Condom social marketing in sub-Saharan Africa and the Total Market Approach

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doi:10.1071/SH10165

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Condom social marketing in sub-Saharan Africa and the Total Market Approach

Steven Chapman ^A ^B, Krishna Jafa ^A, Kim Longfield ^A, Nadja Vielot ^A, Justin Buszin ^A, Lek Ngamkitpaiboon ^A and Megan Kays ^A

^A Population Services International, 1120 19th Street, NW #600, Washington, DC 20036, USA.
^B Corresponding author. Email: schapman@psi.org

Sexual Health 9(1) 44-50 http://dx.doi.org/10.1071/SH10165
Submitted: 23 December 2010 Accepted: 12 May 2011 Published: 17 October 2011





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Abstract

Background: Social marketing interventions are important in developing nations. Both increasing use and shifting users from receiving subsidised condoms need to be pursued using a Total Market Approach (TMA). This paper reviews the performance of social marketing through a cross-country comparison of condom use, equity and market share, plus a case study illustrating how TMA can be applied. Methods: Demographic and Health Survey data (1998–2007) provide condom use trends, concentration indices and sources of supply by gender for 11 African countries. Service delivery information and market research provide market share data for the same period. For the case study, two-yearly surveys (2001–09) are the source of condom trends, and retail audit data (2007–09) provide sustainability data. Results: Among women, condom use with a non-marital, non-cohabiting partner increased significantly in 7 of 11 countries. For men, 5 of 11 countries showed an increase in condom use. Equity improved for men in five countries and was achieved in two; for women, equity improved in three. Most obtained condoms from shops and pharmacies; social marketing was the dominant source of supply. Data from Kenya were informative for TMA, showing improvements in condom use over time, but sustainability results were mixed and equity was not measured. Overall market value and number of brands increased; however, subsidies increased over time. Conclusions: Condom social marketing interventions have advanced and achieved the goals of improving use and making condoms available in the private sector. It is time to manage interventions and influence markets to improve equity and sustainability.

Additional keywords: condom use, equity, Kenya, market share.

References

[1] DKT International. Social marketing statistics. Washington, DC: DKT International; 2009. Available online at: http://dktinternational.org/index.php?section=1 [verified November 2010].

[2] Harvey PD. Social marketing: no longer a sideshow. Stud Fam Plann 2008; 39: 69–72.
| CrossRef | PubMed |

[3] Gardner R, Blackburn RD, Upadhyay UD. Closing the condom gap. Population reports, Series H, No. 9. Baltimore: Johns Hopkins University School of Public Health, Population Information Program; 1999.

[4] Wiebe GD. Merchandising commodities and citizenship on television. Public Opin Q 1951; 15: 679–91.
| CrossRef |

[5] Fern EF. Advanced focus group research. Thousand Oaks: Sage; 2001.

[6] Harvey P. Let every child be wanted: how social marketing is revolutionizing family planning programs in the developing world. Westport: Auburn House; 1999.

[7] Barron T. Indonesia family planning aims for sustainability. Family Plan World 1991; 1: 22–3, 30.
| CAS | PubMed |

[8] Chandani T, O’Hanlon B, Zeller S. Unraveling the factors behind the growth of the Indonesian family planning private sector. Bethesda: Private Sector Partnerships-One project, Abt Associates Inc.; 2006. Available online at: http://shopsproject.org/sites/default/files/resources/3050_file_Technical_Report_004.pdf [verified July 2011].

[9] Harvey PD. The impact of condom prices on sales in social marketing programs. Stud Fam Plann 1994; 25: 52–8.
| CrossRef | CAS | PubMed |

[10] Homsy J, Idro JW, Tani S, Odule A, Jua I, King R, et al. Free condoms/sold condoms: which is actually used? Lessons from the field in a remote district of Northern Uganda. 12th World Conference on AIDS; Geneva, Switzerland; June 28–July 3, 1998.

[11] Agha S, Karlyn A, Meekers D. The promotion of condom use in non-regular sexual partnerships in urban Mozambique. Health Policy Plan 2001; 16: 144–51.
| CrossRef | CAS | PubMed |

[12] Price N. The performance of social marketing in reaching the poor and vulnerable in AIDS control programmes. Health Policy Plan 2001; 16: 231–9.
| CrossRef | CAS | PubMed |

[13] Hearst N, Chen S. Condom promotion for AIDS prevention in the developing world: is it working? Stud Fam Plann 2004; 35: 39–47.
| CrossRef | PubMed |

[14] Cleland J, Ali MM. Sexual abstinence, contraception, and condom use by young African women: a secondary analysis of survey data. Lancet 2006; 368: 1788–93.
| CrossRef | PubMed |

[15] Cleland J, Ali MM, Shah I. Trends in protective behaviour among single vs. married young women in sub-Saharan Africa: the big picture. Reprod Health Matters 2006; 14: 17–22.
| CrossRef | PubMed |

[16] Eloundou-Enyegue PM, Meekers D, Calves AE. From awareness to adoption: the effect of AIDS education and condom social marketing on condom use in Tanzania (1993–1996). J Biosoc Sci 2005; 37: 257–68.
| CrossRef | PubMed |

[17] Ross DA, Changalucha J, Obasi AI, Todd J, Plummer ML, Cleophas-Mazige B, et al Biological and behavioural impact of an adolescent sexual health intervention in Tanzania: a community-randomized trial. AIDS 2007; 21: 1943–55.
| CrossRef | PubMed |

[18] Doyle AM, Ross DA, Maganja K, Baisley K, Masesa C, Andreasen A, et al Long-term biological and behavioural impact of an adolescent sexual health intervention in Tanzania: follow-up survey of the community-based MEMA kwa Vijana trial. PLoS Med 2010; 7: e1000287.
| CrossRef | PubMed |

[19] PSI Research & Metrics. HIV/AIDS TRaC study evaluating condom use among youth aged 15–24 years in Kenya. Kenya: PSI Research and Metrics; 2009. Available online at: http://www.psi.org/resources/publications [verified November 2010].

[20] Meekers D, Agha S, Klein M. The impact on condom use of the “100% Jeune” social marketing program in Cameroon. J Adolesc Health. 2005; 36: 530.e1–530.e12.
| CrossRef |

[21] Sumartojo E. Structural factors in HIV prevention: concepts, examples, and implications for research. AIDS 2000; 14: S3–10.
| CrossRef | PubMed |

[22] Meekers D, Silva M, Klein M. Determinants of condom use among youth in Madagascar. J Biosoc Sci 2006; 38: 365–80.
| CrossRef | PubMed |

[23] Foss AM, Hossain M, Vickerman PT, Watts CH. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sex Transm Infect 2007; 83: 510–6.
| CrossRef | CAS | PubMed |

[24] Hoke TH, Feldblum PJ, Damme KV, Nasution MD, Grey TW, Wong EL, et al Randomised controlled trial of alternative male and female condom promotion strategies targeting sex workers in Madagascar. Sex Transm Infect 2007; 83: 448–53.
| CrossRef | PubMed |

[25] Shahmanesh M, Patel V, Mabey D, Cowan F. Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review. Trop Med Int Health 2008; 13: 659–79.
| CrossRef | PubMed |

[26] Larsen MM, Casey SE, Sartie M, Tommy J, Musa T, Saldinger M. Changes in HIV/AIDS/STI knowledge, attitudes, and practices among commercial sexual workers and military forces in Port Loko, Sierra Leone. Disasters 2004; 28: 239–54.
| CrossRef | PubMed |

[27] Lowndes CM, Alary M, Labbe AC, Gnintoungbe C, Belleau M, Mukenge L, et al Interventions among male clients of female sex workers in Benin, West Africa: an essential component of targeted HIV preventive interventions. Sex Transm Infect 2007; 83: 577–81.
| CrossRef | CAS | PubMed |

[28] Coates TJ, Richter L, Caceres C. Behavioural strategies to reduce HIV transmission: how to make them work better. Lancet 2008; 372: 669–84.
| CrossRef | PubMed |

[29] Andreasen AR. Marketing social marketing in the social change marketplace. J Public Policy Mark 2002; 21: 3–13.
| CrossRef |

[30] Andreasen AR. The life trajectory of social marketing: some implications. Mark Theory 2003; 3: 293–303.
| CrossRef |

[31] Meadley J, Pollard R, Wheeler M. Review of DFID Approach to Social Marketing. London: Health Systems Resource Centre; 2003.

[32] PSI Research & Metrics. September health impact report. Washington, DC: PSI Research and Metrics; 2010. Available online at: http://www.psi.org/resources/publications [verified November 2010].

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