YEAR 4 REPORT 2020 - Access Accelerated
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2020 YEAR 4 REPORT
DEDICATION We dedicate our Annual Report to the memory of all those we lost in the global pandemic, including those who suffered with COVID-19 and those whose healthcare was interrupted or delayed. We believe more strongly than ever that no one should die from a preventable and treatable disease.
Contents
2 LETTER FROM THE CEOS
4 ACHIEVEMENTS & MILESTONES
5 Our Partners
6 Our Journey
10 2020 PROGRESS IN KEY ISSUE AREAS
11 Responding to COVID-19
13 Supporting People Living with NCDs
15 Supply Chain
17 Digital Health
20 Integrated Primary Health Care
24 2020 RESULTS IN OUR STRATEGIC GOALS
25 Informing Health Policy
26 Accelerating Investment
26 Advancing Partnerships
27 Strategic Framework
28 MEASURING OUR IMPACT
Q&A with Dr. Peter Rockers
30 COMMUNICATIONS UPDATE
32 LESSONS LEARNED
Martin Bernhardt
34 DIRECTOR’S NOTE
James Headen Pfitzer
34 LEADERSHIP
35 SECRETARIAT
2 Access Accelerated Year 4 Report / 2020
Letter from The successful collaborations to develop and
the CEOs
manufacture effective COVID-19 treatments and
vaccines at record speed underscore what can be
accomplished when the private sector comes
together. This commitment to partnership is the
same one that led the biopharmaceutical industry to
From the earliest reports of the novel
come together in 2017 to create Access Accelerated,
coronavirus in China through social a partnership that exemplifies purposeful and
distancing orders, sickness—exacerbated impactful cooperation among diverse companies
by chronic disease—and the tragic loss that share a common belief: no one should suffer
of too many lives, 2020 was a year few from preventable or treatable diseases.
could have imagined and the impact will People living with non-communicable diseases
be felt by countries, communities and (NCDs) have faced unprecedented challenges over
the past year. The urgency of the moment is why
families for years to come.
we have remained steadfast in our commitment to
accelerate progress in NCD prevention, treatment
And yet, 2020 was also a year that brought about
and care. Through cross-industry collaboration
unprecedented speed of clinical development for
and public-private partnerships, we continue
diagnostics, treatments and vaccines, and the rapid
to make progress implementing scalable and
proliferation of digital health technologies. What
sustainable NCD solutions in low- and middle-
has been made clear is that health is fundamental
income countries, despite the challenges brought
to a functioning society and only by coming
about by the pandemic.
together in partnership can we build and maintain
strong and resilient health systems. Access Accelerated also has been—and continues
to be—an important example of how our members
integrate environmental, social and governance
(ESG) factors into their company strategies to
continually find ways to maximize our positive
impact on society. Access Accelerated demonstrates
members’ ESG commitments by supporting
sustainable and equitable public health solutions
around the world.
For many, 2020 afforded a new window into the
rigors of innovative biopharmaceutical research
and development necessary to create lifesaving
treatments and cures. Several, often unseen, health
system components were challenged, such
as ensuring the safety of frontline health workers
through the availability of personal protective
equipment. The pandemic also fast-tracked the
adoption and impact of digital health solutions, for
patients and health care professionals alike.
In a year of so much challenge and
change, we remain optimistic about the
progress we can achieve for people around
the world when we join forces and work
together. This is the spirit at the heart
of Access Accelerated. Let’s continue the
momentum in 2021.
Access Accelerated Year 4 Report / 2020 3 MEMBER COMPANIES TRADE ASSOCIATIONS
4 Access Accelerated Year 4 Report / 2020
ACHIEVEMENTS
& MILESTONES
Achievements & Milestones 5
Our Partners
C/CAN supports cities by making smart local PATH is a global team of innovators working to
investments that will drive synergistic and accelerate health equity so all people and communi-
long-lasting change for people, and build health- ties can thrive. Across Kenya, Ghana, and Vietnam,
system resilience. Our vision is a world where PATH is contributing to sustainable system changes
cities deliver quality and equitable cancer care for that will impact more than 30 million people at risk
all. With 54% of the world’s population living in for, or diagnosed with, NCDs and provided aware-
cities, C/Can believes cities are uniquely ness raising efforts, digital solutions, and supply
positioned to drive innovation in cancer care and chain and primary health care strengthening efforts.
build resilient health systems from the ground up. Access Accelerated works closely with PATH in our
C/Can reaches 43.5 million people across nine focus countries, drawing on the organization’s
cities. A partnership that was launched in 2017, capacity and expertise in digital health and data,
C/Can and Access Accelerated work together to community-based programming and supply chain
transform the way stakeholders from the public strengthening to address local challenges.
and private sectors collectively design, plan and
implement lasting cancer solutions.
THE WORLD BANK GROUP is a vital source of
financial and technical assistance to developing
countries and supports countries in achieving
NCD ALLIANCE is a unique civil society network,
universal health coverage (UHC) by 2030 by
dedicated to improving NCD prevention and
expanding access to quality, affordable health
control worldwide. It’s network includes NCDA
care—working closely with donors, development
members, national and regional NCD alliances,
partners, governments, and the private sector along
over 1,000 member associations of our founding
the way. The World Bank Group and Access
federations, scientific and professional associa-
Accelerated are working together to advance
tions, and academic and research institutions.
transparent dialogue and accelerate sustainable
Together with strategic partners, including WHO,
and scalable NCD solutions. We are making the
the UN and governments, NCDA is uniquely
investment case for NCD prevention, treatment
positioned to transform the global fight against
and care; collaborating to advance sustainable and
NCDs through its core functions of global advocacy,
scalable solutions; advocating for stronger health
accountability, capacity development and knowl-
systems and translating evidence into policy.
edge exchange. Our partnership with NCDA
elevates the voices of people living with NCDs and
supports our shared commitment to meaningfully
involve people living with NCDs in creating
sustainable solutions. THE WORLD HEART FEDERATION (WHF) is dedicated
to leading the global fight against cardiovascular
disease (CVD), including heart disease and stroke.
WHF is a community of more than 200 heart
foundations, scientific societies, civil society and
patient organizations from over 100 countries. Our
partnership with WHF allows us to pool resources,
technical expertise and knowledge on the ground to
advance heart health in low- and middle-income
countries (LMICs).
6 Access Accelerated Year 4 Report / 2020
OUR JOURNEY 2017
Launched in 2017 with more than 20 member companies, ACCESS ACCELERATED
Access Accelerated is the largest collective industry
effort to address inequities in non-communicable disease Access Accelerated launches on January 17, 2017 at
the World Economic Forum.
(NCD) care. Fueled by the belief that all people should
have access to quality NCD prevention, treatment and
care, we’re implementing scalable and sustainable NCD
solutions in low- and middle-income countries by helping
the public and private sectors work better together.
To the right is a high-level review of our program from
launch through 2019.
Access Accelerated Launch Event, 2017
Access Accelerated Steering Committee convenes
with representatives from member companies to
oversee and advise on program development and
partnerships.
Access Accelerated hosts first stakeholder event
with Member companies to share lessons learned in
their company programs.
Access Accelerated launches website with database
of company access programs.
Access Accelerated member companies launch or
extend 27 programs across 15 countries.
WORLD BANK GROUP
The World Bank and Access Accelerated begin first
joint project partnership in Kenya.
C/CAN
First disease-specific partnership begins with City
Cancer Challenge Foundation (C/Can) is formed.
NCD ALLIANCE
NCD Alliance partnership formed.
Achievements & Milestones 7
2018
ACCESS ACCELERATED C/CAN
Access Accelerated joins the Kenya Ministry Four C/Can Key Learning Cities announced:
of Health and the World Bank Group for an event Asunción, Paraguay; Cali, Colombia; Yangon,
in Naivasha, Kenya. Known as “Naivasha II,” this Myanmar and Kumasi, Ghana.
meeting charts a roadmap toward SDG 3.4 and
the UN High-Level Meeting on NCDs for country. C/Can launches the City Health Financing Lab,
a multi-stakeholder network, including the
Access Accelerated holds major stakeholder biopharmaceutical industry, to address innovative
convening “Building Solutions to Patient Challenges funding mechanisms C/Can releases the
in Non-Communicable Diseases” in Nairobi, which report, “Confronting the Investment Gap in
engages more than 300 attendees from all sectors to Non-Communicable Disease Treatment and Care.”
discuss sustainable NCD solutions.
Access Accelerated and PATH launch NCD PATH
Navigator, a dynamic mapping of NCD programs
in Kenya. In Ghana, PATH establishes baseline information
on the status of NCD-related health systems
During the UN High-level Meeting on NCDs in New and policies.
York, Access Accelerated holds stakeholder meeting
to share progress and lessons learned from Kenya. In Kenya, PATH starts an end-to-end supply chain
mapping of NCD commodities to identify barriers
Access Accelerated launches the Open Platform, and opportunities for action.
which gathers information on ongoing efforts to
address NCDs and compiles resources to strengthen
work at the country level. NCD ALLIANCE
Boston University School of Public Health develops Launch of the Kenya Advocacy Agenda of People
an independent measurement framework, the Access Living with NCDs through a consultative process
Observatory, to create common metrics to evaluate with people living with NCDs at a two-day workshop
biopharmaceutical company access programs. hosted by the NCD Alliance of Kenya and NCD
Alliance.
Boston University releases first annual report,
“Results and Reflections on Year One.” NCD Alliance and the Ghana NCD Alliance host a
two-day national workshop in Ghana to discuss needs
Access Accelerated publishes its first annual report.
and recommendations of people living with NCDs.
Member companies introduce or extend 40 company
programs—bringing total to 90 active initiatives in 99
countries. WORLD HEART FEDERATION
Access Accelerated begins a partnership with
WORLD BANK GROUP
World Heart Federation to guide country-level
priority-setting on cardiovascular disease.
Work Bank partnership extends to three countries,
Kenya, El Salvador and Vietnam. During the 3rd Global Summit on Circulatory
Health, key stakeholders convene to discuss and
The World Bank supports a comorbidity study in develop a position paper on access to essential
Colombia to inform health policies. medicines for CVD.
The World Bank supports the government of El WHF and Kenya Cardiac Society (KCS) host a
Salvador in piloting an integrated health care service roundtable in Nairobi, convening speakers from
delivery model for cervical cancer, diabetes and across all sectors to identify roadblocks and solutions
kidney disease in three regions. in the management of hypertension in Kenya.
8 Access Accelerated Year 4 Report / 2020
2019
ACCESS ACCELERATED Access Accelerated publishes its second Annual Report.
Ipsen and Servier join Access Accelerated. Member companies introduce or extend 15 company
programs—bringing the Access Accelerated total to
Access Accelerated publishes “Access Accelerated 107 active company programs in 136 countries.
in Action: Key Learnings in Program Design &
Implementation.”
WORLD BANK GROUP
Access Accelerated publishes white paper on
“Advancing Universal Health Coverage for NCD World Bank project in Kenya officiall launches in
Care: Industry Contributions through Access Busia and Trans-Nzoia counties with an official
Accelerated.” ribbon cutting attended by Kenya’s Cabinet Secretary
for Health Sicily Kariuki.
Access Observatory releases its second annual report,
“Establishing the Foundation for Shared Learning.” The World Bank and the National Health
Commission of China convene experts and
Access Accelerated co-organizes annual meetings in
government officials to share experiences with
Naivasha to reengage stakeholders on how to advance
people-centered integrated care.
Kenya’s NCD policy.
In Colombia, the 2018 comorbidity study opens the
door to a policy dialogue and triggers $200mn USD
investments to scale NCD services.
To assist Ghana’s Ministry of Health, The World Bank
initiaties a WHO survey to assess NCD burden, filling
critical data gap and inform national NCD policy.
The World Bank and Ministry of Health conducts
four workshops to advance health promotion and
NCD prevention in El Salvador.
C/CAN
C/Can Key Learning City Cali, Colombia adopts a
multi-sectoral cancer control plan.
Kumasi, Ghana joins C/Can as Key Learning City.
Porto Alegre, Brazil; Kigali, Rwanda; Tbilisi Georgia;
Access Accelerated At the 72nd World Health Assembly, Access
Leon, Mexico and Greater Petaling, Malaysia are
in Naivasha, Accelerated examines how to make partnership
Kenya selected to join C/Can as Challenge Cities.
models more effective to support UHC.
Porto Alegre,
Brazil At the 2019 United Nations General Assembly,
Access Accelerated convenes global stakeholders to
examine the role of public-private partnerships in
closing gaps in access to NCD services.
Access Accelerated participates in a discussion
about patient-first thinking and efficiency at the
2019 Pharma Logistics Africa Forum.
At the Tokyo International Conference on African
Development, Access Accelerated advances the
dialogue on prioritizing NCD prevention and control.Achievements & Milestones 9
C/Can’s City Health Financing Lab (CHFL) works WORLD HEART FEDERATION
with regional experts, including from member
companies, to assess the financial and social return The WHF convenes a collective effort of the
on investment in radiotherapy and nuclear Global Coalition for Circulatory Health to develop
medicine in Cali’s public sector health system over a white paper as a resource for policymakers in
the next 10 years. national governments and international agencies to
drive action on circulatory health.
C/Can co-hosts “Financing Sustainable Cancer
Control Solutions” with the President of Uruguay. The World Heart Federation launches a Global
Roadmap on the prevention of cardiovascular disease
among people living with diabetes.
PATH In Kenya, the World Heart Federation disseminates
and monitors the uptake of the new National
The PATH Vietnam team launches Communities for
Guidelines for Cardiovascular Disease Management.
Healthy Vietnam program to bring NCD care closer to
the community. The World Heart Federation publishes Improving
Access to Essential Medicines for Circulatory
Diseases: A Call to Action.
The World Heart Federation continues the data
collection on the CVD policy landscape in 12 African
countries.
Communities
WHF hosts a roundtable of 40 leaders in Hanoi, for Healthy
Vietnam for the roadmap on the management and Vietnam
control of hypertension in partnership with Vina Hanoi, Vietnam
Capital Foundation and Access Accelerated. roundtable
PATH launches version 2.0 of the NCD Navigator.
PATH expands NCD Navigator to Ghana tracking
programs from 42 counties (89% of all counties).
PATH completes “Journey of the Pill” assessment in
Kenya to identify strengths and inefficiencies in their
supply chain.
NCD ALLIANCE
The NCD Alliance launches the Our Views, Our Voices
Train-the-Trainer programme to equip people
living with NCDs with skills to leverage their lived
experiences and drive action on NCDs and deliver a
series of in-country Our Views, Our Voices trainings.
Ghana NCD Alliance launched the Ghana Advocacy
Agenda of People Living with NCDs, built through
a consultative process with nearly 200 people living
with NCDs and calling on the government to take
action on NCD financing and access.10 Access Accelerated Year 4 Report / 2020
2020 PROGRESS IN
KEY ISSUE AREAS
Four years into our initiative, 2020 was a year of progress and challenge, adding new
complexities to NCD prevention, treatment and care. The power of Access Accelerated lies
in the ability to bring the public and private sectors together, build trust and accountability
by being responsive to local needs, and catalyze action that accelerates global progress on
NCDs. Through strong public-private partnerships we made progress in responding to
COVID-19, supporting people living with NCD’s, strengthening reliable supply chains for
treatments and developing digital health care tools.Key Issue Areas 11
Responding NCD alliances in Ghana, Kenya, Vietnam, India
to COVID-19
and Malaysia to address COVID-19.
• NCD Alliance also launched a first of its
kind NCD Alliance’s Civil Society Solidarity
Fund on NCDs and COVID-19 to support the
Access Accelerated and its partners were organizational sustainability and resilience
able to pivot programming to address of national and regional NCD alliances, as
well as to promote strategic advocacy and
immediate concerns related to COVID-19,
communications efforts to raise the voices of
including: people living with NCDs to shape the pandemic’s
legacy for building back better and fairer. The
• In Kenya, PATH trained more than 2,800 health
$300,000 USD fund competitively awarded
care workers on COVID-19 infection prevention
grants of up to $15,000 USD to 20 national and
and control for people living with NCDs, reaching
regional NCD alliances. The fund was officially
almost 1 million people with improved care.
launched during a high-level virtual event
• At the request of the Ghana Ministry of Health, “NCDs & COVID-19: Learning lessons, building
PATH developed health awareness messaging back better for the future” held in July 2020 and
for people living with NCDs. Using posters, co-hosted by WHO and the Norwegian Ministry
flyers and radio we reached 1.8 million people. of Foreign Affairs.
In addition, PATH organized 26 Queens and
• NCD Alliance conducted an Our Views, Our
female Chiefs from nine regions to raise
Voices global consultation with people living with
awareness on NCDs and the increased risk of
NCDs to gather their insights on living with and
severe COVID illness.
managing NCD conditions during the COVID-19
• In Vietnam, PATH supported the Ministry pandemic. Participants made recommendations
of Health to update a policy that would allow to shape stronger health systems and build more
multi-month scripting of NCD medicines to resilient communities as part of and beyond
reduce exposure risk. the COVID-19 response and will also inform a
Global Charter on the Meaningful Involvement
• NCD Alliance strengthened the engagement,
of People Living with NCDs planned for 2021.
programmatic impact, and capacity of national
EXPLORE THE BIOPHARMACEUTICAL
INDUSTRY’S PROGRAMS
Throughout this year’s Annual Report, we highlight
a few of our member company’s programs. You can
explore the full range of company-led programs
by visiting the Access Accelerated Open Platform.
There is a fully searchable database of 119 programs
operating in 136 countries.
The Access Accelerated Open Platform addresses a key
barrier to effective collaboration: a lack of a centralized
information detailing global programs, activities and
research on NCDs. The Open Platform is a knowledge
resource designed to catalyze global NCD action by
centralizing programmatic information and provide the
most complete information on the biopharmaceutical
industry’s efforts to address NCDs. https://aaopenplatform.accessaccelerated.org/
aadashboard/home12 Access Accelerated Year 4 Report / 2020
Findings from the global consultation have been film has been submitted as an entry to the WHO
presented in an interactive online dashboard Health for All Film Festival.
embedded in the newly launched Our Views, Our
• The Ghana NCD Alliance (GhNCDA) highlighted
Voices digital platform.
the specific needs and challenges of people living
• NCD Alliance launched a mini-film “NCD Care with NCDs in a letter to the President of Ghana,
in a Global Crisis,” made in partnership with which resulted in him directing the Ministry
BBC StoryWorks, which illustrates the challenges of Health to request GhNCDA to gather more
faced by people living with NCDs around the insights to inform national policy responses.
globe during the COVID-19 pandemic. The mini
• The NCD Alliance of Kenya (NCDAK) and its
network of people living with NCDs highlighted
specific needs and challenges during the
Eli Lilly COVID-19 pandemic in two public statements.
The Kenyan Ministry of Health invited five
people living with NCDs from NCDAK’s network
LIFE FOR A CHILD to its COVID-19 Sub-committee on Community
Engagement to provide inputs on the Ministry’s
Since 2009, Eli Lilly and Company has donated more COVID-19 response, which included addressing
than 2.4 million vials of insulin related to support of the challenges for people living with NCDs had in
Life for a Child program. The program provides access to accessing health clinics during restrictions on
care, education and life-saving medicines and supplies to movements.
children with diabetes in developing countries with limited
resources. In 2020, Life for a Child provided support to
“I love helping people because this person
23,553 young people in 42 countries.
will have a family who are depending on
In early 2021, Lilly announced plans to expand its support them, so life continues, it is not cut short.”
related to the Life for a Child program to increase access to
JOYCE MWENDE, NURSE, ISIOLO COUNTRY
care to approximately 150,000 youth annually over REFERRAL HOSPITAL
the next 10 years. To facilitate the expanded support, Lilly
will increase donations of mealtime and basal insulins
• The Healthy India Alliance (HIA) sent a
and reusable pens, as well as financial support for the
statement on the needs and priorities of people
costs associated with arranging, packing and shipping to
living with NCDs in India during and beyond
countries in conjunction with Direct Relief.
the COVID-19 pandemic to stakeholders at
the NCD Division of the Ministry of Health and
Family Welfare (MoHFW), UNDP India and
WHO Country Office.
• In Kenya, the WHF and Kenya Cardiac Society
(KCS) and Kenya Ministry of Health conducted
an evaluation capturing the impact of the
COVID-19 pandemic on the ability of health
workers to meet CVD and NCD needs of
patients as well as on patients’ access to care
and follow-up.
• The evaluation also informed the World Heart
Federation’s Global cardiovascular & COVID-19
Study which includes a particular focus on low-
and middle-income countries and aims to bridge
the COVID-19 and CVD research gap to inform
policy in the participating countries (at least 18
by the end of March 2021) and beyond.Key Issue Areas 13
Supporting People focused on the work we are undertaking with
Living with NCDs
partners in Kenya, Ghana and Vietnam to
implement innovative, scalable solutions, and
most importantly, lift the perspectives of people
living with NCDs and health workers.
With our partners, we are working to • Access Accelerated was a campaign partner of
support locally defined priorities, support- the NCD Alliance 2020 Global Week for Action,
whose theme was accountability and pushing
ing communities and people living with
for progress, and supported the funding of
NCDs to be agents of change. We know 10 Campaign Fuel awards, which supported local
that for our projects to be successful, they NCD Alliance chapters to plan and implement
must have strong local ownership and inspiring and effective campaigns with calls
engagement. Our commitment has been for action from governments, private sector,
and other stakeholders. People living with
to collaborate and communicate with
NCDs judged 16 national and regional alliance
local stakeholders at all stages of program proposals and narrowed down to the final list
development, execution, and evaluation. of winners.
This allows us to co-create programs that
• NCD Alliance also created a ‘Voices of Change’
augment and align with existing systems social card generator, which engaged more than
and avoid program fragmentation and 1,800 Voices of Change across the world,
build local capacity to ensure long-term reaching over 11 million people on Twitter, with
sustainability. more than 8,000 tweets from 2,300 contributors
in over 100 countries. Of note, social media
engagement with the new campaign hashtag
IMPACT AND PROGRESS IN 2020 #ActOnNCDs and using fresh campaign
resources (toolkit, graphics, and Voices of
• Working with BBC StoryWorks and the NCD
Change cards) tripled in comparison to the 2019
Alliance to produce a mini-documentary series
Week for Action.
called Turning the Tide. The partnership14 Access Accelerated Year 4 Report / 2020
• Access Accelerated supported the participation • In December 2020, NCD Alliance launched
of several people living with NCDs in the Global Our Views, Our Voices digital platform, which
NCD Alliance Forum, held in February 2020 in serves as a space to consolidate the voices,
Sharjah, UAE. Participants were able to attend the experiences and expertise of people living with
“Our Views, Our Voices, ImPatient for Change: The NCDs and support advocacy promoting their
power of lived experiences in Bridging the Gap key role in the NCD response.
for NCDs” event—a highlight of the global forum.
• The World Bank and Access Accelerated project
• NCD Alliance strengthened the engagement, in Kenya has made strides with support groups
programmatic impact, and capacity of national that bring patients together to share personal
NCD alliances in Ghana, Kenya, and India to experiences and feelings, coping strategies,
assess the local landscape for integration of or firsthand information about diseases
NCDs into national Universal Health Coverage or treatments that often fill a gap between
(UHC) frameworks and call for people-centered medical treatment. In addition to much needed
health systems. The alliances also participated emotional support, the project helps patients
in NCD Alliance’s Advocacy Institute Accel- monitor their own health more effectively.
erator Programme on NCDs and UHC, which
• The World Bank and Access accelerated
offered training faculties and expert speakers
partnership supported a qualitative study to
drawn from the NCD Alliance’s global network
shed light on the patient journey in cancer
of national and regional NCD alliances, members,
in Kenya. The report, “Economic and Social
and supporters such as American College of
Consequences of Cancer in Kenya: Case Studies
Cardiology, Partners in Health, Direct Relief,
of Selected Households” shares the personal
Coalition for Access to NCD Medicines and
perspective of individual patients and identifies
Products, The George Institute and Civil Society
broad themes and opportunities to mitigate
Engagement Mechanism of UHC2030. NCD
cancer cost and consequences.
alliances in Malaysia and Vietnam were sup-
ported to consult a wide cross-section of people • NCDA Ghana won the UNIATF Award in 2020
living with NCDs to build National Advocacy and NCDA Kenya was among the finalists in
Agendas of People Living with NCDs. 2019 for NGO of the Year.
Bayer
GHANA HEART INITIATIVE
Cardiovascular disease is one of the leading causes
of death in Ghana. To address this, the Ghana
Heart Initiative, funded by Bayer and implemented
by the Deutsche Gesellschaft für Internationale
Zusammenarbeit GmbH, is focused on providing
the resources needed to improve the prevention,
diagnosis and management of cardiovascular
diseases (CVDs) at all levels of public health care.
The initiative has provided equipment with a total
value of 200,000 Euros, including 164 sphygmoma-
nometers, 41 weighing scales with height meter,
43 glucometers, 32 electrocardiograms, 4 monitors
and 29 defibrillators. The equipment will be
The Ghana Heart Initiative provides resources needed to improve the
distributed to 44 health facilities in the Greater
prevention, diagnosis, and management of cardiovascular diseases.
Accra region, reaching more people and getting Pictured: Dr. Charlotte A. Cato, Specialist-in-charge, Mamprobi Hospital,
them into care. Accra with Hon. Kwaku Agyemang, Manu, Minister for Health Key Issue Areas 15
Supply Chain Shionogi
NCD treatments do not matter if they
MOTHER TO MOTHER
can’t reach the people who need them.
Reliable supply chains are vital for Since 2015, Shionogi & Co., Ltd. has been implementing
health systems to meet population needs. “The Mother to Mother SHIONOGI Project” in Narok County
We are working with partners to close Kenya. In partnership with World Vision, the project works
to address a serious challenge: reducing mortality among
bottlenecks and foster greater efficiencies
pregnant women and new mothers and babies. The program
to address this challenge in low- and strengthens the healthcare system by building clinics to
middle-income countries. reach expecting mothers in rural areas and improves access
to healthcare by educating healthcare professionals and
community members on hygiene, nutrition and healthy living.
IMPACT AND PROGRESS IN 2020 By 2019, the education program had reached more than
5,100 residents, and steadily increased the number of health
Access Accelerated is partnering with PATH on a
center visits and the number of babies delivered at medical
“Journey of the Pill” supply chain mapping of NCD
facilities and in 2020, the program trained human resources,
commodities to identify barriers and opportunities
strengthened the inventory management functions and
for solutions.
completed the hand-off of clinics to the country, an important
• In partnership with ministries of health in step in ensuring long-term sustainability.
Ghana and Kenya, PATH created two roadmaps
In April 2020, the project shifted its focus to Kenya’s Kilifi
for action to address barriers to NCD medicines
County, an arid region with higher rates of poverty and
and products. Both are being operationalized to
limited access to medical services. Following a similar
strengthen NCD supply security. The roadmaps
approach for expanding health care access for mothers
are grounded in the evidence gathered through
in rural areas, the project established three clinics in two
the Journey of the Pill supply chain assessments,
districts, reaching 77,500 inhabitants.
which identify strengths and inefficiencies in
the supply chain in Kenya and were conducted
in partnership with the ministries of health RESULTS UP TO AND INCLUDING FISCAL 2019
and Ghana Health Service, and implementation
will be stewarded by the national Supply Chain Number of visitors to Number of babies delivered
technical working groups. community clinics at medical facilities
5,000 50
• A third supply chain assessment is underway in
Vietnam and the corresponding report will be 4,000 40
released in 2021. We will work with the Ministry 3,000 30
of Health to develop a roadmap for action based 4,459 48
2,000 20
on the report’s recommendations.
1,000
2,505 10
• With support from Access Accelerated, the 6
0 0
Coalition for Access to NCD Medicines and 2015 2019 (FY) 2015 2019 (FY)
Products developed a demand forecasting tool
for NCD medicines and products that is
In Kenya, Shionogi & Co are partnering with World Vision to reduce
currently being piloted in Kenya. This tool will mortality among pregnant women, new mothers and babies, increasing
support the great need for accurate planning and visits to health centers.
forecasting for NCD medicines and products.
• The World Bank and Access Accelerated
project in Kenya is also addressing supply
chain strengthening to build a resilient All of the 73 health facilities sites in the project
supply chain of essential NCD medicines and received pharmacy support through the various
commodities to ensure availability, affordability, drug supply systems with project drugs available
and accessibility at primary health facilities. in 85% facilities.16 Access Accelerated Year 4 Report / 2020
“For any system to provide sound
health care, the health workers
must have the necessary skills
and knowledge.”
DR. EPHANTUS MAREE, MOH KENYAKey Issue Areas 17
Digital Health Dr. Bernard Gitura,
Cardiologist
and President of
the Kenya Cardiac
The potential for digital health to Society, Kenyatta
National Hospital
improve health care delivery and health
outcomes is indisputable. We believe
in the power of these promising tools at
both global, national, and local levels,
and are working with partners to turn
the potential into progress. workers and improved outcomes. Close to 7,000
patients have been enrolled in the Kenya Health
Management Information System (HMIS).
IMPACT AND PROGRESS IN 2020
• In Kenya, PATH is deploying a cutting-edge
• There was continued uptake of the NCD Navigator,
digital health program that enables remote
a dynamic mapping of NCD programs currently
screening, blood pressure and blood sugar
active across a country. The Kenya Ministry of
monitoring, telemedicine, community-based
Health took ownership of the NCD Navigator in
drug delivery and enhanced data management.
2020 with ongoing technical support from PATH.
NCD Navigator is publicly available on the Kenya • In 2020, through the Digital Health Discovery
NCD-Intersectoral Coordinating Committee Forum, a collaboration with partners and stake-
website and supports critical decision-making holders, C/Can captured and documented insights
in the country and offers a source of information from health professionals, policy makers and
and data to guide innovative partnerships across patients to identify and help prioritize digital
all sectors. The Kenyan government also used health innovations, policies and processes that
NCD Navigator to review their national NCD
Strategy 2015–2020 implementation progress
and inform the new NCD Strategy 2021–2025 Roche
that is currently under development.
• The NCD Navigator launched in three regions
in Ghana in 2020, with 87% of implementing SAVE HER, GHANA
organizations participating. After receiving
enthusiastic support among decision-makers, Early breast cancer detection saves lives—yet, nearly 70 percent
it will be expanded to other regions in 2021. of Ghanaian women receive their diagnosis in advanced states
of the disease. Roche’s 'Save Her Ghana' initiative aims
• With funding from Access Accelerated, PATH
to tackle the myriad of challenges leading to this devastating
launched a digital app in Vietnam that helps
outcome through a multidimensional, systemic approach.
people living with NCDs by providing information
Strong partnerships with advocacy groups and local
on chronic illnesses, reminding people to get
communities were key in driving disease awareness and
health checkups, and allowing users to do a
political will to improve breast cancer care. Critical leadership
self-assessment for personal NCD risk factors.
and support from the First Lady of Ghana was instrumental.
• PATH is leveraging the initial Access Accelerated
These activities were complimented by targeted funding to
investment with additional innovation funding
train healthcare professionals, improve diagnostics capabilities,
in Vietnam to develop a digital app for health
establish cancer registries and develop the national cancer
workers that helps them manage cases and to
control policy. Over 300 patients since inception in 2019
provide patients with ongoing support via in-app
received medicines under special access arrangements.
communications with patients.
Concurrently, the number of hospitals supported through the
• PATH, with funding from Access Accelerated, is programme has increased from two to five in 2020 to address
providing direct support to the Kenya Ministry geographical access. The success of the project builds upon
of Health for reporting tools mentorship and multiple interventions in the system and local partnerships.
data quality assessments in ten focus counties,
allowing for better follow-up from health care18 Access Accelerated Year 4 Report / 2020
Image courtesy of • In Kenya, the World Bank and Access Accelerated
PATH Vietnam primary health project included efforts to
Opposite: improve health information flows for NCDs in
Image courtesy the two counties the project is in operation. This
of C/Can included lobbying county leadership to prioritize
health records and training health workers on
the importance and proper use of health record
tools. To-date, project staff have trained 103
Health Records and Information Officers. All 73
health facilities have the proper patient file and
reporting tools.
“The Kenya MOH, World Bank and Access
Accelerated partnership has made
have the potential to transform the future unprecedented impact on the healthcare
landscape for health and information systems system with regards to NCD care provision
that meet the needs of the people they serve. and as a result has given hope to so many
In October 2020, C/Can embarked on the next patients who now access affordable
phase of the project, which is focusing on two
care for diabetes, hypertension cervical
priority areas: improving interoperability of
healthcare information systems and standardiz-
and breast cancer in western Kenya.”
ing pathology reports and cancer data. In Kigali, DR. JEMIMA KAMANO, MOI UNIVERSITY SCHOOL
a multi-stakeholder initiative is being planned OF MEDICINE
to improve the exchange of medical information
and improve digital platforms for medical
• In Vietnam, the World Bank conducted a
professionals. In Asuncion, C/Can partners have
digital patient journey mapping that will help
developed a prototype for a digitized cancer
transform NCD service delivery in Vietnam.
pathology reporting tool that will document
The mapping included a review of existing
and share cancer pathology findings. The tool
patient-facing digital technologies related to
is designed to work in low- and middle-income
NCDs in the public healthcare network and to
settings and built to scale globally and in
identify barriers patients face. A final report
different languages.
is being prepared that will propose specific
recommendations to improve digital health
services within primary healthcare.
Sanofi
• In Bangladesh, the World Bank is assessing the
impact of COVID-19 on NCD services to better
understand what patients need and identify
NGAO YA AFYA PROJECT
potential delivery solutions.
Inspired by the opportunities Africa’s mobile transformation • Following the 2019 Global Summit on
brings for healthcare access, PharmAccess, CarePay and Sanofi Innovations in Circulatory Care in Paris, WHF
joined forces to develop a pilot of a mobile technology-based released a position paper that makes the case for
model for NCD care in Kenya. the digital transformation of circulatory health
as the field with enormous potential for impact.
The digital model was designed to scale by optimizing cost of
The paper provided key recommendations
care and efficiency, while leveraging funds from patients and
to map a path across the digital frontier by
payers in a single wallet. The first patients were enrolled in
investing, serving, and protecting end users,
the pilot in 2018. Since then, over 600 people have signed up at
ensuring sustainable financing mechanisms and
four private clinics in Nairobi. Of these patients, 17 percent live
supporting research on digital health.
with diabetes, 55 percent have hypertension and 28 percent
have both conditions.19 “Digital health solutions are now expected to enhance health system resilience by connecting patients, professionals and providers. Locally-led solutions will improve information sharing between health professionals, improve community access and reduce fragmentation of care.” MATHIEU MORAND, SENIOR MANAGER, C/CAN
20 Access Accelerated Year 4 Report / 2020
Integrated Primary reform process in recent years, the World Bank is
Health Care
supporting the country’s efforts to transition its
health care delivery system toward one that is more
people-centered, high quality and integrated with
other tiers of the country’s overall health network.
For most people, primary care is their
Impact and Progress in 2020 includes:
first contact with the health care system—
• China continues to learn from its own practices
a doctor’s surgery, a community clinic,
and international expertise and global practices
or a dispensary. We work with partners and is prepared to transform the learning and
to integrate NCD prevention, treatment, results from the implementation support of
and care into primary health services— the China Health Program for Results to more
improving patient outcomes and sustainable outcomes.
increasing early detection of NCDs. • SPECIFIC LEARNING ACTIVITIES: Assisted partners
in hosting workshops, attending, and presenting
We continued our multi-year partnership with the at international conferences, conducting a study
World Bank on health system strengthening tour to Denmark and Germany, gathering case
initiatives in 20 countries. These programs integrate studies, producing policy notes, and conducting
NCD services at the primary care and community analysis of China’s health care system.
levels. Each project is meticulously studied
• SPECIFIC IMPLEMENTATION ACTIVITIES: Assisted
for insights on what works and could be scaled
partners in launching pilot programs related
nationally or implemented in other countries.
to hypertension care, sodium reduction, and
In China, primary care is widely viewed as an integrating diabetes management, facilitating
Image courtesy of essential platform for prevention, early diagnosis, knowledge sharing events including a four-day
AMPATH Kenya and treatment of NCDs. As part of its own health Executive Training course, submitting policyKey Issue Areas 21
notes to inform the government’s Five-Year plan
in Health Security. Sumitomo
In Kenya, there was progress on the AMPATH
Primary Integrated Care For 4 Chronic Diseases
PROMOTING SOUND CHILD HEALTH
(PIC4C) initiative, a partnership with Kenyan
Ministry of Health and supported by the World PILOT PROGRAM
Bank and Access Accelerated partnership. The
In Cambodia’s Kampong Cham District, Sumitomo
initiative integrates care for hypertension, diabetes,
Dainippon Pharma is partnering with NPO People’s Hope
cervical and breast cancer at the primary care level
Japan to promote healthy development in children from
with project sites in the counties of Trans-Nzoia
birth to 2 years through its “Promoting Sound Child Health
and Busia, and operational sites in 33 and 40 health
Pilot Program.” The program trained community health
facilities, respectively. Highlights include:
volunteers to deliver best-practice home visits to mothers
• Reaching over 2.5 million people with health and children, addressing a full range of child health needs
education in 2020. during the critical first years of a child’s life.
• Since the project began in 2018, providing a total Since its launch, 91 Community Care volunteers are now
of 122,207 with blood pressure screening and trained and visited the homes of 1003 antenatal women
61,105 with blood sugar screening, and those and 938 postnatal women. Through the home visits,
with elevated levels being referred to care. the volunteers encourage health checkups and provided
education on nutrition and hygiene. In addition, over
• COVID-19 presented headwinds with
300 residents attended 11 cooking workshops to learn how
patients reporting lack of or increased cost of
to prepare nutritious weaning food.
transportation, loss of income and increases
in anxiety and stress about the virus. However,
the project had almost half of the patients on
treatment and their blood pressures controlled.
• Achieving the highest level of breast and
cervical screenings through the project, which
is attributed to the involvement of nurses and
Reproductive Health Coordinators who can
interact with mothers more effectively to share
cancer care messages.
• The project offers mentorship sessions to
increase the NCD knowledge and skills of county
health staff. This helps increase patient reach
and to manage the increased demand for NCD
screening and services.
The World Bank and Access Accelerated El
Salvador project is integrating the prevention, early
detection, and treatment of cervical cancer, as well
Cooking workshop on nutritious weaning food in Kampong Cham
as the prevention of NCD risk factors into primary District, Cambodia.
care across three regions: Paracentral (Cabañas,
Cuscatlán, San Vicente y La Paz), Central (La
Libertad y Chalatenango) and Metropolitan (San
Salvador). Highlights include:
• Increasing regional health professional’s • Making strides in HPV prevention with the
capacity to do NCD screening with 1,854 people purchasing 29,700 HPV vaccines and 86,439 HPV
receiving training, and throughout 2020, 1,156 screening tests as well as additional refrigerators
timely NCD diagnoses being made. Additional to store the tests. The COVID-19 pandemic
training of trainers is happening to ensure that halted the distribution of vaccines, but efforts
NCD awareness is implemented throughout the are underway to restart the program in 2021
region in a sustainable and effective way. when schools reopen.22 Access Accelerated Year 4 Report / 2020
• Creating health education resources, including
Bristol
Caption Meyers Squibb Foundation
for image 16 different types of outreach materials, such as
to the right here HPV awareness brochures, posters and flyers as
well as an educational game on healthy lifestyles.
GLOBAL CANCER DISPARITIES INITIATIVE
Another Latin America regional project identifies
IN BRAZIL opportunities to improve multi-morbidity NCD
care management in Colombia, Costa Rica and
In Brazil, where lung cancer is the leading cause of cancer
the State of Sao Paulo, Brazil. The project will test
deaths and the incidence of melanoma is 3-4 times greater
multimorbidity management models and analyze
than the global rate, the Bristol Myers Squibb Foundation
patient care to better equip health systems for
is focused on improving access to cancer information,
these cases.
delivering care and providing support to medically
underserved and rural communities. The goal of this The World Bank and Access Accelerated are also
national initiative is to catalyse sustainable improvement working in five Latin American countries, Ecuador,
for high quality cancer screening, treatment, care and El Salvador, Paraguay, Peru and Uruguay, on a project
support services for patients receiving care through to increase capacities to address mental health
the publicly funded healthcare system and charity care services by supporting the assessment of supply and
networks. demand under the OECD mental health performance
framework, specifically, the use of innovative
The Foundation is also working to establish partnerships
protocols to increase case detection, de-stigmatization
to strengthen cancer care capacity and is building
and better communication. This project is focusing
telemedicine capabilities, improving community awareness
on the institutionalization of services within the
of primary care and strengthening ties between primary
healthcare system and the integration of community
and oncology specialty care and support organizations.
support in the provision of mental health care.
In light of the disruptive impact of COVID-19 on cancer
In Myanmar, a project is supporting health
medical services and patient education and support
security, building sustainable health financing and
programs in Brazil, the foundation is focused on supporting
improving and adapting service delivery models
cancer care institutions, patient education, professional
to deliver essential health services. This project
societies and academic institutions to develop and adapt
builds on existing World Bank health-related
service delivery models affected by the pandemic.
engagements in the country. Yangon, Myanmar
is also one of the cities with the City Cancer
Challenge works. The work engages stakeholders
across the health system and provides policy-based
analyses and technical assistance. The current
political situation is delaying the project start and
may require a re-evaluation.
We are working with PATH to scale the Communities
for Healthy Vietnam program to three provinces.
This program employs an innovative health care
delivery model to improve patient management
of hypertension and diabetes. By setting up free
checkpoints in convenient community hubs
such as markets, cafes and barbershops, we bring
screening and referral services to people in places
they already frequent.
• In 2020, PATH formed an innovative partnership
with the largest grocery mart chain to increase
blood pressures screenings. This latest
The Bristol Meyers Squibb Foundation is working to improve cancer community partnership demonstrates how easy
care capacity in Brazil through the Global Cancer Disparities it is to scale the community-based model and
Initiative.
reach more people. To-date, the program reaches
close to 300,000 people and has screened over
45,000 for elevated blood pressure and diabetes.Key Issue Areas 23
• The program also trained 18 trainers, 200 health
workers, and 600 village health workers. This Servier
training translates into reaching more than
65,000 people with improved NCD care.
CUOMO PEDIATRIC CARDIOLOGY
WHF worked with the Kenya Cardiac Society
(KCS) and the Kenya Ministry of Health (MoH) CENTER IN DAKAR
to implement the National Guidelines for
Since 2016, Mécénat Servier has supported the Cuomo
Cardiovascular Disease Management in 5 counties:
Cardiopaediatric Centre (CCPC) in Dakar, Senegal,
Isiolo, Kitui, Nyandarua, Kisumu and Nakuru.
funding open-heart surgery for children and training for
The work entailed training health professionals
medical teams, partnering with La Chaîne de l’Espoir,
at all levels to adopt an integrated care approach
the CHU FANN and the Cuomo Foundation. From 2019
for diagnosing cardiovascular disease (CVD)
to 2020, Mécénat Servier funded the operations of 41
so it could be managed as part of primary care
of the 139 children who received surgery at CCPC. In
and streamlined throughout the health services
March 2020, the Center was requisitioned for COVID-19
provision continuum. Highlights of this work
patients in need of intensive care; pediatric surgery was
include:
temporarily put on hold, and it resumed in September of
• In Q3 2020, WHF and Kenya Cardiac Society 2020. Since its opening, the Cuomo Center has provided
(KCS) extended the implementation of the 7,592 consultations to children and more than 600
guidelines to 2,800 more health workers and successful surgeries have been performed.
6 additional counties: Marsabit, Elgeyo
Marakwet, Bungoma, Kajiado, Kilifi and
Kirinyaga.
• WHF and KCS added access to the digital ECHO
platform shared by the HIV and non-communi-
cable diseases communities (NCD) to promote
learning and better outcomes among health
professionals and CVD patients, respectively.
• An evaluation of the full program to implement
the guidelines generated evidence on ways
that CVD interventions strengthened primary
care and improved health outcomes for people
living with heart disease.
Cuomo Pediatric Cardiologoy Center (CCPC) in Dakar, Senegal
“The National Guidelines for Cardiovas-
cular Disease Management are critical
for integrating CVD management into
primary care by streamlining care across
the entire health services provision
continuum. A well-trained workforce is
key to this integrated approach, especially
considering that the Kenya context of
one cardiologist for 1 million Kenyans.”
OANA SCARLATESCU, PROGRAM MANAGER,
WORLD HEART FEDERATION
Mécénat Servier is funding pediatric open-heart surgery and training
for medical teams in Senegal through the CCPC 24 Access Accelerated Year 4 Report / 2020
2020 RESULTS IN OUR
STRATEGIC GOALSOur Strategy 25
Results from 2020
INFORMING HEALTH POLICY
• PATH conducted expert interviews, collected
local prevalence data, and conducted a review of
policies and related literature exposing barriers
and facilitators to access to quality NCD care
in India. The report is helping to inform NCD
care in India at a timely moment as the country
reviews its commitment to achieve Universal
Health Coverage.
• PATH is working with the Ministry of Health in
Vietnam to advance policies that strengthen NCD Image courtesy
Additionally, the MoH created two positions
management, including leveraging the application of C/Can
specifically for people living with NCDs in its
of information technologies. To this end, PATH
NCD-ICC to support the new strategy develop-
is working with the Ministry of Health to establish
ment process.
regulations for data sharing between curative
and preventive medicine systems at the primary • C/Can implemented technical assistance projects
health care level. In addition, PATH is mapping to strengthen the quality of cancer care infra-
existing health information systems, software, structure. They implemented 28 projects across
and implementation across 63 provinces. This its four Key Learning Cities of Cali, Asuncion,
data sharing will enable policy- and decision- Yangon, Kumasi and another 22 projects in their
makers to access a comprehensive snapshot of Challenge Cities of Porto Alegre, Kigali, Tbilisi.
the overall NCD situation in Vietnam to develop
• C/Can worked with city stakeholders and
focused NCD responses and interventions
global experts in Yangon, Myanmar to develop
improving reach and quality of care.
seven new resource-appropriate guidelines and
• The NCD landscape assessment conducted by multidisciplinary team approaches as standard
PATH in Ghana is informing the development practice for management of cancer patients.
of the country’s national NCD policy and The Myanmar’s Ministry of Health and Sports
subsequent NCD Strategic Plan. approved the standards in October 2020.
• PATH is supporting the Ministry of Health • The World Bank/Access Accelerated partnership
to finalize the Kenya National NCD Strategy project in El Salvador successfully engaged local
2021–2025 to guide the country at both national governments in the need for NCD awareness,
and county levels on NCD programming and prevention, treatment and care. The government
service delivery for the next five years. established a National Division of Chronic Dis
eases and released a new NCD National Strategy.
• As Ghana embarked on Presidential elections in
early December 2020, Ghana NCD Alliance pro- • In Cameroon, the World Bank and Access Accel-
duced a NCD Civil Society Manifesto highlighting erated partnership will be generating evidence of
NCD and UHC related priorities that has been the NCD burden and risk factor prevalence. This
presented to at least two Presidential candidates. will be used to inform future NCD investments
Political parties have also recognized the need to in the country and other low- and middle-income
address NCDs and improve primary healthcare. countries. The study will be specifically looking
at operations research, e-Health innovations and
• In its role as Co-Chair of Kenya’s NCD Inter-
leveraging pharmaceutical services to expand
sectoral Coordinating Committee (NCD-ICC),
NCD service delivery.
NCD Alliance of Kenya (NCDAK) supported
the Ministry of Health (MoH) in reviewing the • A regional program in Kosovo, Bosnia & Herze-
Kenya National Strategy for the Prevention govina, Serbia, North Macedonia, Croatia and
and Control of NCDs 2015–2020 and provided Belarus will focus on improving prevention and
input for the forthcoming National Strategy for management of NCDs through policy advocacy,
Prevention and Control of NCDs 2021–2025. technical expertise and capacity building.You can also read
