kyts briefing - collaboration partners' meeting 20-oct-15, lusaka, zambia

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


Kit Yamoyo• Attractive


Kit Yamoyo• Attractive• ORS sachets are 200ml


Kit Yamoyo• Attractive• ORS sachets are 200ml• Packaging is also:

• A measuring device for the water




• A mixing device




• 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





>26kkits sold into the two remote rural trial areas in 12 months.

Aug 2013After 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.









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.



4%Only 4% of kits went into Coca-Cola crates.


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

Scale-up

Control districts




KYTS-ACE – from Feb-15


4The GRZ ORS/Zinc co-pack

452,000 kits to 11 of the SUN Districts

Scale-up

Control districts

KYTS-LUSAKA – from Oct-15




KYTS-ACE – from Feb-15


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?

kyts briefing - collaboration partners' meeting 20-oct-15, lusaka, zambia

Healthcare