results and lessons learned from the pouzn project pou...
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![Page 1: Results and Lessons Learned from the POUZN Project POU …hwts.web.unc.edu/files/2014/09/2._Susan_Mitchell_-_Results_and_Lessons_Learned_from...POUZN Project POU Program Susan Mitchell,](https://reader034.vdocuments.us/reader034/viewer/2022042306/5ed20daa9eb0885e03049d3b/html5/thumbnails/1.jpg)
Results and Lessons Learned from the
POUZN Project POU Program
Susan Mitchell, Project Director
Abt Associates
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Program Objective
Expand the use of POU
products for diarrhea
prevention using social
marketing approaches that
build on and strengthen
existing in-country
platforms for the
distribution and sale of
other public health
products.
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Programs and Time Frame
Country Type Timeframe Annual Budget
Angola Intro 1 year $50,000
Bangladesh Intro N/A N/A
Benin Intro 3 year $350,000
DRC Scale-up 1 year $300,000
Haiti Scale-up 2 year $180,000
Kenya Scale-up 2.5 year $220,000
Malawi Scale-up 4 year $225,000
Rwanda Scale–up 2.5 year $350,000
Senegal Intro 1 year $250,000
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Program Strategy
Promotio
n
PlacePrice
Product
Awareness
Trial
Use
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Product
PRODUCT MANUFACTURER COUNTRIES
WaterGuard/Sur Eau
Locally Manufactured Angola, Haiti, Kenya,
Malawi, Rwanda
PuR Imported DRC, Kenya, Malawi
AquaTabs Imported Bangladesh, Benin,
Kenya & Senegal
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At a sustainable price, WaterGuard and
Aquatabs are affordable for most families
Price/Month (assuming 20 liters/day)
Kenya Benin
DR
Congo* Haiti Malawi* Rwanda Senegal Average
WaterGuard $.15 $.38 $.13 $.33 $.25
PUR $5.28 $3.30 $2.16 $3.58
Aquatabs $.90 $.75 $.75 $.80
*WaterGuard receives a 32% and PUR a 53% subsidy in Malawi and PUR in DRC receives a 45% subsidy
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Promotion
• Mass Media (radio and TV)
• Point-of Sale Materials
(posters/danglers etc.)
• Theater/MVU events
• NGO community based
volunteers (all countries)
• Public sector clinics and
Community Health
Workers (Benin, DRC,
Rwanda)
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Place/Distribution
• Commercial distribution through a range of commercial
sector retail outlets
• NGO Based Distribution (Benin, Haiti & DRC)
• Public Sector Distribution (Benin, DRC, Rwanda)
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M&E Methodology
• Representative sample
of target populations
• Target: Households
with children under five
• Baseline and endline
• Key indicators tracked:
Knowledge & use of
promoted products
Product
Introduction
POUZN
Program
Program/
Study
Geographic
Coverage
Benin 2008 2008-2010
7 departments
(6.1 million) =
70% population
DR
Congo2006 2008-2009
South Kivu
District
(4.7 million) =
7% population
Kenya 2003 2007-2010
Coast Province
(2.5 million) =
7% population
Rwanda 2006 2007-2010National
(10 million)
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Knowledge: % of households that know they
need to treat their water
69
31
80 78
94 97
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Benin DRC Kenya
(Coast)
Rwanda
Baseline
Endline
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Ever use of promoted POU water treatment products increased significantly
0
12
5
3230
45
19
37
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Benin DRC Kenya Rwanda
Baseline
Endline
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Current use of POU water treatment products
(self-reported) also increased significantly
0
6
2
14
11
28
1
21
0%
5%
10%
15%
20%
25%
30%
Benin DRC Kenya Rwanda
Baseline
Endline
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Public sector became an important supplier
% of users Benin DRC Kenya Rwanda
Kiosk/Shop 29.2 12 87.5 31.1
Pharmacy 27.9 48.1 8.6 10.7
NGOs 8.2 11.1 0.2 1.2
Public Health
Clinics/CHW25.9 28.8 3.2 53.8
Other 8.8 0 3.2 0.5
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But a gap remains between ever use and
current use
12
6
32
14
45
28
53
21
0%
10%
20%
30%
40%
50%
60%
Benin DRC Kenya Rwanda
Ever Use
Current Use
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Reasons that ever users are not currently using
Benin
Aquatabs (%)
DRC
PuR (%)
Rwanda
Waterguard (%)
Too expensive N/A 7.5 24.8
Can’t find 9.5 0.3 34.4
Didn’t have at
home1.2 12.0 N/A
Don’t need 62.9 N/A 7.5
Don’t like 3.4 57.3 16.0
Not right season 1.5 N/A 9.1
Don’t know how to
use8.3 13.8 N/A
Other 13.3 9.0 8.2
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Behavior Change Model
SUSTAINED USE
TRIAL
AWARENESS
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Lessons Learned
• Building on an existing social marketing platform allows for relatively fast scale-up for relatively small investment $200-300,000 a year.
• Liquid and tablet chlorine products can be offered at a non-subsidized price that is affordable
• Partnering with the public sector for promotion and distribution is a promising extension of social marketing
• The gap between trial and current use is large and needs to be the focus of programs going forward