Investor Presentaiton
In order to scale up zinc/ORS, several barriers need to be overcome
Affordable Supply
Distribution
Provider demand
Caregiver demand
Retail prices of the zinc/ORS products are high, due to high ex-factory prices
and highly fragmented distribution chain that accumulate high, variable mark-
ups. Most products are therefore more expensive in rural markets than urban.
Very few pharmaceutical products reach rural markets because distribution
systems are fragmented and inefficient, promotional activities in rural markets
cost more money and reach fewer people, and rural markets are perceived to
have lower consumer spending profiles.
Public sector: Public health centers struggle to provide quality health services,
due to limited availability of stock and training.
Private sector: Private drug sellers typically untrained, leading to inconsistent
and poor treatment of diarrheal diseases. Consumers' preferences play a
strong role in product selection when attending PPMVs, often leading to
inappropriate treatment.
Diarrhea perceived as normal for young children in Nigeria. Caregivers cite
teething as a major cause of diarrhea. Alternative treatment regimens are
often preferred, and treatment itself is frequently unaffordable.
Scale
Due to anemic demand, suppliers have limited incentive to invest in
distribution and promotion of zinc and ORS, resulting in reduced competition,
poor product access and high consumer prices.
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