colalife | key milestones - 1985 to dec-13

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This timeline highlights some of the key milestones since the birth of the ColaLife idea in 1985 to the end of the trial and move to scale-up in Dec-13. It focussed on the key people involved and describes how the relationship with The Coca-Cola Company and SABMiller has developed. Additional milestone: May 2010 Together, Simon, Jane and Rohit submitted their first proposal to the Clinton Health Access Initiative (CHAI) who were seeking out innovative financing and delivery mechanisms for ACTs under the Affordable Medicines Facility for Malaria (AMFm). The proposal got to final stages of consideration and reinforced the global interest in and potential of the model. Correction: Rohit Ramchandani's title at CIDA was Senior Health Advisor, not Public Policy Advisor.

TRANSCRIPT

ColaLife | Key milestones (1985 to Dec 2013)

31-Dec-13

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

Coca-Cola seems to get everywhere in developing countries, yet essential medicines don't. Why?

Child mortality in less developed countries is unacceptably high.

In 1985 1 in 5 children didn’t make it to their 5th birthday (now it’s 1 in 8).

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

The public sector struggles to maintain reliable supplies of drugs to health facilities.

Child mortality in less developed countries is unacceptably high.

1 in 8 children don’t make it to their 5th birthday.

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

The public sector struggles to maintain reliable supplies of drugs to health facilities.

Child mortality in less developed countries is unacceptably high.

1 in 8 children don’t make it to their 5th birthday.

Yet you can get a Coca-Cola in the most remote, rural villages.

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

The public sector struggles to maintain reliable supplies of drugs to health facilities.

Child mortality in less developed countries is unacceptably high.

1 in 8 children don’t make it to their 5th birthday.

Yet you can a Coca-Cola in most remote, rural villages.

Why don’t we put medicines in Coca-Cola crates?

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

1985 | The ColaLife idea was born

2009

2010

2011

2012

2013

1985

2009

2010

2011

2012

2013

1985

1985 | No technology to enable sharing of the idea

2009

2010

2011

2012

2013

1985

1985 | No technology to enable sharing of the idea

In 1985 in NE Zambia we had no phones or fax, no internet (obviously) and no postal service. The only communications device was a telex machine – not at all effective for the sharing of ideas.

2009

2010

2011

2012

2013

1985

1985 | No technology to enable sharing of the idea

So the idea went nowhere.

May 2008 | Gordon Brown’s Business Call to Action

2009

2010

2011

2012

2013

1985

May 2008 | Gordon Brown’s Business Call to Action

2009

2010

2011

2012

2013

1985

The ColaLife idea was rekindled by the launch of Gordon Brown’s Business Call To Action which Coca-Cola were involved in.

May 2008 | Set-up Facebook Group

2009

2010

2011

2012

2013

1985

May 2008 | Set-up Facebook Group

2009

2010

2011

2012

2013

1985

Simon Berry did online research to see if anyone else had had the idea in the 23 years since 1985. No one had so he set-up a Facebook Group to share the idea.

May 2008 | BBC Radio run feature on ColaLife

2009

2010

2011

2012

2013

1985

He also put the idea on the BBC’s iPM Blog and suggested it was debated.The BBC ran a feature on the idea and pulled in the right person in The Coca-Cola Company (TCCC) – something he’d not been able to do himself.

Jun 2008 | Meeting with Salvatore Gabola

2009

2010

2011

2012

2013

1985

Jun 2008 | Meeting with Salvatore Gabola

2009

2010

2011

2012

2013

1985

The person in Coca-Cola was Salvatore Gabola, Global Head of Stakeholder Relations. They met to discuss the idea in Brussels and Salvatore provided advice on how best to engage The Coca-Cola Company (TCCC).

Nov 2008 | Coca-Cola workshop in Tanzania

2009

2010

2011

2012

2013

1985

Nov 2008 | Coca-Cola workshop in Tanzania

2009

2010

2011

2012

2013

1985

Simon was invited by Salvatore to a workshop in Dar Es Salaam, on how TCCC could increase its social impact. Simon took with him some mock up ‘AidPods’ including a wedge – Jane Berry’s idea – which fitted in the empty space between bottles.

Jun 2008 to May 2010 | Open Innovation

2009

2010

2011

2012

2013

1985

For 2 years the Facebook Group and later the blog provided an online environment for the development of the idea though the process of open innovation.

Jun 2008 to May 2010 | Open Innovation

2009

2010

2011

2012

2013

1985

For 2 years the Facebook Group and later the blog provided an online environment for the development of the idea though the process of open innovation.

Apr 2010 | Rohit Ramchandani makes contact

2009

2010

2011

2012

2013

1985

Apr 2010 | Rohit Ramchandani makes contact

2009

2010

2011

2012

2013

1985

In April 2010 a public policy adviser at CIDA – Rohit Ramchandani – contacted Simon and Jane to offer support. He wanted to use the data from a possible future trial to support his DrPH at Johns Hopkins University.

Apr 2010 | Dennis Tretter makes contact

2009

2010

2011

2012

2013

1985

Apr 2010 | Dennis Tretter makes contact

2009

2010

2011

2012

2013

1985

Dennis made contact in April 2010 and moved from Germany to the UK to work with Simon and Jane on a voluntary internship from Jul-10 to Oct-10 as they planned for a trial somewhere in Africa.

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

In June 2010 it was clear that no-one was going to pick up the idea and Jane and Simon were in danger of going down as the people who created a lot of excitement and then did nothing about it. It was decision time!

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

So they gave up their jobs and gave themselves a year to see if they could get a trial of the idea underway somewhere in Africa.

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

Jane and Simon won an UnLtd Award and set to work around their kitchen table.

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

Jane and Simon won an UnLtd Award and set to work around their kitchen table.

Simon and Jane’s kitchen tableUK

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

Simon and Jane’s kitchen tableUK

Despite their humble resources, the Facebook Group and blog had generated global interest in the idea and these were mustered to try and get a trial started.

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

Rohit on SkypeCanada

Simon and Jane’s kitchen tableUK

Despite their humble resources, the Facebook Group and blog had generated global interest in the idea and these were mustered to try and get a trial started.

Jun 2010 | Gave up jobs to try and get a trial started

2009

2010

2011

2012

2013

1985

Rohit on SkypeCanada

Harvard & UNICEF on speaker phoneUSA

Despite their humble resources, the Facebook Group and blog had generated global interest in the idea and these were mustered to try and get a trial started.

Simon and Jane’s kitchen tableUK

Sep 2010 | Cycle ride across France raised £6,000

2009

2010

2011

2012

2013

1985

Sep 2010 | Cycle ride across France raised £6,000

2009

2010

2011

2012

2013

1985

In September 2010 Simon Berry and two Facebook supporters – Nigel and Keifer – cycled across France to raise the money needed to travel to Africa to work on a trial plan with local stakeholders.

Sep 2010 | Enrolled into the J&J Innovation Bootcamp

2009

2010

2011

2012

2013

1985

Sep 2010 | Enrolled into the J&J Innovation Bootcamp

2009

2010

2011

2012

2013

1985

At the same time ColaLife had been spotted by Johnson & Johnson and Jane and Simon were recruited into the Johnson & Johnson Innovation Boot Camp programme where the idea was further refined.

Oct 2010 | First of three trips to Zambia

2009

2010

2011

2012

2013

1985

Oct 2010 | First of three trips to Zambia

2009

2010

2011

2012

2013

1985

The cycle ride funded three trips to Zambia where Simon and Jane worked with local partners on a plan for a trial of the ColaLife idea.

Dec 2010 | Met Chris Griffin of PI Global at UnLtd event

2009

2010

2011

2012

2013

1985

Dec 2010 | Met Chris Griffin of PI Global at UnLtd event

2009

2010

2011

2012

2013

1985

Between the first and second trip to Zambia, Simon Berry met Chris Griffin at an UnLtd Award Winners’ event. Chris is the founder and Managing Director of PI Global which later became ColaLife’s packaging partner.

Feb 2011 | Johnson & Johnson funding confirmed

2009

2010

2011

2012

2013

1985

Feb 2011 | Johnson & Johnson funding confirmed

2009

2010

2011

2012

2013

1985

After our second trip to Zambia in Jan-11 and at the end of the Johnson & Johnson Boot Camp, we went in front of a panel of J&J Vice Presidents, Dragon Den style, and won the support of J&J VP Christian Veerbeck.

May 2011 | Invited to Cape Town by TCCC and SABMiller

2009

2010

2011

2012

2013

1985

2009

2010

2011

2012

2013

1985

Simon and Jane were able to combine their last planning trip to Zambia with a visit to Cape Town to participate in satellite sessions around the World Economic Forum for Africa.

May 2011 | Invited to Cape Town by TCCC and SABMiller

2009

2010

2011

2012

2013

1985

Simon and Jane were able to combine their last planning trip to Zambia with a visit to Cape Town to participate in satellite sessions around the World Economic Forum for Africa.

May 2011 | Invited to Cape Town by TCCC and SABMiller

Jun 2011 | Partnership and trial plan in place

2009

2010

2011

2012

2013

1985

Jun 2011 | Partnership and trial plan in place

2009

2010

2011

2012

2013

1985

The trial plan was submitted to DfID with a request for funding support.

Oct 2011 | Moved to Zambia and DfID confirm funding

2009

2010

2011

2012

2013

1985

TCCC provided a grant of $10,000 to cover travel to Zambia and set-up costs before the DfID funding was confirmed.Subsequently SABMiller Zambia have contributed $5,000 towards the trial costs.

Dec 2011 | COTZ starts (set-up phase)

2009

2010

2011

2012

2013

1985

Dec 2011 | COTZ starts (set-up phase)

2009

2010

2011

2012

2013

1985

The focus group work with the customers during the set-up phase was pivotal. We learned about the challenges with:

• 1 litre ORS sachets • Measuring water

and the preferred branding and name.

Mar 2012 | Finalised the Kit Yamoyo design

2009

2010

2011

2012

2013

1985

Mar 2012 | Finalised the Kit Yamoyo design

2009

2010

2011

2012

2013

1985

Kit Yamoyo• Attractive

Mar 2012 | Finalised the Kit Yamoyo design

2009

2010

2011

2012

2013

1985

Kit Yamoyo• Attractive• Packaging is also:

• A measuring device for the water

Mar 2012 | Finalised the Kit Yamoyo design

2009

2010

2011

2012

2013

1985

Kit Yamoyo• Attractive• Packaging is also:

• A measuring device for the water

• A mixing device

Mar 2012 | Finalised the Kit Yamoyo design

2009

2010

2011

2012

2013

1985

Kit Yamoyo• Attractive• Packaging is also:

• A measuring device for the water

• A mixing device• A storage device (the

soap tray is a lid)

Mar 2012 | Finalised the Kit Yamoyo design

2009

2010

2011

2012

2013

1985

Kit Yamoyo• Attractive• Packaging is also:

• A measuring device for the water

• A mixing device• A storage device (the

soap tray is a lid)• A cup

2009

2010

2011

2012

2013

1985

Mar 2012 | Dr Beth Anne Pratt joins the team in Zambia

2009

2010

2011

2012

2013

1985

Mar 2012 | Dr Beth Anne Pratt joins the team in Zambia

Beth Anne, a health anthropologist, became our voluntary ‘Best Practice Advisor’ bringing 5 years of Zambian experience. She left in Dec-12, joining ColaLife’s Virtual Advisory Board continuing her support remotely.

Jul 2012 | GCC Funding confirmed

2009

2010

2011

2012

2013

1985

Jul 2012 | GCC Funding confirmed

2009

2010

2011

2012

2013

1985

Seven months into the nine-month set-up phase, Rohit won CAN$100,000 of additional funding from Grand Challenges Canada for additional research including a health centre impact survey.

Sep 2012 | COTZ Trial phase starts after baseline survey

2009

2010

2011

2012

2013

1985

Sep 2012 | COTZ Trial phase starts after baseline survey

2009

2010

2011

2012

2013

1985

At the end of the nine-month set-up phase, and before the start of the trial, a baseline survey was undertaken in the two intervention districts (Katete and Kalomo) and the two comparator districts (Petauke and Monze).

2009

2010

2011

2012

2013

1985

Aug 2013 | COTZ 12-month trial phase ends

Aug 2013 | COTZ 12-month trial phase ends

2009

2010

2011

2012

2013

1985

In the 12 months of the trial, retailers bought 25,000 Kit Yamoyos. Before the trial no child received ORS/Zinc treatment. After 12 months 45% of children were treated with ORS/Zinc and it all came from Kit Yamoyo.

Awards | The Kit Yamoyo has won many global awards

2009

2010

2011

2012

2013

1985

Awards | The Kit Yamoyo has won many global awards

2009

2010

2011

2012

2013

1985

As well as winning many prestigious awards, the Kit Yamoyo was featured as one of the Top 10 ‘breakthrough’ innovations in mother and child health at the UN General Assembly in Sep-13.

2009

2010

2011

2012

2013

1985

Sep 2013 | Scale-up plan (KYTS) submitted to donors

Sep 2013 | Scale-up plan (KYTS) submitted to donors

2009

2010

2011

2012

2013

1985

The midline survey in Mar-13 indicated that the trial was having a big impact and care-givers were depending on the kit. So work started on a scale-up plan with the aim of having no gap between the trial and scale-up.

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Only include blister pack

SoapProduce locally

Leaflet PackagingRemove constraint of fitting in Coca-Cola crate

Produce locally

Produce re-fill option

Oct 2013 | Incorporating the learning into the scale-up

All components of the Kit Yamoyo were reviewed based on the findings of the trial.

2009

2010

2011

2012

2013

1985

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Only include blister pack

SoapProduce locally

Leaflet PackagingRemove constraint of fitting in Coca-Cola crate

Produce locally

Produce re-fill option

4

75% of care-givers used 4 ORS sachets or less. Reducing the number of sachets from 8 to 4 will improve adherence to the combined therapy and halve the cost of the ORS component.

Oct 2013 | Incorporating the learning into the scale-up

2009

2010

2011

2012

2013

1985

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Design the blister pack to enhance adherence to the 10-day regime

Blister pack needs no box

SoapProduce locally

Leaflet PackagingRemove constraint of fitting in Coca-Cola crate

Produce locally

Produce re-fill option

4

The imported Zinc used in the trial will be replaced by locally produced Zinc which should come on-stream in May-14.The blister pack will be designed to enhance adherence to the 10-day regime.

Oct 2013 | Incorporating the learning into the scale-up

2009

2010

2011

2012

2013

1985

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Design the blister pack to enhance adherence to the 10-day regime

Blister pack needs no box

SoapProduce locally

Leaflet PackagingRemove constraint of fitting in Coca-Cola crate

Produce locally

Produce re-fill option

4

The only soap manufacturer in Zambia has agreed to produce a 25g bar of soap from early 2014.This will replace the soap imported from India.They will sell the soap themselves as a stand-alone product.

Oct 2013 | Incorporating the learning into the scale-up

2009

2010

2011

2012

2013

1985

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Design the blister pack to enhance adherence to the 10-day regime

lister pack needs no box

SoapProduce locally

LeafletPrint in India?

PackagingRemove constraint of fitting in Coca-Cola crate

Produce locally

Produce re-fill option

4

The only opportunity to reduce the cost of the leaflet would be to have it printed in India or China.

Oct 2013 | Incorporating the learning into the scale-up

2009

2010

2011

2012

2013

1985

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Design the blister pack to enhance adherence to the 10-day regime

Blister pack needs no box

SoapProduce locally

LeafletPrint in India?

PackagingRemove constraint of fitting in Coca-Cola crate. Only 4% of retailers used this option

Produce locally

Produce re-fill option

4Oct 2013 | Incorporating the learning into the scale-up

2009

2010

2011

2012

2013

1985

ORSReduce number of sachets to 4

NOTE: This will also enhance adherence

ZincProduce locally

Design the blister pack to enhance adherence to the 10-day regime

Blister pack needs no box

SoapProduce locally

LeafletPrint in India?

Packaging

4

In the scale-up we will be using two new packaging formats: • a screw-top • a flexible packThe screw top will have all the functionality of the original packaging.The flexible pack can measure the water.

Oct 2013 | Incorporating the learning into the scale-up

2009

2010

2011

2012

2013

1985

Oct 13| New Kit Yamoyo format created

2009

2010

2011

2012

2013

1985

In the trial only 4% of retailers put the kits in Coca-Cola crates.

This provides an opportunity to re-visit the packaging design and make it cheaper WITHOUT losing any of the innovation features – measuring, mixing, storage device and cup.

Kit Yamoyo Screw-top• Attractive and desirable• Packaging is also:

• A measuring device for the water• A mixing device• A storage device (screw-top)• A cup• And can be re-used

Oct 13| New Kit Yamoyo format created

2009

2010

2011

2012

2013

1985

Kit Yamoyo Screw-top• Attractive and desirable• Packaging is also:

• A measuring device for the water• A mixing device• A storage device (screw-top)• A cup• And can be re-used

PLUS• A refill option in a plastic bag that can also

act as a measure for the water

Oct 13| New Kit Yamoyo format created

2009

2010

2011

2012

2013

1985

Oct/Nov 2013 | DfID & J&J confirm funding for KYTS

2009

2010

2011

2012

2013

1985

To be continued…

colalife.org

simon@colalife.orgjane@colalife.orgrohit@colalife.org

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