) 4872-1333 [email protected] ReporteSustainability de Report MundoSano Sustentabilidad
Fundación Mundo Sano 2018
Fundación Mundo Sano mundo_sano_ MUNDO SANO MANUAL DE IDENTIDAD GRÁFICA 2018
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Sustainability Report 2018 Fundación Mundo Sano
Table of contents
Message from Silvia Gold, 1 3 President 5 WE ARE MUNDO SANO 7 WE LIVE UP TO RESPONSIBLE MANAGEMENT 61 Message from Marcelo Abril, Executive Director 9 Our material matrix 62 Work model and pillars 10 Ethics and transparency 64 Our presence 13 Resource allocations 66 Our contribution 16 Mundo Sano and the community 68 Committed to our achievements Public Policies 72 and recognitions 20 Environment 74 Governance 22
2 4
OUR WORK MATTERS 25 Mundo Sano and the Sustainable OUR REPORT 79 Development Goals 26 Focus on our Stakeholders 81 Lines of Action 27 Institutional Relations 82 Our commitment to GRI Indicators Table 84 Chagas disease 28 More information More programs and projects 40 and communication 92 Fundación Mundo Sano
Dear friends,
Message This was a very special year to Mundo Sano. In 2018, we’ve completed 25 years of intense and ongoing work, and the best way to celebrate our 25th anniversary is through our from achievements. We are devoted to working on neglected tropical diseases because they affect the most vulnerable populations and because of the unfairness of so many people not having access Silvia Gold to prevention and treatment of diseases that can be cured.
From the very beginning, our strategy has been to investigate in the field and generate evidence to contribute to the improvement of public health policies.
For these first 25 years, we can assert that the goal was well chosen and attained.
Always working through public-private cooperation, we are getting to be part of more international alliances every year and materializing new agreements.
We reach out to more audiences, not only in terms of numbers but also in terms of diversity. PRESIDENT Our general work in neglected tropical diseases, and more specifically in Chagas disease is already bearing fruit. Securing guaranteed availability of the medication all over the world and obtaining official recommendations as to how to treat patients, have changed the reality of this disease.
We believe that the conditions are set today to establish new goals and envision complete elimination of this disease. Aligned with the sustainable development goals, we are designing new challenges for this new stage, where we expect to achieve relevant changes by the year 2030.
Another achievement we are proud of is the expansion of our team, the commitment and maturity we have reached together with all partners and friends who are permanently helping us accomplish our mission.
Dreams, commitment, people, are all reflected on the pages of this sustainability report.
I hope you’ll enjoy reading it.
Doctor Silvia Gold, President, Mundo Sano. 6 Sustainability Report 2018
Fundación Mundo Sano
1. Sustainability Report 2018 WE ARE MUNDO SANO Fundación Mundo Sano WE ARE MUNDO SANO 9
Dear friends,
Filled with deep pride, we submit our Sustainability Report 2018, drafted along the lines proposed by the Global Reporting Initiative (GRI), which means to us a new opportunity to Message look back along the road we’ve travelled and ponder on the challenges we face going forward. from Unlike last year’s report, which presented the actions taken in the Americas, this time we are expanding our contents and including all the areas where we carry out our mission, reaching six countries over three continents: America, Europe and Africa. There we take up more Marcelo than 30 lines of work including prevention, research, diagnosis and treatment, professional education and training and awareness actions focusing on the neglected tropical diseases to which our efforts are directed: Chagas, Helminthiasis, arbovirus infections, including Abril Dengue, Zika and Chikungunya, among other.
Being our first priority, projects focused on Chagas disease are allocated the largest proportion of resources because of the big impact on health represented by the number of people affected and the growing geographical expanse of this disease now seen as a result of ongoing migration processes.
This report describes how we contribute to translational research in neglected tropical diseases, how we disseminate the knowledge we acquire and to what extent the union of public and private sector capabilities is an ever-present strategy to attain our goals and contribute to the UN Global Compact Ten Principles and the Sustainable Development Goals.
EXECUTIVE DIRECTOR The mission we have set for ourselves, i.e., to transform the lives of people affected by neglected tropical diseases, is not a task that we can carry out on our own: we need the help, the contribution, the vision and the coordination of multiple social actors who are as committed as we are, and for that reason, we invite you to join in so that we can attain such transformation together.
We thank all who made possible the drafting of this publication and we expect to receive feedback with suggestions for us to continue to learn and improve our management and accountability.
We invite you to go through our second Sustainability Report and get to know more about what we do, how we do it and how much we achieved in 2018.
. Marcelo Abril, CEO, Mundo Sano 10 Sustainability Report 2018 Fundación Mundo Sano WE ARE MUNDO SANO 11
We are a not-for-profit WORK family foundation MODEL: created in 1993 with the 1 vision of transforming Situational Strate i the lives of people diagnosis ia nosis affected by neglected tropical diseases. In 2018 The three pillars we celebrated our 25th of our work anniversary. ea ro e t buil in Our daily activities ana e ent Model revolve around work esi n e t ooper r o de o o e to o r d on the field where we S + S S + R + R S R r t o e t o r te develop programs re e r o o ed e ooper t o a c a e de nuestra n und San tenemos el na de nuestras orta e as acti idad es e tra a o en desa o de acer isi e ue es la capacidad de articular seeking to efficiently terreno. ey to Allíour identificamosacti ity is We,1.500 at millones und San de personas, have consorciosOne of our sostenidosstrengths is entre the e fieldwork.barreras, By implementamos working on the entaken nuestro up the planeta challenge padecen to abilitysector to público, articulate el académico sustained y tear down the barriers field,so uciones we identify ue obstacles, aci iten a giveenfermedades visibility to 1.5 que billion son consortiael privado. of the En academic, esta línea, the implementprevención solutionsy el acceso that a la peoplee ita es. suffering uestro avoidable o eti o publicpriorizamos and the la private consolidación sectors. that hinder people’s facilitatesalud prevention y aportamos and diseaseses producir on our evidencia planet. Ourque Alongde thesea ian as lines, instituciona es we prioritize accessevidencia to healthcare útil para mejorar and goalsirva is comoto produce herramienta evidence de comothe consolidation herramientas of de access to healthcare Re ision ubli ations contributepolíticas useful de evidencesalud. transformaciónthat can serve para as futurasa sustentabilidadinstitutional alliances para nuestros as to improve health policies. transformationacciones y capacitar tool for a la sustainabilityproyectos, tools porque for our by generating useful sociedadfuture actions en su andcon unto. to reconocemosprojects, because que la magnitud we educate society as a whole. recognizedel impacto that the de magnitude estas evidence for public of theenfermedades impact of these en ladiseases salud We develop effective management models onpública public requierehealth requires la suma the de policies. intended to be scalable, sustainable, transferable 8 joiningtodos osof all es uer os. efforts. and replicable, through public-private alliances and multi-disciplinary scientific research. roto ol 12 Sustainability Report 2018 Fundación Mundo Sano 13
Our CA ABRIC SEA
presence Barcelona
We have six offices inArgentina and one Madrid in Spain, which serves as the foothold for Valencia program development in Africa, particularly Alicante in Ethiopia and Mozambique. And we carry SPAIN 0 100 Km out activities and projects in Bolivia, Paraguay, Guatemala and the United States of America. EDI ERRA EA SEA
Tartagal S R S Añatuya Clorinda R S S S SPAIN S R Puerto Iguazú S S S S SPAIN
Sta. Victoria Este Tartagal
The values that R S Clorinda S inspire us Pampa del Indio
S Puerto Iguazu ountries S R ere e S S Rigor Añatuyahave offices and R Colonia conductDora activities. Respect ountries ere e ARGENTINA have offices and R Countries in which ARGENTINA conduct activities. we carry out activities Passion 0and100 projects Km ARGENTINA Pilar Capital Federal Countries in which Alte. Brown we carry out activities S La Plata and projects R S Fundación Mundo Sano WE ARE MUNDO SANO 15
ETHIOPIA ARGENTINA 16 Sustainability Report 2018 Fundación Mundo Sano WE ARE MUNDO SANO 17
n 2018 109 a ocia Our o in o Mundo Sano inc udin o a c o un na o iona and contribution field agents
With field research, Mundo According to data of the World Health Organization, o ou o ou Sano contributes to public more than one billion people –one sixth of the o o c o o c world’s population— suffer at least one of these dis- Chagas a o n a n policies aimed at improving eases, mainly in low-income countries of Africa and the lives of people affected by Latin America.
neglected tropical diseases, a Most of these diseases receive little attention and Dengue, ika and Chikungun a set of infectious diseases, many are held back in public health priorities. Also, a lack o o n o n of reliable statistics has rendered all efforts to create a full-time a u i of them parasitic, that affect awareness more ineffective. Neglect is seen also in workers o research and development activities. populations living. THE The World Health Organization has underscored that o o n o n if access to already existing safe interventions could a part-time a part-time WE ADDRESS be assured, many of the neglected diseases could be Soil transmitted workers workers ARE elminthiasis prevented, eliminated and even eradicated. The neglected tropical diseases we address are: Cha- gas, Dengue, Zika and Chikungunya, soil-transmitted Knowledge i unda n a a i o helminthiasis, echinococcosis , Leishmaniasis. Echinococcosis ou dai o Fo d o n o n a n and i ou o and n o un a ain d and duca d co d Leishmaniasis a o o in acad ic o 801 ou o adua udi an ua ainin cou c nica ainin and a and a u da 18 Sustainability Report 2018 Fundación Mundo Sano WE ARE MUNDO SANO 19
Aedes-transmitted Chagas disease diseases: Dengue, Zika and Soil-transmitted Echinococcosis Leishmaniasis Chikungunya helminthiasis
This is a disease caused by infection with a These are viral diseases transmitted by two Soil-transmitted helminthiases, commonly known Echinococcosis is a zoonosis2 caused by the Leishmaniasis is a parasitic disease, transmitted parasite: Trypanosoma cruzi. It is transmitted to species of mosquitoes of the genus Aedes: as intestinal parasites, are acquired by contact with parasite Echinococcus granulosus. The cycle when a phlebotomus3 (the insect that acts as humans mainly through contact with insects of Ae. aegypti and Ae. albopictus. the eggs or larvae of parasites eliminated in the fecal of this disease starts when a dog ingests the the vector for this disease) bites an infected an- 1 the family triatominae, by an infected mother to matter of infected humans that contaminate the soil raw viscera of infected farm animals slaugh- imalSe or estimaperson and que then bites a healthy animal her child during pregnancy or delivery, through These viruses are transmitted to humans by the in areas with poor sanitation. In the case of eggs, they tered at home. The dog’s intestine becomes or individual.Se estima que In theIn world:the world: blood transfusions or organ grafts coming from bite of infected female mosquitoes. Affected are transmitted by fecal-oral route while in the case host to this parasite and contaminates the soil mi onesmi ones an infected individual, or through ingestion people, with or without symptoms, are the of larvae, they are transmitted by penetration into the at defecation. Humans get infected by contact This3 00 disease3 00 is associatedde ersonasde with ersonas malnutrition, millionmillion of contaminated food or beverages. Over the hosts and main multipliers of the viruses as skin. There is no direct person-to-person trans- with the dog or through contaminated food and population movements, poor housing, weak- 6 to6 8 to infected8 infected people. people. In theIn world,the world, It is estimatedIt is estimated that that past decades, owing to migratory movements mosquitoes get infected when biting them. mission. To avoid transmission of these parasites, a beverages, and develop cysts in various organs, ness of the immunity system, and deprivation between Latin America and the rest of the world, Zika, in turn, is also transmitted by per- fundamental tool is availability of basic sanitation, more commonly the liver and lung. of resources. It is also linked to environmental i ion i ion eo e eo e are infected this disease has been detected in the United son-to-person contact, through sex intercourse safe water, personal hygiene and use of footwear. millionmillion are women are women changes,en 128en including a ses deforestation, a ses dam building, 1.51.5 are infected of childbearing age. 128 States of America, Canada, Spain and several or from mother to child during pregnancy. In order to prevent1.2 this1.2 disease,of childbearingit is important age. watering systems and unplanned urbanization. countries of the West Pacific. Diseases caused by high prevalence of helmithiases to maintain good personal hygiene and wash están en riesgo de contraer están en riesgo de contraer million children at risk have significant impact on the social and economic fruit and vegetables carefullybabies prior are born to consump with - million children at risk Se estima que babies are born with algunoalguno de estos de estánestos enestán riesgo en riesgo de de of getting infected the disease every year. 870870 of getting infected In the world: i i a d a Se estima que development of communities because they affect tion. Also, 000 viscera 000 remaining fromthe disease domestic every year. contraercontraer alguna alguna de estas de estas In the world: mi ones an adult’s ability to work and cause school absentee- slaughtering must be disposed of or cooked en ermedadesen ermedades de ersonas i ion mi ones 3 00 ism in children. well before offering them to dogs. million o 3 00 de ersonas 6 to 8 infected people. million In the world, It is estimated that 6 to 8 infected people. In the world, It is estimated that In the world In the world i ion eo e In the world In the world are infected million are women en 128 a ses 1.5 i ion eo e millionmillion millónmillón 1.2 of childbearing age. in million arecoun i women en 128 a ses 1.5 are infected 1 people1 people 1 cases1 cases of childbearing age. 1.2 could be affected by appear per year están en riesgo de contraer could be affected by appear per year million children at risk ec inococcosisec inococcosis babies are born with PAHO/WHO Source: alguno de a estos a están i o en in riesgo in c d de i están en riesgoof getting de contraer infected the disease every year. 870 million children at risk 000 PAHO/WHO Source: contraer algunababies de estas are born with PAHO/WHO Source: on o i u an i d alguno de estos están en riesgo de 870 of getting infected 000en ermedadesAedesthe aegypti. disease every year. contraer alguna de estas 3. Phlebotomi are hematophagus (blood-sucking) insects. In Central Ameri- en ermedades ca they are commonly known as papalotillas, in South America as chitre, pal- 1. Hematophagus insects which are the main vectors for the transmis- omilla, manta blanca (Peru), quemador, pringador, jején, titira (Peru) among sion of Chagas disease. They are commonly identified as chinche negra PAHO/WHO Source: PAHO/WHO Source: 2. A zoonosis is any disease naturally transmitted from animals (mostly other names. They are small and prefer humid environments; their color vary (Paraguay) or vinchuca (Argentina, Chile, Uruguay and Bolivia). vertebrates) to human beings, and viceversa. In the world In the world from clear yellow to dark brown. In the world In the world million millón 1 people 1millioncases millón could be affected by 1appearpeople per year 1 cases ec inococcosis could be affected by appear per year ec inococcosis 20 Sustainability Report 2018 Fundación Mundo Sano WE ARE MUNDO SANO 21 Committed to our achievements and recognitions
After 25 year’s activities we are We have obtained approval of benznidazole4 celebrating this anniversary with for pediatric Chagas disease treatment by the United States Food and Drug Administration significant achievements: . (FDA). We are persuaded that, with perseverance and We are collaborating with recognized international health organizations including method, the situation the Pan-American Health Organization (PAHO) can be changed and the and the World Health Organization (WHO). conditions for the most vulnerable populations We have succeeded in creating awareness can be improved. of neglected tropical diseases, especially Chagas, in the medical community and the media and in bringing up the subject to be In 2018, we were presented the EIKON Gold placed on the public agenda. award in the category Sustainability and Health by Revista Imagen, in recognition to the initiative “Benznidazole: a treatment against Chagas”. Also, Foro Ecuménico Social awarded us their ‘Premio Emprendedor Solidario’.
4. Benznidazole is an antiparasitic medication prescribed for Chagas 25disease. años Fundación Mundo Sano WE ARE MUNDO SANO 23
Governance a a
BOARD MEMBERS AND TRUSTEES o a a a a o a a o a a o a o Our organization is made up of Fundación Mundo Sano is an entity based in Argen- There are also two consulting bodies: the Advisory as a os o two independent legal entities: tina and its governing body is a Management Board. Council and the Scientific Committee. s o o a a a o a Fundación Mundo Sano España is an entity based in a a s Fundación Mundo Sano and Spain and its governing body is a Board of Trustees. The Advisory Council is in charge of proposing and Fundación Mundo Sano España. In practice, we operate as one and the same orga- advising on policies, objectives and actions related nization. Both governing bodies’ presidents and our to our Foundation’s vision and mission. The Scientific Executive Director are in charge of setting Mundo Committee is in charge of advising, considering and Sano’s objectives, and stating our values, mission, organizing the scientific aspects of our organization’s ADVISOR COUNCIL SCIENTI IC COMMITTEE strategy, policies and all other aspects related to object. This body promotes the technical and scientific s o a a o o economic, environmental and social issues. Board quality of all research activities and projects Mundo a a a a members and Trustees are in charge of the glob- Sano carries out or gets involved in. a a oa as s a al administration, representation, governance and supervision functions of our organization. a os s a o a a o o as o s a a a o sa a o osa s a a o a a os a o a o
E ECUTIVE O ICE a o 24 Sustainability Report 2018
OUR Fundación Mundo Sano WORK 2. MATTERS
In this chapter we describe everything we do, our contributions, our cooperation and our efforts to ever expand our potential as a Foundation. 26 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 27
Mundo Sano o u o S o co r u o Action Lines and the S y 20 0 end t e o it ent to ne lected tropical epide ics o A S tuberculosis diseases re ention Researc Sustainable alaria and ne lected tropical ia nosis and treat ent ro ession diseases and co bat epatitis al education and trainin A areness ater borne diseases and ot er and co unity actions Development co unicable diseases Goals Our work articulates around From Mundo Sano, we significantly contribute to all 17 Sustainable Development Goals S five axes.
(SDG) proposed by the United Nations in 2015. Support and stren t en o it ent to ne lected Owing to our accountability in the manner we t e en a e ent o local co uni tropical diseases Researc ties in i pro in ater and A areness and co unity act in so diverse environments and because sanitation ana e ent actions re ention we think it is necessary to set forth objectives Pre e o e e rc o Pro e o A re e that are clearly linked to our activity and to re e e uc o Ac o stakeholders’ expectations, we have identified r and defined our contribution to the following 2 E po er and pro ote o it ent to ne lected objectives and their respective goals. social econo ic and political tropical diseases re ention inclusion o all irrespecti e o a e Researc ia nosis and se disability race et nicity ori in treat ent ro essional education reli ion or econo ic or ot er and trainin A areness and status co unity actions
Encoura e and o it ent to ne lected tropical promote effective public, public-pri diseases re ention Researc ate and ci il society partners ips ia nosis and treat ent ro ession buildin on t e e perience and al education and trainin A areness resourcin strate ies o partner and co unity actions s ips 28 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 29 Our commitment
to Chagas
disease In August 2017, the Food and Drug Administration Since then, InSud Pharma and Mundo Sano under- “After 25 years’ activity (FDA) approved benznidazole5 as a treatment for took to allocate funds from this PRV to develop and Chagas disease in the pediatric population (from 2 to implement, together with the Drugs for Neglect- Mundo Sano is committed 12 years old) in the United States. ed Diseases Initiative (DNDi) , a Plan for Access to Chagas Disease Diagnosis and Treatment in the “ With this approval, InSud Pharma received a Priority Americas. to sustain, going forward, Review Voucher (PRV) according to a provision includ- “ ed in the FDA Reauthorization Act of 2017 (FDARA), The actions that we carry out in an alliance with this comprehensive work to develop new drugs and biological products for institution seek to ensure general access to safe, neglected tropical disease prevention and treatment. effective, innovative and accessible treatment of Cha- in relation to Chagas gas disease, as well as to prevent the propagation of The Priority Review Voucher (PRV), granted by the the disease and to work to control its transmission as disease.” FDA, is an incentive designed to stimulate the devel- a public health problem. opment of new treatments for diseases that other- wise would not generate companies’ interest owing DR. SILVIA GOLD, to development costs and a scarcity of commercial PRESIDENT. opportunities.
5. The FDA (Food and Drug Administration) is the United States govern- 8. InSud Pharma is a group of companies that covers all links of the ment agency in charge of regulating food (for both people and animals), chemical-pharmaceutical industry chain. Insud Pharma channels its drugs (human and veterinary), cosmetics, medical apparatuses (for hu- social investment and corporate social responsibility actions through our mans and animals), biological products and blood derivatives. Foundation, to which it is one of the largest donors. 6. See note on page 4. 9. The Drugs for Neglected Diseases Initiative (DNDi) is a nonprofit orga- 7. The FDA Reauthorization Act of 2017 creates the Tropical Disease Pri- nization, driven by patients’ needs, and dedicated to research and devel- ority Review Voucher and included Chagas in its spectrum of diseases opment focused on drugs for neglected tropical diseases (poor people’s in 2015. conditions) including Leishmaniasis, Chagas, sleeping sickness, malaria, children AIDS, among other. 30 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 31
Over the world 7.6 million people suffer from Chagas
Out of this number 1.2 million 1,6 million people are women of childbearing age (15.7%) infected in Argentina
50,000 – 100,000 people infected in Spain 9,000 babies 300,000 people infected in the United are born with Chagas every year States 32 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 33
Plan for Access to Chagas Disease Diagnosis and Treatment in the Americas Mundo Sano disembarks in the United States
Since late 2018, In 2018, we signed an agreement with Harvard T.H. Chan School of Public Health to take up joint projects benznidazole has in the areas of neglected tropical disease prevention, been available in 21 diagnosis and treatment, and to design together, for subsequent implementation, an Access Plan to pro- Also under this project, a study was undertaken at San countries, including mote and facilitate medical care to people affected Francisco University to evaluate Chagas diagnosis The ETMI-Plus strategy gets The ETMI-Plus initiative seeks to achieve and main- Spain and the with Chagas disease in the United States, a country techniques available in the United States. In addition, implemented in Latin America tain the elimination of mother-to-child transmission of where approximately 300,000 people are estimated to a pilot project is in process with the support of the HIV infection, syphilis, Chagas disease and hepatitis B United States. be infected, mainly in the states of Texas, Florida and Boston Children Hospital. (HBV) as problems that represent a danger to public New York. In 2018, we launched two large projects: one in the health. At the same time, Mundo Sano has provided the funds Almirante Brown District, Buenos Aires province, and As their first activity, Mundo Sano and the Harvard T.H. for a post graduate study course at Harvard University another in the ‘Triple Frontera’ of the Chaco Salteño, Chan School of Public Health brought together experts focusing on how to set up the foundations for an Ac- a formation straddling over the borders between in a symposium titled “Rethinking Chagas” 10 where they cess Plan that may facilitate Chagas disease diagnosis Argentina, Bolivia and Paraguay. The purpose of both discussed current barriers to comprehensive Chagas and treatment. initiatives is to strengthen and supplement local health disease healthcare and identify where and how to systems by implementing the ETMI-Plus strategy, led establish an action plan. This activity was supported by by the Pan-American Health Organization (PAHO), and the Chagas Coalition. aimed at women before and during pregnancy, as well as at puerperal women and their newborns.
10. The Chagas Coalition is an open cooperation alliance which, through the exchange of experiences, knowledge and ability to action, aims at alleviating human suffering caused by Chagas and attaining control of this disease. Founding partners are Fundación CEADES (Bolivia); DNDi (Switzerland); Fundación Mundo Sano (Argentina); ISGlobal (Spain);Texas Children´s Hospital (U.S.A.); Baylor Collage of Medicine (U.S.A.) and Na- tional School of Tropical Medicine (U.S.A.). 34 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 35 SAN FERNANDO CAMPANA ISLAS
ESCOBAR TIGRE
PILAR LUJAN Ciudad Bolivia Autónoma de Buenos Aires Triple Frontera GENERAL RODRIGUEZ Main resu ts Paraguay Argentina Almirante Brown MARCOS PAZ A master and specific agreement ENSENADA
GENERAL LAS HERAS it A mirante Bro n Munici a ity
LA PLATA
e nant en ‘Triple Frontera’ of the Chaco Salteño Almirante Brown District tested and The purpose of the initiative is to strengthen and In cooperation with the Almirante Brown Municipality, 2 0 e ei in ealt a e supplement local sanitation capabilities in order Pregnant women positive we promoted and built healthcare teams for the first, to contribute to bringing down maternal and child second and third level of care in order to introduce HIV, for syphilis and HIV must be treated mortality rates. This border area between Argentina, syphilis, Chagas and Hepatitis B diagnosis to all preg- pregnant women found during pregnancy. For the case of Paraguay and Bolivia is characterized by a population nant women attending public health system facilities. 17 positive for Chagas disease Chagas and hepatitis B, treatment mostly made up of original peoples who are very much dispersed geographically, with significant internal comes after delivery. All newborns t e n iti e We also work to strengthen central maternity services migration movements, which makes access to health r aga i ea e pregnant women positive and pregnant women positive for and promote newborn diagnosis and treatment, as well services even more difficult. for HIV one or more of these diseases are as post-partum follow up of mothers, using standard- 16 subject to controls according to the ized medical practices. Every 60 days, an interdisciplinary team of healthcare regnant en n respective protocols. professionals come to the localities of Santa Victoria iti e r i i pregnant women positive Through this project we were able to improve the ar- Este (Argentina), Crevaux and D’Orbigny (Paraguay) 226 for syphilis ticulation between municipal institutions, the Almirante and Pozo Hondo and San Agustín (Bolivia), and their Brown Municipality Health Secretariat and the ‘Lucio respective surrounding towns, to provide care to regnant an iti e Melendez’ Hospital of Adrogue and the ‘Arturo Oñativia’ pregnant women, puerperal women up to 60 days r e atiti r pregnant women positive Hospital of Rafael Calzada, both under Buenos Aires 3 for hepatitis B post-partum and newborns and infants up to 18 province administration. months. treate r i i The Project was implemented under an agreement The initiative has brought together with the Association for Regional Health Development professionals working for various sy i is treatments institutions including: the ‘Fatala (Asociación para el Desarrollo Sanitario Regional - 165 com eted i ren t e e regnant en Chabén’ Institute, ‘Dr. Francisco ADESAR) and all actions were articulated with the Salta a a e t aga iagn i Javier Muñiz’ Infectious Diseases 204 Ministries of Public Health and Early Childhood and an treat ent Hospital, ‘Santa Victoria Este’ Hospital, ‘Norberto Quirno’ Center health care professionals HIV treatments the correspondent healthcare bodies in Bolivia and for Medical Education and Clinical trained in the ETMI-Plus under ay Paraguay. 16 Research (CEMIC), Hospital Italiano, strategy Hospital Aleman, San Antonio de Areco University, ADESAR and Mundo Sano. 36 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 37
Launch of our comprehensive Chagas disease programs in Central America Strategic alliance in Guatemala The purpose of this alliance is to contribute to the elimination of Chagas disease as a public health problem in the Jutiapa department in Guatemala, the GUATEMALA area with the largest number of acute Chagas cases Jutiapa in the Americas.
The project will have a comprehensive control riatoma dimidiata approach to Chagas disease, including the articulation of prevention, diagnosis and treatment components of the problem. Work will also be done to strengthen and improve Participating institutions: the installed capacities of local and national actors, Drugs for Neglected Diseases initiative local information management, inter-institutional and (DNDi), International Development intersectoral collaboration, and reference and count- Research Center (IDRC, Canada), er-reference, in order to institutionalize Chaga´s control Guatemala Ministry of Public Health and and to contribute to its sustainability and replication as Social Welfare, San Carlos University of Guatemala, Universidad Del Valle of part of national public health policies in Guatemala and Guatemala, Jutiapa Health Office, Pan- other Central American countries. American Health Organization (PAHO) and Fundación Mundo Sano.
11. Triatoma dimidiataes is an hematophagus insect considered one of the most frequent vectors for Chagas disease propagation in regions of Central America and the northern area of South America (Colombia, Venezuela, Ecuador, and Peru). 38 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 39
To date, over 3,600 people Bolivia have attended all 4 festivals in 3 South American countries. Gran Chaco More than Paraguay 2,050 serology tests were Argentina conducted. In addition, 60 members of the Bolivian health B A system were trained in blood vessel extraction techniques and rapid ntea ud u u a a diagnostic tests for Chagas, while “Sports, Childhood and Chagas” in “Sports, Childhood and Chagas” ua a eta PA A A 512 change agents were trained in the ‘Fútbol-Net’ method. the Gran Chaco region in the Gran Chaco region a i u u n iti e r astelli esidente a es aga i ea e The object of this initiative is to create awareness of Program Facts 2015-2017 atu a Chagas disease through sport and recreational initia- The Sports, Childhood and Chagas program was first tives, and reduce their impact in localities within the implemented in 2015 in Añatuya, a locality of Santiago Gran Chaco region extending over adjacent areas of e e traine in t e del Estero, Argentina. In 2016, the festival was held A A Argentina, Bolivia and Paraguay. t et et in Juan José Castelli, province of Chaco, Argentina, and in 2017 it took place in three Bolivian localities: In 2018, the “Sports, Childhood and Chagas” Proj- Muyupampa, Huacareta and Monteagudo, department ect was implemented in Paraguay, where over 700 of Chuquisaca. boys, girls and their families participated in Sports A A A an gir A Festivals held at the ‘Dr. Benjamín Aceval’ Club, in arti i ating in t e e ti a the locality of Presidente Hayes, and in the ‘María Medianera’ Comprehensive Education Center, known A A A as Pa’i Puku, in Paraguay’s Chaco region. In addition, 2 over 160 adolescents and health agents were trained in Chagas disease prevention seminars imparted e ti a atten ee in the ‘Fútbol-Net’ format, developed by the Barça A Foundation. 2
This program is made possible thanks to a joint initiative by Mundo Sano, Barça Foundation, the Inter-American Development Bank, the Japan Fund Chagas Program, the Scientific Research Develop- For more A A for Poverty Reduction and Airpharm. In Paraguay, a ment Center (CEDIC), PROMEPAR, a private compa- 2 information, number of organizations acted as strategic partners, ny, ‘Dr. Benjamín Aceval’ Club and ‘María Medianera’ watch our video on including Paraguay Republic’s Ministry of Public Comprehensive Education Center. “Sports, Childhood Health and Social Welfare (SENEPA), the National and Chagas” - Paraguay 40 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 41 a ta al SA A atu a l inda F M SA. ue t More ua programs and M S S projects Prevención Investigación Diagnóstico y Formación Acciones de SA A Tratamiento Profesional y Sensibilización S Prevention SurveillanceCapacitación and control program for atu a triatomine bug in urban areas From our beginnings we The object of this program is helping interrupt vec- 0 100 Km implemented neglected tor transmission of Chagas disease by implementing tropical disease transmission house inspections and chemical control of bugs in dwellings in cooperation with the community. Actions prevention programs aimed under this program were started in 2002 in Añatuya, at maintaining and improving Santiago del Estero province. people’s health and 2018 Re t standards of life. uses isited 2 828 and ins e ted
n ested ouses
ota 0.3% in estation ercent
n estation ercent inside 0.05% ouses 42 Sustainability Report 2018 OUR WORK MATTERS 43
Scientific production Spatial analyzes of triatomine Scientific production infestation indices and their Urban environmental clustering to association to the actions of a Chagas assess the spatial dynamics of Aedes disease program and environmental aegypti breeding sites. Guillermo Prevention variables during a 5-year intervention Albrieu-Llinás, Manuel O. Espinosa, period. Diego Weinberg, Ximena Agustín Quaglia, Marcelo Abril, Carlos Porcasi, Sofia Lanfri, Marcelo Abril, Marcelo Scavuzzo. Geospatial Health Carlos M. Scavuzzo. Acta Tropica 188 2018; volume 13:654. (2018) 41–49. Prevención Investigación Sal ad a a Modeling Dengue Vector Population Diagnóstico y Formación Acciones de Using Remotely Sensed Data and a ta al Tratamiento Profesional y Sensibilización PARAGUAY Machine Learning. Juan M. Scavuzzo, Triatomine surveillance and control Capacitación Francisco Trucco, Manuel Espinosa, F M SA Carolina B. Tauro, Marcelo Abril Carlos l inda program with rural house sanitation SA A M. Scavuzzo, Alejandro C. Frery. Acta a a del ndi improvement Tropica, 2018. s astelli ue t ua C AC M S S Exploring satellite based temporal forecast modelling of Aedes aegypti This program was launched in 2005 for the purpose C S oviposition from an operational of contributing to the interruption of vector transmis- a ta al u u uati SA A perspective. A. German, M.O. Espinosa, atu a sion of Chagas disease and improving the quality and l inda In 2018 we expanded our M. Abril, C.M. Scavuzzo. Remote Sensing standards of life for the population of rural towns in the F M SA. Applications: Society and Environment 11 Aedes aegypti surveillance and 0 100 Km ovitrap network. Taboada department, Santiago del Estero province. ue t In cooperation with the (2018) 231–240. ua M S S control programs respective municipalities, we added new localities Operational satellite-based temporal The program is committed to respect the cultural value 2018 Re t including Juan José modelling of Aedes population in of the mud-and-brick houses used by these rural com- In Puerto Iguazu (2003), Clorinda (2004) and Pampa Castelli (Chaco), Curuzú Argentina. Manuel Espinosa, Eliana munities which, with good housekeeping practices, are uses isited del Indio (2010) Aedes aegypti infestation levels were Cuatiá (Corrientes) and Marina Alvarez Di Fino, Marcelo Abril, and ins e ted n a lia s la ed de it a as ideal dwellings in areas with high thermal amplitude. 280 determined by larvae population sampling, abundance Salvador Maza (Salta) Mario Lanfri, Maria Victoria Periago, n lab a i n n l s uni i i s se in a n of breeding sites and this species’ ovipositor surveillance Carlos Marcelo Scavuzzo. Geospatial las l alidades de uan Health s as2018;t elli13:734. a u u House sanitation improvement is conducted with SA A in terms of the epidemiologic risk12 represented by the S ouses uat a ientes Sal ad a a Salta community engagement, using materials that are presence of this mosquito in areas affected by Dengue, ene al 22 in ested native to the area and respecting a space distribution ab ada Chikungunya and Zika outbreaks. that is consistent with their dwellers’ uses and customs. To this end, residents of the area are trained in tasks 2018 Re t The program is developed in the city of Tartagal (2009) i i ne r a a ta a related to the improvement of their homes (plastering, 0 100 Km where, in addition, it includes breeding site control and roofing, ceilings and order in the surrounding space, uses isited n estation outbreak blocking actions in cooperation with the Tarta- and ins e ted among other). 280 7. ercent gal Municipality, the ‘Juan Domingo Peron’ Hospital and the private company Pan American Energy. Percent ouses o in estation 22 in ested 1.7% inside ouses 12. Epidemiological risk refers to any condition or circumstance in- (*) Ovitraps are devices used in urban areas for Aedes aegypti monitoring. Their use is based on female mosquito need to lay their eggs in containers creasing the odds of getting a disease or falling on any health issue. with water. These traps are monitored all 52 weeks of the year and their reading device is changed every week in order to prevent their turning into a mosquito breeding site.
n estation 7. ercent
Percent o in estation 1.7% inside ouses 44 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 45
PARAGUAY
ue t ua
M S S
0 100 Km Prevención Investigación Diagnóstico y Formación Acciones de Tratamiento Profesional y Sensibilización Research CapacitaciónComprehensive Community Intervention Programs for Intestinal Our goal is generating, sharing Parasite Prevention and Control Scientific production Prevalence of intestinal parasites n a lia s la ed de it a as and disseminating knowledge Since 2015, we promote a comprehensive approach and the absence of soil-transmitted n lab a i n n l s uni i i s se in a n as well as developing to intestinal parasite prevention and control through helminths in Añatuya, Santiago del las l alidades de uan s astelli a u u community intervention programs developed in Ar- Estero, Argentina. Maria Victoria uat a ientes Sal ad a a Salta innovative tools in the field of gentina, Spain, Ethiopia and Mozambique. Periago, Rocío García, Osvaldo neglected tropical diseases. Germán Astudillo, Marta Cabrera and Marcelo Claudio Abril. Parasites & In Argentina, since 2018, we carry out a project Vectors (2018) 11:638. at the Guarani Village Fortin Mborore (Puerto Iguazu, Misiones) to determine the prevalence of intestinal parasites and the intensity of geohelminth infection in individuals one year of age and older. Two hundred families of the Mbyá ethnic group live in this village.
Based on the analysis of the collected fecal samples, an area of was defined where geohelminthiasis is hyperendemic, with high prevalence of two parasite 01 species: Uncinaria and Strongyloides stercoralis, both closely linked to anemia and malnutrition in children. Due to their prevalence (73 %), mass treatment was used in this community, following the guidelines of the World Health Organization..
a e iti e r ge e int 46 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 47
Research
Prevención Investigación Diagnóstico y Formación Acciones de Tratamiento Profesional y Sensibilización In Ethiopia, based on studies carried out by our Capacitación OTHER ACTIONS IN ETHIOPIA Foundation in previous years, a hyperendemic area was identified for theS. stercoralis geohelminth in a Strengthening of the Zenzelema rural area of Bahir Dar, Amhara Region. Healthcare Center, Bahir Dar
The antiparasitic treatment used in national control programs is not effective for this parasite species. The Ethiopian government’s policy aims to integrate Therefore, we implemented a project including the neglected tropical disease programs into primary treatment of S. stercoralis infection with ivermectin. healthcare centers, following the guidelines of the 2030 Agenda for Sustainable Development and based This project, like all those we develop in Ethiopia, was on the premise of “leaving no one behind”. carried out jointly with local and national health author- ities, and with the Carlos III Health Institute of Madrid 01 To this end, Mundo Sano has launched a pilot project (Spain). to adapt the Zenzelema (Bahir Dar) primary healthcare center to include helminthiasis diagnosis and treat- . stercoralis ment in its services. We have thus provided training 01 to technical and healthcare personnel and assisted in healthcare center conditioning and renovation; set up a helminthiasis diagnostic laboratory; supported a e iti e laboratory services in procedure drafting and protocol r S. stercoralis 5 standardization; and conducted education actions on Bahir Dar topics related to water, sanitation and hygiene. iti e r inte tina ara ite 2 ETIOPÍA e e treate 0 100 Km it i er e tin 48 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 49
Research
Prevención Investigación Diagnóstico y Formación Acciones de Tratamiento Profesional y Sensibilización In Mozambique, we studied the prevalence of Capacitación 01 OTHER ACTIONS IN MOZAMBIQUE geohelminths through the analysis of samples from three locations in the Manhiça district, including Access to Water and Sanitation and Manhiça City and Josinha Island, by microscopic and How this Relates to Morbidity and molecular techniques. This project was carried out in collaboration with the Health Research Center (Centro Mortality Indices de Investigação em Saúde) of Manhiça and the Global MOZAMBIQUE ue t ua Health Institute (ISGlobal) of Barcelona. 0 100 Km Together with the Health Research Center of Manhiça 01 iti e and ISGlobal, we carried out a retrospective study a e In the studied areas, five geohelminths species were to evaluate the relationship between morbidity and identified, includingS. stercoralis. mortality indices in children under 15 and access to an i a water and sanitation, based on data for the period i ren i e in e it 2012 to 2015. i r e ater r e in an t i n er in rea e t The study surveyed water sources and sanitation 5 2 5 infrastructure conditions and later developed a spa- tial distribution map. The guide of the WHO/UNICEF e er in t e a e ear iti e 5 i ren i e in e a e Joint Monitoring Program for Water Supply, Sanita- tion and Hygiene was used for the definition of water it t i r e a e t anitati n and sanitation. i t a e t at t e in i en e iarr ea e rea e in a e it g a e t ater an anitati n
iti e a e a ta al SA A atu a l inda F M SA. ue t ua M S S
50 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 51
a ta al SA A atu a a a del ndi l inda F M SA. SA A Research S C AC ue t ua atu a M S S l nia a
Prevención Investigación Diagnóstico y Formación Acciones de Prevención Investigación Diagnóstico y Formación Acciones de Tratamiento Profesional y Sensibilización Tratamiento Profesional y Sensibilización 0 100 Km Hydatidosis Prevention and Control Capacitación 01 Diagnosis andCapacitación Diagnosis and Treatment of Chagas SA A Program S Disease in Areas with Active Vector A atuya Treatment iel de al Transmission13 In 2018, we implemented this program in the rural We have area of Miel de Palo, province of Santiago del Estero, We promote and encourage In locations in the provinces of Santiago del Estero and our own clinic a e iti e in the cities of which has a comprehensive approach to hydatidosis 0 100 Km r a Echinococcus Chaco, we made progress in the diagnosis and treat- access to diagnosis and Añatuyay Colonia taking into account all the elements in the cycle of ment of Chagas disease at special-purpose clinics. Dora (Santiago del this disease. treatment of neglected Estero) and Pampa diseases. del Indio (Chaco). The actions included: • Collection of dog fecal samples to determine Echi- People with cysts are under treatment. Comple- nococcus egg infection and subsequent antiparasitic mentary studies were performed on individuals with treatment, as applicable. positive serology results to confirm the disease as • Study of home slaughtered animal organs to deter- their ultrasound did not show cysts. mine the presence of hydatid cysts. Tested Chagas Treated er n a t • Creation of an ultrasound record database of people The analysis of fecal samples, blood and cysts was ati e it ati i Persons positive Persons aged 1 to 45 to detect the presence of cysts as an carried out in the Parasitology Department of the In 2018, AÑATUYA AND early diagnosis tool. Antiparasitic treatment and/or Malbrán Institute. Ultrasounds were performed in we appointed a health COLONIA DORA 2,323 283 113 referral for surgery were the actions taken upon cyst collaboration with the Ultrasound Service of the ‘Dr. professional at the Zonal Hospital of Añatuya, Santiago finding. Francisco Javier Muñiz’ Infectious Diseases Hospital. del Estero, to provide advice PAMPA DEL INDIO • Blood draws to determine the presence of parasite and refer to our clinic people 123 63 28 antibodies (serology) and comparison of ultrasound diagnosed with Chagas and serology. disease. TOTAL 2,446 346 141
er n te te iti e er g
13. These are areas with vector presence and a past record of vector transmission. 52 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 53
Diagnosis and Treatment
Prevención Investigación Diagnóstico y Formación Acciones de Tratamiento Profesional y Sensibilización Chagas Disease in Non-EndemicCapacitación Areas La Plata (Argentina) of Argentina, Spain and Switzerland, Municipal Chagas Disease Program Together with the Health Secretariat of the La Plata Madrid (Spain) Geneva (Switzerland) SWITZERLAND The purpose of these programs is to promote and Municipality, we were able to develop and implement perform the diagnosis and treatment of Chagas dis- a program to promote access to Chagas disease diag- Access to Information and Diagnosis of Chagas Promotion of Congenital and Pediatric Chagas Chagas Disease: Questions, Challenges and ease in areas without vector transmission to address SPAIN nosis and treatment at the first level of health care. Disease and Strongyloidiasis14 at Madrid City Council Disease Care Achievements a situation that affects population groups with records Healthcare Centers This program is focused on improving effectiveness in This program is intended to understand how Latin of migration in different parts of the world. This program aims to create a circuit in Madrid to en- the use of resources available in Spanish communi- American migrants in Geneva perceive their health hance information and access to diagnostic tests and ties with a larger population at risk of having the dis- priorities and manage practices in relation to Chagas refer positive cases of Chagas disease and strongyloidi- ease, providing care to children and mothers infected disease. This work is carried out in collaboration with 2018 Results: asis to specialized healthcare institutions. with Chagas. the University Hospital of Geneva and the Association of Chagas Patients in Switzerland. The indication and monitoring of treatments is under the authority of the National Health System. 1,640 people tested for Chagas disease 2018 Results ARGENTINA Alicante Valencia Barcelona Total 2018 Results Adults 49 people tested 75 positive for Chagas disease Tested 369 212 269 850 21 diagnostic sessions (>18 yo) Scientific production 4 positive for Chagas disease Reporting of adverse reactions Positive to benznidazole: does medical 33 43 14 90 30 treatments provided 522 people tested Adults expertise matter? Ana Cristina Pereiro, Mabel Lenardón, Alejandro Diagnosed Zeballos, Marina Chopita, Marcelo individuals positive for Chagas disease Abril, and Silvia Gold. Rev Panam 150 Children 70 24 49 143 Salud Publica 42, 2018. (<18 yo)
56 individuals positive for strongyloidiasis Positive Children 0 0 0 0 14. Intestinal parasitosis caused by Strongiloydes stercolaris 54 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 55
In Argentina In Spain In Paraguay
Chagas: Motivating Action Chagas, from Knowledge to Action 16th Prevención Investigación Diagnóstico y Formación Acciones de 3 editions: Course of Molecular Diagnosis in Tropical 80 professionals trained Añatuya (Santiago del Estero), San Rafael and Tratamiento Profesional y Sensibilización Diseases Capacitación Mendoza (Mendoza), Professional • Together with professionals from the Bunge Training and 90 professionals trained • Madrid & Born Foundation Education 8 Ethiopian professionals trained Ultrasound as a tool for the diagnosis of Since 2015 we offer training hydatidosis • Together with the National Center of Tropical courses on neglected Medicine, ‘Carlos III’ Health Institute, Madrid • Resistencia (Chaco) tropical diseases to health professionals, from our own 11 professionals trained Together with professionals from the ‘Dr. institution and sometimes • Workshop: “Laboratory Diagnosis of Francisco Javier Muñiz’ Infectious Diseases in partnership with other Hospital of Buenos Aires Chagas Disease in a Non-Endemic Area” institutions. • Majahonda, Madrid
Chagas Disease, the Challenge of 40 professionals trained Strengthening the Quality of Network Care 356 • Together with the Carlos III Health Institute, professionals were • Online course Madrid trained in 3 countries by our professional 127 professionals trained training programs in • Together with professionals from the Urban 2018. Zoonoses department of the province of Buenos Aires 56 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 57
a ta al SA A atu a l inda F M SA. ue t ua M S S
a ta al
SA A F M SA l inda Prevención Investigación Diagnóstico y Formación Acciones de SA A ue t ua Tratamiento Profesional y Sensibilización S Capacitación Awareness Educational Talks atu a M S S Actions 0 100 Km In Mundo Sano, we promote the prevention of ne- glected diseases with educational talks in primary and secondary schools, in the towns of Añatuya (San-
tiago del Estero), Puerto Iguazu (Misiones), Clorinda ila uen s i es With these actions, Mundo (Formosa) and Tartagal (Salta). Talks in 2018 lte n B S a lata Sano seeks to raise awareness brindamos charlas aA S más de These talks are about the prevention of Chagas about neglected diseases and disease and mosquito-borne viroses: dengue, zika provide useful information on and chikungunya. We also organize practical activ- school boys and girls ities on farming and vegetable gardening (Santiago 284 prevention and care. del Estero) and sanitary management of homes and in Añatuya peridomiciles.
These community actions allow us to establish ties 1,273 school boys and girls with other institutions that, like us, see the school as a in Puerto Iguazú key space to promote health education.
Mundo Sano is committed to raising awareness about the prevention of neglected diseases. 58 Sustainability Report 2018 Fundación Mundo Sano OUR WORK MATTERS 59
IN SPAIN
Information Campaign on the Diagnosis and Treatment of Chagas Disease
In 2017, after signing a collaboration agreement with the company Exeltis, belonging to the InSud Pharma Group, we carried out a campaign to raise awareness among health professionals about the importance of considering and treating Chagas disease in women of child-bearing age, of Latin American origin resid- ing in Spain.
During the campaign, talks were organized for doctors, with the participation of 200 gynecologists. Exeltis, in turn, trained 80 commercial delegates throughout the Global Handwashing Day 01 country to disseminate this information. Reto Chagas
Within the framework of the Global Handwashing e ent For the past four years, a team of amateur athletes Day promoted by the international coalition Global led by Leandro Sigman, Chairman, InSud Pharma, and Handwashing Partnership, Mundo Sano works to in ati n the Olympic athlete Chema Martínez travelled across raise awareness about this habit, which is the most Spain by bicycle spreading the message of our foun- effective and affordable practice to prevent infectious dation and providing visibility to Chagas disease. You diseases. For four years we have been organizing rec- can read more about this solidarity action at reational meetings in schools in the locations where arti i ating www.retochagas.com. we have offices in Argentina. an gir 60 Sustainability Report 2018
WE LIVE UP TO RESPONSIBLE MANAGEMENT
Fundación Mundo Sano 3. 62 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 63 Our Materiality Matrix
In 2018, we analyzed the three axes of sustainability: economic, social and environmental. We identified, sorted and measured, according to standardized parameters, the H H topics on which our management is based. We also interviewed our stakeholders.
As an outcome of this work, we are now able to monitor our performance, value the management of our resources
and optimize the response to our stakeholders’ expectations. OW
The resulting material aspects, detailed in this chapter, are: OW H H Ethics and Transparency, Local Communities, Public Policies and Environment. 64 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 65
Our commitment to a healthier and more egalitarian society Ethics and is reflected in the internal measures we implement to transparency ensure that our actions are both efficient and effective. We conduct ourselves with ethics and transparency, We receive donations from private companies, inter- Our Governing Body, together with the Executive Of- An example of our transparency and ethics in the Since 2009 we manage third-party projects as tech- national cooperation agencies, civil society organiza- fice, has significant involvement and conducts direct management of financial resources is our adminis- nological liaison between researchers and sources we carry out our programs tions and individuals, among others. We have a firm supervision over all our actions. tration of the funds granted by the Inter-American of public and private financing. The main sources of in pursuit of the well-being commitment and responsibility to maintain an appro- In 2018, Development Bank (IDB). financing are the European Economic Community, priately controlled environment to ensure that the We use management tools such as manuals, pro- there were no concerns the US National Institutes of Health, the Ministry of of local communities, we funds we receive are managed and administered in an cedures, monthly management reports, quarterly related to unethical or In 2013, we received IDB financing to implement the Science, Technology and Productive Innovation, the contribute every year to public ethical and transparent manner, discouraging practic- management reviews and other reports. illegal behavior and project “Sports, Children and Chagas”. It provides for Ministry of Health and Social Development and the es that can be considered inappropriate or corrupt. the integrity of the external audits on the organization’s processes, funds National Administration of Laboratories and Health policies and we care for the We believe that our control environment is appropri- organization. administration and financial reporting. Institutes, the last three of them run by the Argentine environment. These three lines ate and we are persuaded that the risk of occurrence State. of unethical behavior and/or acts of corruption is We had the first (mid-term) audit in 2018, with fully fa- comprise all the material issues greatly mitigated. vorable conclusions regarding our internal processes, Funding agencies carry out audits and request regu- that our Foundation manages control environment, resource management and the lar financial reports. In order to comply with these re- In addition, reinforcing our commitment to ethi- There were not confirmed financial information generated by the project. quirements, we developed a tool within our account- responsibly, considering cal management, we need to mention that ethical cases of corruption or any ing system to systematize their administration and to their economic, social and approval pursuant to the rules of the Declaration of disciplinary action taken. Another example confirming our transparency and manage them separately and in a differentiated way. Helsinki is requested for our research projects involv- ethical management of funds is the agreement we environmental aspects. ing people. The Declaration of Helsinki was issued by signed in 2018 with the Bill & Melinda Gates Foun- the World Medical Association (WMA) and represents dation, under which we were granted financing to the ethical principles that should guide the medical carry out a helminthiasis project. Prior to granting, we and research community. Compliance with them is a passed the evaluation process qualified with the sta- prerequisite for our scientific work and publications. tus equivalent to a Non-Governmental Organization based in the United States. 66 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 67 Resource allocation
A oca ion o ou c coun
Our resources fall into three • Donations for general purposes Mundo Sano applies for some state subsidies; how- 5 categories: These are the donations we receive to be used for ever, they represent a very small share of the total. In A n ina the general purpose of the Foundation. Most of these 2018, it was below 0.4 %. funds come from a small group of private companies with recognized track records and publicly known The total budget for 2018 was Euros 3,995,368. More activities. than 80 % of this amount is used to execute our pro- grams and projects.
• Donations for specific purposes These are the donations we receive to carry out a specific project or finance a specific program. These funds come from both private companies and inter- national cooperation agencies. 25 S ain
• Miscellaneous A oca ion o ou c These resources are a small share of the total and, for in o o and di a example, may come from third-party management fees
in our role as technological liaison. U S A in ia i a a Aedes 5 E io ia an i d di a 5 Mo a i u
5 Pa a ua O o a and o c 2 Bo i ia
2 Gua a a
0 S i and 68 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 69 Mundo Sano and the Community
The communities where we Improvement of Sanitation Conditions chose to operate have become in Rural Dwellings over the years, sources of This program was launched in 2005 for the purpose The latter two of these, although not directly linked to knowledge, action, partnerships of contributing to interrupt vector transmission of Chagas disease, were included in the project be- and undoubtedly rewarding Chagas disease, focused on improving the living cause, while these communities have many sanitation conditions and quality of life of the residents of rural deficiencies, safe water and proper disposal of excreta outcomes in this mission that we areas in the General Taboada Department, province are essential to protect the population’s health. have undertaken. Together with of Santiago del Estero. Mundo Sano provides its beneficiaries with the these communities, we carry out Its distinctive feature is that these improvements necessary tools and materials, as well as assistance two ambitious projects: are done with community’s engagement, respecting and support by technical specialists throughout the the use of local materials and space distribution and process. In all cases, the transfer of technological observing residents’ customs and traditions. innovation based on materials and resources locally available to that population is preferred. The structural improvements made by residents include: roof waterproofing, masonry improvement, (external and internal) wall and ceiling plastering and In 2018, house wall whitewashing. Other works are: tidying up improvements were made to and maintenance of areas surrounding the home or 61 dwellings in the rural peridomiciles, such as renovation of animal pens and areas Plot 58 and Plot 59 of the wood storage, weeding and cleaning, and construc- General Taboada Department, tion of water tanks and latrines. Santiago del Estero. Community workshops were organized for 225 people from these locations. 70 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 71
Educational Farm Chagas in Action Arauco Solidarity Marathon
An educational agro-ecological farm is operated at In August, during the week “For Argentina without Like in previous years, in 2018, we participated in the our site in Añatuya, Santiago del Estero, providing Chagas Disease”, we organized the meeting “Chagas 11th edition of the Arauco Solidarity Marathon, in the training and a space for production activities aimed at in Action” together with the University of Buenos Aires town of El Dorado, province of Misiones, Argentina. promoting on-farm consumption. (UBA). We invited personalities from several public On this occasion, we were present with a booth where and private institutions to share their experiences that we gave out information materials on dengue and The training workshops are intended for local entre- show that Chagas disease can and should be treated. repellents donated by the company SC Johnson, preneurs, teachers and residents and cover topics and explained the biology and behavior of the Aedes such as organic vegetable gardens, construction of In this event, Dr. Silvia Gold, our president, and Gabriel aegypti mosquito. Scope and impact feeding and drinking troughs, construction of green Capitelli, Director of Institutional Relations of the UBA of our work ovens, construction of water cisterns, assembly of on behalf of the Rector, highlighted the joint commit- chicken coops and vegetable gardens with recycled ment of both institutions to find solutions and improve elements and woven wire. the quality of life of people affected by Chagas dis- 9 countries in 3 continents ease, who are more than 1.6 million in Argentina.
7 Argentine provinces
In 2018, we conducted 22 locations / departments / districts 7 training workshops attended by 31 programs 151 people 4 SDGs 72 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 73 Public In 2017, after our Executive Director Policies visited Ethiopia with the Director of the National Center for Tropical Medicine of the ‘Carlos III’ Health Institute of Spain, we made the joint decision to support the training of doctoral students on neglectedº diseases in fields of mutual interest. Eight health Mundo Sano intends to Our activities are aligned with the United Nations • Strengthening our position before international professionals from various Ethiopian contribute to public policies Sustainable Development Goals, the Framework for cooperation organizations. Mundo Sano was includ- institutions took the “16th Course the Elimination of Mother-to-Child Transmission of HIV, ed in the platform of Red Argentina de Cooperación on Molecular Diagnosis of Tropical through field research, research Syphilis, Hepatitis and Chagas Disease (ETMI-Plus) of Internacional (RACI). Diseases”, organized in 2018 by the activities and publication in the Pan American Health Organization and the World Health Organization, and the Ibero-American Program • Signing 19 Framework Cooperation Agreements ‘Carlos III’ Health Institute, at the international scientific journals, for the Strengthening of South-South Cooperation (CCS). and 16 Specific Agreements, with: University of Bue- National Center for Tropical Medicine, participation in scientific nos Aires, Harvard University, Harvard T.H. Chan School with the support of our Foundation. At In Mundo Sano, we give priority to the consolidation of Public Health, International Development Research the end of the same year, one of these meetings and events and of institutional partnerships as a tool to make our Centre (Canada), Salud Global Foundation, AswissCha- professionals submitted his doctoral communication campaigns. Our programs sustainable. In 2018, we signed collabo- gas Association (Switzerland), Sanitary and Biomedical ration agreements with new organizations, such as Research Institute of Alicante, Association of Chagas dissertation “Spatial distribution most significant contributions are the Ministry of Public Health and Social Assistance of Patients of the Valencian Community, Barça Founda- and determinants of Strongyloides the Republic of Guatemala, Jutiapa, and executed an tion, National University of San Antonio de Areco, Valle in the field of public health. stercoralis infection in school-age agreement with the Ministry of Health of the province de Guatemala University-Health Department of Jutiapa of Córdoba, Argentina. and Central University of Venezuela. children in the Amhara region, Ethiopia”, which was approved by the • Participating in annual meetings and exchange University of Bahir Dar and will be Partnering with many stakeholders, we attained the forums with strategic partners: Pan American Energy, directed by Arancha Amor Aramendía, following: Williams Foundation, SC Johnson, Elea-Phoenix, Bunge & Born Foundation, Biogénesis Bagó, Sinergium our Foundation’s person in charge of • Strengthening our institutional presence in the and Group of Foundations and Companies. research projects in Ethiopia. scientific and academic community, governmen- tal and non-governmental organizations and their inter-institutional forums, multinational organizations, such as the Inter-American Development Bank, and companies of the InSud Group. 74 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 75
OUR CONSUMPTION: Environment Mundo Sano’s activities do not have significant environmental impacts. Power, paper and e nsu ti n ate nsu ti n water consumption only applies ( er year) (M3 er year) to the management of our headquarters and offices. Responsible management of the Most of the diseases on which we work are directly INTERNAL AND EXTERNAL MANAGEMENT Buenos Aires 23 37 5 impacts of our own and related related to environmental change, safe water con- sumption and social inequalities. Internal Management activities on the environments A atuya 6 24 60 where we operate is an ethical Indirect Greenhouse Gas Emissions These are emissions resulting from the foundation’s ac- Puerto gua 3 513 180 imperative that guides our tions but produced by sources that we do not own and actions. we cannot control. However, we can estimate them: C orinda 7 845 378 Total annual paper consumption Type Mobile Combustion artaga o data o ata reams Source Travels made for 190 the operation of the Pam a de ndio 6 811 144 organization Air travel Number of Trips 170 S Km Traveled per 1,157,243 1,157,243 km Trip15 Madrid 3 365 o data Fuel 3l per passenger / 100 Consumption Km 16. During 2018, the Tartagal office operated within municipal premises so we cannot estimate our power consumption.. Conversion Factor 2.52 kg CO2/l 17. Calculated based on an annual fixed charge equivalent to 5 3m per month, according to billing. 18. Calculated based on an annual fixed charge equivalent to 15 3m per Total 87,488 CO2/l month, according to the billing. 19. The Tartagal office operated within municipal premises so we can- Ba ir a r Am ara 1.616 245 not estimate water consumption. 20. Calculated based on an annual fixed charge equivalent to 12 3m per month, according to the billing. 21. Water consumption is paid in a single bill for the whole building and cannot be broken down. TOTAL 15. Travel funded by Mundo Sano. 76 Sustainability Report 2018 Fundación Mundo Sano WE LIVE UP TO RESPONSIBLE MANAGEMENT 77
External Management
Use of Insecticides For its vector surveillance and control programs, Mundo Sano uses products that are on the Insecticides and Rodenticides List of the National Administration of Medicines, Food and Medical Technology (ANMAT) of the National Ministry of Health and Social Devel- opment, under the category For use in public health only. In addition to these products, other control mea- sures are applied to minimize the likelihood of product losses and environmental impact.
Pathogenic Waste Any pathogenic waste that may result from our activities is finally disposed of through local and/or provincial health units (hospitals, healthcare centers) according to the area of intervention of each project. OUR REPORT 2018
Fundación Mundo Sano 4. 80 Sustainability Report 2018 Fundación Mundo Sano NUESTRO REPORTE 2018 81
Focusing • Communities affected by neglected diseases • Members23 of Mundo Sano acting at the on our locations where we are present Stakeholders • Health institutions and professionals • Corporate volunteers from Insud Pharma • Colleagues from the InSud Group and associated companies: Elea Phoenix, Sinergium Biotech, Biogénesis Bagó and Inmunova
• Universities We based our 2018 report on In order to prioritize the various sustainability aspects The answers collected allowed us to identify the Correctly identifying our In Mundo Sano, we strive to find, build and maintain in the guidelines of the GRI Standards of the Global material issues we reported and thus present our true, sound and lasting relationships with each of our the GRI Standards and the stakeholders is essential to fulfill • Strategic allies Reporting Initiative, we made in-depth interviews to materiality matrix. stakeholders. We get involved with each of these the executives of Mundo Sano and companies of the social actors in every action, in field work, in every sector supplement for Non- our mission in the most effective • Fellows , InSud Group, while gathering input from our stake- Our materiality analysis and the subsequent 2018 and efficient manner. location visited and in every scientific contribution Governmental Organizations holders during all our projects. We also relied on the Sustainability Report were reviewed and approved by published. • Supranational organizations both of the Global Reporting increased support received from and partnerships the President and the Executive Director under the made in 2017 and 2018 with the public and private principle of exhaustiveness. We communicate and interact with our main stake- , the contribution to • Other companies and foundations Initiative sectors and supranational organizations. They were holders, and with them we develop and review fundamental for our institutional growth, as shown in projects in common, through face-to-face meetings, the Sustainable Development • Media and the this report. We also evaluated the best practices of partnerships, collaboration agreements, work teams, Goals Principles of organizational management and programs of local Internet, email and social media (Facebook, LinkedIn, • Public opinion the United Nations Global and international foundations, businesses and social Instagram, Twitter and Youtube), as well as in confer- We also took into organizations, specialized in health issues and other ences, through scientific publications, and so on. We Compact. social purposes, and we carried out a survey of the identify and classify our stakeholders according to consideration the input of our strategic requirements of the main transnational insti- their level of influence, affinity and relationship, and With this categorization, we can manage relations, stakeholders and the analysis of tutions to ensure alignment with our strategies. we divide and group them according to their group plan actions and evaluate our impacts. of belonging. the impacts of all our actions. In addition, not only because of our way of running our programs and our ability to adapt and evolve but also by the generation of new scientific knowledge, we are a reference for our stakeholders, which allows us to work jointly in supranational and national orga- nizations.
22. Employees, volunteers, researchers, professionals and municipal field agents. 82 Sustainability Report 2018 Fundación Mundo Sano OUR REPORT 2018 83 Institutional Relations
In 2010, we began to establish ORGANIZATION SCOPE Our actions, activities, information campaigns and important partnerships and achievements are known to the public through the World Health Organization (WHO) Global media. In 2018, press releases on the Foundation’s assumed a leadership role with projects were managed and published by the main media of Argentina, Spain and Paraguay: Clarín, La the following organizations: Global Chagas Coalition Global Nación, El Cronista, Infobae, Mitre Radio, Continental Radio, La Voz del Interior, Canal 7, TN, Efe, Télam, El STH Coalition Global País, ABC Color, Telefuturo, La Nación (Paraguay).
Foro del Sector Social National (Argentina)
Grupo de Fundaciones y Empresas (GDFE) National (Argentina)
Pan American Health Organization (PAHO) Regional 118 print, online, radio Uniting to Combat NTDs Global and television pieces
Alliance for the Control and Interruption of Vector Regional Transmission of Chagas Disease in Central America and (Central America and Mexico Mexico)
Red Argentina de Cooperación Internacional National (Argentina) 84 Sustainability Report 2018 Fundación Mundo Sano OUR REPORT 2018 85
UN Global Compact Principles and Sustainable Tabla de GRI Standard Content Core Page/ Answer Omission Development Goals
Indicadores GRI General contents
102-9 Supply chain x The resources we manage originate, mainly, from contributions by private companies. Our organization allocates those resources to the various Programs and Projects which are carried out by Mundo Sano’s employees, associated researchers, independent professionals and volunteers.
102-10 Significant changes to x No major changes have taken place in Mundo Sano or our supply chain the organization’s size, structure, during 2018 UN Global Compact ownership, or supply chain Principles and GRI Standard Content Core Page/ Answer Omission Sustainable Development 102-11 Precautionary principle or x No precautionary principle has been determined to be needed as a Goals approach result of the organization impact analysis and the aspects covered by this principle General contents 102-12 External initiatives x 20 to 21 SDO #17 102-1 Name of the organization x Fundación Mundo Sano (Argentina) and Fundación Mundo Sano España 102-13 Membership of associations x 82 SDO #17 (Spain) GRI 102 102-14 Statement from senior x 102-2 Activities, brands, products, x SDO #3, #6, #10 and #17 5 and 7 10 - 11 - 17 decision-maker and services Contents 102-16 Values, principles, standards x Principles 1 and 10 102-3 Location of Headquarters x Argentina Headquarters: Paraguay 1535, Ciudad Autónoma de Buenos Generales 64 and 65 and norms of behavior Aires - Spain HQ: Paseo de la Castellana 13, 5B, Madrid. 2016 102-17 Mechanisms for advice and Advise on legal matters is received from Grupo Insud through their Legal Principles 1, 2 and 10 102-4 Location of operations x 13 concerns about ethics Department. Mundo Sano, in turn, has an Advisory Board and a Scientific GRI 102 102-5 Ownership and legal form x The Organization is comprised of two separate legal entities: (i)Fundación Committee. General Mundo Sano. Incorporated in Argentina as a Foundation on March 9, 1993. Page 64 It was registered before the General Court of Records (Inspección General Contents 102-18 Governance Structure x 22 a 23 de Justicia) on June 3, 1993 under Resolution N° 361; (ii) Fundación Mundo 2016 Sano España. Incorporated in Spain as a Foundation, on February 8, 1999. 102-19 Delegation of authority 22 It was registered in the Education and Research Foundation category on May 6, 1999. 102-20 Executive-level responsibility for economic, environmental, and 22 102-6 Markets served x 11 and 13 SDO #10 and #17 social topics
102-21 Processes for consultation 102-7 Scale of the organization x 16 - 18 - 66 - 67 between stakeholders and the highest governance body on 81 102-8 Information on employees and x 16 Principle 6 economic, environmental, and social other workers topics 86 Sustainability Report 2018 Fundación Mundo Sano OUR REPORT 2018 87
UN Global Compact UN Global Compact Principles Principles and Sustainable GRI Standard Content Core Page/ Answer Omission and Sustainable Development GRI Standard Content Core Page/ Answer Omission Development Goals Goals General contents General contents
102-22 Composition of the highest 102-45 Entities included in the x Fundación Mundo Sano in Argentina and Fundación Mundo Sano in Spain 22 to 23 governance body and its committees consolidated financial statements submit independent financial statements; only total expenditures and allocated percentages are consolidated. 102-23 Chair of the highest 23 governance body 102-46 Defining report contents and x 62 topic Boundaries 102-24 Nomination and selection to In Argentina the Management Board is made up of 7 permanent the maximum government body members. In Spain, there are 3 Trustees who rotate in their functions 102-47 List of material topics x 62 SDO #3, #6, #10 and #17 102-26 Role of the maximum government body in the selection of 22 to 23 102-48 Restatement of information x There are no restated reports purposes, values and strategies 102-49 Changes in reporting x The Principles of the UN Global Compact are added to the GRI table 102-27 Collective knowledge of There are no formally instrumented rules. It should be noted that all highest governance body members making up the governance body are prestigious people of local 102-50 Reporting period x January 1, 2018 through December 31, 2018 and regional renown for their professional and academic background and GRI 102 performance. GRI 102 102-51 Date of most recent report x Last report submitted was for the period January-December, 2017
General 102-32 Highest governance body’s General 80 102-52 Reporting cycle x Annual Contents role in sustainability reporting Contents 2016 102-35 Remuneration policies Members of the Management Board, the Board of Trustees, the Advisory 2016 102-53 Contact point for questions x [email protected] or through our social media accounts Board and the Scientific Committee do not receive any remuneration for regarding the report their roles in the conduct of their functions within Mundo Sano. 102-54 Claims of reporting in x This report has been prepared in compliance with the Essential option of 102-40 List of stakeholder groups x 81 SDO #10 and #17 accordance with the GRI Standards GRI Standards
102-41 Collective bargaining x 92% of Mundo Sano’s employees are included in the collective bargaining Principle 3 102-55 GRI content index x 84 to 91 agreements agreements. 102-56 External assurance x — Not 102-42 Identifying and selecting x 81 SDO #10 and #17 applicable. stakeholders This option 102-43 Approach to stakeholder x 81 SDO #10 and #17 was not engagement chosen by Mundo Sano 102-44 Key topics and concerns x 62 SDO #3, #6, #10 and #17 for this 2018 raised report. 88 Sustainability Report 2018 Fundación Mundo Sano OUR REPORT 2018 89
UN Global Compact Principles UN Global Compact Principles GRI Standard Content Core Page/ Answer Omission and Sustainable Development GRI Standard Content Core Page/ Answer Omisión and Sustainable Development Goals Goals
Material issues Material issues
FINANCIAL TOPICS ENVIRONMENTAL ISSUES
ANTICORRUPTION MATERIALS
103-1 Explanation of the material x Principles 1, 2 and 10 302-1 Total energy consumption x Principles 7 and 8 64 to 65 GRI 302: topic and its boundary SDO #10 and #17 within the Organization 74 and 75 SDO #3, #6, #10 and #17 Energy 103-2 The management approach x 64 to 65 and its components GRI 305: 305-3 Gross other indirect GHG x Principles 7 and 8 GRI 103: emissions 74 and 75 SDO #3, #6, #10 and #18 103-3 Evaluation of the management x Emissions Management 64 to 65 approach Approach GRI 306: 306-2 Waste by type and disposal x Principles 7 and 8 205-2 Communication and training x Principle 10 method SDO #3, #6, #10 and #19 2016 about anti-corruption policies and 64 to 65 SDO #10 and #17 Effluents and 75 and 76 procedures waste
205-3 Confirmed incidents of x 65 Principle 10 SOCIAL ISSUES corruption and actions taken SDO #10 and #17 LOCAL COMMUNITIES CIVIL SOCIETY ORGANIZATION-SPECIFIC FINANCIAL INDICES 103-1 Explanation of the material x Principle 1 68 to 71 NGO7: Resource allocation x 66 to 67 topic and its boundary SDO #3, #6, #10 and #17 GRI 103: NGO8: Ethical fundraising: funding sources by category and x Partially reported p. 66 to 67 Principle 10 Management 103-2 The management approach x detail of the 5 most important donors with detail of their cash 68 to 71 and its components contribution Approach
2016 103-3 Evaluation of the management x ENVIRONMENTAL ISSUES 68 to 71 approach MATERIALS GRI 413: 413-1 Operations with local x 103-1 Explanation of the material x Principles 7 and 8 community engagement, impact 74 to 76 Local 28 to 59 GRI 103: topic and its boundary SDO #3, #6, #10 and #17 assessments, and development communities programs Management 103-2 The management approach x 74 to 76 2016 Approach and its components 413-2 Operations with significant x No negative impacts were identified in our operations actual and potential negative 2016 103-3 Evaluation of the management x 74 to 76 impacts on local communities approach 90 Sustainability Report 2018 Fundación Mundo Sano OUR REPORT 2018 91
UN Global Compact Principles UN Global Compact Principles GRI Standard Content Core Page/ Answer Omission and Sustainable Development GRI Standard Content Core Page/ Answer Omission and Sustainable Development Goals Goals
Material issues Material issues
SOCIAL ISSUES SOCIAL ISSUES
PERFORMANCE INDICATORS FOR PROGRAMS IMPLEMENTED FOR CIVIL SOCIETY ORGANIZATIONS CIVIL SOCIETY ORGANIZATION-SPECIFIC SOCIAL INDICATORS
404-1 Average hours of training per x Principle 6 NGO1: Stakeholder commitment: Procedure for x SDO #3, #6, #10 and #17 16 GRI 404: year per employee and per volunteer stakeholder engagement in implementation, monitoring 72 to 73 Training and and evaluation of policies and programs education 404-3 Percent of employees x We do not conduct formal performance evaluation of employees, but Principle 6 receiving regular performance and we do have an annual goal setting process established in our action 2016 career development reviews plan. NGO2: Feedback and complaint mechanisms regarding x 72 a 73 Principle 2 policies and programs SDO #3, #6, #10 and #17 NGO9: Workforce feedback and claim mechanisms. x We, at Fundación Mundo Sano, ensure freedom of association. 92% Principles 3 and 6 Resolution processes of our employees are covered by the UTEDyC collective bargaining agreement. All labor rights established in the legislation of the countries NGO3: Program monitoring, evaluation and learning x SDO #3, #6, #10 and #17 where we are present are assured in our Foundation. In addition, our system (measurement of effectiveness). Program change 28 to 59 employees are provided communication channels where they can communication method. discuss and analyze any problems arisen with Foundation major representatives.
NGO4: Integration of gender and diversity issues in x We, at Mundo Sano, address gender and diversity issues from a SDO #3, #6, #10 and #17 PUBLIC POLICY program design and implementation community viewpoint, so that differences or discrimination of the more 103-1 Explanation of the material x SDO #3, #6, #10 and #17 vulnerable groups are avoided 72 to 73 GRI 103: topic and its boundary Management 103-2 The management approach x SDO #3, #6, #10 and #17 72 to 73 NGO5: Public awareness: Processes designed for x SDO #3, #6, #10 and #17 Approach and its components preparing, implementing and changing the organization’s 72 to 73 standpoint with regard to public issues 2016 103-3 Evaluation of the management x SDO #3, #6, #10 and #17 72 to 73 approach
415-1 Political contributions (parties x We do not make any direct financial contribution to any political parties SDO #3, #6, #10 and #17 NGO6: Processes to be considered and coordinated with x SDO #3, #6, #10 and #17 GRI 415: 28 to 59 and/or representatives) and/or representatives other actors’ activities Public policy 2016 92 Sustainability Report 2018 Fundación Mundo Sano OUR REPORT 2018 93 For more information and GENERAL COORDINATION Marcelo Abril communication Chief Executive Director Andrea Gómez Bravo Project Management Our 2018 Sustainability Report is available on the cor- porate website of Fundación Mundo Sano, Mariano Mazzei www.mundosano.org, as well as previous reports and Administration and Support progress reports, records of our evolution in sustain- ability management. Mariana Porta Communications Your comments and questions will help us improve our sustainability management. Please contact us at Technical Advice [email protected] or through our social Crowe media sites where you will find more information on prevention and treatments and will be able to interact Layout and Design with us. Cristina Melo
Photographic Archive Fundación Mundo Sano
All rights reserved. September, 2019
MundoSano Our gratitude to all Fundación Mundo Sano those who accompany Fundación Mundo Sano us in this mission.
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