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Public-Private Partnerships
Harnessing the private sector’s
unique ability to enhance social impact
Working Document
December 2009
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Contents
Introduction 4
Finding #2: The private sector can contribute to PPPs in five ways 15
Finding #3: How the private sector wins with PPPs; recognizing mutual
benefits is key to success 21
Finding #4; Nine best practices to help maximize the value of private
sector engagement and PPP impact 27
Appendix 2: Bibliography 38
Introduction
Bringing the specific efficiencies, discipline, focus and mindset of for-profit
businesses to bear on the public and non-profit sectors is an old idea, but one that is
gaining momentum with the success and proliferation of public-private partnerships
(PPPs) over the last 15 years.
Challenges such as poverty, public health and education – long considered purviews
of government – have proved stubbornly resistant to government-only solutions.
However, collaborative efforts between the public, private and civil sectors to address
major societal challenges have delivered progress. Working together, the three sectors
are often able to accomplish far more than any can do alone. Indeed, the very mixture
of differing approaches and expertise is the added value which these partnerships
bring, making them far more than just the sum of their parts.
Despite this success – or because of it – a growing sense has emerged that PPPs could
do even more. To do more though, they need additional help from the private sector.
And not just any help, but the right kind of help. More resources – whether money,
staff time, products, or other in-kind contributions – are always welcome but more
valuable is expertise: the very reason for the formation of PPPs in the first place.
We found that the most effective and most needed ways for the private sector
to increase its involvement in PPPs are to help strengthen PPP governance and
management; increase public awareness of PPP goals and activities; and provide
specific institutional capabilities which can help PPPs deliver on their missions. Non-
governmental organizations (NGOs) and government agencies are often less well
equipped to provide these types of expertise so support from the private sector has
proven its worth across a range of PPP efforts. It has also helped to raise awareness
throughout the business community of the unique contributions that private
enterprise can make, spurring ever more companies to get involved.
Participation in PPPs can create a virtuous cycle of mutual benefit for all concerned;
in particular, for private sector entities traditionally seen solely as benefactors and
not as beneficiaries. One of our most striking findings is that the most effective PPPs
understand that part of their strategy must be to explain to companies the benefits
of greater involvement and to create an environment to engage their private sector
partners more deeply. The more clear it is to everyone – and especially private
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 5
companies – that participating in a PPP yields benefits to all, the more companies will
be become involved. And the greater the benefits of participation become, the greater
their commitment and contributions to the cause.
We further believe that new kinds of private sector partners, from industries which
have not yet engaged widely with PPPs, will get involved, bringing new skills and
capabilities to the table.
While we expect that most of this growth will be beneficial, we also caution that PPPs
are not a one-size-fits-all solution, and that they can carry significant costs. In some
cases other, potentially less costly, methods of public and private collaboration will
serve a given cause as well or better than a new PPP. Moreover, there are already some
examples of duplication and overlap between existing PPPs while others continue to
operate, solicit, and attract resources despite having outlived their original purpose.
Consolidation and “creative destruction” could therefore be powerful forces to further
increase PPPs’ effectiveness.
This report begins with an overview of the current PPP landscape, and then discusses
in detail four key findings:
3. Benefits to the private sector from engaging in PPPs extend well beyond public
relations, and there is growing recognition that mutual benefit is key to success
and sustainability
4. PPP leaders from any sector can benefit from nine best practices that maximize the
value of private sector engagement and PPP impact
We conclude with some thoughts on how the PPP landscape will likely evolve in
the coming years. The appendices summarize the interviewees we spoke with, a
bibliography of research, and a profile of the PPPs we studied for this report.
We would like to thank all the interviewees who helped us develop this report. Their
experience and insights were invaluable and critical to the report’s success.
6
Understand how private sector involvement in PPPs has created value for both
the partnerships themselves and their private sector partners, how this value has
evolved over time, and whether the benefits vary by partnership type; and
Identify opportunities and best practices to further increase the impact and
benefit of private sector engagement in PPPs.
Our report is informed by the experiences and observations of a broad set of PPP
stakeholders and experts. We reviewed the extensive body of literature on PPPs and
conducted more than 60 in-depth interviews with officials from leading PPPs and
other experts in the field.
• Reduce malnutrition through the use of • Inspire and support entrepreneurial multi-
food fortification stakeholder partnerships
• Save lives by increasing access to
immunization • Improve economic and social well being of
African tree crop farmers
• Reduce diarrhoeal diseases through
promoting handwashing with soap
Finally, we sought to maximize the relevance of our study by testing our hypotheses
and illustrating our findings based on the actual experience of the 15 PPPs we studied.
Exhibit 1 provides a brief overview of the partnerships we reviewed for this study and
more detail on each of these organizations is available in Appendix 3.
A number of factors have driven the PPP boom. First, they were a response to
governments’ perceived failure to provide universal access to health, education
and other public goods.3 Advocates of PPPs argued that the private sector can help
accelerate these efforts and that, acting together, the public, civil and private sectors
can achieve an impact well beyond what any could accomplish alone. For the many
social challenges that are driven by the lack of a well functioning market (and which
could therefore be sustainably resolved by creating one) the argument for a PPP
seemed particularly strong.
Second, the success and growth of national PPPs inspired the creation of transnational
partnerships to address challenges faced by more than one country.4 The United
Nations (UN) in particular played a key role in driving the growth of PPPs at the global
level. Kofi Annan (the first UN Secretary General to hold a MBA) moved aggressively
to foster partnerships between UN organizations, NGOs and the private sector. His
call on the private sector to become more involved in addressing social challenges
led to the creation of the UN Global Compact, a corporate citizenship initiative that
encourages companies to help foster human rights, improve working conditions,
protect the environment, and fight corruption. He was also an instrumental voice
behind the Millennium Development Goals (MDGs), an ambitious agenda to improve
1 Kaul, Inge. “Exploring the Policy Space Between Markets and States: Global Public-Private
Partnerships.” In The New Public Finance: Responding to Global Challenges. Inge Kaul and
Pedro Conceição, eds. United Nations Development Programme. Oxford University Press.
2006.
2 http://www.usaid.gov/gda
3 Kaul 2006; Martens, Jens. Multistakeholder Partnerships – Future Models of Multilateralism?
Friedrich-Ebert-Stiftung Dialogue on Globalization. January 2007
4 Kaul, 2006
8
public health and alleviate global poverty by 2015. The MDGs have been a major
catalyst to increase private sector involvement in addressing these challenges.
Third, foundations stepped in with financing and other help to support the
creation of PPPs. Between 1996 and 2002, for instance, the Rockefeller Foundation
provided management advice and seed funding for six partnerships, including the
International AIDS Vaccine Initiative (IAVI) and the Medicines for Malaria Venture
(MMV).5 The Bill and Melinda Gates Foundation (BMGF) was pivotal to the creation
of some of the most recognized global PPPs, including the Global Alliance for Vaccines
and Immunization (GAVI – now the GAVI Alliance) and the Global Alliance for
Improved Nutrition (GAIN). It has also provided tens of millions of dollars to support
other PPPs such as the African Comprehensive HIV/AIDS Partnership (ACHAP).
5 The four other partnerships which the Rockefeller Foundation supported in this context are
the Global Alliance for TB Drug Development, the International Partnership for Microbicides
(IPM), the Pediatric Dengue Vaccine Initiative (PDVI) and the Centre for the Management of
Intellectual Property in Health R&D (MIHR).
6 The International Finance Corporation, the World Bank. The Business of Health in Africa:
Partnering with the private Sector to Improve People’s Lives. December 2007.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 9
There are many demonstrated benefits from working through PPPs to address these
challenges. Stakeholders interviewed cite numerous areas of benefit, including7:
Although most PPPs today are less than 10 years old, these benefits have meant that
many have already made an impact in their respective spheres beyond what either
the public or private sector could have achieved alone. They have raised awareness for
their causes, making them priorities on national and international agendas, secured
funding from traditional sources as well as new donors, and spurred the research
and development of new and improved products.8 PPPs have also helped introduce
new ideas and approaches. In many cases, they have infused a private sector mindset
and culture – especially a focus on outcome and performance – into efforts that had
long been dominated by the public and/or civil sectors alone.9 Thanks in part to these
innovations, access to services among the poor and hard-to-reach is on the rise. 10 In
global health in particular, PPPs have helped to streamline and rationalize resource
allocation, ensuring that money, medicine and doctors’ time go where they are needed
most. This has driven improvements in many health trends.11 Some or perhaps much
of this progress would have happened regardless, but PPPs helped to accelerate it.
The time and resources required from all partners to learn how to work together
and understand each other’s priorities.
7 Ibid
8 Buse, Kent and Harmer, Andrew. Seven habits of highly effective global public–private health
partnerships: Practice and potential. Social Science & Medicine, Vol 64: 259–271.
9 Ibid
10 Ibid
11 Lu, Chunling et al. Effect of the Global Alliance for Vaccines and Immunisation on diphtheria,
tetanus, and pertussis vaccine coverage: an independent assessment. Lancet, Vol. 368:
1088–95. 2006; Lane, Christopher and Glassman, Amanda. Bigger And Better? Scaling Up And
Innovation In Health Aid. Health Affairs, Vol 26, no. 4: 935-948. 20071
10
These costs can be significant. For instance, the Global Fund to Fight AIDS,
Tuberculosis and Malaria (“the Global Fund”) logged operating expenses of roughly
$117 million in 2007 (~4-7% of the $2.6 billion committed and $1.7 billion disbursed).12
It is therefore crucial to weigh any benefits against these transaction costs when
deciding whether to start a new PPP or to continue supporting an existing one.
Range of collaborations
From … … to
• loose, ad hoc • contractual or
association Partnerships are commercial
• discuss issues characterized by arrangements
of mutual interest • one party provides
• activities remain • An agreed common vision the other with
very independent • Shared, mutually agreed goals services in return
• Clear commitment and for payment
investment from all partners
Examples:
• Formalized collaboration and Examples:
• Chamber of shared decision making
Commerce • Outsourcing
• Trade association • Construction
project
PPPs are but one form of this collaboration but not always the most appropriate or cost-
effective one. Showing support for a cause, or occasionally sharing ideas and knowledge,
might best be achieved through a membership association, which allows partners with
similar interests to help their intended beneficiaries without incurring significant
governance or operational costs. Alternatively, if a non-profit only needs a discreet
product or service, a purely contractual relationship between buyer and seller is more
appropriate than a PPP – even if the product or service is provided at a discounted price.
Despite these costs, PPPs remain an important and popular tool for addressing
economic and social challenges. New partnerships continue to be proposed or
created to address specific issues. For instance, in October 2007, the US President’s
Emergency Plan for AIDS Relief (PEPFAR) and Becton Dickinson Diagnostics
launched the Public-Private Partnership to Strengthen Laboratory Systems to
improve medical labs in developing countries.
New ideas to leverage the PPP concept also continue to emerge. An April 2008 Wilton
Park Conference focused on the potential of public-private investment partnerships
12 The Global Fund to Fight AIDS, Tuberculosis and Malaria. Annual Report 2007. March 2008.
13 The Bill & Melinda Gates Foundation. Developing Successful Global Health Alliances. April
2002
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 11
to “strengthen health systems in low and middle income countries through long-term
investment.” More broadly, calls on the private sector to do more in support of the
Millennium Development Goals continue to grow louder. Ahead of the 2008 Business
to Action Conference, British Prime Minister Gordon Brown called for greater efforts to
engage the “support and expertise of global business to develop new and innovative ways
to spread growth, prosperity and opportunity in poor countries around the world.”14
This proliferation of PPPs has led to some duplication of mandates and activities,
and to a level of complexity that can be difficult to manage. This problem has been
exacerbated by a degree of “mission creep” whereby some PPPs have broadened their
focus beyond their original objectives, either through a conscious strategic choice or
unwittingly through uncontrolled expansion of their activities. Dr. Margaret Chan,
on taking office as Director-General of the World Health Organization (WHO), neatly
summed up these concerns:
“If you look at the number of partnerships the Organization has, I’m just
surprised. How can we manage all these partnerships? The transaction costs
are very high. We need to be honest with ourselves and ask the question, are all
these partnerships still relevant? If not, either the partnerships have to change
or we have to change or both of us have to change to be more relevant.”15
Therefore, after 15 years of rapid PPP growth, many of those with the most experience
dealing with PPPs believe it is time to take stock of the landscape. Although we do not
anticipate widespread consolidation or termination of partnerships, we do believe
that some degree of “creative destruction” will occur. PPPs with overlapping missions
could potentially increase their impact by merging their organizations. More broadly,
we believe that the main focus in the coming years should and will be on increasing
the effectiveness of existing partnerships, rather than creating new ones. One way
to achieve this might be for PPPs to better leverage the potential contributions of
their private sector partners. As many PPPs undergo their first major external
evaluations, an early conclusion is that they would benefit from even greater private
sector participation. For example, the Global Fund’s 5-year external evaluation
concluded that it “should…attempt to engage the private sector to a larger extent,
partly by expanding the range and types of contributions, for example by emphasizing
co-investment over monetary contributions.” 16 The Global Fund’s Private Sector
Delegation agreed, arguing that “the private sector has played an important role in
the work of the Global Fund since its inception…yet we have only begun to realize
the full potential of private sector support for the Global Fund in terms of relevant
management expertise, technical assistance and broader resource mobilization.”17
14 http://www.wiltonpark.org.uk/themes/environment/pastconference.aspx?confref=WP909
15 http://www.who.int/dg/chan/interviews/taking_office/en/index.html15
16 Ryan, Leo et al. Evaluation of the Organizational Effectiveness and Efficiency of the Global
Fund to Fight AIDS, Tuberculosis, and Malaria. Results from Study Area 1 of the Five-Year
Evaluation. Macro International Inc. October 2007.
17 The Global Fund to Fight AIDS, Tuberculosis and Malaria. Mobilizing Additional Resources
for the Global Fund: A Planning Guide for the Private Sector. Prepared by the Private Sector
Delegation to the Board of The Global Fund to Fight AIDS, Tuberculosis and Malaria.
September 2005
12
Some involve as few as two organizations, such as Moving the World, a partnership
to fight hunger between the World Food Programme (WFP) and TNT, the Dutch
transportation and distribution company. Others, such as the Global Compact, are
large, complex multi-stakeholder partnerships.
PPPs also vary in geographical scope. Some focus on a specific community or region –
the Sustainable Tree Crop Program (STCP) originally targeted five countries in West
Africa. Others, such as the Global Fund, are truly global in reach.
What all PPPs have in common, however, is a common vision, shared goals,
investment from all partners, and a formalized structure with shared decision-
making. We consider any arrangement between distinct organizations that fits
the above criteria to be a partnership. For example, we believe a fee-for-service
relationship between the private and public sector can be classified as a partnership,
and not merely a business arrangement, if either party make contributions that extend
beyond the specific product or service which they are contracted to provide (e.g.,
by lending their expertise in board discussions). Such situations, however, require
thoughtful mechanisms to avoid conflicts of interest.
Given their profusion and diversity, PPPs can be classified in multiple ways. For
example, they can be divided by focus area (e.g., health, education, or economic
development) or by the methods through which they do their work (e.g., fostering
innovation, negotiating affordable prices, or advancing or creating new markets).18
Our research led us to conclude that, for purposes of classification, a PPP’s overall
objectives are its most important distinguishing factors. This enabled us to identify
four distinct “archetypes” of PPP (see Exhibit 4; the organizations listed at the bottom
are examples and not comprehensive lists).
18 Martens 2007; Broadwater, Ian and Kaul, Inge. Global Public-Private Partnerships: The
Current Landscape Study Outline. Office of Development Studies United Nations Development
Programme. February 2005.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 13
We believe that the capabilities the private sector can most usefully contribute to a PPP
vary according to these archetypes; this will be discussed in more detail in subsequent
chapters. Although, some PPPs may have characteristics of more than one archetype
(see box), this framework, serves as a useful guide for both public and private sector
14
organizations in thinking about the types of partners and partnerships with which
they should engage, given their capabilities and objectives.
For these reasons, some PPPs are starting to blur the boundaries between the different
archetypes. For instance:
Medicines for Malaria Venture has extended its mission. Its “original business
plan focused on drug discovery and development. Over time, its stakeholders
encouraged MMV to move beyond the core functions of drug discovery and
development to include delivery to ensure that people in endemic countries have
access to new and more effective products”. 19 MMV is now exploring options to
work with private partners on downstream drug delivery as well as upstream
R&D.
The Global Fund, while still primarily a funding PPP, is increasingly exploring
additional activities to increase the impact of its grants. Indeed, Secretariat
members we spoke with identified the Global Fund as today sharing
characteristics of three PPP archetypes – coordination, funding and delivery.
For example, the Global Fund is increasingly focused on improving delivery of
products and services and helping recipient countries better manage their grants
(e.g., by bringing in private sector partners with financial planning and project
management expertise).
19 Fairlamb, Alan et al. Independent Review of Medicines for Malaria Venture. dFID Health
Resource Centre. May 2005.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 15
12
business behavior
• Catalyzing changes in
private sector behavior
more broadly
54 3
Providing institutional Strengthening a PPP’s
capabilities governance and
management
• Institutional capabilities
and capacities to • Expertise and disciplines
support PPPs’ which help strengthen
operations governance and
management
Adding a compelling
new voice
• New perspectives and
thinking
• Additional publicity and
credibility for PPPs’
mission or actions
Expanding PPP resources: Nearly all PPPs receive cash or in-kind donations
from the private sector, either directly or by leveraging private sector fund-raising
capabilities (e.g., innovative financing mechanisms). For example, since the inception
of the Mectizan Donation Program (MDP) in 1987, Merck has contributed 1.8 billion
Mectizan tablets (which treats onchocerciasis, an insect-borne disease that causes
a variety of conditions, including blindness, skin rashes, lesions, intense itching
and skin depigmentation) valued at roughly $2.7 billion.20 Similarly, through its
partnership with the World Health Organization and the United Nations Children
Fund (UNICEF), Novartis has provided 216 million treatments of Coartem on a
non-profit basis. However, private sector resource support of this magnitude is rare,
especially when it comes to cash, rather than in-kind, donations. For instance, in
2007 private sector contributions to the Global Fund totaled $45 million,21 or 2% of
total funding (including through Product RED and the TV show American Idol),22
Two major reasons explain the private sector’s limited contributions of resource.
First expectations about potential private sector contributions were often unrealistic.
Most companies leverage their equity for operations so direct cash donations for
philanthropic activities unrelated to their core business are a very expensive way to
contribute. Second, the private sector does not always see eye to eye with its public
and civil sector partners on how resource contributions should be made; these
partners often want something other than what the private sector is willing to give.
For example, many private companies are eager to make in-kind donations to the
Global Fund. Given its policy of “country ownership”, however, the Global Fund
would rather receive monetary support, which enables recipient countries to procure
products of their choice. At its November 2008 Board meeting, the Global Fund Board
recognized the value of contributions of “services” and requested that the Secretariat
prepare guidelines for accepting such donations. However, the Global Fund decided to
maintain its policy of not accepting in-kind product donations for the time being.
Private sector partners also bring a greater sense of urgency to the activities of PPPs.
Representatives of several large public sector organizations told us that their private
sector partners tend to work at a faster pace, and expect results sooner, than is typical
in the public sector. While clashes can and do occur – especially in the early days – our
interviewees judged that in most cases pushing partnerships to be more aggressive in
delivering on their goals is a net positive.
23 Ibid
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 17
Private sector members of the Global Compact were a key force in improving the
accountability of the initiative, by pushing for improvements in the monitoring of
members’ activities and the creation of new integrity measures.
1 The GAVI Fund Board and GAVI Alliance Board were merged in October 2008. Two of the new
Board’s 28 seats are occupied by representatives of the vaccines industry and a further ten by
unaffiliated individuals.
Adding a compelling new voice: All PPPs face two key challenges of raising
awareness of their goals and efforts, as well as building a sense of legitimacy in the
public mind. Here, the private sector can provide invaluable help. The public and civil
sectors can be all too easily mischaracterized as anti-business or anti-growth. The
private sector has credibility with specific audiences and access to specific channels
that the public sector lacks, and that is invaluable for creating public support for a PPPs
goals and methods.
For example, when the Financial Times (FT) featured a full page article on the role
of Unilever in the Global Public-Private Partnership for Handwashing with Soap
(GPPPHW), the initiative received not just publicity, but much-needed credibility
with the FT’s business-oriented audience. In the case of the STCP, it was Mars’s role in
creating the partnership, which helped convince other players in the cocoa industry to
support it. Similarly, as CEO of Cisco, John Chambers was a key driving force behind
the creation of the Jordan Education Initiative (JEI) having proposed the idea during
a meeting of World Economic Forum (WEF) Governors. His strong support of this
initiative, industry credibility and networks helped to persuade other IT giants, such
as Intel and Microsoft, to support JEI.
Visible private sector support also helps new PPPs overcome the often significant
hurdles in getting started. When funders and policy makers see the private sector
taking an active role in a new endeavor, they often rally to the cause. TNT created the
vision for Moving the World. The company went so far as to prepare a full business
plan and sketch the specific characteristics of the type of partner with which it wanted
18
to work. It then went to the WFP and outlined its vision for how the two organizations
could work together. That early initiative from a private entity was essential to the
project’s launch.
PPP archetypes
Product
Coordination Funding Delivery
development
Coordination PPPs tend to benefit most from the private sector’s marketing
capabilities, which they can harness to articulate and promote their mission. For
example, Unilever, Colgate-Palmolive and Procter & Gamble bring “the art of
creating automatic behaviors – habits – among consumers.”24 to the Global Public-
Private Partnership for Handwashing with Soap (GPPPHW). They help to promote
the positive health benefits of washing with soap by researching, designing and
supporting marketing efforts. For example, Unilever’s In Safe Hands program has
trained more than 200 stakeholders in capacity-building and advocacy techniques. In
addition, they have helped create monitoring mechanisms to evaluate the success of
these behavior change campaigns.
Funding PPPs, whose primary goal is to raise and disburse large sums of money,
generally find private sector capabilities in financial management, project planning,
project prioritization and revenue generation most useful. Knowledge and expertise
in investment banking, financial management, and capital markets can greatly
enhance the effectiveness of such partnerships. For example, some of the Global
Fund’s Country Coordinating Mechanisms (CCMs: in-country committees made up of
local stakeholders who implement Global Fund programs) receive invaluable help in
grant management and other financial matters from private sector financial services
companies. In countries where the private sector has engaged with CCMs (e.g., the
CCM in Gambia was chaired by a representative of Standard Chartered Bank), the
24 “Warning: Habits May Be Good for You”, New York Times. July 13, 2008
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 19
Product development PPPs, such as MMV and FIND, often have limited in-house
research and development (R&D) capabilities so they rely on the private sector to help
fulfill this central element of their mission. Indeed, MMV’s private sector partners not
only conduct research but they also support the entire product development process
by helping to plan the overall approach, determine development timelines, set key
milestones, facilitate product approval, and manage production and distribution. For
example, Novartis researchers helped MMV develop the recently launched pediatric
formulation of Coartem®, one of the most effective treatments available for malaria.
Novartis is also currently working on a joint project with MMV and the Wellcome
Trust to develop the next generation of malaria therapies.
Many delivery PPPs rely on private sector capabilities in managing supply chains,
logistics and distribution. Private sector companies often have more extensive
operations and infrastructure than PPPs and are more adept at getting goods and
services to the remote and resource-constrained areas that many PPPs seek to serve.
A common lament in the global health sector is that while Coca-Cola is available
in even the most remote villages of the world, governments and NGOs struggle to
get essential drugs, diagnostics and supplies to those same communities. PPPs can
benefit substantially from leveraging these private sector capabilities. For example,
through Moving the World, the WFP has gained access to TNT’s knowledge and
expertise in logistics as well as its overall infrastructure and institutional capabilities.
As a result, WFP’s ability to rapidly distribute food aid in response to humanitarian
emergencies has increased significantly. Equally, the Jordan Education Initiative
is built on a model that links the knowledge and expertise of large multinational
companies with the implementation capacity of the government and local IT players.
While the partnership was formed and managed by global firms and the Jordanian
government, the local IT sector was responsible for much of the day-to-day execution
and technology development (with financial and technical support from their global
partners). Similarly, USAID’s partnership with a number of private sector companies
to create Supply Chain Management Solutions (SCMS) has created a modern and
responsive supply chain infrastructure in parts of Africa, which integrates the
most up-to-date best practices in a way that USAID could not have achieved alone.
Therefore, PPPs can benefit extensively from leveraging the implementation and
delivery capabilities of their private sector partners. However, in general, these
remain relatively underexploited.
RED, the Gap became more committed to tackling workplace HIV/AIDS issues,
and fundamentally altered the way it conducts business. Gap now actively promotes
socially responsible practices both among its own workers and its suppliers, urging
them to think about HIV/AIDS prevention and care measures. Equally, the success
of the Mectizan Donation Program (MDP) helped convince Merck to launch or join a
number of other public-private partnerships, including the African Comprehensive
HIV/AIDS Partnership (ACHAP) in Botswana. When companies engage in PPPs,
they serve as a role model or inspiration for other private sector players. Competitors
often respond to another company’s successful involvement in a PPP by seeking to
reproduce that success for themselves. For example, following DaimlerChrysler’s
collaboration with GTZ to address HIV/AIDS among its workforce in South Africa,
several other companies – including T-Systems, Roche and Volkswagen – established
similar programs. Individual private sector partners can also reach out to other
companies to solicit help in addressing a particular challenge. Mars proactively sought
to involve other multinational companies from the cocoa business in STCP, to ensure
industry-wide commitment and support for the partnership.
Most PPPs tend, at least at the beginning, to seek and receive benefits in only one or
two of these categories. Attempts to mobilize new resources are, not surprisingly, the
most common “gateway” to private sector involvement. Over time though, as a PPP’s
work grows and its relationship with its private sector partners deepens, private sector
contributions often broaden.
In almost all the cases we studied, we noticed a trend toward PPPs seeking – and
getting – more involvement from their private sector partners. For example,
interviewees at the Global Fund noted that they first reached out to the private sector
for help in improving their governance – especially vital given their emphasis on
performance-based funding. As the relationships developed, the Global Fund sought
increasingly to leverage the private sector as a potential source of resources. More
recently, they have looked to private sector partners to support countries in applying
for and implementing Global Fund grants. Indeed, to strengthen private sector
involvement in grant implementation, the Global Fund is now deploying dedicated
private sector officers in each of its regional teams.
We also found that partnerships initiated by the private sector – such as Moving
the World, MDP and STCP – do a better job of leveraging a broad range of private
sector capabilities from the outset. Often, these PPPs have a more focused mission
and fewer partners than public sector-initiated partnerships. As a result, the added
value of the private sector is more clearly defined and it plays a more integral role in
delivering the mission.
1
A better public image
• Grow trust in company
• Build public relations
• Strengthen market position
2
Bolstering knowledge and market understanding
• Access public know-how, experience and networks
• Exchange with competitors
3
A happier workforce
• Increase employee satisfaction
• Attract talent
4
Greater productivity and access to resources
• Increase workforce productivity
• Access raw materials
5
New demand for goods and service
• Market to existing markets
• Access and build new markets
6
Sharing risk and investment
• Make joint investments
• Reduce individual risk
Although many public and private sector stakeholders acknowledge that companies
can derive advantages from engaging in PPPs, the full extent of these potential benefits
is still not well understood. As a result, the PPP engagement of many companies is
driven solely or mostly by their CSR strategy. When that happens, PPP leaders report,
companies’ commitment to the partnership is all too often at the mercy of changing
corporate priorities and the company’s CSR budget limits the scale of its contribution.
By contrast, companies that view their PPP activities as part of their day-to-day
business are more likely to have a deeper, more sustained commitment to the
partnership’s mission. For many companies, this requires a change of mindset.
As Unilever noted, “the private sector needs to replace guilt as its motive with the
22
realization that it brings something valuable to the table.” Some companies, however,
have started to look at PPPs differently and are not bashful about expecting – and
receiving – tangible benefits from their involvement. As one interviewee put it, “For us
this has always been about the commercial benefit.”
Once all partners recognize the critical role the private sector plays in a PPP’s mission,
everyone becomes more comfortable when the private sector benefits. Unilever
observed that the attitude of its partners in the GPPPHW shifted over time as they
became more aware of the contributions it could make to the partnership. Similarly,
the Global Compact recognizes that those members who derive the clearest benefits
from their membership (networking opportunities, access to knowledge and best
practices, and a clear sign of their commitment to social causes) are often those who
engage most closely in the partnership and are most committed to its mission.
PPPs can also help private sector companies improve their access to raw materials.
STCP, initiated by the cocoa industry in partnership with USAID, was a private-sector
response to concerns about the stability of cocoa harvests in West Africa. By working
with local producers, STCP has helped improve the reliability of cocoa supplies,
increase yields and introduce new quality standards. In turn, this has had a broader
positive impact on economic development in the region by helping to raise the incomes
of growers, and strengthen local infrastructure.
New demand for goods and services: PPPs can help create new markets or
expand existing ones, especially in areas where public and private sector partners
have a joint interest in increasing the use of certain products. For example, NetMark,
is a public-private partnership to prevent malaria by building sustainable markets for
bednets in a number of Africa countries. It works with public sector partners to create
favorable market conditions, such as by setting quality standards, removing trade
barriers and lowering customs duties. It also helps build private demand through
consumer research-based education and promotion campaigns. In order to ensure
universal access, it supports private sector companies to set up the distribution
infrastructure to reach consumers through retail channels, while also providing
free or subsidized nets to consumers who could not otherwise afford them. This
market segmentation ensures that NetMark-funded nets are targeted at the neediest
populations, while those who can afford to pay benefit from convenient access
through local retailers. Manufacturers such as Tana Netting say NetMark has been
critical in helping them build successful, sustainable markets and that this would
not have been possible without public sector support and co-investment. In short,
NetMark is successfully contributing to the fight against malaria by creating suitable
conditions for private companies to do business.
There are a number of cases of PPPs launching joint marketing and advocacy
campaigns to increase product demand. For example, the GPPPHW runs marketing
campaigns to encourage the use of soap and improve hygiene standards in developing
countries. This not only contributes to public sector efforts to improve health
outcomes, it also helps generate long-term growth in consumer demand for soap,
which can bolster the sales of GPPPHW’s private sector partners. Equally, GAIN
dedicates around a third of its national fortification grants for social marketing
campaigns explaining the benefits of fortified products. Again, this supports public
sector efforts to improve nutrition while also creating demand for new fortified
products from private sector food companies as well as vitamin and mineral
manufacturers and blenders.
PPPs can also help companies build brand trust and name recognition. Some
pharmaceutical companies note that by donating products, they raise their profile
among recipients who see the brand name and who may then favor the company’s
other products as paying customers.
Sharing risk and investment: Some opportunities are simply too risky, or the
required investment is too high, for individual companies to undertake alone. PPPs
enable companies, NGOs and government agencies to pool resources and share risks,
reducing uncertainty and making the expected return on investment more attractive.
The private sector also benefits from the public sector’s legal and policymaking powers
that minimize the investment’s inherent risks. Through GAVI, drug manufacturers,
philanthropists and public sector organizations such as UNICEF jointly invest in
the development and introduction of new vaccines in impoverished countries. The
PPPs can also help the private sector to develop a better understanding of public
policymaking in order to better serve governments’ needs. For example, Cisco
Systems supports government efforts to develop their education strategy and use
technology to raise standards. By working with federal and state departments of
education, Cisco improves its own understanding of future trends in education
policy and the overall direction of 21st century learning. This in turn enhances the
credibility of Cisco’s sales teams, allowing them to tailor their marketing efforts and
speak authoritatively with school officials about the likely evolution of technology in
the classroom. Cisco believes a similar model could be beneficial internationally and
plans to begin rolling out similar partnerships in India and Africa.
Furthermore, PPPs provide access to networks and forums that companies can
leverage to strengthen their businesses. For example, GAIN has created multiple
forums that help companies learn about ongoing policy discussions, the needs of the
nutrition community and where companies along the entire value chain can share
their experiences in delivering nutrition to the poor. These forums allow members to
jointly develop innovative new business models able to give access to nutrition to the
poor. Similarly, officials at the Global Compact report being consistently told that a
key benefit of membership is companies’ ability to network with counterparts through
regional business coalitions. The opportunity to share knowledge and best practices
makes for smoother, more profitable transactions in local markets while helping
companies keep their Global Compact commitments.
Equally, STCP stakeholders say that the partnership provides them with a neutral
forum in which to discuss sensitive issues, with the International Institute of Tropical
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 25
More broadly, our case studies illustrate how working with the public sector to tackle
social challenges can reveal to private companies a wealth of new opportunities.
For example, private sector partners noted that through the STCP, they better
understood the value of engaging broadly in upstream development projects. Some
STCP companies are now seeking even broader social engagement with to further
improve cocoa supplies and raise quality. Other companies are now launching their
own projects, beyond the scope of STCP, to improve health and education in the
communities that produce cocoa.
It is important to note that the companies that benefit most from all of these
knowledge-related benefits are those that ensure key learnings from their PPP
involvement are communicated to the entire organization. This is most likely to
happen where a broad range of internal stakeholders engage with the PPP as opposed
to it being managed solely by the CSR department. Where this is not possible,
companies can benefit from creating a formal process to communicate new learnings
and opportunities across their organizations.
However, hurdles to private sector engagement still exist. For instance, the set of
guiding principles recently developed by the UN Office for the Coordination of
Humanitarian Affairs and the World Economic Forum states that “Collaborative
efforts with the humanitarian community to alleviate human suffering should not be
used for commercial gain.”27 Similarly, there are some in the private sector who argue
that any financial gain through PPPs would reverse hard-won gains in reputation
and public goodwill. TNT, for example, is keen to stress that it does not seek material
benefits from its partnership with the World Food Programme. There certainly is
a risk that direct business benefits could undermine the credibility of a company’s
philanthropic work. Pharmaceutical companies illustrate the dilemma well. Although
many provide essential life-saving drugs to developing nations for free, or at cost, such
work receives far less attention than efforts to defend patents in low income countries.
27 World Economic Forum and the United Nations Office for the Coordination of Humanitarian
Affairs. Guiding Principles for Public-Private Collaboration for Humanitarian Action. december
2007.
26
Supporting its core business, in short, can distract attention from the contributions a
company makes in tackling major social problems.
There is no intrinsic conflict between companies winning plaudits for helping tackle
social challenges and profiting at the same time. We believe that the stronger the
business case for a company to join a PPP, the broader and deeper their commitment to
ensuring the partnership’s success.
The following nine best practices (see Exhibit 8) provide guidelines for maximizing
the added value of private sector engagement in PPPs, both for individuals partners
and, in more formalized partnerships, for the PPP’s management or secretariat.
Outline in specific terms what each partner will contribute in terms of resources,
expertise and institutional capability to help achieve the partnership’s objectives.
For PPPs with a broad mission, it may be easier to define partners’ contributions
narrowly, according to the specific sub-goals or issues to which they are expected
to bring their capabilities or expertise.
28 See, for example, World Economic Forum Global Corporate Citizen Initiative, Partnering for
Suc¬cess: Business Perspectives on Multistakeholder Partnerships; World Economic Forum,
Harness¬ing Private Sector capabilities to meet public needs: The potential of partnerships to
advance progress on Hunger, Malaria and Basic Education
29 See, for example, Buse. Global Health: Making Partnerships Work; Buse & Harmer, Seven
habits of highly effective global public–private health partnerships; Thomas & Curtis, Public-
Private Partnerships for Health: A Review of Best Practices in the Health Sector
30 See, for example, Unwin, Partnerships in Development Practice: Evidence from
Multistakeholder ICT4D Partnership Practice in Africa
31 See, for example, UN Office for Coordination of Humanitarian Affairs & World Economic
Forum, Guiding Principles for Public-Private Collaboration for Humanitarian Action
28
The better partnerships go even further, and take steps to monitor whether
partners are living up to their commitments and to enforce discipline
1 "Partner with a purpose" 2 “Contribute more than money" 3 “Manage down transaction costs "
• Define a clear mission for the • Recognize that the private sector’s • Minimize transaction costs to balance
partnership and the relevant and potential contribution goes far beyond public sector consensus building with
complementary roles each partner money private sector instinct to “get things
will play in achieving this mission • Ensure all partners commit not only done”
funds but also time and resources to
make PPP work
4 “Govern for the partnership" 5 "Cherish the difference" 6 “Help everybody win"
• Base board composition on • Value different perspectives • Create and communicate a virtuous
contribution private sector can make • Create processes to ensure all cycle of mutual benefit for all partners
to governance and not on quotas stakeholders’ views can be aired • Engage the business side of
• Ensure focus is on what is best for while not requiring consensus for the companies (not just CSR) to harness
the partnership not on compromise final decision their core competencies
7 "Share the love" 8 "Bring new partners to the dance " 9 “Evolution is essential"
• Identify passionate leaders with-in • Be creative in identifying which • Treat change as an opportunity rather
partners to champion the partnership capabilities the private sector could than a threat
• Broaden and deepen commit-ment to contribute to partnerships and pro- • Continually evaluate and evolve the
and involvement in the PPP in active in engaging private companies partnership in step with changing
partners’ organizations who possess those capabilities environment and new challenges
For example, when TNT decided to offer its logistics capabilities to help deliver relief
to crisis regions, its management conducted extensive internal discussions to make
absolutely clear what and how it expected to contribute, and what it expected those
contributions to accomplish. They prepared a business plan that detailed the expected
benefits and costs of a potential partnership. They also conducted detailed due
diligence on all the potential public sector organizations with which they considered
partnering. This elaborate process ensured that TNT’s subsequent discussions with
the WFP were based on a clear understanding of what the potential partnership would
do and should look like. The result was a mutual decision for a partnership that had a
clear purpose from the start.
capabilities and expertise of their private partners fail to realize the full value of
private sector participation. Private companies should therefore prioritize non-
monetary contributions and constantly seek out new ways to leverage their specific
expertise, skills and institutional capabilities in support of the partnership.
For example, as GPPHW’s private sector partners immersed themselves in the PPP,
both sides realized that the companies had far more to offer than just money. Soon
the companies were helping to manage marketing campaigns, train stakeholders,
and conduct behavioral consumer research. Similarly, when the Global Fund began
operating, it looked to the private sector primarily for support in terms of governance
and financing. However, as it became more concerned with improving local delivery
of products and services, the Secretariat has increasing sought private sector partners
to help local Principal Recipients manage their grants, strengthen their capacity
and build their supply chains. This broader approach to partnership led to Chevron
becoming the Global Fund’s first “Corporate Champion”, committing $30 million in
cash as well as extensive additional resources and capabilities, while companies such
as Standard Chartered have become involved in managing grants at a local level.
There is no getting around this; some partnering costs are inevitable, and will remain.
However, these costs can be managed – and they should be, both to improve a PPPs
performance, and to help attract more partners to the cause.
Some measures are relatively simple. For instance, just making board meetings run
more smoothly and quickly can have a huge impact, as can limiting their frequency.
Moving the World conducts only one or two board meetings per year, thereby keeping
the costs of involvement for senior management from both sectors low.
Others are more complex. A number of interviewees told us that clearly separating
governance and management, and leaving governance to the board and operational
management to the staff, greatly improves efficiency. It helps to focus board
discussions on strategic topics and avoid time consuming operational problem
solving. From the start, NetMark understood that the private sector would be far more
willing to embrace a partnership with lean, quick decision processes. Hence, they
set up direct lines of communication between their secretariat and partners, kept
governance meetings small and infrequent, and taught PPP management to speak
the private sector’s language. Further care was taken to formalize clear roles and
responsibilities as well as procedures in case of termination of the partnership. As a
result, governance and management responsibilities are well-defined, procedures are
efficient, and the partners trust each other and work well together.
balance the interests of their company or organization with those of the partnership.
Moreover, it tends to restrict the private sector to a small number of board seats,
limiting the potential value and expertise that different industries could bring to the
governance process.
PPPs should move beyond this narrow model of board composition. They should
seek out a higher number of board members who bring the right skills and
knowledge to govern effectively, regardless of whether they are affiliated with a
partner organization or not. Equally, they should work to ensure that governance
processes and decisions focus on what is best for the partnership rather than seeking
compromise between the interests of different constituencies.
As part of its convergence with the GAVI Fund, the GAVI Alliance reviewed its
governance process. It concluded that the value of private sector voices and expertise
in its strategic decision-making was so compelling that it allocated one third of
its board seats to unaffiliated private sector members. For similar reasons, GAIN
allocates a large portion of its board seats to members from the private sector and all of
its board members act in their individual capacities rather than as representatives of
their organizations.
The most effective PPPs, however, marshal these differences to their advantage. They
recognize that differing practices and perspectives are a significant part of the value
that different partners bring to a PPP, and that this helps to improve a partnership’s
deliberations, strategies and implementation plans. Therefore, they seek to ensure
that partners do not compromise their basic beliefs just because they are working
with different cultures, while also maintaining the necessary flexibility to bridge the
cultural divide. A number of interviewees insisted, for example, that it is critical for
private sector members to maintain the same emphasis on performance that they
bring to their own businesses.
PPPs need to develop board, management and operational processes that welcome
a variety of inputs but do not require total consensus on the final decision. This
combines the best of both approaches – everyone has a say, but once all perspectives
have been heard, a final decision is made in a timely manner. The discussions will
sometimes be intense but the process itself is a chance for partners to get to know one
another better and learn to share each other’s concerns. Both the public and private
sector partners of STCP argued, for example, that working together on a shared
topic has provided them with powerful insights into how the other side operates and
thinks. Enabling this mutual understanding has made STCP much more effective
at its core mission. In the end, embracing cultural differences can often lead to the
establishment of real friendships that transcend the work at hand – an experience
reported by both TNT and WFP leaders as a result of working together their Moving
the World partnership.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 31
PPPs should seek to create a virtuous cycle of mutual benefit for all partners. They
should not be shy about understanding, and articulating to potential private sector
partners, the “business rationale” for engaging in the PPP. And they should ensure that
their contact is not relegated to the CSR backwater, but that they work directly with the
profit-generating segments of their private sector partners so they have access to each
companies’ most valuable capabilities.
NetMark realized from the start that committed private sector partners could
make a substantial contribution to the fight against malaria, and that to attract such
partners, the business-related benefits would have to be clear. When approaching
potential partners, NetMark candidly discussed not only the public health work of the
partnership itself, but also sought to understand how they could support companies to
build sustainable bednet businesses and went into detail about what those companies
could expect to gain. Similarly, the GTZ-and DaimlerChrysler partnership was born
out of the realization that the public sector’s interest in improving health and the private
sector’s interest in maintaining a healthy and productive workforce strongly overlap.
The step from mutual interest towards mutual benefit is a short and rewarding journey.
However, getting the mix right is the responsibility of the private sector as well. Private
companies need to demonstrate to their public and civil sector partners that, whatever
benefit may accrue to their bottom line from participating in a PPP, that benefit is
never accrued at the expense of the PPP’s mission.
Peter Bakker is certainly a passionate man – and he has channeled that passion into
building Moving the World, a partnership between TNT, the company he leads, and
the WFP to deliver emergency food supplies to the world’s crisis regions. However,
32
he knew from the beginning that he couldn’t do it alone. One of his first actions after
launching the new PPP was to take several of his direct reports on a field mission to
Tanzania. Seeing firsthand both the populations in need of help and the partnership’s
on-the-ground impact, galvanized his staff and further increased their commitment to
the cause. Many senior TNT executives are now fully engaged in the partnership with
the WFP, and the two organizations work together at virtually every level across the
operations of Moving the World. TNT makes it easy for its employees to volunteer for
WFP school feeding programs, assist the WFP logistically in the field, and contribute
to fundraising activities like Walk the World. As a result, TNT employees identify
strongly with the mission of the partnership and 67% of TNT’s employees serve either as
volunteers or fundraisers. Peter Bakker himself has become something an anti-hunger
icon – at TNT, within the WFP, and among hunger activists around the world.
It’s also important to look beyond the “usual suspects” (i.e., the same set of large
multinationals that tend to be involved in these issues) to other potential partners,
both large and small. For example, while big companies certainly have a lot to offer,
smaller ones will often be able to offer unique products, services or expertise which
no Fortune 500 giant can match. Moreover, smaller companies are likely to have a
better understanding of the local market. While they may not get the same amount of
publicity as the big guys, they may have just what a PPP needs – and they may be eager
for an opportunity to help their local communities.
As described above, the Global Fund started with a relatively narrow scope, as a
funding mechanism for global efforts to fight major HIV/AIDS, tuberculosis and
malaria. However, as its objectives broadened to include improving local delivery
of health products and services, it needed to find partners with a local presence in
recipient countries. Chevron is one of the companies which it identified and the two
have since built a strong relationship to improve local healthcare delivery.
9. “Evolution is essential”
The world that PPPs exist to serve is continually changing. So are the priorities,
capabilities and outlooks of partner organizations. PPPs must learn to change
with them.
for a person or organization’s past good work is admirable, but it should supersede
maximizing the partnership’s ability to fulfill its mission. Equally, private sector
partners should be clear and transparent on their own exit criteria. They should
be ready to leave a PPP if they can no longer maintain a sufficiently high level of
commitment (e.g., due to changing corporate priorities) or if the contributions they
bring to the table are no longer relevant to the mission and needs of the partnership.
When the Global Village Energy Partnership (GVEP) launched in 2000, its mission
was to help governments develop plans to increase access to energy in remote rural
areas. Through the course of their work, officials came to realize that providing
technical assistance to small and medium businesses was more pressing, and more
impactful in the near term, than formulating central plans. Therefore, GVEP changed
its mission and its organizational structure and began to seek out new private sector
partners with whom it could engage. Today, all of GVEP’s partners embrace this
change, despite perceiving it as radical it was when announced in 2006.
34
Conclusion:
The evolving PPP landscape
The public-private partnership model – a relative newcomer in efforts to address
social challenges – has already proven its worth. All evidence suggests that the use of
PPPs will, and should, continue.
Yet concerns about the viability of the model, at least as implemented today, are not
totally misplaced. PPPs emerged as an innovative way to meet real needs. Innovation
and flexibility must continue to be hallmarks of the PPP model if it is to continue to
maximize its value. However, we are concerned that the very success of the model
may become a liability, if the explosion in the number of partnerships leads to a glut of
overlapping organizations and a great deal of duplication. This appears a very real risk.
The degree to which partnerships have truly taken to heart private sector best practice
will be tested by their willingness to submit to the forces of creative destruction that
continually reinvigorate free markets. In an increasingly crowded landscape, we hope
to see the less effective partnerships ceasing operation or merging with more effective
ones. We also hope to see, for instance, good PPPs with related missions merging to
pool their resources and capabilities and achieving synergies, in much the same way
as when private sector companies merge. At the moment such market pressure for
creative destruction does not seem to exist in the PPP landscape. However, a strong
donor push to fund only the most effective PPPs could help drive future consolidation.
Equally, we hope to see PPPs that accomplish their original mission, or create self-
sustaining mechanisms to do so (such as a well-functioning private market), declare
“mission accomplished” and cease operating. Although many PPPs were intended to
be time-limited, many now seem to have become permanent institutions. It’s difficult
to see good things come to an end but hard as it is, most partnerships should see
success as equivalent to obsolescence.
These caveats aside, we expect to see continued growth in PPP formation and activity,
and we judge that growth to be broadly positive. We do, however, predict that the
landscape will change somewhat. As one interviewee put it, “we are on the cusp of a
change in mindset” and a growing number of stakeholders are realizing the full extent
of the contributions that the private sector can provide. We also believe that one of
the keys to ensuring future success is to increase, deepen, and broaden private sector
involvement in PPPs and urge all PPP leaders – from all sectors – to embrace the best
practices outlined as a means of doing so. As partnerships increase the scope of the
private sector’s role, this should create a virtuous cycle, demonstrating to other PPPs
the benefits of greater engagement with the private sector. In particular, we believe
that PPPs will increasingly seek help from the private sector in delivering services and
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 35
Finally, as the private sector increasingly comes to appreciate and be comfortable with
the value of PPPs in achieving their own business goals, we expect to see companies
making more strategic use of PPPs. As demonstrated by NetMark, partnerships can
be very effective means for companies to create well-functioning and sustainable
markets. Going forward, we hope to see more companies looking to partner with the
public and civil sectors to create such markets. As companies begin to identify and
realize these opportunities, we expect to see a shift in the private sector mindset –
from viewing their resource contributions to PPPs as “donations” to regarding them
more as strategic investments. While we would not wish to see the private sector lose
all sense of the social value of their contributions, we believe that this shift in mindset
can only help strengthen the focus on “mutual benefit” as an underlying principle of
strong partnerships.
However the development landscape evolves in the future, it seems likely that the
public-private partnership will remain an essential and powerful tool. We believe that
such partnerships will do even more good in the future than they have done to date.
And we are certain that the private sector has an increasingly significant role to play in
tackling major societal challenges.
36
Appendix 1:
List of interviewees
Ms. Sarah Adams CEO, GVEP International
Mr. Geoff Adlide Head of Advocacy and Public Policy, GAVI Alliance
Dr. Mercy Ahun33 Head of Country Support, GAVI Alliance
Ms. Alice Albright33 Chief Financial & Investment Officer, GAVI Alliance
Mr. Baschar Al-Frangi Communications Manager, Center for Cooperation with
the Private Sector/Public-Private Partnership, GTZ
Mr. Rajesh Anandan Former Head of Private Sector Partnerships, the Global
Fund to Fight AIDS, Tuberculosis and Malaria
Mr. Ross Andrews Head of Programme, SEED Initiative
Ms. Jaya Banerji Communications Manager, Medicines for Malaria
Venture
Ms. Debby Bielak Manager, Bridgespan
Dr. John Borrazzo Senior Environmental Health Advisor, USAID
Dr. Richard Feachem Director, Global Health Group at UCSF Global Health
Sciences Foundation, Former Executive Director, Global
Fund to Fight AIDS, Tuberculosis and Malaria
Dr. Silvio Gabriel Executive Vice President Malaria Initiatives, Novartis
Mr. Ashutosh Garg Chairman and Managing Director, Guardian Lifecare
Mr. Shawn Gilchrist *
Senior Madical Advisor Public Policy, Sanofi Pasteur
Dr. Alan Gillespie* Chairman of the Board, IFFIm
Mr. Ken Gustavsen Director of Health Partnerships, Merck
Mr. Bill Guyton President, World Cocoa Foundation
Dr. Harish Hande Managing Director, SELCO
Mr. David Hayward Manager, Private Sector Resource Mobilization, The
Evans Global Fund to Fight Aids, Tuberculosis and Malaria
Ms. Berthilde Communication Manager, TNT
Heijmeskamp
Dr. Chris Hentschel CEO, Medicines for Malaria Venture
Mr. Marc Hofstetter *
Deputy Executive Secretary, GAVI Alliance
Mr. Hugh Jagger Independent Consultant for Jordan Education Initiative
Ms. Lene Jensen Interim Coordinator, Global Public-Private Partnership
for Handwashing with Soap
Ms. Sonali Korde Bureau for Global Health, USAID
Dr. Julian Lob-Levyt *
Executive Secretary, GAVI Alliance
Mr. Matt Lonner Manager, Global Partnerships, Chevron
Mr. John Lunde Director International Networks, Mars
Dr. Bérangère Senior Manager, Investments and Partnerships
Magarinos Program, GAIN
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 37
The team also leveraged the expertise of McKinsey & Company’s internal network,
interviewing numerous individuals with experience working with PPPs.
* Interviewed in the context of work conducted for GAVI on the added value of its public-private
partnership in 2008 - titles and roles of some individuals have since changed however, they are
listed here based on their titles in the context of that work.
38
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The International Finance Corporation, the World Bank. The Business of Health in
Africa: Partnering with the private Sector to Improve People’s Lives. december 2007.
Thomas, Ann and Curtis, Valerie. Public-Private Partnerships for Health: A Review of
Best Practices in the Health Sector. Water and Sanitation Program, World Bank. July
2003.
Vian, Taryn et al. Public-private partnerships to build human capacity in low income
countries: findings from the Pfizer program. Human Resources for Health, 5:8. 2007.
Williams, Oliver F. The UN Global Compact: The Challenge and the Promise. Business
Ethics Quarterly, Volume 14, Issue 4. 2004.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 41
Witte, Jan Martin and Reinicke, Wolfgang. Business Unusual: Facilitating United
Nations Reform through Partnerships. Global Public Policy Institute for the United
Nations Global Compact Office. 2005.
World Economic Forum and the United Nations Office for the Coordination of
Humanitarian Affairs. Guiding Principles for Public-Private Collaboration for
Humanitarian Action. December 2007.
World Economic Forum Global Corporate Citizen Initiative. Partnering for Success:
Business Perspectives on Multistakeholder Partnerships. January 2005.
World Economic Forum Global Health Initiative. Private Sector Intervention Case
Examples. Accessed at: http://www.weforum.org/en/initiatives/globalhealth/
Case%20Study%20Library/index.htm
World Economic Forum. Harnessing Private Sector Capabilities to Meet Public Needs:
The Potential of Partnerships to Advance Progress on Hunger, Malaria and Basic
Education. January 2006.
Sector Global Health Primary Coordina- Budget To date, GAVI has ap-
archetype tion proved a total of USD 3.7
Secondary n/a billion in support to 75
archetype countries. GAVI expendi-
ture in 2007 was USD 1.2
billion
Description of GAVI was designed to improve access to new and underused vaccines and has
activities since become a leader in supporting cutting-edge innovations in vaccine financing
and delivery. Its activities include support to eligible developing countries who wish
to introduce new and underused vaccines and/or target health system barriers to
improved immunization.
Role of private sector in PPP
Private sector Developed country vaccine Other World Bank (WB); UNICEF; The Bill
partners manufacturers (e.g., GSK, Merck partners & Melinda Gates Foundation; World
and Crucell) and developing Health Organization; Governments;
country industry (such as SSI and Civil Society Organizations; Research
Bio-Manguinhos/Fiocruz) and technical health institutes
Private sector The GAVI Alliance Board has a total 38 members who meet twice per year. Two
contribution to Board members are from the private sector, representing the developed and
governance and developing world vaccine industry, and there are a further 10 unaffiliated Board
management members. In addition, over one third of the members of the GAVI Fund Board,
which is responsible for setting policies and strategies for investment, fundraising
and financial management, have a private sector background and all members
serve in their personal capacity (i.e., unaffiliated with any organization).
Private sector The International Federation of Pharmaceutical Manufacturers Associations (IF-
contribution of PMA) provides a forum for representation of the industrialized country vaccine
capabilities to industry in GAVI. Through the Alliance, member partners address ways to ac-
PPP operations celerate the development and introduction of new vaccines specifically needed by
developing countries with a particular focus on the poorest people and countries.
The Developing Country Vaccine Manufacturers Network (DCVMN), which repre-
sents the developing country vaccine manufacturers, is also an important partner
for GAVI.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 45
Sector Global Health Primary Delivery Budget The original four-year bud-
archetype get totaled approx.
Secondary n/a USD 600,000. Daim-
archetype lerChrysler SA (80%)
and GTZ (20%) fund the
interventions through
guaranteed minimum
expenditures.
Description of DaimlerChrysler SA and GTZ established a PPP to prevent new infections and
activities provide care, support and treatment for HIV infected employees and dependants.
The partnership also played an advocacy role regarding at the workplace and in
the broader community.
Role of private sector in PPP
Private sector DaimlerChrysler SA Other GTZ
partners partners
Private sector DaimlerChrysler was fully involved in governance and management of the project,
contribution to with high-level endorsement by the CEO and country head.
governance and
management
Private sector DaimlerChrysler SA provided most of the resources for the daily operations, as
contribution of well as all project relevant expertise, e.g. project management, HR, employee
capabilities to communication. Contributions were agreed based on GTZ’s input.
PPP operations
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 47
Private sector The private sector donates drugs for distribution and provides oversight and plan-
contribution of ning expertise for managing local distribution as well as for developing successful
capabilities to communication programs for proper drug application. Further, Merck & Co, Inc.
PPP operations has a volunteering program offering employees the opportunity to actively partici-
pate in the local drug-delivery.
48
Description of MMV has more than 40 projects in its portfolio, which it states is largest antimalar-
activities ial drug research portfolio ever. Projects are distributed across the three main stag-
es of drug research and development: early discovery projects and mini-portfolios;
projects in translational research; and clinical development projects.
Role of private sector in PPP
Private sector International Federation of Other World Bank; UK DFID; Swiss Gov-
partners Pharmaceutical Manufactur- partners ernment; USAID; Government of
ers Associations (IFPMA); Spain; Netherlands Government;
GSK,; Novartis; Shin Nippon Irish Aid,; US National Institutes of
Biomedical Laboratories; Health; WHO/RBM; Rockefeller
Sigma-Tau Industrie Farma- Foundation; Wellcome Trust; The
ceutiche; Holley Pharm; Shin Bill & Melinda Gates Foundation
Poong Pharma; Ranbaxy
Laboratories; BHP Billiton and
Exxon Mobil
Private sector A Board, of a maximum of 12 members, which meets twice a year, governs the
contribution to MMV. The Board also has several sub-committees. The private sector currently
governance and holds 2 seats.
management
Private sector The pharmaceutical industry provides knowledge and expertise in drug discov-
contribution of ery and development, physical assets such as laboratory facilities, compound
capabilities to libraries, and more recently, know-how on drug distribution. Other private sector
PPP operations partners contribute, apart from financial resources, their marketing and commer-
cialization experience
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 49
Sector Global Health Primary Delivery Budget Total budget of USD 74.5
archetype million, of which 75% has
Secondary n/a been disbursed.
archetype
Description of NetMark aims to reduce the burden of malaria in sub-Saharan Africa by increasing
activities the commercial supply of and public demand for insecticide treated nets (ITNs).
This is achieved primarily through partnerships with commercial companies and
national malaria control programs and national scale public education and promo-
tional efforts.
Role of private sector in PPP
Private sector 44 commercial partners in- Other CARE; International Federation of
partners cluding: A-Z Textiles, Clarke partners the Red Cross (IFRC); Roll Back
Mosquito Control, BestNet, Malaria; UNICEF; WHO; World
TanaNetting; Syngenta; Bank; USAID/ President’s Malaria
BASF; BAYER; Exxon Mobil; Initiative; local governments; Acad-
Vestergaard Frandsen; Sun- emy for Educational Development
flag Nigeria; FCB Advertising; (AED); London School of Hygiene &
Exp Momentum, and 3-5 Tropical Medicine; Johns Hopkins
African distributors in each University, Department of Interna-
country. tional Health
Private sector The private sector has limited involvement in NetMark’s governance and manage-
contribution to ment; they participate mainly in the Technical Advisory Group.
governance and
management
Private sector The private sector provides manufacturing and distribution capacity, production
contribution of technology, local access through a multitude of retail outlets, brand campaigns, lo-
capabilities to gistical support for distribution of free and subsidized ITNs, and assistance to local
PPP operations partners on technical issues and training to improve management and marketing
capacity.
50
Sector Global Health Primary Funding Budget To date, the Global Fund
archetype has committed USD 15
Secondary Delivery billion in funding
archetype
Description of The Global Fund was designed as a financing PPP. Local oversight is undertaken
activities by Country Coordinating Mechanisms (CCMs), which are committees consisting
of local stakeholder organizations in-country that include government, NGO, UN,
faith-based and private sector players.
Role of private sector in PPP
Private sector (PRODUCT)RED, Chevron Other The Bill and Melinda Gates Founda-
partners Corporation, Standard Bank partners tion; Governments; GBC; WEF;
of South Africa, M.A.C. Aids UNAIDS; Stop TB Partnership;
Fund, Anglo American PLC RBM Partnership; United Nations
Foundation; World Bank; WHO;
International HIV/AIDS Alliance, Ma-
laria No More
Private sector The private sector has a full seat on the Global Fund Board, which is supported by
contribution to a ‘Private Sector Delegation’ of around 50 companies. A significant proportion of
governance and the Secretariat is also recruited from the private sector while over 80% of CCMs
management include private sector representatives.
Private sector On a global level, the private sector contributes to the management of the Global
contribution of Fund, e.g., through financial expertise for fund management. On a local level, the
capabilities to private sector is involved in some CCMs, contributing expertise and capacity for
PPP operations financial planning and project management. The Global Fund is currently building
a new global partnership with Chevron that is to become its first global corpo-
rate champion. In addition, the Global Fund works with private sector Local Fund
Agents to oversee, verify and report on grant performance in each country.”.
Public-Private Partnerships
Harnessing the private sector’s unique ability to enhance social impact 51