Healthcare teamwork placeholder

Our Business

Material matters that guide
our focus

Healthcare teamwork placeholder

Our Business

Material matters that guide our focus

6. Economic, social and political environment

Financial Capital Icon
handsheart image
Importance to SANBS in delivering value

The operating environment for SANBS is increasingly challenging, with service‐delivery protests, infrastructure failures (water, electricity, roads and hospitals), port delays and volatile tariffs and exchange rates. At the same time, the termination of key research grants and USAID funding and a rising HIV and disease burden are shrinking our eligible donor pool. These pressures threaten our ability to collect sufficient blood, manage costs and deliver timely patient services in the medium to long term.

To sustain value, SANBS relies on rigorous risk management, dynamic business-continuity planning, proactive stakeholder partnerships and resilient, fit-for-purpose operations nationwide, all underpinned by our Supply Chain (Logistics, Stores, Inventory) strategic pillar, which optimises the procurement, storage and distribution of consumables and blood products and develops strategic supplier relationships to maximise operational efficiency.

Risks to value creation
  • Service‐delivery and infrastructure failures (protests, strikes, load-shedding, water outages, road or hospital access issues) hindering collections and deliveries
  • Supply-chain breakdowns (port/logistics delays, fuel shortages, sanctions, supplier action) causing consumable and blood-product stockouts
  • Donor-pool erosion driven by rising HIV prevalence, wider disease burden, poverty and grant withdrawals (e.g. USAID/ The US President's Emergency Plan for AIDS Relief)
  • Payment defaults or delays by medical aids, government and recipients/patients, undermining cash flow and cost recovery
  • Asset damage and employee‐safety risks during unrest or extreme weather, plus inability of critical employees to reach sites
  • Macro-economic volatility (tariffs, inflation, exchange-rate swings) escalating operating costs and regulatory exposures
  • Water-supply interruptions and quality issues jeopardising processing, storage and site operations
Opportunities and strategic response to create value

Regularly test and refine our business continuity management, business continuity plans and crisis-communication plans to ensure uninterrupted collections and deliveries

Partner with logistics providers and optimise procurement, storage and distribution to secure consumables and blood products

Roll out solar installations and backup generators at critical sites to guard against load-shedding and grid failures

Deploy comprehensive water-management solutions—boreholes, rainwater harvesting and storage—to mitigate supply interruptions

Launch a strategic supplier-relations programme to secure safety stocks and negotiate favourable terms

Strengthen site security, dual-linked communications and manual fallbacks to protect staff, assets and ICT services

Outlook for the year ahead
  • Continue monitoring socio‐political trends and foreign-aid developments (e.g. US aid freeze) to anticipate budget impacts and adjust our funding and collection strategies
  • Collaborate closely with healthcare funders and government stakeholders to ensure that financial pressures do not limit patient access to essential blood products
  • Continue to strive to keep tariff increases as low as possible
  • Roll out targeted BCM exercises and scenario tests across zones and sites to validate our resilience plans
  • Advance the Supply Chain Optimisation project, covering logistics, stores and inventory, to reduce lead times and costs
  • Deepen engagement with government, medical schemes and research partners to diversify funding streams and protect payment
  • Expand on-site security, backup utilities and employee accommodation in high-risk locations to maintain uninterrupted operations

Top risks
Capitals impacted
 
Strategic priorities
It takes more than one heart to save a life. At SANBS, we serve with heart, together with every donor, every colleague, and every life touched by our mission.