kyts briefing - collaboration partners' meeting 20-oct-15, lusaka, zambia
TRANSCRIPT
Kit Yamoyo Transition to Scale
(KYTS)
Cooperating Partners’ MeetingLusaka, Zambia
20-Oct-15
Simon BerryCEO and [email protected]
colalife.org
Rohit Ramchandani
Jane Berry
The other members of the ColaLife team
We have no commercial interest in anything I am going to describe to you
Our partners in Zambia – the trial
Our partners in Zambia – scale-up (so far)
observation 1
Diarrhoea
19% of infectious disease deaths
Malaria
15% of infectious disease deaths
AIDS
4%
Diarrhoea kills as many children than Malaria and AIDS combined
Source: Liu et al (2015) Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. The Lancet.
In Zambia 46% of children are stunted (up to 70% in some areas)
observation 2
You can buy a Coca-Cola almost anywhere
Full shopsFull shops – empty clinics
Remote rural retail shop, Kalomo District, Zambia
Drug store room, Tiriri Health Centre, Katine, Uganda
the idea
Why not put ORS & Zinc Kit in Coca-Cola crates?
the action
Early 2012 | Pre-trial focus group work
What we learnt
Litre ORS sachets are too big
Measuring water was an issue
Willingness to pay
Preferred branding
Mar 2012 | Finalised the Kit Yamoyo design
Mar 2012 | Finalised the Kit Yamoyo design
Kit Yamoyo• Attractive
Mar 2012 | Finalised the Kit Yamoyo design
Kit Yamoyo• Attractive• ORS sachets are 200ml
Mar 2012 | Finalised the Kit Yamoyo design
Kit Yamoyo• Attractive• ORS sachets are 200ml• Packaging is also:
• A measuring device for the water
Mar 2012 | Finalised the Kit Yamoyo design
Kit Yamoyo• Attractive• ORS sachets are 200ml• Packaging is also:
• A measuring device for the water
• A mixing device
Mar 2012 | Finalised the Kit Yamoyo design
Kit Yamoyo• Attractive• ORS sachets are 200ml• Packaging is also:
• A measuring device for the water
• A mixing device• A storage device (the
soap tray is a lid)• A cup
Control districts
Trial – Sep-12 to Sep-13Intervention districts
Trial districts
60%Only 60% of mothers mixed ORS correctly when given litre sachets.
0Nobody sold ORS or Zinc in the private sector.
<1%of children received the correct treatment for diarrhoea
7.3kmWas the average distance to ORS.
Sep 2012Before we started
60%Only 60% of mothers mixed ORS correctly when given litre sachets.
0Nobody sold ORS or Zinc in the private sector.
<1%of children received the correct treatment for diarrhoea
7.3kmWas the average distance to ORS.
>26kkits sold into the two remote rural trial areas in 12 months.
Aug 2013After 12 months
Sep 2012Before we started
60%Only 60% of mothers mixed ORS correctly when given litre sachets.
0Nobody sold ORS or Zinc in the private sector.
<1%of children received the correct treatment for diarrhoea
7.3kmWas the average distance to ORS.
>26kkits sold into the two remote rural trial areas in 12 months.
45%of children in trial areas received ORS/from Zinc. Up a baseline of <1%.
Aug 2013After 12 months
Sep 2012Before we started
60%Only 60% of mothers mixed ORS correctly when given litre sachets.
0Nobody sold ORS or Zinc in the private sector.
<1%of children received the correct treatment for diarrhoea
7.3kmWas the average distance to ORS.
>26kkits sold into the two remote rural trial areas in 12 months.
45%of children in trial areas received ORS/from Zinc. Up a baseline of <1%.
2.4kmThe distance to ORS/Zinc in the trial areas was reduced by two-thirds from 7.3km to 2.4km.
Aug 2013After 12 months
Sep 2012Before we started
60%Only 60% of mothers mixed ORS correctly when given litre sachets.
0Nobody sold ORS or Zinc in the private sector.
<1%of children received the correct treatment for diarrhoea
7.3kmWas the average distance to ORS.
>26kkits sold into the two remote rural trial areas in 12 months.
45%of children in trial areas received ORS/from Zinc. Up a baseline of <1%.
2.4kmThe distance to ORS/Zinc in the trial areas was reduced by two-thirds from 7.3km to 2.4km.
93%of Kit Yamoyo users mixed ORS correctly. Only 60% do when given 1 litre sachets.
Aug 2013After 12 months
Sep 2012Before we started
60%Only 60% of mothers mixed ORS correctly when given litre sachets.
0Nobody sold ORS or Zinc in the private sector.
<1%of children received the correct treatment for diarrhoea
7.3kmWas the average distance to ORS.
>26kkits sold into the two remote rural trial areas in 12 months.
45%of children in trial areas received ORS/from Zinc. Up a baseline of <1%.
2.4kmThe distance to ORS/Zinc in the trial areas was reduced by two-thirds from 7.3km to 2.4km.
93%of Kit Yamoyo users mixed ORS correctly. Only 60% do when given 1 litre sachets.
Aug 2013After 12 months
Sep 2012Before we started
4%Only 4% of kits went into Coca-Cola crates.
Aug 2013After 12 months
In Zambia, it’s the space in the market, not the space in the crates that is important.This means we can revisit the packaging to make it cheaper.
Kit Yamoyo
Washing Powder
Eggs
Biscuits
Cola – but not Coca-Cola
Bread
Manufacture
Assembly
Distribution
WholesaleK3.10
RetailK3.70
CustomerK5.00
Value
Kit Yamoyos
Market development - the Value Chain
Awards | The Kit Yamoyo has won many global awards
Control districts
Trial – Sep-12 to Sep-13
Transition – from Oct-13Transition districts
Intervention districts
Progress towards national scale-up
4Scale-up Kit Yamoyo formats: screw-top and flexi-pack
4The flexi-pack retains the measuring functionality
4The flexi-pack retains the measuring functionality
Scale-up
Control districts
Trial – Sep-12 to Sep-13
Transition – from Oct-13Transition districts
Intervention districts
KYTS-ACE – from Feb-15
Progress towards national scale-up
4The GRZ ORS/Zinc co-pack
452,000 kits to 11 of the SUN Districts
Scale-up
Control districts
KYTS-LUSAKA – from Oct-15
Trial – Sep-12 to Sep-13
Transition – from Oct-13Transition districts
Intervention districts
KYTS-ACE – from Feb-15
Progress towards national scale-up
Scale-up
Control districts
KYTS-LUSAKA – from Oct-15
Trial – Sep-12 to Sep-13
Transition – from Oct-13Transition districts
Intervention districts
KYTS-ACE – from Feb-15
Progress towards national scale-up
colalife.org/status
Campaigning for…
1. 200ml ORS sachets for home use2. Co-packaging of ORS and Zinc3. ORS and Zinc as over the counter
medicines4. People to understand that all our designs,
learning and findings are theirs to take and use for FREE – we are NOT promoting a product – we are promoting a game-changing new approach to diarrhoea treatment in the home
Thank you to the ColaLife funders past and present
Isenberg Family Charitable Foundation
Thank you to the ColaLife funders - current
Isenberg Family Charitable Foundation
questions?