Policy & Governance

Mohammad Anas Wahaj | 07 apr 2016

This year's World Health Day, that falls today (07 April 2016), has the theme 'Beat Diabetes!'. The World Health Organization has singled out tackling diabetes as one of the most critical healthcare challenge but at the same time tried to give a strong message that it is not too hard to manage if people can put their thoughts and actions in the right direction. Alex Jones, health economist at the social enterprise Oxford Policy Management and researcher at University of the West Indies, provides historial perspective on how international health organizations and governments over time have developed and implemented different types of policies in tackling global health issues. Sometimes they have utilized a single disease approach and at others they have been more holistic and tried to improve health systems around the world. He further explores two approaches and provides opinion on their long-term benefits. According to him, 'A quick look back through history reveals a disturbingly cyclical pattern: As an international community we've been flip-flopping between the two approaches - vertical and horizontal - for at least the last century.' He explains, 'As far back as the 1920s, the sector saw the growth of what was known as the 'Social Medicine Movement' - based on the consideration that ill health could actually be a consequence of poor social conditions...Throughout the first half of the 20th century the Rockefeller Foundation became one of the most influential organisations in global health, implementing programmes in over 80 countries...it always kept the aim of combating specific diseases through targeted campaigns. Post-war politics saw the creation of a number of international agencies that pursued similar vertical programmes...The failure of the GMEP (WHO's Global Malaria Eradication Project) and the relative success of Mao Zedong's community-led 'Barefoot Doctors' programme in China both helped to swing the global health pendulum towards a more horizontal 'systems' approach. In 1975, the WHO launched its Primary Health Care strategy and in 1978 (after sustained advocacy from the Soviet Union) the famous Alma-Ata conference was held...this was a pledge to build up basic health systems around the world...and heralded the birth of the 'Health for All'...The beginning of the 80's, however, saw the pendulum swing firmly back towards vertical interventions...the last ten years have seen a swing back to the ideals of Alma-Ata and the mantra of putting people - rather than pathogens - front and centre of health initiatives...In 2012, the United Nations General Assembly formally recognised and unanimously endorsed the idea of Universal Health Coverage (UHC).' While explaining the current state of health policy focus and interventions, he comments, 'Given the benefit of hindsight, there's a strong risk that today's current focus on UHC might not survive the constant push towards seemingly more feasible, targeted interventions. This apparently inevitable swing to the vertical, however, misses the point on two key fronts: First, history shows us that morbidities are integrated, both with each other and with our ways of life. Second, when something new comes along, a health sector built around a few target pathogens simply cannot deal with it.' Finally, he suggests, 'Let's continue to focus resources where significant advances in disease eradication are possible, partnering with those who can make this happen - but let's take care not to do this at the expense of overall systems strengthening.' Read on...

The Financial Times: Healthcare for all: A zero-sum game?
Author: Alex Jones

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Mohammad Anas Wahaj | 27 mar 2016

Food wastage is becoming a substantial cause of concern around the world. France recently passed laws to restrict throwing away or destroying food and UK's biggest retailer, Tesco, pledging to give all leftover food to charities. According to Food and Agriculture Organization of the United Nations website (fao.org) - Roughly one third of the food produced in the world for human consumption every year, approximately 1.3 billion tonnes, gets lost or wasted; Food losses and waste amounts to roughly US$ 680 billion in industrialized countries and US$ 310 billion in developing countries. Governments, food chains and retailers, charitable organizations and social enterprises, need to come together to find ways to restrict and minimize food waste and make substantial part of it available to where it is required most. Following are some valuable suggestions - (1) Logistics: Efficient coordination between supermarkets and charities is essential. Supermarkets shouldn't just dump food at charities. Elaine Montegriffo, CEO of SecondBite, says, 'It is not just having enough trucks and storerooms...Some organisation has to take responsibility for coordinating donations so the right food reaches people in useable condition.' (2) Education: Create awareness about food labels and other specifications among consumers. Ronni Kahn, CEO of OzHarvest, says, 'Consumers need to understand what date marks mean.' (3) Food consumed at home should have minimal losses and consumer buying and eating behaviors need to be transformed. (4) Growing less food: Ms. Montegriffo says it's counterintuitive but if producers and retailers were not throwing away 1/3 of the food produced, the cost of producing it would drop. If supermarkets did not over-order food, their costs would reduce. (5) UK's model of collaborative understanding and commitment, between environment ministry, sumpermarkets, manufacturers and packaging companies has been effective and can be emulated. (6) Denmark's model with an organization buying surplus food from other supermarkets and selling at discount can also be helpful to reduce food waste. (7) Legislative measures can be considered and that should evolve with deliberations among various stakeholders. A number of organizations in Australia, for example retailers like Woolworths and Coles, and charities like OzHarvest, SecondBite and Foodbank, are currently working towards achieving minimal food wastes through the following 6 methods - (1) Reasonable and achievable long-term targets through diverse strategies like food donations, commercial composting, fertiliser, electricity production and animal feed. (2) Using food charities. (3) Buying ugly fruit and selling at cheaper rates. (4) Supermarkets are ordering less by using supply chain technologies and ordering systems. (5) Good incentives: Australian Environment Minister Greg Hunt introduced an incentive for businesses to reduce food or garden waste in landfill. (6) Talking about food waste and seeking collaborative solutions through participation from wide array of public and private organizations. Read on...

The Age: Seven solutions to supermarket food waste
Author: Deborah Gough

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Mohammad Anas Wahaj | 07 mar 2016

In most organizations, CSR (Corporate Social Responsibility) is not a clearly defined strategic activity at the senior executive and top internal stakeholder level, even though a number of them have CSR and sustainability departments. According to a research study by London-based economic and strategy consulting firm, Economic Policy Group (EPG), 71% of companies in the U.S define their CSR spending as in-kind donations and free product giveaways. Another 16% define it as cash donations, and the remaining 13% as employee volunteering and giving. Large organizations often consider investments in social programs as not providing direct returns. One of the most difficult challenge for sustainability teams is to sell embedded CSR and sustainability programs internally to the top executives and senior managers and advocating that isolated initiatives like philanthropy and volunteering are not enough for corporations to be socially responsible. Organizations have to effectively integrate CSR and sustainability into the overall strategy to drive long-term growth and success. Sustainable thinking should be imbibed into corporate culture and strategic thought processes. Jeff Sutton, Vice President of thinkPARALLAX, provides 7 benefits of integrating sustainability into overall business strategy - (1) Increase in sales. (2) Innovate and differentiate. (3) Enhance and build reputation. (4) Future-proofing. (5) Recruit and retain. (6) Cut costs. (7) Unify teams and align decision making. Read on...

Triple Pundit: Securing Buy-in From the Top - 7 Benefits of Integrated Thinking
Author: Jeff Sutton

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Mohammad Anas Wahaj | 03 mar 2016

Harvard University academics, Prof. Mark R. Kramer and Prof. Michael E. Porter, introduced the concept of 'Creating Shared Value (CSV)' in HBR (2011), as an approach that takes into account social problems which intersect with businesses and makes it a major part of the core business strategy of a company. In the context of India the approach is much more relevant as it is still struggling with numerous social issues like poverty, illiteracy, unemployment, health etc. The academics feel that Indian businesses are still missing something in their view of long-term sustainabile business models. While speaking at 'Shared Value Summit 2015' in India, Prof. Kramer said, 'You cannot have a successful business in a failing society...for the CSV model to become a part of corporate hygiene anywhere needs major mindset change where we embrace a problem solving approach that goes beyond thinking what we can do in our company alone to also what we can do for society that we operate in.' He further explains that, 'CSV doesn't replace CSR and philanthropy, but can be in addition to them, such that businesses can find new opportunities for competitive advantage by beginning to think about these social issues as part of their overall corporate strategy.' Read on...

Business Insider: Philanthropy and CSR are fine, but Harvard senior fellow Mark Kramer sees CSV as the way forward for a growing and evolving India
Author: Anushree Singh

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Mohammad Anas Wahaj | 24 feb 2016

According to a study by Prof. Sachin Modi of Iowa State University (USA) and Saurabh Mishra of McGill University (Canada), a strong marketing department is crucial to helping a firm leverage its efforts to be socially responsible. Study results show the combination of marketing and CSR can provide shareholders with a 3.5 percent gain in stock returns. Researchers defined CSR as discretionary firm activities aimed at enhancing societal well-being and analyzed six different types of CSR activities - environment, products, diversity, corporate governance, employees and community - to determine whether marketing of these efforts increased long-term firm value and stock price. Firms often consider CSR as a cost and have to make an investment and may not always see the benefits. Prof. Modi says, 'What we want to show is that if a firm is good and has some complimentary capabilities, it can gain a lot from CSR activities...The return is dependent upon the type of activity. Firms benefited from five of the six types of CSR efforts studied, with the exception of charitable giving and philanthropy...We're not saying firms shouldn't give to charity, because it is a very important component, all we're saying is we don't see a financial return.' Prof. Modi further suggests, 'Our hope is that firms see it is important to be socially responsible. It's not a choice of one versus the other. Firms have to do multiple aspects of being socially responsible.' Read on...

ISU News Service: Marketing key to return on corporate social responsibility investment, ISU study shows
Author: Angie Hunt

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Mohammad Anas Wahaj | 08 feb 2016

Collaborative multidisciplinary and interdisciplinary approaches are needed to tackle complex real world problems that require large amount of resources, diverse set of perspectives, and extensive expertise and skills. A similar joint effort is being utilized to create 'Human Rights Methodology Lab' by Center for Human Rights and Global Justice (CHRGC) at NYU Law School, Human Rights Institute (HRI) at Columbia University Law School and Human Rights Watch (HRW). The lab will bring together leading human rights investigators, advocates, and scholars with experts across disciplines to develop new approaches to the investigation of human rights abuses and to propose concrete improvements in advocacy-oriented human rights research. According to Prof. Margaret Satterthwaite, co-chair and faculty director at the CHRGC, 'Rigorous, interdisciplinary methods are essential to making human rights advocacy more effective. Improving methods helps us solidify the evidence base for our advocacy, and gives us tools to help understand the dynamics behind violations, their scope and intensity, and ultimately, their causes.' Prof. Sarah Knuckey, co-director at HRI, says 'The lab will bring together small, carefully curated groups to develop methods for human rights projects during their early stages of development. There are currently too few formal spaces for human rights advocates to critique and experiment, and the lab responds to the needs of researchers to innovate, test and share new research tools and techniques.' According to Amanda Klasing, senior women's rights researcher at HRW, 'The chance to discuss methods with experts in other disciplines is an invaluable resource. It allows researchers to develop innovative projects with data and approaches that can help us improve our advocacy for ending abuses.' In addition to above persons, the other convener of the lab is Brian Root, quantitative analyst at HRW. The lab will also have participation and assistance of Holly Stubbs, a researcher at Center for Economic and Social Rights (CESR). Read on...

Human Rights Watch: Innovative Lab Launched to Strengthen Human Rights Work
Author: NA

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Mohammad Anas Wahaj | 22 jan 2016

Concerned authorities try to provide affordable housing to their marginalized communities. In regions with extreme climate conditions it becomes even more challenging to manage costs related to energy consumption. Nanaimo Aboriginal Center (British Columbia, Canada) in partnership with the city administration is planning to build an affordable housing complex that will abide by the energy efficiency standards. The project will use passive housing design, that is more economical and is an alternative to LEED (Leadership in Energy and Environment Design). According to Chris Beaton, Executive Director of Nanaimo Aboriginal Center, 'You build your building so it's oriented to the sun and during the winter, you're allowing in the heat of the sun to warm the interior of the building. You put in robust insulation...then you vapour barrier it so no cold air is coming in and you're not losing heat during the winter.' Read on...

Nanaimo News Bulletin: Affordable housing project aims to use passive house design
Author: Karl Yu

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Mohammad Anas Wahaj | 09 dec 2015

U.S. spends a total of US$ 2.8 trillion on healthcare and surprisingly about half of it is spent on just 5% of the general population. To expand healthcare reach the general solution is to spend more money. But Prof. David S. Buck of Baylor College of Medicine and director of the Primary Care Innovation Center (PCIC) in Houston (Texas, US), explains that spending more money, specifically in Harris County, has yielded poor outcomes, no coordination between healthcare providers and no safety net system for those most in need. According to him the healthcare system is non-existent in the region and it is merely a grouping of medical silos. The nonprofit PCIC is working towards creating a true healthcare system to reach the most vulnerable and most medically expensive residents, and provide affordable and better healthcare overall by reducing hospital costs. PCIC is first identifying 'super-utilizers', a small group of patients that are extremely sick and costly. These patients utilize most of the healthcare services and are generally treated in emergency rooms. Health staff after identifying these 'super-utilizers' will work with them individually and develop a treatment and care plan for better management of their health issues. This will finally reduce their hospital emergency visits and lower healthcare costs. Delay in treating small problems leads them to become emergencies and bring inefficiencies in the health system along with increased difficulties to patients. Prof. Buck suggests an integrated database of these patients for timely and effective treatment and care. According to him, 'Developing a safety net takes time, commitment and shared data...If hospitals share data, it won't just improve the institution's bottom line; it'll improve care for the community...We also need school systems to share data, so that we can learn how health and social factors are linked, and improve the health of students and their families.' Read on...

Houston Chronicle: Medical data-sharing could curb cost of 'super-utilizers'
Author: David S. Buck

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Mohammad Anas Wahaj | 29 nov 2015

The fast-paced world of fashion and related consumption leads to generation of large amount of waste that leaves a substantial ecological footprint. According to the nonprofit GrowNYC, in the city of New York the average person throws out 46 pounds of clothings and textiles every year (totals 193000 tons for NY). While Council for Textile Recycling found that US generates 25 billion pounds of textile waste per year (82 pounds per person) and estimates that it will increase to 35.4 billion pounds by 2019. But only about 4 billion pounds (15%) gets donated and recycled and the remaining reaches landfills, contributing 5.2% to all trash generated in US. Elizabeth Cline, author of the book "Overdressed: The Shockingly High Price of Cheap Fashion", says 'There is so much waste being created and that has changed really dramatically in the last 15 years with the rise of fast fashion and disposable consumption.' Adam Baruchowitz, CEO of Wearable Collections, which coordinates textile recycling in partnership with GrowNYC, acknowledges the increasing rise in textile waste. While Nate Herman, VP of international trade at American Apparel and Footwear Association, have a contrarian view and explains 'People are actually buying less than they did 10 years. While there has been a lot of press about [wastefulness], the numbers don't bear that out.' But he acknowledges that the industry is trying to effectively handle the clothing's end-of-life issues. Some companies provide small credit to consumers who trade-in used garments, while others donate used clothings to charities. Some companies provide support and contribute to the recycle programs where used textiles end up in producing materials used in other industries like insulation in buildings. Moreover, there are a number of startups that are working to give a second life to used clothings. A small number of fashion companies are also incorporating recycled materials in their new line of clothings. Eco-friendly strategies are considered costly by the industry. According to Jill Dumain, director of environmental strategy at Patagonia, 'It's an industry-wide dilemma, for sure, on how do we do something at scale that the industry can participate in...The end result is that you have smaller-scale production that ends up to be more expensive.' She suggests that awareness about recycling is necessary and at the same time there need to be a thinking among consumers not to treat clothes like a cheap disposable item. Slow fashion might be the way forward. She further explains, 'I do think consumption is a big part. People need to learn how to buy less and companies need to learn how to be profitable in selling less.' Read on...

CBS News: Is the fast fashion industry ready to change its wasteful ways?
Author: Michael Casey

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Mohammad Anas Wahaj | 20 oct 2015

To transform cities into 'HUBs' of something requires deliberate collaborative efforts and partnerships between the people and government. There are numerous examples from US and around the world where residents, local businesses, city administration, civil society and governments have come together to create ideas and concepts, developed a concrete roadmap, and carefully executed strategy, that lead to the evolution of a city or region to become great at doing something and attract other people, businesses and investments that helped develop and grow its economy. They worked relentlessly as a team towards the shared vision and goal. Kansas City in United States is one such example where the city and its citizens built upon its strength and made it into a hub of 'Social Entrepreneurship.' Josh Schukman (Founder of Social Change Nations), explains five essential elements that helped transform Kansas City and how other cities can replicate and implement this model - (1) Capitalize on the strengths of area universities. (2) Rally local foundations. (3) The effort must be driven by the social entrepreneurs themselves. (4) Embrace the startup culture. (5) Remember this is a long term play. Read on...

Huffington Post: How to Make Your City a Hub For Social Entrepreneurship
Author: Josh Schukman

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