IRISH FORUM FOR GLOBAL HEALTH (IFGH) Dialogue on Diarrhoea : Hygiene, Sanitation and Water: Forgotten Foundations of Health? - 15th March 2011 “WASH – private sector integration” www.aquatabs.com www.medentech.com Tel: +353 53 9117900 enquiry@medentech.com Nov-2010 Copyright Medentech

Medentech – Who we are Based in Ireland Infection control advisers internationally. The world’s largest producer of water disinfection tablets – 1 billion in 2009. Export > 60 countries Blue Chip Partners: Pfizer, Ecolab, J&J, Schering Plough, USAID, WHO / PAHO, Bayer, The UN, Red Cross. Nov-2010 Copyright Medentech

Aquatabs are self dissolving (effervescent) water purification tablets can be used in a wide variety of situations. Household Water Treatment Emergency & Disaster Relief Peacekeeping & Defence Forces Travel, Camping & Marine Number 1 Water Purification tablet in the world Over 1 Billion Aquatabs supplied in 2009 = 15 billion litres of water Over 13 million daily users in developing countries Manufactured under Pharmaceutical Conditions Over 15 International Independent Studies on Effectiveness USEPA & WHO approved NaDCC for long term drinking water

Aquatabs – Growth Activities Phase 1 2005 to 2009 Phase 2 Targets 2010 - 2014 Capacity Aquatabs 750k to 1.5billion Extra Ire + India No. Aquatabs 200m to 1 billion Aquatabs + NPD No. Users (est’d) 1.3m to 13m 70m Vol. Of Water 1.8b to 15b litres 100b litres No. Countries 5 to 22 45 to 50 in total

Water Solution/Product Development INDIVIDUAL HOUSEHOLD COMMUNITY PROVIDER Short Term Home Water Treatment Long Term Home Water Treatment Decentralised Community Water Treatment Centralised Community Water Treatment 1 to 2,500 litres Specific Volumes Up to180,000 litres 20 litres per minute Up to 1 million litres per hour “Serving the bottom of the Pyramid” Nov-2010 Copyright Medentech

Distribution Models – BOP - Partnerships International Network Other Country Programmes Medentech Retail Chain (Kiosk’s/Drug Stores etc) Relying on Private sector marketing and distribution network Primarily Urban/Peri-urban reach Government / National Stakeholder Group (BCC) Commercial Agent Distributor Social Marketing Organisation (BCC) Community Based Distribution (CBD) Leveraging CBD/NGO etc networks aimed at BCC, advocacy and capacity building Primarily Rural access Integration with “Basket” of Health Products as appropriate Funded Intervention Emergency/Health Retail Chain Kiosk/Pharmacies Community Based Distribution (CBD) Marketing Private Sector: Above-the-line (ATL) marketing (advertising and promotion) to “pull” Aquatabs through the distribution chains Non-private Sector: Below-the-line (BTL) social marketing to “push” Aquatabs through at the household level, using behaviour change communication (BCC) on HWTS/HIP, as appropriate Enabling Stakeholder Integration Public Private Partnerships/Alliances 6

Emergencies – Responsiveness & Development HWTS is the ultimate in pre-preparedness for water crisis situations. Community is pre-trained for POU applications (even if regular use is low). HWTS is the ultimate in pre-positioning. Stocks are ready to hand and can be rapidly deployed, with locally available training materials, in local language, through existing infrastructures. Post-event continued use and net savings to the public sector - For about the same cost as giving a family Aquatabs for 3 months the same family can be educated / convinced to purchase into the long-term. But, the same communication media will simultaneously reach a further 20 families in the community at no extra cost. This collateral communication is of significance. A Langtane/Clasen study has shown an uptake level 9 times greater with proper usage education than simply making product available in a crisis

Training Programmes

Thank you Kevin O Callaghan kocallaghan@medentech.com