2012 Annual Report Reducing Global Health Disparities American Indian Health project that trains  community health workers as health  coaches, assisting Navajo and White  Mountain Apache families implement self- care plans prescribed by their physicians  and by their own traditions. The diabetes  program also expanded to Asia, with mul- tiyear grants awarded in India and China. guidance for NGOs working on TB and  helping national TB programs more effectively reach out to civil society. And in eight African countries, the Founda- tion is providing technical assistance to  explore models of community-based TB  activities. The Foundation’s Technical  Assistance Program also is expanding  efforts to address emerging HIV-related  health concerns, including female can- cers, mental health problems and support  for teens living with HIV. In promoting health equity across the  globe, “The Bristol-Myers Foundation  seeks to develop and support commu- nity-based solutions where the needs  are greatest today, while also extending  programs to address developing needs,”  says John Damonti, its president. For example, in Africa, the Foundation has  been working alongside local partners  in community-based programs to build  capacity to help those disproportionately  affected by the HIV/AIDS pandemic  through its groundbreaking  SECURE THE  FUTURE  initiative. Recently, it has also  focused on the spread of tuberculosis  (TB), a disease often found in the same  populations and regions. Despite the best  efforts of existing health systems, one- third of TB patients are either not reached  for treatment or are not reported. In a  five-country collaboration with the World  Health Organization, the Foundation is  encouraging non-governmental organiza- tions (NGOs) already engaged in other  activities, like HIV prevention and care, to  integrate TB into their community-based  efforts. These approaches are beginning  to bear fruit, including new operational  In the U.S., the Foundation continues to  bring its expertise to bear on catalyzing  community-based solutions in mental  health and well-being for at-risk and  underserved populations. For example,  2012 represented the third year that the  Foundation supported programs to help  communities reintegrate veterans and  their families and to help ensure that  mental health resources are appropriate  and sensitive to their experiences. Also  in the u.S., the Foundation’s  Together on  Diabetes  program is encouraging clinic- community partnerships and team-based,  patient-centered care. For example, it  supports a Johns Hopkins Center for  In Central and Eastern Europe, a region  that suffers inordinately from higher can- cer mortality rates than the rest of Europe,  the Foundation has been active in building  bridges to better cancer care. An emerg - ing area of support has been community- based nursing, including establishing  regional centers of excellence in nurse  training and capacity building. r In Asia, the Foundation has focused on  another major health concern – the mil- lions affected by hepatitis B and hepatitis  C, with programs initiated a decade ago in  China and five years later in India. Today,  its  Delivering Hope  program encompasses  42 projects. In 2012, the Foundation began  to explore the development of centers of  excellence in both countries to work with  former grantees to disseminate evidence- based practices more broadly.  Bristol-Myers Squibb  18 A Commitment to Sustainability Chemistry and continuous improvement  initiatives, the operations group developed  a solvent reuse program that has saved  approximately 13,000 kilos of solvent.  Our employees remain committed to the  spirit of sustainability by engaging in on- site and community activities. Earth Day  celebrations were held at 51 locations  worldwide in 2012, a 20 percent increase  over the prior year. One effort involved  hundreds of employees in New Orleans,  where they provided their “Helping  Hands” to clean up and plant flowers at local sport facilities. r ment, Health, Safety and Sustainability. “Although some reductions in energy and  water use and greenhouse gas emissions  are being offset by site growth, more than  200 projects have been implemented  since 2010.”  Additional approaches are being studied  to reduce packaging and other waste.  For example, a project team successfully  eliminated the printed cartons used to  enclose plastic bottles containing  Abilify (aripiprazole) tablets, thereby reducing our  paperboard usage in the u.S. by about 140  tons annually. Also, as part of R&D Green  “We continue to make broad progress  towards our Sustainability 2015 Goals,”  says Susan Voigt, vice president, Environ- Bristol-Myers Squibb’s efforts to fulfill our  commitment to economic, social and envi- ronmental sustainability were recognized  in 2012 as we secured the top ranking  on Corporate Responsibility magazine’s  annual list of the 100 Best Corporate  Citizens. And in support of the uN Global  Compact that promotes certain universal  principles, Bristol-Myers Squibb issued  a new Human Rights Policy for our global operations. 