THE GROWING NEED FOR FC2 DUAL PROTECTION DISEASE PREVENTION AND CONTRACEPTION IN THE US AND GLOBALLY

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1 THANK YOU THE GROWING NEED FOR FC2 DUAL PROTECTION DISEASE PREVENTION AND CONTRACEPTION IN THE US AND GLOBALLY February 18, 2016

2 FC2 WHO IS ON THE CALL? Female Health Company Kelli Rodriguez Director of Sales and Education for the Americas Judy Palmore US Development and Education Manager

3 AGENDA Female Health Company Our Mission The FC2 Product Review Why the FC2 matters and is important to your communities Market Research Update Understanding the Need STI s reported at highest levels What we understand about Zika Virus - FAQ s Expanding Awareness Public Health Training University/College Programs Availability of products Q & A

4 FC2 MISSION STATEMENT For over 20 yrs. the Female Health Company ( FHC ) has devoted itself to the fight against HIV/AIDS, STI s and unintended pregnancy. Currently established globally in over 140 countries as the ONLY WHO and FDA approved female condom. In light of current developments, we are actively engaged and continuing to work with leading health organizations throughout the Americas and the rest of the world to address the growing dangers posed by the outbreak of the Zika virus. Our product is part of a multi-faceted approach health organizations are taking to combat the spread and impact of the Zika virus, and we will continue to work tirelessly to address this threat to public health. By disseminating information and access to a highly effective option to protect women from sexually transmitted infections and unintended pregnancy, the Female Health Company is continuing its ongoing mission to improve the health and well-being of women around the world.

5 The Female Condom What is it? FEMALE CONDOM WHAT IS IT? FC2 is a non-hormonal, latex-free condom inserted into the vagina Indicated for prevention of pregnancy and STI/HIV Made of nitrile (non-latex) sheath and outer ring, and a polyurethane inner ring. Nitrile is 3X stronger than latex Comes pre-lubricated with silicone lubricant. Can be used with additional water and oil based lubricants. No spermicidal additives Preservative and Paraben free Gluten free Non-allergenic The only FDA approved female condom Classified as a Class III medical device Proven safe and efficacious* for more than 20 years Puts women in control of their contraception Can be inserted in advance 6

6 FC2 PRODUCT OVERVIEW FC2 IS THE ONLY FDA & WHO APPROVED FEMALE CONDOM Dual Indication for preventing pregnancy, HIV/AIDs and other STIs Class III medical device Made of nitrile with polyurethane inner ring 3X stronger than latex. Silicone-based lubricant - inside and out can be used with both water and oil based lubricants Includes no spermicidal additives Latex free Hormone free Can be inserted in advance Can be a source of pleasure for both partners FC2 replaced FC1 in 2003 to address patient acceptance

7 FC2 W O M E N S H E A LT H W H Y T H E F C 2 M AT T E R S In 2014, an estimated 36.9 million people were living with HIV, a global HIV prevalence of 0.8%. In the same year, 1.2 million people died of AIDS-related illnesses. The FC2 Female Condom is one of the key tools in controlling its spread. HIV/AIDS Leading cause of death globally for women age % of female cases contracted via heterosexual transmission Male and female condoms are the only prevention products available No near-term alternative prevention products on the horizon STIs Explosive incidence numbers around the world In U.S., Center for Disease Control (CDC) sees 20 million new cases annually of the 3 STIs tracked; half of cases occur within the age group 42% Male 58% Female Worldwide, women living with HIV/AIDS is 50% of the global total

8 WHY THE FC2 IS IMPORTANT TO COMMUNITIES FC2 Increases Protected Sex Acts: Studies have found that female condoms, when offered alongside male condoms, increase the number of protected sex acts. The data shows that when there is more choice there is more protected sex. (Barbosa et al. 2007; Hoke et al. 2007; Choi et al. 2008). FC2 Saves Money: A female condom program in Washington, DC prevents enough infections in its first year to save more than $8 million in future medical costs. (Marseille et al. 2001; Dowdy et al. 2006; Holtgrave et al. 2012). FC2 is Effective: In FDA safety & efficacy studies FC2 was found 95% effective as a barrier contraceptive. With over 20 years of independent safety, effectiveness, and acceptability research other data is available demonstrating an efficacy as high as 98%

9 FC2 FEMALE HEALTH CO. UPDATE The majority of FHC s growth has been through public health programs, i.e. trainings, city/school events & partnerships (NFPHRA, NCSD, APHA). FHC has tripled the amount of PH trainings, conferences & congresses attended ( 14 vs. 15) to reinforce commitment to the health & well-being of patients & clients. The CDC has indicated a resurgence of STIs in the US due to a variety of reasons. The CDC has also warned the US Public on a new threat the Zika virus. We understand greater brand, product awareness and availability of the FC2 is needed.. Having greater access to education and product knowledge empowers women to understand the benefits of the female condom in the prevention of infections. Broader FHC presence in the US retail sector through new pharmacies and on line stores Expanded FHC social media and HCP outreach

10 FC2 CONSUMER RESEARCH OVERVIEW Concept Focus Groups & Social Listening Category insights and positioning - Avoid Hormones/Happy, Healthy Sex is overwhelmingly positive Preservative free lubricant, hormone and latex free, natural feel/feels like nothing, preventing unwanted pregnancy and STDs, and FDA approved were universally appealing descriptors Existing User Study - PRELIMINARY RESULTS Preference and frequency of use 90% purchase product again, 88% said recommend FC2 to others Repeat usage: Current Users are Purchasing Multiple Times In Store Retail OB/GYN Outreach 11

11 FC2 INITIAL SURVEY RESULTS LIKES Female Control Provides Options Feels Better Than a Condom Latex-Free Pleasure Natural Easy Dual Protection DISLIKES Where to Buy Limited Availability

12 FC2 INITIAL SURVEY RESULTS Top Product Attributes Allowed me to take control of my own protection Is an effective form of contraception Made me feel protected Felt more natural for me than a male condom Made me feel good about my contraceptive choice Improved the feeling/pleasure of sex Stays in during sex Felt more natural for my partner than a male condom Can be inserted in advance Allowed spontaneity

13 FC2 A N E E D F O R O P T I O N S I N D I S E A S E P R E V E N T I O N Recent CDC Reports on STI s and HIV CDC Reports STDs at Epidemic Levels Director of the CDC that the US is still in danger of losing the war on AIDS. CDC Reports that STD s at Epidemic Levels Is this new information affecting how you are recommending contraception/protection?

14 FC2 ZIKA FAQ S Only 1 in 5 Patients are subjected to symptoms Zika is part of same family as Yellow Fever, Dengue and West Nile "The spread of this virus is highly dependent upon the mosquito population however can be transmitted thru bodily fluids Climate change make have increased Zika CDC interim guidelines for Prevention of Sexual Transmission of Zika Virus After infection, Zika may persist in semen while it is not detectible in blood. No vaccine exists recommendations throughout Latin America is to abstain from sex or use a condom [male or female]. Public health alert The CDC has issued an alert for travel to areas where Zika virus is spreading. Travelers who are pregnant or considering pregnancy should consult a doctor. cdc.gov/zika

15 ..\Desktop\FHC - Zika Virus Monitoring (4).xlsx FC2 RECENT REPORTS ON ZIKA VIRUS US 'Better Prepared' for Zika Virus, NIH Official Says The U.S. is "better prepared" for an outbreak of the Zika virus compared to last year, according to Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the NIH. Fauci said health agencies have responded "rapidly" to the Zika virus threat. Zika Health Emergency Declared by Florida Governor now 7 Counties Puerto Rico Declares State of Emergency due to cases of Zika U.S. health officials expect significant Zika cases in Puerto Rico, other territories The danger of emerging viruses is growing. Modern international travel makes it easy for viruses to hop borders, and climate change is expanding the range of disease-carrying

16 FC2 MAJOR ACCESS OF PRODUCT IS VIA PUBLIC HEALTH Public Health Access is still the major source of Access and Availability of FC2 to Community Partnerships with local ASOs, CBOs, public health clinics, and local school districts. Partnerships with national organizations. On-site, in-person, FC2 Provider trainings Exhibiting at conferences On-line Provider Training

17 Consumer Education Provider Education is Customer Education. Through you we educate entire communities. FC2 educational materials are free downloadable or by contacting FHC

18 Current E-Commerce Sites Online Websites Carrying FC2 Coming Soon (1-2 weeks) Current results : 70-% of the 171 respondents have given the FC2 a 4-5 STAR Rating We at FHC continue to strive to gain greater awareness and access of FC2 via Commercial venues especially during STI outbreaks needs are heightened

19 PHARMACIES CURRENTLY CARRYING FC2 Current Pharmacies Coming Soon April 2016 Regional Pharmacy Chain Currently now in 611 Walgreens Pharmacies in 41 States Walgreens Store Info. Feb 2016.xls

20 3 RD PARTY COVERAGE Under the ACA, insurance plans are required to cover all FDA-approved methods of contraception, with no out-of-pocket costs, including FC2. Medicaid programs are required to cover family planning, but varies by state. Contact state Medicaid agency to determine specific coverage of the FC2 Female Condom in your state. 9

21 THANK YOU Questions?

22 23 FC2 CONTACTS KELLI A. RODRIGUEZ DIRECTOR OF SALES AND EDUCATION FOR THE AMERICAS The Female Health Company Phone: Judy Palmore US DEVELOPMENT AND EDUCATION MANAGER The Female Health Company

23 THANK YOU

24 FC2 ADDENDUM SLIDES

25 FC2 R E L E VA N T A R T I C L E S A N D R E S O U R C E S 1. Director of the CDC that the US is still in danger of losing the war on AIDS: 2. CDC Reports that STD s at Epidemic Levels: 3. Over Twenty Years of Research: 4. FC2 is Effective: Comparable to male condoms in effectiveness in preventing pregnancy and STIs. (Bounds et al. 1992, Farr et al. 1994; Trussell 1998; Soper et al. 1993, Fontanet et al Feldblum et al. 2002, French et al ) 5. FC2 Not Only Saves Money - Women Will Use: A cost-effective public health intervention, especially when compared to costs of HIV treatment. Very high commitment from women - 65% of female condoms were actually used. (Marseille et al. 2001; Dowdy et al. 2006; Holtgrave et al. 2012). 6. FC2 Can Help Women: A tool that helps some women practice safer sex, as some women are able to use the female condom in situations where they cannot negotiate male condom use. (Hatzell et al. 2003) 7. FC2 Can Be A Source of Pleasure for Users: (Dias et al. 2006). 8. FC2 is Acceptable, Particularly with HCP Counseling: Acceptable among diverse groups of women and men. (UNDP/UNFPA/WHO/World Bank, 1997) 9. GPS training materials in Spanish: see Please insert FC2 Instructional Video Here

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