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FeMME - Ending Iron Deficiency Anemia

FeMME - Ending Iron Deficiency Anemia in the developing world

Gunner Hamlyn

on 10 May 2013

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Transcript of FeMME - Ending Iron Deficiency Anemia

Dedicated to Ending
Iron Deficiency Anemia Worldwide Large Scale
Fortification Product
Development In-Country Testing
Mandate Develop our Product
Timing: 0-6 months Develop Iron Formula Prove Concept
Mandate Fortification In-Country Testing
Timing: 6-18 months Large Scale Fortification
Timing: 1.5 - 5 years Iron
Pills Contract With Nutrient Manufacturer

Sell Iron to Tomato Processors (5 years) (6-18 months) (0-6 months) Appendix Information Analogs Advisors Team Bios Sources Leading Experts in Global Health, Nutrition, Medicine,
International Development, and Economics
Who Believe in Our Venture, and Advise Us Team Biographies (1 of 2) Nancy Martin, founder of FeMME, and leader of its Social New Venture Challenge team, recently completed the M.P.P. degree at the Harris School of Public Policy at the University of Chicago, where she focused on international development and global health policy. She spent much of the second year researching, writing and presenting results of her ongoing study of micronutrient deficiencies, fortification and supplementation programs, and options for improving maternal health outcomes in the developing world. Nancy has extensive private sector experience, primarily in business development, marketing and broadcast television, and also non-profit experience as a volunteer advocate for CARE U.S.A.. She earned an A.B. from Harvard College in government and international relations.

Ann Herbert, a second-year student at the Harris School of Public Policy, worked as a Health Extension Agent with the Peace Corps in Morocco, where she trained community health workers and educated people in her community on health issues such as preventing and treating anemia. This fall, she will begin a PhD program in Public Health at Johns Hopkins University.

Gunner Hamlyn, a first-year student at the Harris School for Public Policy, worked in the Peace Corps in the Republic of Niger. Today he also volunteers with the local non-profit Expanding Lives, training young women from West Africa on household food security. This summer, Gunner will intern with the State Department in the U.S. Embassy in Nigeria. Nancy Martin Maternal mortality and nutrition expert
Business strategy, marketing, Ann Herbert Peace Corps - Morocco
Brought iodized salt to rural areas
Johns Hopkins - PhD, Public Health Abbey Mackenzie Kerl United Way
Communications and development Kuppy Sampale GlaxoSmithKline - drug access in Africa
Kraft Foods internship Gunner Hamlyn Peace Corps - Niger
Household food security expert
State Department Intern - Nigeria “Mass fortification is generally the best option when the majority of the population has an unacceptable risk, in terms of public health, of being or becoming deficient in specific micronutrients.”
-World Health Organization Nigerian Government
Mandated Iodized Salt 2 Billion Worldwide 2 Billion Worldwide Iron Deficiency Anemia Iron Deficiency Anemia Iron fortified Foods Options for Reducing Iron Deficiency ADVISORS 352 / 100,000 Nigerian Tomato Paste Market 8.5 billion cans sold annually $1.8 billion Industry Analog-Government Mandate: Côte d’Ivoire Wheat Flour and Vegetable Oil Fortification Over 50 countries have mandated fortification of cooking oil with Vitamin A

GAIN supported a $3 million grant to the Helen Keller International to provide Vitamin A fortified vegetable oil and wheat flour fortified with iron and folic acid —funding to purchase premix, strengthen quality control systems, develop legislation around fortification, conduct a communication campaign, and implement public health monitoring and evaluation activities.

Successfully lobbied for two ministerial decrees for the mandatory fortification of wheat flour and vegetable oil

 As of June 2009, project reached more than 70 percent of the population with fortified vegetable oil and wheat flour. Tomato Processors Gino: Watanmal Group, Chennai, India

Tasty Tom: Olam Int’l, founded in Nigeria by Indian, publicly listed in Singapore

De Rica: Conserve Italia, Italy Vitali: Vital Products, Lagos, Nigeria


Tomato-Fun: Boss JGJ Industries, Lagos, Nigeria Public / Private Nigeria Multi-governmental organizations: UNICEF, WHO
Government agencies: Ministry of Health, Ministry of Agriculture and Natural Resources
Minister of Health: Professor C.O. Onyebuchi Chukwu
Minister of Agriculture and Natural Resources: Dr. Akinwunmi Ayo Adesina
NGOs: World Food Programme, GAIN, Helen Keller International, Micronutrient International 104 / 100,000 198 / 100,000 AIDS IRON DEFICIENCY ANEMIA MALARIA Fe2(SO4)3
Iron Sulfate Nigeria High rates of Iron Deficiency Anemia

Largest producer of tomatoes in
Sub-Saharan Africa

Growing tomato processing industry

Largest population in Africa Investing in FeMME is investing in
ending iron deficiency anemia
in women and children in the developing world.

We hope you’ll join us. Sell to manufacturers: 1/5 of a penny per can Cost to add iron: 1/10 of a penny per can Relationships with global leaders in nutrition Less than 2% impact on manufacturing profit margin Source of country profiles, industry stats,: http://www.unicef.org; http://www.nigerianstat.gov.ng; http://data.worldbank.org/country/nigeria

Malaria deaths & HIV/AIDS deaths: (2006-2007 data)

Deaths due to iron deficiency anemia: http://www.fantaproject.org/downloads/pdfs/FANTAanemia2006.pdf

Sub-Saharan Africa 2005 total maternal mortality: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(07)61572-4/abstract

Tomato paste consumption stats used to build market estimates:


http://www.fas.usda.gov/htp/commodity_pages/vegetables/2005%20Tomato%20Products%20Situation%20and%20Outlook.pdf Nigerian International Public / Private Nigeria Total processed tomatoes consumed in Nigeria: 583,000 metric tons (2009)

(Recent study (Paris, SIAL 2010) show that growth rate for processed tomato consumption is close to 3 % per year)
So, in 2011 = 600,000 metric tons

1,000,000 grams = 1 ton
70 g/can = 14,286 cans

54 cans/person/year, or just more than 1/week

Estimated cost/ton production of tomato paste in Nigeria (based on Ghana study)… $1055/ton divided by 14,286 cans = .07 USD/can to produce

Approximately 8.5 billion cans/year at .07 USD = 600 million cost to produce
(times 3 for retail price) = estimated at $1.8 billion market Tomato Paste Market Financials Estimated Cost of Proprietary Iron Nutrient Mix (Based on WHO + UN guidelines for food fortification … encapsulated iron)

Estimated at less than 6 cents/person/year, although because the average consumption of tomato paste is less than daily, the number would be less.

Population Nigeria + 158 million X .06 = $9.5 million

$9.5 million to provide for entire population divided by 8.5 billion cans = .001 /can
10% of 8.5 billion cans is domestic, so cost/can of adding iron to domestic market = $850,000

90% of 8.5 billion cans are foreign, so the cost/can of adding iron to imported = $7,650,000

Total processed tomatoes consumed: 40 million tons (2009), with annual growth rate of 3%, so 41.2 M tons (2010), 42.4 M tons (2011)
Around 71 times the Nigerian market (at Nigerian estimated costs/retail)= $128 billion market Iron Mix Numbers Camilla Liou is a first-year student at the Booth School of Business, concentrating in finance and entrepreneurship. Prior to business school, she was in a PhD program at Princeton University studying political economy of development. She discovered in her doctoral program that the life of an academic was not for her, and after receiving her Masters degree, took a more entrepreneurial route and worked in an operations and strategy role for her family business. Camilla has extensive international experience, working with USAID in Croatia, conducting pre-dissertation fieldwork in South Africa, and managing business relationships for her family’s business in China.

Kalpana (Kuppy) Sampale is a first-year student at the Booth School of Business, concentrating in marketing and strategic management. After receiving a degree in biomedical and electrical engineering from Duke, Kuppy joined GlaxoSmithKline in the Rotational Leadership Development Program. In her last position there, as a project manager in biopharmaceuticals, she spearheaded three disruptive innovation projects exploring the use of mobile technology to increase sales in emerging markets, create new customer bases in Africa, and establish paperless research in R & D labs.

Abigail Mackenzie Kerl is a first-year student at the Harris School for Public Policy, and a writer for the Chicago Policy Review where she covers food policy. Prior to pursuing her masters, Abigail worked at Greater Twin Cities United Way as the Emerging Leaders Program manager where she was responsible for engaging over 15,000 young professionals in United Way’s mission to end poverty. She brings experience in market segmentation, fundraising, volunteer management, business development and board governance. In addition, Abigail has traveled extensively, recently returning from a five-month trip around the world with her husband. We Add Iron to Healthy, Everyday Foods
Secure funding for product development Strengthen relationships in Nigeria Obtained pro bono international legal firm Accomplishments Annual Profit of $ 5 Million Funding DIV Model Won spot in Booth Accelerator program Attracted investors in Nigerian tomato processing Connected with Nigerian food processors Earned support of GAIN Business Development & Government Relations Dr. Joseph Antoun Lecturer- Comparative Health Systems, Harris School;
CEO-Health Systems Reform; formerly at Eli Lilly & Co.
(Emerging & Developing Markets) Global Health & Nutrition Dr. Jide Adedeji Head of Agrobusiness & Benfruit, Transcorp, Nigeria Larry Umunna Country Manager-Nigeria,
Global Alliance for Improved Nutrition Dr. Stanley Zlotkin Prof. of Nutritional Sciences, U. of Toronto,
Inventor of Sprinkles, Canada Dr. Mark Manary Washington University,
Founder of “The Peanut Project,” Malawi & U.S.A. Iodized Salt consumption 40% 97%

Cost of Iodine absorbed
by marketplace $85 million
opportunity Nigeria AFRICA Clinical Testing, Monitoring & Evaluation Dr. Funmi Olopade and Dr. Sola Olopade Associate Professor, Pritzker School of Medicine (hematology expert), University of Chicago Dr. Joseph Baron Professor, Biochemistry & Molecular Biology (red blood cells expert) University of Chicago Dr. Theodore Steck Pritzker School of Medicine; Directors-Global Health Initiative, University of Chicago Director of WIN (World Initiative for Nutition), Fortitech Françoise Chomé ADVISORS Economics & Agriculture Dr. Don Coursey Economist, Ameritech Professor of Public Policy Harris School Richard Mahoney Former CEO of Monsanto Corporation Senior Advisor, Innovative Finance and
Public Private Partnerships, USAID Wendy Taylor Benefits of Tomato Paste Contains
ascorbic acid Established
distribution Widely consumed Eaten
regularly Secure Intellectual Property Rights What If Mandate Doesn't Work? Create
Incentives Subsidized Fortification Next Steps ADVISORS ADVISORS Global Health & Nutrition

Economics & Agriculture

Clinical Testing, Monitoring & Evaluation

Business Development & Government Relations Team of Advisors 21¢ 21.2¢ Ertharin Cousin Executive Director,
U.N. World Food Programme, Italy Tomato Paste Ertharin Cousin, Executive Director of the United Nations World Food Programme

Dr. Stanley Zlotkin, Professor of Nutritional Sciences, University of Toronto; Inventor of Sprinkles, developed as humanitarian aid product as therapeutic intervention for anemic children in developing world

Dr. Mark Manary, Professor of Medicine, Washington University; Founder of “The Peanut Project” in Malawi, a readytouse therapeutic food to treat severe malnutrition

Dr. Wafaie Fawzi, Harvard School of Public Health; researches affects of iron supplementation in Tanzania
Clinical Testing, Monitoring and Evaluation

Dr. Funmi Olopade and Dr. Sola Olopade, Professors of Medicine, Pritzker School, and Directors of the Global Health Initiative at the University of Chicago
University of Ibadan, Nigerian doctors collaborating with the Global Health Initiative

Dr. Theodore Steck, Professor Emeritus, Biochemistry & Molecular Biology, University of Chicago, expert on red blood cells, and head of research committee Global Health Initiative

Dr. Joseph Baron, Associate Professor of Medicine, Pritzker School, University of Chicago, hematology expert

Dr. John Wilhelm, Executive Director, Infant Welfare Society of Chicago

Business Development & Government Relations in Nigeria and the Emerging Markets

Larry Umunna, Country DirectorNigeria, Global Alliance for Improved Nutrition (GAIN)

Dr. Jide Adedeji, CEOTeragro Limited, a full value chain agribusiness company, NigeriaFeMME/Confidential/May 2012

Françoise Chomé, Director of WIN (World Initiative for Nutition), Fortitech, an international manufacturer of premix nutrients

Dr. Joseph Antoun, Lecturer of Comparative Health Systems, Harris School, University of Chicago; CEO Health Systems Reform; former Leader of Emerging & Developing Markets – Eli Lilly & Co.

Economics, Agriculture & International Development

Don Coursey, Ameritech Professor of Public Policy, Harris School, University of Chicago

Sabina Shaikh, Lecturer in Program on Global Envir., Public Policy, University of Chicago

Emily Oster, Associate Professor of Economics, Booth School, University of Chicago

Richard Mahoney, former CEO of Monsanto Corporation

Wendy Taylor, Senior Advisor, Innovative Finance and Public Private Partnerships, USAID

International Agencies, NGOs, Foundations

Paul O’Brien, Vice President for Policy and Campaigns, Oxfam America

Tom Hanschmann, Executive Director, Midwest Region, CARE U.S.A.

Marshall Bouton, President, Chicago Council on Global Affairs

Dolores Connolly, Board Member, CONCERN 

Chris Murphy, Dir. of Marketing; Molly Christiansen, Dir. of Research; Living Goods

John Osterlund, General Manager, the Rotary Foundation

Contacts in Media

Nicholas Kristof, columnist, The New York Times 

Dr. Mehmet Oz, Cardiac Surgeon-Columbia University, Talk Show Host (The Dr. Oz Show)
Full transcript