The power of SDG 17: collaboration as the base of a resilient future

The article was originally published on the website ‘Um Só Planeta’ 

by Guilherme Sylos, Prospection Director at IDIS; and Marcel Fukayama é  Co-founder of Sistema B Brasil and Member of the Board at IDIS.

Collectivity has always been an important value for society’s advancement. No wonder, it is part of the popular imagination in children’s tales and fables and through sayings like ‘unity makes strength’. It is not surprising the almost intuitive effort of adults to teach young people from an early age the importance of collectivity, as life in society is intrinsically linked to collaboration and mutual support. That principle, as basic as it may sound, needs to be constantly reinforced so that we can reach common resolutions for shared problems.

The United Nations (UN) considered this when defining the seventeen Sustainable Development Goals (SDGs). The concept is heavily reflected in SDG 17 – Partnerships for the Goals, which highlights the importance of partnerships as a means to accelerate and ensure sustainable development. It is precisely this last SDG that underlies and strengthens all the others.

However, data from the Brazilian Institute of Geography and Statistics (in portuguese, Instituto Brasileiro de Geografia e Estatística – IBGE), reveals that, of the 24 indicators monitored by Brazil related to SDG 17, only six have been fully elaborated so far, while thirteen of them are under development or analysis. With only six years left to achieve the goals of the 2030 Agenda, partnerships could be our answer to find part of the missing solutions by combining resources, knowledge, and experiences.

Creating connections between governments, companies, and organized civil society generates the strength to face challenges that would be insurmountable individually. Let’s consider, for example, strategic philanthropy. As the name itself suggests, it involves the strategic allocation of private resources for public benefit. These resources strengthen initiatives and solutions that would not always be feasible solely through state efforts, in addition to being more flexible, allowing the use of experimental approaches and the development of creative solutions to complex problems. The practice, in itself, is already very powerful when it comes to social impact.

It turns out that strategic philanthropy can be even more effective when supported by strong partnerships with other sectors, rather than remaining closed in on itself. Collaborations enhance the impact made by initiatives, making them more long-lasting and sustainable. 

While governments hold regulatory power and public sector resources, philanthropic organizations contribute with a strategic view, agility, and private resources that promote social impact. Civil society, on the other hand, brings a direct perspective from the community, guiding the final allocation of resources and ensuring that solutions are truly aligned with the needs of the population.

One example that highlights the success of this type of partnership is Together for Health. Launched in 2023, the Program is an initiative of the National Bank for Economic and Social Development (BNDES) managed by IDIS. In partnership with private donors, the Program seeks to gather funds to support and strengthen the Unified Health System (SUS) in the North and Northeast regions of Brazil. The perspective is that, by 2026, approximately BRL 200 million non-reimbursable (BRL100 million from partners and BRL100 million from BNDES) will be allocated to health projects that aim to benefit care activities for populations living in these regions of the country, including primary care services; medium and high complexity; urgent and emergency services and diagnostic support. For every real donated by other institutions, BNDES contributes with another real, in a matchfunding style.

The challenge is not simple, since managing these many stakeholders is a complex operation. To achieve the goal of Together for Health, it was necessary to create multiple connections between the private initiative, the public sector (Ministry of Health, municipal and state health departments) and civil society organizations that will be responsible for executing the projects supported by the Program. So far, the program has already allocated approximately BRL 96 million in resources, aimed at three projects that, together, will reach more than 300 cities.

Another great brazilian example of collective action and networking on behalf of structural changes is the global Catalyst 2030 movement, composed of about 127 social entrepreneurs and innovators committed to improve the achievement of the Sustainable Development Goals (SDG). In Brazil, the group joined in 2023 the ‘National Strategy Committee for an Impact Economy ’ (in portuguese, Comitê da Estratégia Nacional para Economia de Impacto – ENIMPACTO), to which it presented a proposal letter of how the network can contribute even further with public policies and the strengthening of the solutions. 

An additional example highlights how the partnership between the corporate sector and the social sector can create new paradigms. In 2023, three B Corps: real estate developer MagikJC, insurance company Gaia Group and venture builder Din4mo, created the Organized System for Affordable Housing (in portuguese, Sistema Organizado para Moradia Acessível – SOMA), a non-profit organization that aims to offer social housing in urban centers.

The project has raised BRL15 million in an operation in São Paulo’s Stock Exchange Market (B3) in a real estate receivables certificate (in portuguese, certificado de recebível imobiliário – CRI) with investors such as Gerdau, Votorantim, Dexco, Movida and P4 Engenharia. The resources raised enabled the construction of a building in Largo do Arouche and is now providing social living services to vulnerable families. 

We must recognize the essential role of joining forces and resources as well as collaborative work so that we can move towards a more inclusive, equitable and regenerative future.

Together for Health: a Matchfunding initiative to strengthen the Brazilian Public Health System (SUS)

The Brazilian Unified Health System, known as SUS, is universal, free, and a worldwide reference. Nevertheless, it could benefit even more people and perform better if allocating public and private resources.

Did you know that for 18% of the Brazilian population, especially in the North and Northeast regions, the number of doctors available in public health is less than 1 for every thousand inhabitants? The Brazilian average is 2.15 per thousand.

In addition, the average life expectancy in these regions is 3 years lower than in the rest of the country. At the same time, the infant mortality rate is 3% higher compared to the Central and South regions.

Let’s change this reality together!

 

What is Together for Health?

Together for Health Program is a donation initiative of the BNDES (National Bank of Social and Economic Development) in the matchfunding style. In other words, it will be co-financed by the private enterprise and social organisations to allocate R$ 200 million* to projects in the health area of the North and Northeast regions over four years.

R$ 1 in donations + R$ 1 BNDES = donation to strengthen public health

With these guidelines, the initiative confirms its alignment with UN Sustainable Development Goals (SDGs) 3 – Health and Wellness, and 10 – Inequality Reduction.

 

What is the Program’s goal? 

Supporting and strengthening the Brazilian Health System (SUS) in the North and Northeast regions, focusing on improving the efficiency of health service provision, quality, and integration of the system as a whole.


Who will benefit from the Program?

The entities that can receive resources from the program are: non-profit private organizations (Philanthropic Health Units, for example) or public bodies that do not depend on transfers of resources from the Union for their maintenance. The health projects presented must be in line with the premises of Together for Health and will be submitted to the approval of the Validation Committee, formed by members of the BNDES and other supporters of Together for Health.

How will the resources be invested? 


Depending on the supported health unit’s needs, there will be three possibilities for investment:

– Fixed assets: equipment acquisition or execution of recovery, modernization, expansion, and construction works;

– Management: telehealth system, digital systems, regulation systems, and implementation of applied management methodologies;

– Campaigns: cost of temporary health service provision campaigns associated with the start of health infrastructure operation.

Who participates:

 

– BNDESBanco Nacional de Desenvolvimento Econômico e Social (National Bank of Economic and Social Development): promoter and financer of the initiative.

– IDIS – Instituto para o Desenvolvimento do Investimento Social (Institute for the Development of Social Investment): responsible for resource management, fundraising, and project selection that will benefit from the Program.

– Impulso Gov: author of “Impulso Previne”, a project that brings together solutions and free services for municipalities to expand the reach and quality of SUS primary care and is already eligible to receive investments.

Together for Health supporters

– Vale Foundation

– Banco do Brasil Foundation

 

Join us!
To learn more about how to get involved, visit our website or contact juntospelasaude@idis.org.br 

* On December 2022, USD 1 is equivalent to R$ 5,20

National Bank for Economic and Social Development selects IDIS as ‘manager partner’ to improve Brazilian public health system

The matchfunding initiative will finance new technologies to expand health service in the North and Northeast of Brazil. By encouraging the participation of private donors, BNDES – National Bank for Economic and Social Development will double any contribution made to the program. Over 4 years, the equivalent to USD 40 million will be donated.

 

The National Bank for Economic and Social Development (BNDES) selected the consortium formed by IDIS and Impulso Gov as the managers for the “Juntos pela Saúde – Together for Health” initiative

Launched in June 2022, the initiative aims to increase investment in technology and equipment for the Brazilian population’s access to health, in addition to improve the Brazilian free and public health system (SUS). The focus will be the North and Northeast regions of the country.

BNDES will use the matchfunding strategy, in which it doubles the amount invested by private donors. The initiative aims to gather R$ 200 million in non-reimbursable resources, equivalent to about USD 40 million, health of it invested by the bank, which will be transferred to public and philanthropic health units that serve the SUS by the means of acquisition of equipment, IT, management improvements and health campaigns.

So far, there is already a declared intention of a contribution from the multinational miner company Vale, in the amount of R$34 million, that, as the strategy suggests, will be also matched by  BNDES. These resources will strengthen primary care in the municipalities surrounding Vale’s operations in the State of Maranhão, with the expansion of the successful experience of the “Ciclo Saúde” (health cicle), project by Vale Foundation. 

The Bank’s resources come from the BNDES’ socio environmental fund.

The contracted manager will be responsible for supporting fundraising and carrying out public selection of projects and/or structuring projects eligible for support, in the minimum amount of R$2 million. All proposals will be submitted to a validation committee, with equal participation of BNDES and donors.

The project manager will also have the attribution of receiving funds from BNDES and other supporting institutions and passing them on to the contemplated projects, following up on the application and monitoring the results. The management of “Juntos pela Saúde” will follow all the corporate governance and compliance requirements, with the establishment of measurable goals, contracting of external audits, dissemination of results and public selections. In addition to improving access to healthcare, the initiative has as goals the efficiency and transparency of the investments.

“IDIS is very proud of this achievement. Our experience in managing donations and creating robust governance structures, such as the Emergency Health Fund – Coronavirus Brazil and the Private Social Investment Fund for the End of Violence against Women and Girls, was certainly decisive in demonstrating our ability to deliver such an important and complex project”, comments Paula Fabiani, CEO of IDIS.

Founded in 1999, IDIS is considered one of the pioneering organizations in advisory for social investors in Brazil. ImpulsoGov, on the other hand, has the mission of improving health policies through the intelligent use of data and technology.

The expectation is that the selected consortium will be hired in December, after technical and legal analysis by the BNDES, and that, in 2023, it will start working on the selection and structuring of projects.