The study selection flow diagram is illustrated in figure 1.It summarises the number of the studies recorded at each stage of the process. For example the figure reveals that the initial search yielded 1760 potential relevant citations and after screening abstract and titles, 109 were kept. Further screening of the citations led to the final set of 45 articles which have been presented for extended analysis in this report.
Study Characteristics
Table 2 presents the characteristics of the 68 shortlisted studies. 27% of the results were focused on HIV-AIDs whereas 34% were focused largely on environmental health. Overlapping studies were also recorded. For example, 9% of the studies involved COVID-19 whiles 17% involved COVID-19 and HIV-AIDS. 13% involved COVID-19 and environmental health whiles 11% involved environmental health and HIV-AIDS. 21% of the studies were primary qualitative research whereas 42% were secondary qualitative research. 17% of the studies were primary quantitative research while 20% quantitative research studies. The settings of the study were widely variable. 48.7% of the studies focused on the Sub Saharan Africa whiles 19.3% focused on Europe. 15% of the studies focused on South America and 9% were focused on the United States of America. The total number of studies that focused on Asia was 17% whiles focused on a global scale.
Study Quality
To evaluate the quality of the studies, the Mixed Methods Appraisal Tool (MMAT) was applied as shown in table 3. Pluye & Hong (2014) explains that the MMAT tool helps to provide quality appraisal for quantitative, qualitative and mixed methods to be included in systematic reviews. The score of the MMAR results in this case is presented in table 3. As disclosed, scores for the selected studies ranged between 25% and 83%. 4% of the studies received 25% rating based on the MMAT criteria, whereas 5% of the studies received 33.3%. Similarly, 13.5% studies received 50% while 38.5% received between 60 and 80%. The remainder of the studies received in excess of 80% on MMAT tool.
The most frequent weaknesses related to lack of discussion on the reason for studying specific organisations, the influence of the organisation on the research and researcher influence in qualitative and mixed methods studies. There were also issues with lack of a clear description of the sampling process of respondents adopted by authors in quantitative studies and sub threshold rates for acceptable response or follow-up in non-randomized quantitative studies were also recorded as major weaknesses of the quantitative research. Most of the studies had support from funding agencies or organisations for whom the research outcome serve their interest. Thus the influence of such organisations in the conduct of the research was not disclosed by the researchers.
The Importance of Global Advocacy in driving health-related CSR
Majority of the studies reveal that not every health pandemic or epidemic becomes an issue of global CSR interest across organisations. The first factor that qualifies an epidemic or a global health crisis to gain such mileage is that it must have the potential to create or begin to create worldwide socio-economic disruptions of monstrous proportion [3]. The epidemic must be capable of self-mobilising advocates at the international level and must have a grabbing value that reaches the corridors of power in international humanitarian organisations and multinational enterprises [9]. This according to [3] is the reason why the Opiod epidemic and the Obesity epidemic have not gathered the required momentum in CSR but HIV-AIDS, environmental health and COVID-19 has these characteristics.
Global Advocacy for HIV-AIDS
In terms of global advocacy for HIV-AIDS, the virus and its pandemic potential became more prominent in the early 1980s largely in sub-Saharan Africa [11]. Overtime, the disease has grown to become one of the deadliest pandemic of all times. Despite the early signals of the catastrophic effect of HIV-AIDS to disrupt a wide range of socio-economic and corporate activities, it was not until the late 1990s that its implications for corporate social responsibility began to be documented [12]. At this point in history, the ominous or devastating effect of the pandemic on human resources and economic development had become entrenched across continents [13]. With exponential increase in the number of infected persons across industries and countries, a global alarm was sounded by the International Labour Organisation (ILO) in 1990, to highlight the epidemiological influence of HIV-AIDS on individuals, households, workforce, employers and organizations (Soobaroyen & Ntim, 2013).
To this end, the ILO summoned enterprises of all sizes and industry to begin incorporating appropriate strategies to deal with the threat posed by the HIV-AIDS pandemic to decent work, productivity and national development [14]. As documented in Rampersad [15], this initial effort formed the basic documentary framework for discussions at the Special High- Level Meeting on HIV/AIDS and the World of Work in Geneva in 2000.
Another factor that changed the course of HIV-AIDS in CSR campaign was a document jointly released by the International Labour Organisation (ILO) and the United National Development Program (UNDP) that analysed the probable effect of the pandemic on current and future labour force[20]. The team used data and the ILO POPILO software from thirteen
African countries, Thailand and Haiti which were subdivided into low and high prevalence countries [21]. The team compared projections made based on the United Nations Population Division for population affected and those not affected by AIDS and concluded that HIV- AIDS could significantly alter the age and sex distribution of the labour force. This is due to the increasing number of widows and orphans seeking livelihood and the large number of AIDS patients between the ages of 20-49 years [22]. This trend created three problems for business hence the need for involvement. Firstly a significant number of children or less experienced people were pushed into the labour force very early. Secondly, experienced employees with HIV-AIDS withdrew from the labour force early and thirdly elderly people had to be retained in the labour force due to economic dependence arising from early death of younger employees [23].
In 2001, 17 eminent and visionary companies took the notion of 'noblesse oblige' to heart and founded the Global Business Council on HIV&AIDS. This initiative added the needed global impetus to place HIV-AIDS at the "right hand" of corporate solidarity and responsibility. Chaired by the eminent James Wolfensohn, the then President, World Bank, the Global Business Council (GBC) on HIV&AIDS which later became the GBCHealth, championed stirred up high level collaboration on advocacy and support through business coalitions to respond to the threats of HIV-AIDS to enterprises [17]. The Global Business Council on HIV-AIDS led the example by collaborating with the UNDP, the Prince of Wales Business Leaders Forum, and Nelson Mandela Foundation etc to spearhead an unfettered business response to confront HIV-AIDS head-on in mainly developing countries (Rampersad, 2013).
By 2019, the US Centre for Disease Control found out that 46% businesses in the US were involved in some kind of HIV/AIDS philanthropy across the globe. The Global Business Council developed a broad range of CSR strategies i.e. public information strategies for its members and others. It also set up the annual award for business excellence to recognise the contribution of businesses to the HIV-AIDS pandemic. In 2002, the GBC participated in the U.N General Assembly Special Session on AIDS (UNGASS). It used the forum to expand the need for business high level business response to HIV-AIDS among prominent business leaders and international policy-makers. Its frequent publications on HIV-AIDS and other health related crisis continue to inspire new business responses to global health crisis including the HIV/AIDS pandemic.
As pointed out by Mahajan, et al [18], global support for the inclusion of HIV-AID related activities in CSR were also supported by groups such as Family Health International. This global team initially limited their involvement to data collection and analysis on the risks and impact of HIV/AIDS on companies across the globe, workplace HIV/AIDS policies, prevention and care. This initiative provided the much needed resources to assist companies to develop HIV/AIDS policies and programs [18]. It is these deep rooted advocacies generated at the highest level of global discourse that provided the required spring board for HIV-AIDS to become a topical issue in CSR.
Global Advocacy for Environmental Health
The selected studies equally presents a strong global advocacy for the evolution of environmental health and its subsequent integration into CSR programs across the globe. RichardCarson‘s 1962 best seller "silent spring" represents a watershed moment in fusing environmental health and CSR [38]. This publication raised a new level of social consciousness among corporate enterprises in over 24 countries. Carson provided the clearest corporate enthusiasm and moral compass to navigate the inextricable linkage between pollution and public health [39]. Through series of advocacy activities, environmentalists began urging philosophers that were involved with environmental groups to champion environmental ethics in the face of rising consumption of vast amounts of leaded gas from inefficient and massive automobile production and use [40]. The agenda also sought to repudiate the health impact of several industries that persistently belched out smoke and sludge without fear of its legal consequences or negative press [41].
On Earth Day in 1970, environmental ethics inspired a massive revolution of CSR with a call for a new sense of public consciousness about the damaging effect of the environment on human health [42]. On that day various individual advocacy groups that were fighting individual environmental challenges such as oil spills, pollution from factories and power plants, pollution from raw sewage and toxic dumps, pesticides and freeways, among others rallied round as common ally and broke through political barriers to fight environmental injustice [43, 44]. Not surprisingly, these advocates successfully enlisted the support of both Republicans and Democrats, urban and rural dwellers, rich and poor and more importantly business and labour union leaders to encourage corporate enterprises to aspire towards conscious production and business [45]
In the work of Auld [3] Gaylord Nelson, a junior senator from Wisconsin is commended for catalysing the aspirations of earth day in 1970 which ultimately led to the establishment of the environmental protection Agency in the US. The 1970 event also inspired the passage of a wide range of pro-environmental legislations such as the National Environmental Education Act, the Occupational Safety and Health Act, and the Clean Air Act which were the first of their kind. 1972 and 1975, the Congress of the United States supported the pro-environmental advocacy by enacting environmental laws such as the Clean Water Act, the Endangered Species Act and the Federal Insecticide, Fungicide, and Rodenticide Act [46](Goll & Rasheed, 2004). As Reinhardt & Stavins [47] rightly capture it "These laws have protected millions of men, women and children from disease and death and have protected hundreds of species from extinction. In the late 1990s, the frontiers of environmental health concerns in Corporate Social Responsibility issues began to advance. Chandler [48] reports that the Rio and Johannesburg, summits were the first of several international conferences guided by the United Nations to define comprehensive vision for sustainable and eco-friendly development. This notwithstanding endemic environmental health concerns as a driving dynamic in contemporary corporate social responsibility largely gained global mileage after the landmark speech of Kofi Annan, the then Secretary General of the United Nations at the World Economic Forum in 2000 [49].
At this forum, the United Nations proposed a partnership between the UN and representatives of global businesses to set up the United Nations Global Compact (UNGC). This was to serve as a common vehicle to diffuse shared values and principles of sustainable development to give a human face to the global market order [50]. The United Nations Global Compact was thus formed in July 2000 with 4 global companies, 6 business associations, 2 labour organisations and 12 civil society organizations as founding enterprises [51]. The United Nations Global Compact began to insert human rights, social and environmental responsibility values into the corporate operations to guarantee better healthcare for global public as enterprise rapidly altered their production processes [52]. The UNGC helped to fill the environmental governance gap of the time. Its most significant achievement is that it defined ten principles and values to guide corporate pro-environment behaviour [53].
Secondly, it formulated guidelines on the mechanisms by which the ten principles and values can be incorporated into a company‘s operational strategies, working procedures and programs and policies to help create a long term corporate culture of integrity that prioritises the health and wellbeing of society [29, 54].
A key critic of the UNGC, Chuang & Huang [55] admits that while the United Nations Global Compact is not CSR- specific tool, the ten principles it proposed played a major role in bringing social responsibility and environmental engagements to the fore of industrialisation and development at the beginning of the 21st Century. The adoption of the United National Millennium Development Goals subsequent to the adopting of the Millennium Declaration in 2000 was another milestone in aligning environmental health and corporate social responsibility [29]. For fifteen years, the MDGs set the international agenda for CSR and environmental health even though it was not CSR specific intervention project. Through the help of the UNDP, the MDG were presented to corporate enterprises as a key framework for the UN‘s private sector cooperation on responsible enterprise [56]. By the end of 2015, environmental health concerns had become the most dominant health-related crisis shaping contemporary CSR across the globe.
Global Advocacy for Covid-19
A review of the selected literature again points to the fact that the next major health related factor that can potentially shape the future of corporate social responsibility is COVID-19. Unlike HIV-AIDS and Environmental health concerns, COVID-19 has gathered global advocacy within six months and its impact in the corridors of global power has been immense. This is largely because COVID-19 possesses the same if not more of the disruptive effect of HIV-AIDS and environmental health. The epidemic broke out in December 2019, as a novel coronavirus in Wuhan in the Hubei province in central China[63]. At the onset, it was thought to be a domestic problem in China and its pathogenic and contagious character was not very clear even to the World Health Organisations[64]. However, overtime, the virus has spread across almost every country in the world with unfathomable momentum.
By the end of May, 2020, nearly 4,000, 000 infections and 200,000 deaths had been recorded. Beside China, the largest numbers of infections have occurred in the US, Brazil, India, Pakistan, Germany, Iran, Russia Canada, France, Italy, etc. In the absence of a known vaccine, political authorities in different countries have implemented several "draconian" or "non-routine" measures to break the viral chain despite the ramifying effect of such measures on economic activities and corporate stability.
For the corporate sector, some of these measures have become disruptive as they were unanticipated. The measures include stay at home orders, total lockdown of cities, closure of businesses, limits on nonessential businesses and business travels, social distances between two persons and group of persons, limit on public gatherings, closure of schools, continuous education on virus prevention measures, compulsory temperature monitoring, and quarantine of high-risk and sick persons [65]. As explained in [66] in the short term, several areas of COVID-19 are of CSR interest to corporate organisations. For example with schools closed, companies must design working practices that enable parents to adequately spend time with their kids. They have to rank business travels to eliminate non-essential ones and provide support and for frontline workers. Enterprises must also redesign office work space to accommodate social distance requirements and reorient a new organisational culture on public health practices [67].
Even in Ghana and other less affected countries for example, the government has set up a national emergency fund that receives donation from corporate organisations. At the same time the private sector has also set up a parallel support system under its own control to build isolation hospital to support government‘s initiatives. In India, the private sector has taken the responsibility to provide food support programs to worst affected by lockdowns and redeployed. This is in addition to all manner of humanitarian supports, donations in kind and in cash, transport services, food distribution etc for other vulnerable members of the society [68].
According to Buera, et al [69] a major corporate social responsibility issue that assail enterprises under COVID-19 is navigating salary adjustments, furlough, redundancies, continuous payment of wages and salary for sick and stay at home staff, support and replacement of dead staff and unanticipated absenteeism. Enterprises must also deal with disinfection of business offices; restructure business hours, partitioning shared office spaces among others [70]. The process of returning to full time work schedule has also been fraught with several challenges that have corporate social responsibility implications. In the UK for example, the biggest trade unions are intransigent about allowing their members to work under the current conditions unless government and employers agree on a nationwide health and safety revolution to protect their members against the debilitating effect of the COVID- 19 pandemic [71].
Alluding to the fringe interest in employer commitment to employee health and safety measures in a free market, these unions have reiterated the need for radical overhauled and stepping up of health and safety inspection and facilities at the workplace until they back the government‘s effort to ease, and eventually end, the lockdown [72]. Other employee unions are equally demanding for employers to draw up and publish rejuvenated risk assessments that thoroughly clearly outline the specific measures to ensure safe work environment for employees. Finally there is also the demand for government to impose hefty punishment on rogue employers and state investment into more frequent health and safety inspections of work places [73].
The Importance of MNC’s Support in driving health-related CSR
The evidence presented in the studies suggests that for a health related crisis to become integrated into CSR, multinational organisations must collectively embrace it. As posited by [9], CSR within multinational companies is seen as a vehicle through which larger, well known corporations can contribute to the wellbeing of society by operating responsibly in terms of social and environmental issues. The influence of Multinational Corporation in this regard stems from the fact that they have global presence, resources, and strategic relationship and collaborations needed to globalised public health concerns.
Moreover MNCs also have the capacity to influence high level decision making and exerts a greater level of control over information in the public space. In some instances, these enterprises have their own media outlets and charitable organisations that are directly involved in perpetuating corporate social responsibility. The role of MNCs in the evolution of the CSR related to HIV-AID and environmental health is the reasons for its success while the lack of interest by MNCs in the Opiod and obesity epidemics explains why they have not become global problems. It is also noted from the studies that COVID-19 is reigniting this same sense of interest by Multination companies. Some of these are explained below.
MNCs Support for HIV-AIDS
The selected studies again present evidence to show that MNCs were major factors in fusing HIV-AIDS and corporate social responsibility across the globe. The selected studies reveal that despite the initial effort to solicit industry response to the HIV-AIDS, corporate involvement took time to mature. The eventual breakthrough came after the outcome of series of empirical studies conducted by companies such as Daimler Chrysler and De Beers in Kenya and South Africa [16]. The results from these studies showed a significantly high association between direct business intervention in the prevention and the treatment of HIV- AIDS and a company‘s balance sheet [17]. These studies also revealed that corporate involvement in the fight against HIV-AIDS was necessary to protect firm‘s greatest resources i.e. human resources. The country specific research studies by Daimler Chrysler and De Beers were also supported by additional studies by other companies such as Nestle, Johnson and Johnson, Coca-Cola and Unilever, Proctor and Gamble.
In the case of Nestle Ltd, it even commissioned a team of researchers to simulate the differences in the work productivity of an employee living with HIV-AIDS with company supported medication and an employee living with HIV-AIDS without company supported medication. In these strand of corporate research studies, the results showed that companies were impacted by HIV-AIDS through high level of absenteeism, frequent sick leave, poor organisational citizenship behaviours and even death that permanently terminates the work relationship. This could potentially lead to loss of valuable investment in human resources at all levels [18]. With the support of a vibrant media landscape that could potentially benefit from the publicity and promotional budgets of HIV-AIDS epidemic control by corporate enterprises, several individual organisations began to navigate company specific approaches and mechanisms to incorporate HIV-AIDS programs into its corporate social responsibility budget to support affected employees, community and country [18]. According to Bendell [19], these initial CSR initiatives to manage the threat of HIV-AIDS in the early part of the 1990s were largely focused on how companies could protect their employees from acquiring the HIV-AIDS virus and prevent avoidable intra-organisational spread of the pandemic.
In the late 1990s however, the HIV-AIDS led CSR programs entered another phase as more and more civil society organisations began to demand guarantees and non-discriminatory policies against employees living with HIV-AIDS. Similarly, governments demanded for better care for employees living with HIV-AIDS as encouraged enterprises to enact non- discriminatory policies and ensure greater involvement of People Living with HIV/AIDS (PLWHA) and not treat them as people on the peripheral [19].
Specific individual enterprise initiatives to incorporate HIV-AIDS into their CSR programs are well documented in the selected literature. For instance, in 2001, Coca-Cola announced that it was partnering UNAIDS to provide extraordinary support against the HIV/AIDS fight in Africa [19]. This collaboration was the first and largest private sector initiative of a major global brand to implement a systematic philanthropic and corporate citizenship program with a specific focus on HIV-AID in Africa [21]. This initiative allowed Coca-Cola to focus beyond the employees living with AIDs but bring the larger community in focus, support infrastructure to support patients, use its wide range distribution channels to market HIV- AIDS related resources, while strengthening its human resource policies to ensure greater involvement in the fight against HIV/AIDS [22].
The work of Long [28] highlights the notable involvement of Corporate Council on Africa (CCA) in HIV-AIDS related corporate social responsibility. Corporate Council on Africa (CCA) is a leading business association of American enterprises that connects business interest in Africa. The group formed two lobby groups i.e. a Task Force on AIDS in Africa and the Coalition for AIDS Relief in Africa that brings together major pharmaceutical companies, such as Abbott Laboratories, Bristol-Myers Squibb, Pfizer, etc to lobby Congress on how the President's Emergency Plan for AIDS Relief (PEPFAR funding) can benefit business interests in Africa [23]. Since its inception the Corporate Council on Africa has released periodic timely reports to support concerned enterprises to standardise their HIV- AIDS related corporate social responsibility programs. The main advantage of the mode of operation of the Corporate Council on Africa is that it partner high profile companies including Ford Motors, Coca-Cola, Boeing, Microsoft etc to work through local groups and governments to design, develop, and implement cultural sensitive strategies to combat HIV/AIDS among the African workforce [28].
The role of the banking sector in incorporating HIV-AIDS related programs in their CSR activities is also well documented by Marimwe & Dowse [29]. For example, in 2003, Standard Chartered Bank launched the "Living with HIV" project to support the global fight against the HIV-AIDS epidemic [30]. Through this program, the bank has trained staff volunteers as advocate (Living with HIV Champions) to handle HIV/AIDS related issues within and outside the organisation [24]. By 2017, Standard Chartered Bank had provided HIV-AIDS education to more than 75,000 employees. Currently, the bank has an active HIV- AIDS community education program across the globe. This program has trained, empowered and resourced more than 3 million individuals and organisations (particularly in Africa, Asia and South America) to support [29].
In the work of Mahajan, et al [18] they point out that HIVI-AIDS related CSR in Asia did not start early relative to the case in Africa. However as the disease swept across Asia, corporate enterprises became aware of its debilitating effect. To this end, most notable Asian companies have also scaled up their effort to support HIV-AIDS related programs. In India for example, companies such as Tata Tea Ltd, Larsen & Toubro, Modicare Foundation, Aditya Birla Group, Apollo Tyres, SAIL and Bajaj Auto etc have been actively involved in supporting HIV-AIDS advocacy. Despite the initial set back, companies in South East Asia have many encouraging examples of public-private led CSR partnerships support promotional activities [18]. The main CSR activities include promoting HIV/AIDS prevention, support and care initiatives. In the Asia pacific region in particular, many companies have the UNDP‘s Regional HIV and Development Programme through donations and other forms of support[31].
Again in India, the Steel Authority of India Ltd (SAIL) started the SAIL AIDS Control Program (SACP) to create local awareness and support community advocacy programs through sponsorship [21]. It has partnered India‘s National AIDS Control Organization (NACO) and other inter-sectorial collaborations to school AIDS education programme, family health awareness campaign, safe blood and blood products and, establish voluntary counselling and testing centre. It has also supported the annual World AIDS Day Celebrations as well as initiating exhibition and displays counselling and guidance and AIDS Art Centres. Johnson and Johnson is another important partner in the global fight against HIV-AIDS pandemic in all forms as part of its role in attacking neglected tropical diseases (NTD). Over three decades, the company has established global partnerships in Asia and Africa[32]. To date, Johnson and Johnson‘s has commitment to HIV-AIDS partnership programs in 25 African countries (Kenya, Swaziland, Botswana, Cameroon, Zambia, Senegal, Liberia, Zimbabwe, Somalia, Malawi, Morocco, Cape Verde, DRC, South Africa, Sudan, Namibia, Mozambique, Eritrea, Tanzania, Ethiopia, Egypt, Nigeria, Ghana, Sierra Leone, Rwanda, Uganda). In these countries, it partners different national and International NGOs to intervene in mainly HIV/AIDS anti-stigmatisation advocacy and capacity building of HIV-AIDS advocacy groups and foot soldiers.
MNCs Support for Environmental Health
The studies also show that global enterprises incorporated environmental health concerns in their overall CSR in numerous ways and this is well documented in the extant literature. On the contrary other epidemics such as Opiod and Obesity did not attract the same interest from the same multinational enterprises. Microsoft is one of the best examples of CSR with environmental health focus [57]. The company‘s CSR agenda targets the regulation of energy and water consumption waste reduction and recycling, carbon emissions and sustainable sourcing[58]. Microsoft also supports local communities, educate and empower workers at Microsoft. Microsoft also provides health and wellness programs for families and other benefactors, Through the Microsoft CARES and Microsoft Ergonomics Programs seeks to empower and engage employees, competitors, collaborators and the larger society to monitor and adhere environment-related CSR principles [11]. Coca-Cola‘s approach to environmental health issue as an integral component of its corporate social responsibility is also highly discussed in the extant literature [23]. Besides incorporating health values in the production process to reduce the amount of calories in beverages, water perseveration, energy consumption, carbon emissions and other similar sources of environmental health danger are given high priority in its CSR programs. Despite the accumulated achievements to bring environmental health issues into mainstream CSR across industries, Johnson, et al [2] contends that the environmental health factors as components of corporate social responsibility across companies in both developed and developing economies is still under resourced or undermined by political authority [59].
MNCs Support for COVID-19
Direct corporate interventions in COVID-19 are well documented in the studies as well. For example, Starbucks and other telecom companies have embraced the Keep Americans Connected agenda where they are currently supporting working professionals to remain connected from remote locations [83]. The effect of COVID-19 on CSR also requires companies to guarantee financial security to the most vulnerable in the midst of business closures, reduced hours of work in response to the pandemic. A case in point is Lululemon. Despite been temporarily shut, Lululemon, stores in North America indicated its willingness to continue paying employees and provide access to a pay relief fund [84]. Similarly, Microsoft has committed to paying its hourly workers their regular pay despite the dip in the demand for their services [85].
Walmart, Apple, and the Olive Garden on the other hand have updated sick-leave policies to ensure that their most vulnerable workers are adequately supported and covered. The Wall Street Journal believes that small business may suffer significant loss of business confidence as a result of Covid-19. It has therefore initiated advocacy for larger enterprises to support such SMEs through the difficult times [86]. Major enterprises such as Amazon have embraced this initiative as a form of corporate social responsibility. Amazon has set up a $5 million relief fund to support SMEs in their vicinity. Google has also pledged $1 million to support "pandemic-hit" SMEs in Mountain View, California where it operates [87]. The President, CEO and top management personnel of United Airlines Company have decided to forego their salary to ensure uninterrupted business operations and safeguard the salaries of lower level employee. LVHM holdings has also converted a facility to quickly produce hand sanitizers for free distribution to French hospitals while Tottenham Hotspur Stadium has installed equipment to operate drive-through COVID-19 testing and swabbing for NHS staff, families and their dependents. In this way, enterprises are creatively adapting to the pandemic to further their brand in the long run while caring for people in the current climate.