ColaLife / UNICEF Workshop 21 Jan 2011

Lusaka, 21 January 2011

Pilot planning workshop

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“ Strengthened distribution systems and new delivery strategies

Strengthened distribution systems and new delivery strategies

Diarrhoea treatment kits for all new mothers

Diarrhoea treatment kits for all new mothers

New communication strategies

New communication strategies

Market-based solutions are often the most effective way to deliver key diarrhoea control commodities

Market-based solutions are often the most effective way to deliver key diarrhoea control commodities

UNICEF call to action - October 2009

Diarrhea-Related Dehydration Still a Top-Killer of Children in Developing World

3

Over 1 million children still dying from diarrhea-related death each year

More children die from diarrhea related illness than Malaria, HIV/AIDS and Measles combined

Why the Emphasis on ORS? MDG # 4 - Time is Running Out!

Millenium Development Goal #4: Reduce by two-thirds, between 1990 and 2015, the mortality rate of children under 5

innovationneeded

incrementalimprovement

Mortality dropped 1.8% per year (1990-2008)

Mortality must decrease 10.5% per year 2008-2015 to

reach goal

1990 2008 2015

100

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Objectives for today• Explore partnership and roles in a proposed pilot

of the ColaLife concept in Zambia

• Discuss the proposed pilot design

• Agree high level objectives and outcomes

The heart of the idea: Coca-Cola gets everywhere - why not simple medicines?

Low affordability levels

‘Last mile’ distribution challengesPublic supply challenges

Key challenges

Education, Information and Communication Water!

Water!Low affordability levels

‘Last mile’ distribution challengesPublic supply challenges

Education, Information and Communication Water!

Retail supply chain Piggybacking and empowerment of local entrepreneurs. Business Innovation for corporates - beyond CSR

Affordable Mother’s Kit New technology for EIC and tracking SODIS

Key innovations

ColaLife’s status . . .

• ColaLife is a not-for-profit facilitator organisation

• Jane and Simon (full-time, currently voluntary)

• Part-time volunteers (21 in 2010)

• >15,000 supporters online

• Currently seeking charitable status in the UK

ColaLife brings . . .

• Key skills and experience

• Cross-sector working and project management

• Open Innovation

• A mature, innovative idea

• Trusted relationships, eg with Coca-Cola, developed over 2.5 years

Who is interested in a pilot of the ColaLife concept?

Funders and foundations we have spoken to, who are interested

2 years of stakeholder idea/development Global level expert support and advice

Possible sustainability models

Prof Prashant Yadav

Prof Don Nutbeam

Rohit Ramchan-dani

Dr Ian Goldman

Our ethos and approach

• No ambitions to grow the ColaLife organisation

• Instead, ColaLife wants to resource existing organisations in Zambia to increase their capacity to undertake the different roles

• The pilot does not have to carry the ColaLife name or ‘brand’ - although it may do

• We have no interest in copyrighting the concept

• We want to test the idea and share the learning

We are seeking to…

• obtain robust findings and key lessons

• publish and share these so that others can adapt and replicate the idea

We would like to…

• lead on the development of the pilot plan

• lead on fundraising for the pilot

• have a role in the project management of the pilot

Any questions?

Co-designing the pilot

Agreeing the kit for the pilot…• ORS• Zinc• SODIS Bag• Soap• Educational materials

What to call it?• AidPod ??• Diarrhoea Treatment Kit?• Mothers’ Kit ??• Mama-Nurse Kit ??• ??

• Delivery through the private sector

Distributor

Wholesaler

Social marketingSocial marketing

Assess ability to pay

Inject subsidy here

• Niche application - AidPods address diarrhoea• Margins are made at every step

• Subsidy determined by ability/willingness to pay• Social marketing/sensitisation crucial to turn ‘need’ into ‘demand’• The AidPod is the only thing that is new - all other elements of the model have tried and tested elsewhere

• Subsidy injected at distributor level

Pilot features:

• AidPods introduced into crates at the Wholesaler

Use vouchers initially to pump-prime demand pull?

New insights this visit• WHERE?

• 100 to 200 mile radius: don’t go too remote, for easier M&E

• SABMiller have offered to help select district depots

• WHAT?

• It’s operational research not clinical research

• WHAT SCALE?

• Enough to be credible…

• HOW?

• WHO?

• Is what we are here for…! Need partners named to proceed

Implementation phase

The Pilot

SODIS research and development

Social marketing

Packing

Distribution

Monitoring and evaluation

Dissemination

Replication planning

ColaLife Pilot | Pilot Structure | Zambia

Initial research

AidPod Mother’s Kit prototyping

Set-up phase

Design and test EIC materials

Baseline study

Governance & project management

Initial research

Assess what mothers/carers would consider to be attractive in an AidPod Mother’s Kit

Set-up phase

Confirm the margins that would be expected in the distribution chain

Confirm the transport premium to remote rural communities

Assess the financing/credit requirements of wholesalers/retailers (if any)

If required: Look at options for the management of a voucher system

Assess the willingness and ability of mothers/carers to pay

Assess the need for vouchers to pump-prime the ‘pull’ of AidPods into communities (if any)

Determine the level of subsidy required


AidPod Mother’s Kit prototyping

Draw up a specification for the AidPod to be used in the pilot

Set-up phase

Carry out field tests

Modify as required

Assess options for manufacture

Manufacture

Produce ‘fit for purpose’ AidPods in the quantities required for pilot


Design and test EIC materials

Develop prototype EIC materials

Set-up phase

Test with sample communities within the pilot area(s)

Refine as required

Produce the EIC materials in the formats and quantities required for the pilot


Baseline study

Collect baseline data in control and pilot districts

Set-up phase

Design data collection methods in control and pilot districts for implementation phase

Baseline report plus methodology for the collection of baseline/control data during pilot


Parallel study

If possible, draw up specification and research manufacturing options

Assess other options for the promotion and uptake of SODIS in remote rural areas

A report on the SODIS options for the post-pilot roll-out phases

SODIS research and development

Assess the feasibility of producing a SODIS enabled AidPod for post pilot roll-out phases

If not possible, look at other options including refining the SODIS bag


Group work - 1

• Questions

• Challenges

• Problems

• Issues

• Barriers

One thought per ‘sticky’

Group work - 2

• Solutions

• Suggestions

• Insights

• Enablers

• Contacts

One per ‘sticky’

ColaLife Pilot | Organisational Structure | Zambia

Funders

Governance

Project management

Accountable Body

‘Last mile’Distribution

Packing

Distribution To District

Social Marketing M & E

Dissemination

Partner 3Partner 2Partner 1 Partner 4

Group work - 3

• Divide into groups of 4-5 people

• Mixed groups

• Complete the roles grid

If your group was implementing this pilot what roles do you think your organisation could fulfil and where can you see gaps

Towards consensus

• What?

• How?

• Who?

• Where?

• When?

• Why: How should we describe the objectives?

• Scale?

• How long will it run?

• How much will it cost?

What next?

• Jan - February: Finalise the partnership and roles

• February: identify/appoint accountable body

• February: Finalise pilot plan and logical framework

• February - March: Write plan and funding bid(s)

• February - March: In principle Letters of Agreement or MOUs

• April: Submit plan to funders

• From July: confirm funding package

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ColaLife / UNICEF Workshop 21 Jan 2011

Health & Medicine