1. Introduction
TOMS giving programs, specifically on the local economies, in places where TOMS
partners with local organizations to distribute shoes and help restore sights with Giving
Partners in over 70 countries around the world has great impact on their individual
giving programs. However, whether the larger population-level economic impact of
these programs, especially in countries where TOMS has established local
manufacturing, has changed or not is unclear. TOMS will be moving forward with
further expanding its local manufacturing program and establishing a manufacturing
plant in another location within the next year. An annual budget of $100,000 for three
years has been approved for the facility’s associate program in order to ensure the
operation will be benefiting the community. The target location and the strategic
business plan for the plant will ensure strong impact of the plant on the local economy
as well as economic sustainability of the plant beyond the three-year development
period. Establishing a guideline for resource planning within the plant for local
employee can maximize on the impact of developing a local manufacturing plant. In
order to do so, a wide variety of needs, potentially including health care, financial
literacy, education and empowerment, have to be addressed. Our consulting team from
USC was hired by TOMS to devise such a strategic plan. The TOMS giving program
have benefited many Cambodians. Cambodia is identified as the next target location for
greater impact to this society.
The Business of Giving at TOMS: Working together
with USC for a healthy future in Cambodia
Country and City Profile
Cambodia is close to Vietnam, Timor-Leste, China and Philippines where shoes giving
programs are available. Mekong River, Tonle Sap and Bassac river and their
tributaries are the heart of the country. Cambodia has 14.86 million population
(2013). Their per cap income is $2,360. Agriculture is the traditional mainstay of the
Cambodian economy and still the major economic source. Phnom Penh is the capital
and largest city of Cambodia. An international airport and 6 Highways locate in
Phnom Penh. The convenience of transportation, availability of basic infrastructure,
and rich in resources make Phnom Penh well developed in garments industry. The
geographical advantage makes it possible to expanse the Shoes giving programs to
adjacent countries, such as Thailand and Laos. These above make Phnom Penh our
next target location.
Fig. 2. Structure of Cambodian’s health system
Fig. 1. Map of Cambodia
Heath System and Issues in Cambodia
The structure of health system as outline:
Referral Hospitals
There are national, provincial and district referral hospitals, classified at three levels
based on number of staff, beds, medicines, equipment and clinical activities.
Health Centers and Health Posts:
These are minimum level primary health care services mainly for rural populations.
1,049 facilities cover around 10,000–20,000 people each. Services include initial
consultations and primary diagnosis, emergency first aid, chronic disease care, maternal
and child care (including normal delivery), birth spacing advice, immunization, health
education and referral.
Fig. 3. Leading Causes of Death
Demographical fact:
Under 5 Mortality: 45/1000
Life Expectancy: 63.5 male/65.1 female
HIV/AIDS Adult (15-49) prevalence rate (2014): 0.4%
Malaria Child (6-11) prevalence rate: 0.6%
Challenges:
• Lack of adequate water
- Severe infrastructure problems
- Sanitation
•Communication
- Lack of accurate statistics and surveys
- Lack of trained personnel
•Education
-Lack of knowledge of public health and epidemiology
•Transportation
Goal 1
To reduce the prevalence of HIV/AIDS and other STI in Phnom Penh City, Cambodia
by providing comprehensive education.
Process Objective:
• Healthcare educational events will be hosted periodically by TOMS in selected
HC/HP
•All HC/HP in Penh Penh city will provide safety sex manuals and condoms for all
appointment/ walk-in patients.
Goal 2
To reduce diarrhea and malaria risks among primary school students in Phnom Penh
City, Cambodia by applying RO systems
Process objectives:
• 164 primary schools in Phnom Penh city will be installed two water drinking
fountains with Reverse Osmosis System
Fig. 4. HIV prevention brochure
Fig. 5. HIV/AIDS educational materials
Fig. 6. Reverse osmosis system (RO system)
Annually Education Expense
Item Unit expense Unit per HC/HP Cost for 35 HC/HP
Condom $0.15 7,500 $39,375/ yr
Booklet+
questionnaire
$0.05 15,000 $26,250/ yr
Personnel $1.5/ hr 3 (Personnel works 3 hrs per
healthcare events. There are a total of
20 healthcare events in selecting
HC/HP monthly  60 hrs per HC/HP)
$90/ mo
 $1,080/ yr
Annually Water System Expense
Item Unit expense Unit per School Cost for 163 schools
ERS-105 RO System $200 2 $65,200
2 Labors $20 2 $6,250
Construction and
others
$80 2 $26,080
Total spend on the project for 3 years: $297,915.
Table 1. Expense in detail
SWOT Analysis
Strengths
- Providing job opportunities in Cambodia
- Reducing the shoes expense for Cambodian school children
- Rich in resources (cotton and recycled polyesters are available in Cambodia)
- Water systems installed in 164 schools
Weaknesses
- Large laggards and not willing to participate the changes
- Question mark for sustainability after 3 years
- Lack of equal opportunity in rural poverty
Opportunities
- Coalition with others
- Word of mouths (cultural benefit)
Treats
- Inefficiency in training
- Governmental negotiation
Reference
Luu, T. T. G., Sthiannopkao, S., & Kim, K. W. (2009). Arsenic and other trace element
contamination in groundwater and a risk assessment study for the residents in the
Kandal Province of Cambodia. Environmental International, 35, 455–460.
Samposon, M. L., Bostick, B., Chiew, H., Hagan, J. M., & Shants, A. (2008).
Arsenicosis in Cambodia: case studies and policy response. Applied Geochemistry, 23,
2977–2986.
MacLeod M, Pann M, Cantwell R, & Moore S. (2014). Issues in access to safe drinking
water and basic hygiene for persons with physical disabilities in rural Cambodia.J Water
Health. 12(4):885-95. doi: 10.2166/wh.2014.009.
Murray CJL, Vos T, Lozano R: Disability-adjusted life years (DALYs) for 291 diseases
and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of
Disease Study 2010. Lancet 2012, 380:2197-2223
Acknowledgements
Supported by TOMS®. The team would also like to thank USC for their contributions
to this project.
Yen-Jung Angel Chen*, Shou-Ying Erica Chuang*, Yulin Billy Shen+, Tianjiao Song*, Bei Zhang#
* Keck School of Medicine, University of Southern California, 1441 Eastlake Ave., Los Angeles, CA 90089
+ Viterbi School of Engineering, University of Southern California, 3650 McClintock Ave., Los Angeles, CA 90089
# Davis School of Gerontology, University of Southern California, 3715 McClintock Ave., Los Angeles, CA 90089
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