Overview of Round I and update on Round II of the Scheme Batsi Majuru International Network on Household Water Treatment and Safe Storage Annual Meeting 26 October 2015

2 |2 | Outline Overview of Round I Update on Round II Market assessment Capacity building efforts Maggie Montgomery, WHO

3 |3 | Round I: Products evaluated

4 |4 | Round I: Selected findings A number of products are available that meet performance criteria… –…but there are some that do not, and identifying these is important Existing data not rigorous –Evaluations do not address all three pathogen classes –Existing evaluation protocols not representative of actual use instructions; e.g. significant inactivation demonstrated when very high doses of disinfectant applied, or with long exposure times Variation in performance of local products such as ceramic filters, hypochlorite solutions, etc.

5 |5 | Round I summary report Scheduled to be launched end- November, and summarizes: –Round I results –Market assessment findings and key capacity building efforts –Next steps Does NOT cover in detail Interpretation of results, product selection criteria –work is underway to develop a complimentary document on this Additional information to provide: Lifetime cost per liter for each product, taking into account shipping, taxes, maintenance etc..?

6 |6 | Update on Round II Total Expressions of Interest received: –30 products –26 manufacturers Round I vs Round II

7 |7 | Market assessment Objectives Identify HWT products currently in use in sub-Saharan Africa and Asia ( south-east and western pacific ) Assess the regulatory landscape for HWT products in these regions Methods Desk review –Existing literature –Telephone and interviews In-country visits –Ethiopia, Ghana, Viet Nam –Interviews with government officials, manufacturers/distributers, implementing NGOs Roshini George, Sera Global Health

8 |8 | Market assessment: overview of findings In sub-Saharan Africa: Chlorination is relatively common; some filters (local and imported) available Demand is low –HWT use mainly associated with emergencies and disease outbreaks (up to 75-25% split between emergency and routine use) Distribution is primarily through non- commercial channels –Up to 75% of HWT products are distributed through NGOs, government (during emergencies) and pilot programs –Foreign currency shortages and high import duties impact on pricing of products Scope of regulation is limited –Regulation of HWT products predominantly focused on chemical disinfectants PSI advertising campaign in Ethiopia targeted at changing the emergency use perception of WuhaAgar

9 |9 | Market assessment: overview of findings In Asia (south-east and western pacific): The filter market continues to grow –India (25%), China (24%), Viet Nam (350%) over the past four years Demand is strong –Consumers are increasingly aware of the quality of water supplied to them and HWT products available Commercial distribution channels are relatively strong –In urban and peri-urban areas filters are widely available in supermarkets, general trade shops, etc. –Import tax waivers on products from select countries keep prices competitive Scope of regulation is limited –Regulation of HWT products predominantly focused on chemical disinfectants… –…But consumer demand for regulation of HWT products is growing

10 | Strengthening national capacity Strengthening national regulation, certification processes for HWT Supporting field monitoring and evaluation Performance evaluation and quality management for local products Communication, education and training, knowledge exchange Supporting enabling environments to maximize health impact of HWTS

11 | Summary Round I of the Scheme is complete, report to be launched end-November Round II anticipated to be less challenging; applying lessons learned from Round I Findings from the market assessment inform capacity building efforts and highlight need for: –Supporting enabling environments for HWTS –Communicating performance testing and how to interpret and apply results –Strengthening complimentary performance evaluation and regulation of HWT products

12 | Acknowledgements Manufacturers who participated in Round I The Scheme Independent Advisory Committee KWR Watercycle Research Institute and NSF International Roshini George, Sera Global Health