GHANA MALARIA CONTROL as a best practice Corporate Social Responsibility Programme Steve Knowles Programme Director
Steve Knowles (AngloGold Ashanti Malaria Programme Director) says: A Malaria Control programme is the best example of a sustainable Corporate Social Responsibility programme for a company operating in a malaria endemic area; with a win win for Company and community (Financial Times) AngloGold Ashanti s Obuasi programme proves the above statement an effective, efficient malaria control programme embracing the community in which the company operates, has been beneficial to the Company and the District Community At Obuasi it has not only reduced the burden of malaria in the community, increased school attendance and won the gratitude of the community (and recognition of the Govt.) but has also reduced absenteeism at the mine, increased productivity and reduced the cost of malaria medication to our employees and dependents At corporate level it has a return on investment and has the backing of the shareholders We can use this reservoir of expertise for the benefit of all the people of Ghana not only the communities in which AGA operates
AngloGold Ashanti AngloGold Ashanti is global gold producer and operates in 22 countries Argentina, Australia, Brazil, Ghana, Guinea, Mali, Namibia, South Africa, Tanzania & United States. With exploration in Alaska, China, Malaysia, Philippines & Laos AngloGold Ashanti feel very strongly about Corporate Social Responsibility and believe that local community involvement & development is a key issue to sustainable operations Extract from AGA mission: strive to form partnership with host community, sharing their environment, traditions and values, we want communities to be better off for AngloGold Ashanti having been there AGA believe that we should be involved and initiate social & environmental projects in the communities in which we operate In addition to benefiting the people, the reduction of malaria in our community and mine, makes good economic sense and the lessons learnt will be used to initiate similar projects in our other operations
AngloGold Ashanti operations in relation to malaria areas To quote from the AGA Report to Society 2004... Malaria remains the most significant Public Health threat to AngloGold Ashanti operations in Ghana, Mali, Guinea and Tanzania.. You only have to superimpose a map of our global operations over the world malaria map to see the need for an overall group malaria strategy
Malaria can be prevented! There are four means of prevention: Kill adult mosquitoes (Indoor Residual spraying, knockdowns) Prevent mosquitoes from biting (Nets, screening, repellants) Control mosquito breeding (Larvicide, environment management) Anti - malarial drugs
Integrated Malaria Control Programme An Integrated Malaria Control Programme incorporates all these preventative methods + early diagnosis and effective treatment
Indoor residual spraying ( IRS) Of all the interventions of an Integrated Control Programme, IRS has the most impact in reducing the incidence of malaria IRS entails the spraying of insecticide on the interior walls of all the structures/buildings in the targeted area (WHO guidelines are that min of 85% must be sprayed to be effective) Residual insecticides remain active on a sprayed surface (walls, under tables) for a long time after spraying ( 5-6months) Any mosquito alighting on the sprayed surface and coming in contact with the insecticide, will pick up a lethal dose and die. We know that the malaria vector mosquito (Anopheles) is an indoor biting and dwelling mosquito, which rests on walls, hence the effectiveness of the indoor Residual spraying
GLOBAL FINANCING The Global fund to fight Aids, Tuberculosis and Malaria ( GFATM) Ghana is the recipient of a USD $ 133 million grant for an Indoor Residual Spraying linked Malaria Control Programme The Grant is be based on the Obuasi model and is be implemented by Anglo Gold Ashanti Partnership with the National Malaria Control Programme ( NMCP) The Ministry of Health & GHS has publically declared support for AGA The NMCP and AGAMal are active partners The NMCP has pledged full support and the involvement of their regional / district malaria programme officers and infrastructure The GHS has offered the use of medical stores facilities at all levels The Government has pledged to assist tax exemption certificate
Global Fund to Fight AID s, TB and Malaria(GFATM) Objective of Global Fund Round 8 Indoor Residual Spraying (IRS) grant: Ghana The proposal was a Country application submitted by the Ghana Country Coordinating Mechanism (CCM) of the Global Fund ( GF). The proposal writing team compiled the application, which was then approved by the CCM committee and submitted to the Global Fund. After approval by the GF, AngloGold Ashanti was appointed by the CCM as the Principal Recipient of the grant to implement the Programme It is the first time a Private Sector company will be the Principal Recipient of a GFATM grant in Africa and only the second globally
Global Fund to Fight AID s, TB and Malaria(GFATM) Objective of Round 8 Grant Indoor Residual Spraying (IRS) : Ghana Scale up the AngloGold Ashanti Obuasi IRS programme to 40 Districts Note: Grant runs for 5 years USD $ 130 million Scale up over 4 years as per map Will provide 3800 jobs by year 4 Recruitment from communities within targeted districts AGA Malaria Centre at Obuasi will be National headquarters (contribution from AGA + the existing personnel) Zone offices at Wa, Tamale, Obuasi. Sub offices at Navrongo and Takoradi Insectary / laboratory at Navrongo and Obuasi Emphasis on M&E / Malaria Information & Surveillance System (3 sentinel sites per District)
OBUASI MALARIA CONTROL PROGRAMME By year 4 all 40 districts targeted will be covered PMI Districts districts which have a current IRS programme funded by the Presidents Malaria Initiative ( USAID)
THE OBUASI MALARIA CONTROL PROGRAMME
OBUASI MALARIA CONTROL PROGRAMME Regional Malaria Prevalence OBUASI
Obuasi Municipal Assembly boundaries
Historical status at Obuasi - 2005 The Obuasi Mine hospital (Edwin Cade) saw on average 6800 malaria patients per month of a workforce of 8000 Of these 2500 were mine employees. With an average of three days off per patient it equates to 7500 man shifts lost per month This coupled with the slow work rate during recuperation, resulted in a major loss in production Costs of medication for treatment was in excess of USD $ 55 500.00 pm Government Hospital and clinics in Obuasi 12009 cases per month 48% of all cases seen at Obuasi hospitals / Clinics Heads the top 10 killers 22% of all deaths
Obuasi Integrated Malaria Control Programme Vector Control - Indoor Residual Spraying (IRS) Distribution of Insecticide Treated Nets (ITN s) Larvicide of breeding areas (water bodies) Environmental Management (screens, lifestyle change) Surveillance, Monitoring & Evaluation/ Research Insecticide Resistance Management / rotation Information, Education, Communication (community) Early, effective diagnosis & treatment
MALARIA CONTROL PROGRAMME Malaria Control Centre
Obuasi programme Integrated Malaria Control Programme Implement a complete Integrated Malaria Control Programme Encompassing the mine, town & villages Initial Cost : USD $ 1.7 million Thereafter : USD $ 1.3 million per year Programme is forever! AIM : Reduce incidence of malaria by 50% in 2 years
DOES IT WORK? YES! An average decline of over 5800 cases per month since 2005 (75%)
MALARIA -TOTAL CASES 2005-2009 Edwin Cade Hospital- Obuasi 8000 7000 Cases 6000 5000 4000 Round I Round 2 2005 2006 2007 2008 2009 3000 Round 3 Round 4 2000 1000 0 J F M A M J J A S O N D Months
15000 14000 13000 12000 2005-2009 MALARIA CASES IN OBUASI MUNICIPAL AREA 2005 2006 2007 2008 2009 11000 10000 9000 CASES 8000 7000 6000 5000 4000 3000 2000 1000 0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC MONTH
1200 1000 Malaria Incidence rate / million man-hours worked YTD rates Monthly rates Target 800 Rate 600 400 200 0 2005 2006 2007 2008 2009 A S O N D 2008 - J F M A M J J A Period S O N D 2009-J F M A M J J A S O
Malaria medication costs Edwin Cade Hospital TOTAL $ EMPL$ 2005 - Average monthly cost 55 000.00 22 000.00 2006 - Average Monthly cost 26 000.00 9 000.00 2007 - Average monthly cost 15 000.00 4 000.00 2008 - Average monthly cost 11 000.00 3 000.00 2009 - Average monthly cost 10 000.00 2 000.00 Lost man days due to malaria 2005 - Average monthly 6983 2006 - Average Monthly 4423 2007 - Average monthly 1206 2008 - Average monthly 338 2009 - Average monthly 282 Incidence Rate / 1000 employees 2005 - Average monthly 238 2006 - Average monthly 16 2007 - Average monthly 61 2008 - Average monthly 46 2009 - Average monthly 41 Results have shown an average incidence reduction of 75% (5800 cases)
MALARIA CONTROL PROGRAMME NATIONAL PARTNERSHIPS ( PPP) AngloGold Ashanti's programme is a partnerships with Ghana Health Service, the National Malaria Control Programme (NMCP) and the local Obuasi Municipal Assembly coupled with the benevolent approval of the Ministry of Health A Private Sector Malaria Control Programme would be impossible without the support and consent of the National Government and NMCP by the very nature of using Insecticides and involving the public, approval must be received from the Ministry of Health and also the Environmental Protection Agency An important issue is that It must conform to the National Malaria Plan This partnership will be continued into the Global Fund Programme with the addition of the Country Coordinating Mechanism and the Local Fund Agent
MALARIA CONTROL PROGRAMME GHS MoH MoLG EPA
MALARIA CONTROL PROGRAMME GHANA CONTROLLING MALARIA IS OUR PASSION SAVING LIVES IS OUR GOAL
THANK YOU MERCI