Partnering to Promote Gender Equality to Empower Women …Diagnostic Imaging General Medicine Women’s Healthcare Among the top 10 specialty pharmaceutical companies worldwide Focus

Bayer HealthCare – Partnering to Promote Gender Equality to Empower Women and Girls Across Africa • Seite 1

Klaus Brill

IV Corporate Africa Business Coalition - Partnerships For Prevention & Care

Africa Health Conference / 7th-9th February 2011 / Addis Ababa, Ethiopia

Partnering to Promote Gender Equality to Empower Women and Girls Across Africa


The Millennium Development Goals

Reproductive Health is key in order to achieve MDGs

The Millennium Development Goals, particularly the eradication of extreme poverty and hunger, cannot be achieved if questions of population and reproductive health care are not squarely addressed. And that means stronger efforts to promote women’s rights and greater investment in education and health, including reproductive health and family planning.”

Former UN Secretary-General Kofi Annan

� The MDGs do not include a specific goal for reproductive health.

� However, the following goals are closely linked to reproductive health:

- Promote gender equality and empower women

- Reduce child mortality

- Improve maternal health

- Combat HIV/AIDS, malaria and other diseases

� Reaching the MDGs will depend on the combined efforts of governments, civil society and the international community to mobilize around highly strategic approaches


The Fight against Poverty and Hunger is closely linked to Reproductive Health

Control of population growth with family planning m ethods

� Control of population growth remains the major issue in the fight against poverty and hunger

� Extremely rapid population growth challenges even major economicimprovements, and makes creation of new jobs an endless treadmill

Bayer HealthCare – Partnering to Promote Gender Equality to Empower Women and Girls Across Africa • Seite 4Picture: Headquarter Bayer AG, Germany.


Bayer – products and services are designed to benefit people and improve their quality of life

�108,400 employees�302 subsidaries

�R&D expenditures: EUR 2.75 billion

�Full year salary: EUR 31.2 billion


* USA/Canada: Bayer HealthCare Pharmaceuticals

AnimalHealth

ConsumerCare

MedicalCare

BayerScheringPharma*

ConsumerHealthConsumerHealth

SpecialtyPharmaceuticals SpecialtyPharmaceuticals

Bayer HealthCare – Divisions


SpecialtyMedicineSpecialtyMedicine

DiagnosticImaging

DiagnosticImaging

GeneralMedicineGeneral

Medicine

Women’sHealthcareWomen’s

Healthcare

Among the top 10 specialtypharmaceutical companies worldwide

Focus on four majorbusiness units

Sales 2009:EUR 10.467 billion

Employees 2009: 36,300

Investment in R&D:mid term 15% of totalnet sales

One of the world’s leading, innovative companies in the healthcare industry


EuropeNorth America

Africa/Middle East

Asia/ Pacific

LatinAmerica

Key Locations/Regions

The Bayer Group is a global enterprise with companies in almost every country


Africa & Middle East – Key Locations

As of December 31, 2009

Administration / Marketing

Research & Development

Manufacturing Sites

Casablanca, Morocco

Limassol,Cyprus

Istanbul,Turkey

Gebze, Turkey

Tunis, Tunisia

Algiers, Algeria

Nairobi, Kenya

Johannesburg,South Africa Nigel, South Africa

Pietermaritzburg, South Africa

Accra, Ghana

Tehran, Iran

Jeddah, Saudi Arabia

Dubai, UAE

Tel Aviv, Israel

Cairo, EgyptAmman, Jordan

Luanda, Angola


Strong Partner in Africa

Bayer HealthCare – Region Middle Africa

� Operates in 37 countries with a total population of 659 Mio. People

- High cultural and religious diversity within the region

- Provides high quality products to private and public markets (RH-FP)

� Company network with almost 60 employees with plans to significantly expand within the next years

- Best partner for stakeholders in terms of responsibility, reliability and professionalism

- Vision to achieve the MDGs

- Flexibility to react to local needs

- Services beyond sales

- Support and commitment of HQ


Partnership for Reproductive Health

Picture: Counseling Interview at the Doctor‘s.


Gender Equality is Precondition

Gender equality supports poverty reduction

� Gender inequality undermines the effectiveness of development policies

� Clear evidence and consensus: Investing in gender equality offers invaluable opportunities and substantial returns for reducing poverty

� Gender equality and women’s empowerment will also release a powerful force for development in other areas


Strong Partners Join Forces

Bayer HealthCare – strong partner in family planning projects

� For almost 50 years, Schering - now Bayer - supported family planning projects in more than 130 countries

� Cooperation with a global network of family planning organizations:

- Bilateral development institutions, e.g. USAID*, KfW*, GTZ*

- USAID funded projects: ESD (Extended Service Delivery)

- Multilateral organizations, e.g. World Bank, UNFPA*

- Private organizations, e.g. IPPF*, PSI*, Marie Stopes

� Bayer supplies required amounts of contraceptives at no-profit price

*USAID: United States Agency for International Development, KfW: German Reconstruction Credit Institute, GTZ: Society for Technical Corporation, UNFPA: United Nations Funds for Population Activities, IPPF: International Planned Parenthood Federation, PSI: Population Services International


Expert for Reproductive Health

Bayer HealthCare provides value added services

� Sustainable supply of high-quality and mostly WHO prequalified contraceptives is important but Bayer is committed to more than that.

� Bayer was the first manufacturer receiving WHO Qualification for its most widely used FP products

� Support of International Contraceptive Access (ICA) Foundation

� Bayer plays an active role within the Reproductive Health SupplyCoalition (RHSC) and became its first private sector member

� Bayer cooperates in various bilateral agreements/contracts on Family planning and System Strengthening with organizations, e.g. USAID, GTZ

� Warehousing and delivery on demand of contraceptives for e.g. UNFPA


Local Capacity Building

Bayer HealthCare strongly engages in training and e ducation

� Training and counselling support for health care providers

� Support of reproductive health and sexual education

Examples:

-Education and awareness program in cooperation with

German Foundation for Population (DSW) addressing

young adolescents in Uganda

-World Contraception Day

(WCD)


Bayer’s Commitment to Reproductive Health

� Reproductive Health is a Key

� Priority Programs in more than 130 countries

� Offer a wide range of high quality Family Planning Products

� WHO Prequalification for 2 OC’s and Implants

� Family Planning Products are provided at an affordable price

� Engaged in training (HCP) and education

Partnership for Reproductive Health


Key Challenges in Family Planning

Lowest contraceptive prevalence in Sub-Saharan Afri ca

� More than 215 Mio. women in the developing world who want to avoid a pregnancy are not using an effective method of contraception

� 75 Mio. women have unintended pregnancies, and about 20 Mio. have unsafe abortions each year

� Hundreds of women die in childbirth and from pregnancy-related causes every year

Source: UNFPA: Adding It Up. Guttmacher Institute, 2009.

� Contraceptive use has substantially increased in many developing countries and in some it is approaching comparison to developed countries

� But in Sub-Saharan Africa smaller proportions of women rely on family planning than women in other developing regions


Unmet Needs for Family Planning

The high unmet need for family planning requires co ntinuous efforts

� The increased use of contraception is accompanied by an continued unmet need for family planning

� Globally, between 9% and 39% of married women (including women in union) have this unmet need.

� >120 Mio. couples in developing countries and countries in transition have an unmet need for safe and effective contraception despite their expressed desire to avoid or to space future pregnancies

� Unmarried sexually active adolescents and adults also face this unmet need


Adolescents’ Vulnerability to Unintended Pregnancy and Abortion

Adolescents have a high unmet need of family planni ng methods

� An estimated 44% of married adolescents aged 15-19 in the developing world want to avoid pregnancy, vast majority because they’d like to delay their next birth

� Less than one-third of those who want to avoid a pregnancy are using a modern contraceptive method

� The rest are inadequately protected because they are using either traditional methods (13%) or no method (55%)

� 17% of unmarried adolescent females in Sub-Saharan Africa are sexually active and want to prevent pregnancy

� Adolescents aged 15-19 in Sub-Saharan Africa account for 25% of all unsafe abortions

Source: UNFPA: Adding It Up. Guttmacher Institute, 2009.


Benefits of Providing Access to Modern Family Planning Methods

Picture: Counseling Interview at the Doctor‘s.


Access to modern Family Planning Methods

The poorest countries and most vulnerable women hav e the most gain

� Family planning programs have been successful in urban areas and can be leveraged in rural areas

� Good reproductive healthcare can help ensure that every infant is wanted, loved and has a chance to thrive

- Birth spacing significantly reduces infant mortality

- Close link with maternal and child mortality


Success Factors for Reproductive Health

Family planning remains a major challenge

� Need for sustainable commitment of all stakeholders: governments, donors, and the private sector

- Increase access to family planning and other reproductive health services

- Ensure funding of family planning programs

- Ensure sustainable supply of broadest range of family planning methods

- Build up capacities to deliver high quality reproductive health servicesand products

� Utilize the substantial expertise of all stakeholders in family planning

- Cooperation in the Reproductive Health Supplies Coalition (RHSC)

- Need to further strengthen basic management systems, especially in the area of contraceptive supply

� Ensure high quality products which passed WHO Prequalification


Contraceptive Choices

Bayer provides widest range of contraceptive choice s in highest quality


Jadelle® Implants

Jadelle training material – service of Bayer HealthCa re

� Jadelle training arm

� Patient reminder card

� Jadelle posters updatd


Bayer’s Commitment to RH/FP

Bayer HealthCare’s supplies of contraceptive commod ities

� Contraceptives have been supplied to more than 130 countries, giving people access to a wide range of family planning methods, regardless of income

� Since 1961 we have supplied 2.7 billion cycle pack to family planning organizations and consumers in developing countries

986.660

5.392.114

67.036.320

Quantitiessupplied in 2009

sets1.249.220626.000Implants

ampoules689.08853.429.926Injectables

cycles111.379.25626.861.774Oral Contraceptives

UnitsQuantities

supplied in 2010Quantities

supplied in 2008Method

Bayer HealthCare – Partnering to Promote Gender Equality to Empower Women and Girls Across Africa • Seite 26Picture: Headquarter Bayer AG, Germany.

Thank You For Your Attention


Forward-Looking Statements

This presentation may contain forward-looking statements based on current assumptions and forecasts made by Bayer Group or subgroup management.

Various known and unknown risks, uncertainties and other factorscould lead to material differences between the actual future results, financial situation, development or performance of the company and the estimates given here. These factors include those discussed in Bayer’s public reports which are available on the Bayer website at www.bayer.com.

The company assumes no liability whatsoever to update these forward-looking statements or to conform them to future events or developments.

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Partnering to Promote Gender Equality to Empower Women …Diagnostic Imaging General Medicine Women’s Healthcare Among the top 10 specialty pharmaceutical companies worldwide Focus