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SOCIAL MARKETING 
IN HEALTH 
AMANDEEP KAUR 
JUNIOR RESIDENT 
DEPARTMENT OF COMMUNITY MEDICINE 
PT. B.D. SHARMA PGIMS, ROHTAK
Page  2 
CONTENTS 
… DEFINITIONS 
… COMMERCIAL VS. SOCIAL MARKETING 
… OBJECTIVES AND GOALS OF SOCIAL 
MARKETING 
… SOCIAL MARKETING PROCESS 
… SOCIAL MARKETING PROGRAMME IN INDIA 
… ACHEIVEMENTS OF SMP IN INDIA 
… SOCIAL MARKETING ETHICS 
… BARRIERS 
… THE FUTURE OF SOCIAL MARKETING
MARKETING 
Definition: 
– The management process responsible for identifying, 
anticipating and satisfying customer requirements 
profitably. 
Page  3 
Chartered Institute of Marketing 
– The business activity of presenting products or 
services to potential customers in such a way as to 
make them eager to buy. It includes such matters as 
the pricing and packaging of the product and the 
creation of demand by advertising and sales 
campaigns. 
MSN, Encarta 
Marketing is used to identify, satisfy, and keep the
Page  4 
A MARKETING APPROACH 
 The marketing approach starts with a basic 
assumption, 
“ if only we knew more about them”, instead of 
“ if only they knew more about this”. 
- Eric Young 
Emphasizes interpretation of needs from the 
customers’ viewpoint instead of making assumptions 
about the customers needs. 
Identify the unfelt need of the customer, make the 
customer aware of the need, and satisfy the need more 
efficiently than the competitors.
Page  5 
SOCIAL MARKETING 
Social marketing was "born" as a discipline in the 
1970s, when Philip Kotler and Gerald Zaltman realized 
that the same marketing principles that were being 
used to sell products to consumers could be used to 
"sell" ideas, attitudes and behaviours. 
They defined it as 
“ the design, implementation, and control of 
programs aimed at increasing the acceptability of a 
social idea or practice in one or more group of target 
adopters.” 
It combines traditional approaches to social change
Page  6 
SOCIAL MARKETING 
Andreasen, 1995, defined it as, 
"the application of commercial marketing 
technologies to the analysis, planning, execution, and 
evaluation of programs designed to influence the 
voluntary behaviour of target audiences in order to 
improve their personal welfare and that of their society". 
World Social Marketing Conference, 2007, defined it 
as 
“The adaptation and adoption of commercial 
marketing activities, institutions and processes as a 
means to introduce behavioural change on a temporary 
or permanent basis”.
Page  7 
COMMERCIAL VS. SOCIAL 
FEATURE CMOMAMRERKCIEALT ING 
MARKETING 
SOCIAL MARKETING 
Return the “return” is to the 
shareholder 
it is the society that benefits 
Involvement The level of involvement for 
the consumer is usually 
much lower 
The level of involvement for 
the consumer is usually 
much higher in social 
marketing 
Competition organizations working in the 
same business are seen as 
competitors 
organizations with similar 
goals are generally potential 
allies 
Timeframes timeframes are shorter timeframes are much longer 
Nature of 
offering 
always positive in case in 
commercial marketing 
sometimes negatives also 
Research research is not much hard 
as compared to the social 
Social marketing research is 
far harder to do and must dig
SOCIAL MARKETING VS. ADVERTISING 
SOCIAL 
MARKETING 
– Targets complex, 
psychological 
processes 
– Tries to change deeply 
held beliefs 
– Requires sophisticated 
research 
– Needs emotional 
“hook” 
Page  8 
ADVERTISING 
– Target simpler, feel-good 
behaviors (e.g. 
purchasing) 
– Fit into existing social 
norms 
– Research can be more 
informal 
– Simple slogans
In 1988, Craig Lefebvre and June Flora 
introduced social marketing to the public health 
community, and outlined its eight essential 
components: 
1. A consumer orientation to realize organizational (social) goals 
2. An emphasis on the voluntary exchanges of goods and services 
Page  9 
between providers and consumers 
3. Research in audience analysis and segmentation strategies 
4. The use of formative research in product and message design and the 
pretesting of these materials 
5. An analysis of distribution (or communication) channels 
6. Use of the marketing mix in intervention planning and implementation 
7. A process tracking system with both integrative and control functions 
8. A management process that involves problem analysis, planning, 
implementation and feedback functions
Why is social marketing needed? 
Methods traditionally used to deliver health products 
and services in developing countries often do not reach 
a large portion of the population, especially those at the 
low end of the cash economy. 
Commercial entities sell products at high prices 
affordable only to a small portion of the population, 
usually with little or no promotion. 
Over-burdened public health systems generally do not 
have enough outlets, and provide a free, generic 
product or service that often is not valued by the 
consumer. 
Government ministries are limited in the type and 
Page  10 
nature of motivational campaigns they can undertake.
Why sell products rather than give them 
away? When products are given away free, the recipient often 
does not value them or even use them. 
Equally important, selling products can tap the 
resources of the local commercial infrastructure, which 
is financially motivated to stock and sell the products. 
This means that the products become available, not 
just in a small number of public health clinics, but also 
at thousands of pharmacies and other retail and NGO 
outlets. 
Those outside the cash economy will continue to use 
the free products given away by public health clinics. 
Page  11
OBJECTIVE OF SOCIAL MARKETING PROGRAM 
 To promote the acceptability and adoption of socially beneficial, 
voluntary health behaviour. 
 To improve access to, and availability of a wide range of quality 
health information, affordable products and services for the 
rural, under-served, low-income and vulnerable populations. 
 To adequately research the segmented market for 
contraceptives and other products and services for basic and 
essential health care, as well as consumer preferences in 
respect of product attributes. 
 To decentralise the social marketing programme. 
To mainstream the coalition envisaged for private–NGO-public 
partnership. 
 To ensure the strengthening of logistics at state levels to enable 
Page an  12 
uninterrupted flow of products and services.
Page  13 
GOALS 
Social marketing seeks to impact personal 
behavior by persuading target audiences to: 
– Avoid risky practices (e.g., smoking) 
– Discontinue antisocial actions (e.g., littering) 
– Seek counseling 
– Take preventive measures (e.g., safety belts) 
– Join, give or organize for a specific cause
TYPES OF SOCIAL CHANGE BY TIME AND LEVEL OF 
Page  14 
SOCIETY 
MICRO 
LEVEL 
(INDIVIDUAL 
) 
GROUP 
LEVEL 
(ORGANIZATI 
ON) 
MACRO 
LEVEL 
(SOCIETY) 
SHORT-TERM 
CHANGE 
Behaviour 
Change 
Change in 
Norms 
(Administrativ 
e 
Change) 
Policy 
Change 
LONG-TERM 
CHANGE 
Lifestyle 
Change 
Organizational 
Change 
Sociocultural 
Evolution 
Sidney Levy and Gerald Zaltman. 1975. Marketing, Society, and Conflict. Prentice Hall.
Page  15 
CONTINUUM OF CHANGE 
EDUCMATEICONHASNOICSIAMLS 
MARKETING 
LEGISLATI 
TARGET 
MARKET 
Is prone to 
behaviour 
Is neither prone 
resistant 
Is actively 
BENEFIT Are easily 
and match the 
interest of the 
Can be 
managing the 
match self 
Hard to 
not match the 
markets self 
COMPETI 
FOR THE 
MESSAG 
Minimal or non 
existent 
Active but Unmanageabl
Page  16 
SOCIAL 
MARKETING 
PROCESS
Page  17 
LOGICAL PLANNING 
PROCESS 
Consumer –oriented 
research (key element) 
Marketing analysis 
Marketing 
segmentation 
Objective setting 
Identification of 
strategies and 
approaches
STEPS INVOVLED 
Analysis of social marketing environment 
Research and selection of the target 
population 
Definition of the social marketing objective 
Design of social marketing strategy 
Implementation monitoring and evaluation of 
the social marketing programme. 
Page  18
SOCIAL MARKETING ENVIRONMENT 
Constitutes the mega-forces and groups of people 
that impinge upon the effectiveness of the programme 
Identifies supporting and opposing factors 
It provides: 
Page  19 
o Input for programme development 
o Prognosis 
o Guidance for making necessary changes to the 
marketing strategy and to improve the 
programme effectiveness.
RESEARCH & SELECTION OF TARGET 
GROUPS 
Define the target groups: 
Page  20 
 PRIMARY TARGET AUDIENCE 
 SECONDARY TARGET AUDIENCE 
SOCIAL MARKETING OBJECTIVE 
Depending on the readiness of the target audience to 
change, the social marketer can decide: 
 The type of response sought 
 The time that will be taken to elicit such a 
response 
 The measurement criteria for evaluating the
Page  21 
SOCIAL MARKETING 
STRATEGY THE FOUR P’s 
PROD 
UCT 
MARKET 
ING MIX 
PRICE 
PLAC 
E 
PROMOTI 
ON
Page  22 
SOCIAL MARKETING 
STRATEGY ADDITIONAL P’s 
PROD 
UCT 
MARKET 
ING MIX 
PRICE 
PLAC 
E 
PURSE 
STRINGS 
PROMOTI 
ON 
PARTNERSHIP 
PUBLIC 
POLICY
Page  23 
SIVA MODEL 
This system is basically the four Ps renamed and 
reworded to provide a customer focus. 
The SIVA Model provides a demand/customer-centric 
alternative to the well-known 4Ps 
» Product → Solution 
» Price → Value 
» Place → Access 
» Promotion → Information
THE EXCHANGE PRINCIPLE 
Page  24 
YOU GIVE ME 
Rs 2.00/- 
Embarassment 
 Loss of pleasure 
Money 
 Time 
Monetary discomfort 
YOU GET 
A CONDOM 
– Protection against pregnancy 
– Protection against STDs 
– Peace of mind 
– Sense of control 
– Hope for future 
AN IMMUNISATION 
– Better health 
– Avoidance of greater discomfort 
(sickness) 
– Ability to go to school, work, travel
Page  25 
IMPLEMENTATION 
ORGANISATIONAL 
SUPPORT 
• Allocation of 
responsibilities with 
defined reporting 
protocols 
• Levels involved: 
1. Policy making/HQs level 
2. Programme support/ 
regional level 
3. Local or operational level 
MONITORING 
continuous process 
• Overseeing 
performance 
• Comparing with 
objectives to identify 
deviations 
• Initiating action to 
correct deviation 
• Ensure non-recurrence 
in future 
EVALUATION 
To examine 
efficiency & 
effectiveness of 
the programme 
• Impact 
evaluation 
• Process 
Evaluation
Page  27 
SOCIAL MARKETING MODELS
Page  28
Page  29 
EXAMPLES OF SOCIAL 
MARKETING
Page  30 
INCREASE IN CONDOM SALES
Page  31 
EXAMPLES OF SOCIAL 
MARKETING
Page  32 
EXAMPLES OF SOCIAL 
MARKETING
SMOKING RATE DECREASE IN NEWYORK 
Page  33 
CITY
Page  34 
EXAMPLES OF SOCIAL 
MARKETING
Page  35 
SUCCESS STORIES 
National High Blood Pressure Education Program, 
1972 -1982 
– Goal = get people to have blood pressure checked 
– Results = 
• By 1982, people who knew relationship between blood pressure & 
stroke increased from 29% to 59%; and those who knew B.P. & heart 
disease from 24% to 71%. 
• By 1985, half of hypertensives had taken some action to control b.p. 
(e.g., cutting salt, exercise, or losing weight). 
• By 1988-91, 73% of hypertensives were taking action. 
Click It or Ticket campaign: The result: a 10% surge in belt 
use. 
1% Or Less campaign: encouraged adults and children 
older than age two to drink milk with a fat content of 1 percent 
or less, instead of whole or 2 percent milk: whole milk 
purchases dropped from 66% to 24% of overall sales, and that 
the share of all low-fat milk sold had more than doubled. Overall
Page  36
 Andreasen (1995) has claimed that what is often called social 
marketing is not really social marketing. 
Programs that do not focus on consumer behaviour (i.e., that do 
not create strategies with the consumer in mind), that do not 
involve adequate market research (i.e. merely conducting a 
focus group is not adequate market research), that do not 
carefully segment the target audience, and that do not recognize 
"competition," can not rightfully be called social marketing. 
 A 3-month marketing campaign to encourage people to get a 
H1N1 vaccine is more tactical in nature and should not be 
considered social marketing. Whereas a campaign that 
promotes and reminds people to get regular check-ups and all of 
their vaccinations when they're supposed to encourages a long-term 
Page  37 
behaviour change that benefits society. It can therefore be 
considered social marketing.
SOCIAL MARKETING 
Page  38 
PROGRAMME 
IN INDIA
MARKET STRUCTURE IN INDIA 
Page  39 
TOTAL MARKET 
COMMERCIAL 
MARKET 
SOCIAL 
MARKETING 
FREE 
SUPPLY 
IMPORTED 
BRANDS 
DOMESTIC 
BRANDS 
SMO 
BRANDS 
GoI 
BRANDS
SOCIAL MARKETING PROGRAMME OF 
Page  40 
INDIA : MILESTONES 
1968: Social Marketing was launched with 6 leading consumer 
goods/oil companies with 3 lakh outlets, with area allotted to 
each. 
1977: Introduction of Trade Bonus Scheme for retailers on 
purchase of condoms to encourage sale. 
1983: Introduction of promotional incentive on sale of condoms 
to SMOs instead of trade bonus on condoms. 
1984: Lubricated Nirodh added on seeing consumer 
preference and was named ‘Deluxe Nirodh’. 
1987: A thinner variety, in multiple colours was added in the 
name ‘Super Deluxe Nirodh’. 
1987: Oral Pills – the social marketing programme was 
extended to include Oral Contraceptive Pills with the brand 
name- Mala-D. 
1988: Voluntary Organizations included in SMP
1991: Most of the Companies which had active participation 
and wide outreach withdrew from Social Marketing programme 
1991: Another low priced Govt. brand of condom to meet the 
need of the poor section of the society, ‘New Lubricated Nirodh’, 
introduced 
1993-95: Number of organizations, namely, Hindustan Latex 
Ltd., DKT, Parivar Kalyan Kendra, FPI etc. joined the 
programme 
1994: Revision of sale promotion incentive on condoms; 
Introduction of sale promotion incentive on SMOs’ brands of 
condoms also. 
1995: Introduction of Centchroman, ‘Saheli’, through HLL 
under social marketing, with Product & Promotional Subsidy 
Page 1996:  41 
Introduction of sale promotion incentive on oral pills.
The National Population Policy 2000 (NPP 2000) 
recognises the immense potential of Social Marketing in 
expanding the outreach and coverage of health care 
products and services, and emphasises the need to 
formulate and implement social marketing schemes for 
Page  42 
provisioning products and services, through 
partnerships between the voluntary sector, non– 
government organisations, the private corporate sector, 
Government, Panchayati Raj Institutions and the 
community. 
"National Strategy for Social Marketing", [NSSM], 2001 
in pursuance of the NPP 2000 develops a strategy for 
the social marketing of products and services for 
reproductive and child health (RCH) in India
Free distribution, Social Marketing, and Commercial 
Marketing share the market. 
Free supply was intended to address the unmet need 
of 40% of the Indian population below poverty line 
(BPL) 
Social marketing focuses at the lower (20%), lower-middle 
Page  43 
(15%), and middle-middle (12%) income 
brackets, for a 47% share of the Indian population 
Commercial marketing targets an estimated 8% upper 
middle class and 5% upper class, total of 13% share
STRATEGIES OF SMP IN INDIA 
Expand Demand among Priority Target Groups 
Expanding the Basket of Products in the SMP 
 A Public – Private / NGO Partnership 
Expand the market to reach rural areas and urban slums 
Social Franchising of Health Care Services 
 Align Government Subsidy to Programme Objectives 
 Diversify sources of funding 
 Institutional Mechanism for Running the Social Marketing 
Programme 
Improving Programme Management 
 Allocation of Public Funds towards Area Projects 
Page Social  44 
Marketing Ethics
EXPAND DEMAND AMONG PRIORITY TARGET 
Page  45 
GROUPS 
Generic Campaigns 
Brand Advertising 
Operational Strategies 
» Develop Research Based Communication 
Programme 
» Assign Communication to Professional 
Agencies 
» Develop Generic Communication Packages 
» Multi Media Delivery of Messages 
» Innovative region specific campaigns 
» Building local partnership for communication
Page  46
EXPANDING THE BASKET OF PRODUCTS IN THE 
Page  47 
SMP 
Operational Strategies 
» Provide multiple choices through multiple 
products and services at multiple delivery points 
» SMOs must diversify and introduce newer 
products for basic and essential health care 
» SMOs must ensure that appropriate training 
and refresher courses for their retailers/vendors 
» Ensure regular supplies 
» SMOs must ensure that all prior clearances 
from the office of the Drug Controller of India 
have been duly obtained with current validity for 
products not subsidised by government
Page  48
A PUBLIC – PRIVATE / NGO PARTNERSHIP 
Operational Strategies 
Page  49 
» MoHFW will furnish district profiles to the 
District Magistrates and District Medical Officers 
updated once every year 
» District Magistrates and Chief Medical Officers 
must facilitate a dialogue with and between 
potential partners 
» Partners may need to develop district specific 
strategies 
» SMOs play a catalytic role in sustaining the 
partnerships 
» Non–overlapping concession areas awarded for 
the marketing of public sector brands
EXPAND THE MARKET TO REACH RURAL AREAS 
Page  50 
AND URBAN SLUMS 
Operational Strategies 
» NGOs and social marketing organisations 
should seek to develop public–NGO–private 
partnerships for the delivery of health care 
products and clinical and non–clinical services 
through the existing and widespread public 
health infra-structure 
» Additional channels such as the ICDS program 
could similarly be utilised 
» Promotional programmes like folk theatre, video 
vans, and sales booths could become a regular 
feature of these partnerships, at well publicised 
intervals, inclusive of provisioning for products 
and services through the public health
Page  51
Page  52
Page  53
SOCIAL FRANCHISING OF HEALTH CARE SERVICES 
Social franchising consists of developing networks of 
private sector and NGO run clinics, contracted to offer 
health information and counselling, health products, 
and health care services 
Social franchisee would be a private-NGO-public 
partnership 
Operational Strategies 
Page  54 
» Range of services 
» Standards of Service 
» Accreditation 
» Scaling-up 
» Contract out a Package for Essential Health 
Care 
» Finance private sector / NGO providers through
Page  55 
EXAMPLES 
THE "JANANI MODEL" IN INDIA 
 In Bihar and Madhya Pradesh 
 incorporated clinical services, and served rural areas, using private channels that already exist 
 "butterfly centres" & "Surya clinics" 
BLUE STAR PROGRAMME IN BANGLADESH 
 Reproductive health products & services through graduate and 
non-graduate doctors 
 Health care products are provided to these franchisee 
Networks at subsidized price 
BLUE CIRCLE & GOLD CIRCLE PROGRAMME 
IN INDONESIA 
 Blue circle: indicates FP services and contraceptives (four kinds) 
 Gold circle: sixteen choices of contraceptives
Page  56 
GOVERNMENT SUBSIDY TO PROGRAMME 
OBJECTIVES 
Product subsidy: the difference between procurement cost of 
the product and the issue price to the SMOs 
Promotional subsidy: to pursue promotional activities, 
pegged upon the sales achieved 
Packaging subsidy: for those SMOs who market their own 
brands, since they supply the packaging materials to the 
manufacturer 
Operational Strategies 
» Tax incentives will be evolved for fast moving consumer 
goods (FMCG) companies 
» Government will introduce a performance related 
subsidy, and develop an appropriate formula to 
determine the cost per couple year of protection (CYP) 
» The new entrants in SMP will be offered brands with low 
subsidy component
Page  57 
DIVERSIFY SOURCES OF FUNDING 
GoI will continue to provide financial support to SMPs 
Additional resources mobilised from: 
– Multilateral development banks, 
– Bilateral and other development organisations 
–Global foundations 
– The private corporate sector 
–Other related programs and organisations, such 
as National AIDS Control Organisation (NACO)
Page  58
A promotional incentive provided to the SMOs 
Page  59 
» 10 paise per condom sold for Deluxe and Super Deluxe 
varieties, and 
» 3 paise per condom sold for New Lubricated variety 
Deluxe Nirodh is also sold by State AIDS Control Societies 
through their NGOs net work. 
The names of manufacturers: 
» Hindustan Latex Ltd 
» TTK LIG 
» Polar Latex Ltd. 
» J.K. Ansell
Page  60
INSTITUTIONAL MECHANISM FOR RUNNING 
Page  61 
SOCIAL MARKETING PROGRAMME 
Secretariat coordinated by UNFPA within the 
Consortium. 
Consortium on Social Marketing: A mechanism for 
stakeholder involvement in decision-making and for 
transparency. 
A dedicated Social Marketing Unit within MoHFW for 
performing the role of facilitator. 
Technical Support Group: A TSG contracted by Social 
Marketing Unit, within the MoHFW, for providing 
needed technical inputs in programme management, 
and advising the Secretariat and the Consortium
Page  62 
IMPROVING PROGRAMME MANAGEMENT 
Participation in the Social Marketing Programme: based 
on pre-defined criteria, carefully documented, and reviewed 
each year 
Programme Management: 
» memorandum of understanding (MOU) with details like 
price range 
» SMOs to furnish reports at regular and pre-determined 
intervals 
» External assessment twice a year 
Product Management: 
» Branding: promotes market segmentation and image 
building, which enhances demand 
» Quality assurance: an inter-laboratory calibration 
mechanism set up at the Nodal GOI laboratory for 
testing 
» Product pricing: an appropriate structure of margins in
Page  63 
ALLOCATION OF PUBLIC FUNDS 
TOWARDS AREA PROJECTS 
The Secretariat for the administration of the SMP: 
identifies areas of need in all parts of the country, and 
invites plans from the stakeholders for addressing the 
need through the special projects. 
Funding support for this component is over and above 
the funds earmarked for normal social marketing 
operations. 
Social Marketing endeavours were initiated in six 
States- Madhya Pradesh, Haryana, Andhra Pradesh, 
Bihar, Jharkhand and Orissa.
Page  64 
AREA PROJECTS 
Swastha Gram Pariyojana: In 1998-99, the Department of 
Family Welfare sanctioned a pilot project to M/s. Hindustan 
Latex Family Planning Promotion Trust, Thiruvananthapuram 
HLFPPT) of HLL, for strengthening Social Marketing of 
Contraceptives programme. The project has been implemented 
in three districts of Madhya Pradesh viz., Gwalior, Bhind and 
Morena. This has been extended up to 31.3.2001 with inclusion 
of two more adjacent districts namely; Shivpuri and Datia. 
Sukha Parivaram: Third project was launched in Andhra 
Pradesh in Feb., 2000 by M/s. Hindustan Latex Family Planning 
Promotion Trust, Thiruvananthapuram (HLFPPT) of HLL, with 
the funding from European Commission, at a total cost of Rs. 
4.66 crores for a period of three years. For social marketing 
brands of contraceptives, sanitary napkins, ORS through 
unemployed, educated and mobile rural youth, supported by a
Page  65 
AREA PROJECTS 
Western - U.P Project: increase the number of villages 
having access to subsidized and fully priced contraceptives 
(condoms and pills) and other health care products like ORS 
(WHO formula), IFA tablets and DDKs, and to increase the 
number of outlets selling condoms, pills and RCH products 
Mobile Health Clinic Project: to ensure that the health 
services are able to reach the remote, inaccessible and 
underserved areas 
Community based distribution of Contraceptives 
project - Bihar, Jharkhand and Orissa: implemented in 
close co-ordination with the existing health service delivery 
systems. The Anganwadi workers of the ICDS programme form
Page  66 
AREA PROJECTS 
The TSG for the AVERT project, Maharashtra: set up in 
Mumbai under a bilateral agreement between India and the 
United States. Avert Project is a 41.2 million dollar programme 
for prevention and control of HIV/AIDS in the state of 
Maharashtra. 
Another area project on Social Marketing sanctioned 
to the Society for Woman and Child Health in Haryana, 
was launched in the districts of Ambala, Kurukshetra, 
Panchkula and Yamuna Nagar in April, 2000 for four 
years at a total cost of 1.32 crores.
SOCIAL MARKETING OF MCH PRODUCTS 
Started in October 2002: 
Social Marketing of condoms under the brand name Masti, 
being supported by behaviour change communication through 
television in UP, Uttarakhand and hoardings in Jharkhand. 
Social marketing of OCPs under the brand name Pearl 
promoted through generic behaviour change communication 
campaigns on television; bolstered via the distribution of flyers 
addressing common myths regarding side effects of OCP 
consumption. 
Social marketing of ORS under the brand name Neotral 
supported by intensive meetings among groups of 18-20 private 
health providers, called “Saadhan Baithaks”. Providers are 
educated on the issues of diarrhoea, risks of dehydration, and 
use of ORT/ORS. The meetings are followed up with 
Page information  67 
on PSI brands, and flyers distributed to providers for 
inter-personal communication with clients.
SOCIAL MARKETING OF MCH PRODUCTS 
Social marketing of IFA tablets under the brand name Vitalet-preg 
Page  68 
promoted through “Saadhan Baithaks”. The health 
providers were oriented on the effects of anaemia on women’s 
health and pregnancy outcomes. Flyers were given to these 
health providers for explaining the issues of anaemia and 
importance of IFA tablets during pregnancy. 
Newborn brand Clean Delivery Kits (CDK) were being sold in 
selected district of Uttar Pradesh and Jharkhand. 
– In UP the product was promoted through radio communication campaign, 
hoardings at grocery shops in villages and demo stalls at community 
conglomeration points. Traditional Births Attendants (TBAs) were being 
involved as ‘brand ambassadors’ for CDKs. The TBAs were oriented in a 
group of 15-20 on the issues of clean delivery and along with product 
demonstration. They were also informed about the nearby outlets where 
CDKs were available. 
– In Jharkhand, a partner NGO was making CDKs available through TBAs 
and through nine outreach clinics where pregnant women come for
SOCIAL MARKETING OF MCH PRODUCTS 
Social marketing of water disinfectant under the brand name 
Safe-wat piloted in two districts of Uttaranchal. 
– Three programmatic approaches adopted for Safe-wat: 
Page  69 
» community based approach for hygiene and sanitation 
education and product information, 
» health provider network for IPC on hygiene/ sanitation 
and its impact on child health and 
» trade approach through which product made available.
Page  70 
ACHIEVEMENTS
Percent of currently married women 
Page  71 
TRENDS IN KNOWLEDGE OF 
MODERN CONTRACEPTIVE 
METHODS 
61 58 
66 
85 
95 
71 71 
80 
89 
98 
74 76 
87 
83 
98 
Female 
sterilization 
Male 
sterilization 
Pill IUD Condom/ 
Nirodh 
NFHS-1 NFHS-2 NFHS-3
Page  72
Page  73
1000 
900 
800 
700 
600 
500 
400 
300 
200 
100 
Page  74 
DISTRIBUTION OF CONDOMS 
891.22 
741.7 
685.85 674.7 
624.36627.42 
733 
891.42 
162.92 
263.25 
324.42348.74 
477.74465.43438.79 
513.77 
0 
IN MILLION PIECES 
FISCAL YEAR 
Free Supply 
Social 
Marketing
700 
600 
500 
400 
300 
200 
100 
Page  75 
DISTRIBUTION OF ORAL PILLS 
411.2 397.94 
467.1 452.32 
488.98 
554.39 
528.54 
574.31 
146.8 162.42 
228.4 
255.08 
349.03331.91 
403.32 
477.51 
0 
IN LAKH CYCLES 
FISCAL YEAR 
Free Supply 
Social Marketing
160 
140 
120 
100 
80 
60 
40 
20 
Page  76 
SALE OF ‘SAHELI’ 
44.17 
62.05 
94.06 
Centchroman(Saheli) 
87.7 
56.83 
63.98 
129.6 
135.58 
0 
IN LAKH TABLETS 
FISCAL YEAR 
Centchroman(Saheli)
Socially marketed 
Socially marketed 
Page  77 
USE OF SOCIAL MARKETING 
BRANDS 
13 
14 
42 
36 
13 
27 
32 
23 
PILL USERS 
Free 
Fully priced 
Unknown 
CONDOM 
USERS 
(Men’s report) 
Free 
Fully priced 
Unknown 
Percent 
Percentage of men age 15-49
Page  78 
SOCIAL MARKETING ETHICS 
Be truthful, fair and balanced 
 Protect privacy 
 Don’t model inappropriate behavior 
 Don’t be offensive 
Do more good than harm 
Favor free choice 
Evaluate marketing within a broader context of behavior 
management 
Select marketing tactics that fit marketing philosophy 
Evaluate ethicality if policy before agreeing to develop strategy 
Seek permission to enter and address targeted social issues 
Be certain to understand culture, values and norms 
Ensure there will be responsible participation who can be held 
accountable for changes
Page  79 
BARRIERS 
Potential of social marketing unappreciated 
The consumer base is very heterogeneous, 
customization of products for so many segments and 
mini segments is virtually impossible 
Media is privately owned; airtime is expensive 
Social marketing is often done poorly; it is NOT the 
same as advertising 
Products are often the result of scientific research and 
hence cannot be varied easily 
Policy decisions at local, national and international 
levels often guide the product strategy and hence the 
product cannot be easily changed
THE FUTURE OF SOCIAL MARKETING 
Public health offers to social marketing the challenge of a 
research and policy agenda that still needs to be addressed 
fully; AND Social marketing stretches public health in at least 
two important directions: 
1) it calls attention to the need to learn how to identify fruitful 
Page  80 
areas for using social marketing strategies 
2) challenges health specialists to think in new ways about 
consumers and product design 
Entering the marketing world requires abandoning the expert’s 
mind-set that the product is intrinsically good, so that if it fails to 
sell, the defect must reside in uninformed or unmotivated 
consumers 
 A marketing approach demands attention to the cultural 
appropriateness, adequacy, and accessibility of initiatives as 
they are being designed, rather than having to retrofit them after
Social marketing perspective on health raises the possibility that 
a number of the perennially frustrating health problems society 
continues to confront-the inadequate reach of prenatal care, 
immunization, and other public health services; and the 
intractability of risk behaviour leading to the spread of HIV, 
substance abuse, teenage pregnancy, and violent injury-can be 
radically rethought and more effectively addressed. 
These approaches will enable individuals and communities to 
gain greater control over their health and the quality of their 
lives. 
 Program administrators, health educators, and other program 
planners need to be trained in social marketing to enable them 
to imbue public health organizations with a marketing mind-set. 
Schools of public health offer a concentration in social 
Page  81 
marketing, and some provide a complete course on the topic.
In 2005, University of Stirling was the first university 
to open a dedicated research institute to Social 
Marketing, 
In 2007, Middlesex University became the first 
university to offer a 
specialized postgraduate programme in Health & 
Social Marketing 
Page  82
Page  83 
REFERENCES 
http://mohfw.nic.in/dofw -National Strategy For 
Social Marketing: DRAFT (November 2001) 
Marketing for Public Health Programmes, by 
A.D.Madhavi Ganju and Ram Prasad – The Journal 
of family Welfare, Vol.50, No.1, June 2004 
What is Social Marketing? by Nedra Kline Weinreich 
Projects contracted and managed by HLFPPT 
http://www.lifecarehll.com 
Ethics in Social Marketing by Alan R. Andreasen – 
SMQ/Vol. VII/No.4/Winter 2001
Page  84 
THANK YOU

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Social marketing in health

  • 1. SOCIAL MARKETING IN HEALTH AMANDEEP KAUR JUNIOR RESIDENT DEPARTMENT OF COMMUNITY MEDICINE PT. B.D. SHARMA PGIMS, ROHTAK
  • 2. Page  2 CONTENTS … DEFINITIONS … COMMERCIAL VS. SOCIAL MARKETING … OBJECTIVES AND GOALS OF SOCIAL MARKETING … SOCIAL MARKETING PROCESS … SOCIAL MARKETING PROGRAMME IN INDIA … ACHEIVEMENTS OF SMP IN INDIA … SOCIAL MARKETING ETHICS … BARRIERS … THE FUTURE OF SOCIAL MARKETING
  • 3. MARKETING Definition: – The management process responsible for identifying, anticipating and satisfying customer requirements profitably. Page  3 Chartered Institute of Marketing – The business activity of presenting products or services to potential customers in such a way as to make them eager to buy. It includes such matters as the pricing and packaging of the product and the creation of demand by advertising and sales campaigns. MSN, Encarta Marketing is used to identify, satisfy, and keep the
  • 4. Page  4 A MARKETING APPROACH  The marketing approach starts with a basic assumption, “ if only we knew more about them”, instead of “ if only they knew more about this”. - Eric Young Emphasizes interpretation of needs from the customers’ viewpoint instead of making assumptions about the customers needs. Identify the unfelt need of the customer, make the customer aware of the need, and satisfy the need more efficiently than the competitors.
  • 5. Page  5 SOCIAL MARKETING Social marketing was "born" as a discipline in the 1970s, when Philip Kotler and Gerald Zaltman realized that the same marketing principles that were being used to sell products to consumers could be used to "sell" ideas, attitudes and behaviours. They defined it as “ the design, implementation, and control of programs aimed at increasing the acceptability of a social idea or practice in one or more group of target adopters.” It combines traditional approaches to social change
  • 6. Page  6 SOCIAL MARKETING Andreasen, 1995, defined it as, "the application of commercial marketing technologies to the analysis, planning, execution, and evaluation of programs designed to influence the voluntary behaviour of target audiences in order to improve their personal welfare and that of their society". World Social Marketing Conference, 2007, defined it as “The adaptation and adoption of commercial marketing activities, institutions and processes as a means to introduce behavioural change on a temporary or permanent basis”.
  • 7. Page  7 COMMERCIAL VS. SOCIAL FEATURE CMOMAMRERKCIEALT ING MARKETING SOCIAL MARKETING Return the “return” is to the shareholder it is the society that benefits Involvement The level of involvement for the consumer is usually much lower The level of involvement for the consumer is usually much higher in social marketing Competition organizations working in the same business are seen as competitors organizations with similar goals are generally potential allies Timeframes timeframes are shorter timeframes are much longer Nature of offering always positive in case in commercial marketing sometimes negatives also Research research is not much hard as compared to the social Social marketing research is far harder to do and must dig
  • 8. SOCIAL MARKETING VS. ADVERTISING SOCIAL MARKETING – Targets complex, psychological processes – Tries to change deeply held beliefs – Requires sophisticated research – Needs emotional “hook” Page  8 ADVERTISING – Target simpler, feel-good behaviors (e.g. purchasing) – Fit into existing social norms – Research can be more informal – Simple slogans
  • 9. In 1988, Craig Lefebvre and June Flora introduced social marketing to the public health community, and outlined its eight essential components: 1. A consumer orientation to realize organizational (social) goals 2. An emphasis on the voluntary exchanges of goods and services Page  9 between providers and consumers 3. Research in audience analysis and segmentation strategies 4. The use of formative research in product and message design and the pretesting of these materials 5. An analysis of distribution (or communication) channels 6. Use of the marketing mix in intervention planning and implementation 7. A process tracking system with both integrative and control functions 8. A management process that involves problem analysis, planning, implementation and feedback functions
  • 10. Why is social marketing needed? Methods traditionally used to deliver health products and services in developing countries often do not reach a large portion of the population, especially those at the low end of the cash economy. Commercial entities sell products at high prices affordable only to a small portion of the population, usually with little or no promotion. Over-burdened public health systems generally do not have enough outlets, and provide a free, generic product or service that often is not valued by the consumer. Government ministries are limited in the type and Page  10 nature of motivational campaigns they can undertake.
  • 11. Why sell products rather than give them away? When products are given away free, the recipient often does not value them or even use them. Equally important, selling products can tap the resources of the local commercial infrastructure, which is financially motivated to stock and sell the products. This means that the products become available, not just in a small number of public health clinics, but also at thousands of pharmacies and other retail and NGO outlets. Those outside the cash economy will continue to use the free products given away by public health clinics. Page  11
  • 12. OBJECTIVE OF SOCIAL MARKETING PROGRAM  To promote the acceptability and adoption of socially beneficial, voluntary health behaviour.  To improve access to, and availability of a wide range of quality health information, affordable products and services for the rural, under-served, low-income and vulnerable populations.  To adequately research the segmented market for contraceptives and other products and services for basic and essential health care, as well as consumer preferences in respect of product attributes.  To decentralise the social marketing programme. To mainstream the coalition envisaged for private–NGO-public partnership.  To ensure the strengthening of logistics at state levels to enable Page an  12 uninterrupted flow of products and services.
  • 13. Page  13 GOALS Social marketing seeks to impact personal behavior by persuading target audiences to: – Avoid risky practices (e.g., smoking) – Discontinue antisocial actions (e.g., littering) – Seek counseling – Take preventive measures (e.g., safety belts) – Join, give or organize for a specific cause
  • 14. TYPES OF SOCIAL CHANGE BY TIME AND LEVEL OF Page  14 SOCIETY MICRO LEVEL (INDIVIDUAL ) GROUP LEVEL (ORGANIZATI ON) MACRO LEVEL (SOCIETY) SHORT-TERM CHANGE Behaviour Change Change in Norms (Administrativ e Change) Policy Change LONG-TERM CHANGE Lifestyle Change Organizational Change Sociocultural Evolution Sidney Levy and Gerald Zaltman. 1975. Marketing, Society, and Conflict. Prentice Hall.
  • 15. Page  15 CONTINUUM OF CHANGE EDUCMATEICONHASNOICSIAMLS MARKETING LEGISLATI TARGET MARKET Is prone to behaviour Is neither prone resistant Is actively BENEFIT Are easily and match the interest of the Can be managing the match self Hard to not match the markets self COMPETI FOR THE MESSAG Minimal or non existent Active but Unmanageabl
  • 16. Page  16 SOCIAL MARKETING PROCESS
  • 17. Page  17 LOGICAL PLANNING PROCESS Consumer –oriented research (key element) Marketing analysis Marketing segmentation Objective setting Identification of strategies and approaches
  • 18. STEPS INVOVLED Analysis of social marketing environment Research and selection of the target population Definition of the social marketing objective Design of social marketing strategy Implementation monitoring and evaluation of the social marketing programme. Page  18
  • 19. SOCIAL MARKETING ENVIRONMENT Constitutes the mega-forces and groups of people that impinge upon the effectiveness of the programme Identifies supporting and opposing factors It provides: Page  19 o Input for programme development o Prognosis o Guidance for making necessary changes to the marketing strategy and to improve the programme effectiveness.
  • 20. RESEARCH & SELECTION OF TARGET GROUPS Define the target groups: Page  20  PRIMARY TARGET AUDIENCE  SECONDARY TARGET AUDIENCE SOCIAL MARKETING OBJECTIVE Depending on the readiness of the target audience to change, the social marketer can decide:  The type of response sought  The time that will be taken to elicit such a response  The measurement criteria for evaluating the
  • 21. Page  21 SOCIAL MARKETING STRATEGY THE FOUR P’s PROD UCT MARKET ING MIX PRICE PLAC E PROMOTI ON
  • 22. Page  22 SOCIAL MARKETING STRATEGY ADDITIONAL P’s PROD UCT MARKET ING MIX PRICE PLAC E PURSE STRINGS PROMOTI ON PARTNERSHIP PUBLIC POLICY
  • 23. Page  23 SIVA MODEL This system is basically the four Ps renamed and reworded to provide a customer focus. The SIVA Model provides a demand/customer-centric alternative to the well-known 4Ps » Product → Solution » Price → Value » Place → Access » Promotion → Information
  • 24. THE EXCHANGE PRINCIPLE Page  24 YOU GIVE ME Rs 2.00/- Embarassment  Loss of pleasure Money  Time Monetary discomfort YOU GET A CONDOM – Protection against pregnancy – Protection against STDs – Peace of mind – Sense of control – Hope for future AN IMMUNISATION – Better health – Avoidance of greater discomfort (sickness) – Ability to go to school, work, travel
  • 25. Page  25 IMPLEMENTATION ORGANISATIONAL SUPPORT • Allocation of responsibilities with defined reporting protocols • Levels involved: 1. Policy making/HQs level 2. Programme support/ regional level 3. Local or operational level MONITORING continuous process • Overseeing performance • Comparing with objectives to identify deviations • Initiating action to correct deviation • Ensure non-recurrence in future EVALUATION To examine efficiency & effectiveness of the programme • Impact evaluation • Process Evaluation
  • 26. Page  27 SOCIAL MARKETING MODELS
  • 28. Page  29 EXAMPLES OF SOCIAL MARKETING
  • 29. Page  30 INCREASE IN CONDOM SALES
  • 30. Page  31 EXAMPLES OF SOCIAL MARKETING
  • 31. Page  32 EXAMPLES OF SOCIAL MARKETING
  • 32. SMOKING RATE DECREASE IN NEWYORK Page  33 CITY
  • 33. Page  34 EXAMPLES OF SOCIAL MARKETING
  • 34. Page  35 SUCCESS STORIES National High Blood Pressure Education Program, 1972 -1982 – Goal = get people to have blood pressure checked – Results = • By 1982, people who knew relationship between blood pressure & stroke increased from 29% to 59%; and those who knew B.P. & heart disease from 24% to 71%. • By 1985, half of hypertensives had taken some action to control b.p. (e.g., cutting salt, exercise, or losing weight). • By 1988-91, 73% of hypertensives were taking action. Click It or Ticket campaign: The result: a 10% surge in belt use. 1% Or Less campaign: encouraged adults and children older than age two to drink milk with a fat content of 1 percent or less, instead of whole or 2 percent milk: whole milk purchases dropped from 66% to 24% of overall sales, and that the share of all low-fat milk sold had more than doubled. Overall
  • 36.  Andreasen (1995) has claimed that what is often called social marketing is not really social marketing. Programs that do not focus on consumer behaviour (i.e., that do not create strategies with the consumer in mind), that do not involve adequate market research (i.e. merely conducting a focus group is not adequate market research), that do not carefully segment the target audience, and that do not recognize "competition," can not rightfully be called social marketing.  A 3-month marketing campaign to encourage people to get a H1N1 vaccine is more tactical in nature and should not be considered social marketing. Whereas a campaign that promotes and reminds people to get regular check-ups and all of their vaccinations when they're supposed to encourages a long-term Page  37 behaviour change that benefits society. It can therefore be considered social marketing.
  • 37. SOCIAL MARKETING Page  38 PROGRAMME IN INDIA
  • 38. MARKET STRUCTURE IN INDIA Page  39 TOTAL MARKET COMMERCIAL MARKET SOCIAL MARKETING FREE SUPPLY IMPORTED BRANDS DOMESTIC BRANDS SMO BRANDS GoI BRANDS
  • 39. SOCIAL MARKETING PROGRAMME OF Page  40 INDIA : MILESTONES 1968: Social Marketing was launched with 6 leading consumer goods/oil companies with 3 lakh outlets, with area allotted to each. 1977: Introduction of Trade Bonus Scheme for retailers on purchase of condoms to encourage sale. 1983: Introduction of promotional incentive on sale of condoms to SMOs instead of trade bonus on condoms. 1984: Lubricated Nirodh added on seeing consumer preference and was named ‘Deluxe Nirodh’. 1987: A thinner variety, in multiple colours was added in the name ‘Super Deluxe Nirodh’. 1987: Oral Pills – the social marketing programme was extended to include Oral Contraceptive Pills with the brand name- Mala-D. 1988: Voluntary Organizations included in SMP
  • 40. 1991: Most of the Companies which had active participation and wide outreach withdrew from Social Marketing programme 1991: Another low priced Govt. brand of condom to meet the need of the poor section of the society, ‘New Lubricated Nirodh’, introduced 1993-95: Number of organizations, namely, Hindustan Latex Ltd., DKT, Parivar Kalyan Kendra, FPI etc. joined the programme 1994: Revision of sale promotion incentive on condoms; Introduction of sale promotion incentive on SMOs’ brands of condoms also. 1995: Introduction of Centchroman, ‘Saheli’, through HLL under social marketing, with Product & Promotional Subsidy Page 1996:  41 Introduction of sale promotion incentive on oral pills.
  • 41. The National Population Policy 2000 (NPP 2000) recognises the immense potential of Social Marketing in expanding the outreach and coverage of health care products and services, and emphasises the need to formulate and implement social marketing schemes for Page  42 provisioning products and services, through partnerships between the voluntary sector, non– government organisations, the private corporate sector, Government, Panchayati Raj Institutions and the community. "National Strategy for Social Marketing", [NSSM], 2001 in pursuance of the NPP 2000 develops a strategy for the social marketing of products and services for reproductive and child health (RCH) in India
  • 42. Free distribution, Social Marketing, and Commercial Marketing share the market. Free supply was intended to address the unmet need of 40% of the Indian population below poverty line (BPL) Social marketing focuses at the lower (20%), lower-middle Page  43 (15%), and middle-middle (12%) income brackets, for a 47% share of the Indian population Commercial marketing targets an estimated 8% upper middle class and 5% upper class, total of 13% share
  • 43. STRATEGIES OF SMP IN INDIA Expand Demand among Priority Target Groups Expanding the Basket of Products in the SMP  A Public – Private / NGO Partnership Expand the market to reach rural areas and urban slums Social Franchising of Health Care Services  Align Government Subsidy to Programme Objectives  Diversify sources of funding  Institutional Mechanism for Running the Social Marketing Programme Improving Programme Management  Allocation of Public Funds towards Area Projects Page Social  44 Marketing Ethics
  • 44. EXPAND DEMAND AMONG PRIORITY TARGET Page  45 GROUPS Generic Campaigns Brand Advertising Operational Strategies » Develop Research Based Communication Programme » Assign Communication to Professional Agencies » Develop Generic Communication Packages » Multi Media Delivery of Messages » Innovative region specific campaigns » Building local partnership for communication
  • 46. EXPANDING THE BASKET OF PRODUCTS IN THE Page  47 SMP Operational Strategies » Provide multiple choices through multiple products and services at multiple delivery points » SMOs must diversify and introduce newer products for basic and essential health care » SMOs must ensure that appropriate training and refresher courses for their retailers/vendors » Ensure regular supplies » SMOs must ensure that all prior clearances from the office of the Drug Controller of India have been duly obtained with current validity for products not subsidised by government
  • 48. A PUBLIC – PRIVATE / NGO PARTNERSHIP Operational Strategies Page  49 » MoHFW will furnish district profiles to the District Magistrates and District Medical Officers updated once every year » District Magistrates and Chief Medical Officers must facilitate a dialogue with and between potential partners » Partners may need to develop district specific strategies » SMOs play a catalytic role in sustaining the partnerships » Non–overlapping concession areas awarded for the marketing of public sector brands
  • 49. EXPAND THE MARKET TO REACH RURAL AREAS Page  50 AND URBAN SLUMS Operational Strategies » NGOs and social marketing organisations should seek to develop public–NGO–private partnerships for the delivery of health care products and clinical and non–clinical services through the existing and widespread public health infra-structure » Additional channels such as the ICDS program could similarly be utilised » Promotional programmes like folk theatre, video vans, and sales booths could become a regular feature of these partnerships, at well publicised intervals, inclusive of provisioning for products and services through the public health
  • 53. SOCIAL FRANCHISING OF HEALTH CARE SERVICES Social franchising consists of developing networks of private sector and NGO run clinics, contracted to offer health information and counselling, health products, and health care services Social franchisee would be a private-NGO-public partnership Operational Strategies Page  54 » Range of services » Standards of Service » Accreditation » Scaling-up » Contract out a Package for Essential Health Care » Finance private sector / NGO providers through
  • 54. Page  55 EXAMPLES THE "JANANI MODEL" IN INDIA  In Bihar and Madhya Pradesh  incorporated clinical services, and served rural areas, using private channels that already exist  "butterfly centres" & "Surya clinics" BLUE STAR PROGRAMME IN BANGLADESH  Reproductive health products & services through graduate and non-graduate doctors  Health care products are provided to these franchisee Networks at subsidized price BLUE CIRCLE & GOLD CIRCLE PROGRAMME IN INDONESIA  Blue circle: indicates FP services and contraceptives (four kinds)  Gold circle: sixteen choices of contraceptives
  • 55. Page  56 GOVERNMENT SUBSIDY TO PROGRAMME OBJECTIVES Product subsidy: the difference between procurement cost of the product and the issue price to the SMOs Promotional subsidy: to pursue promotional activities, pegged upon the sales achieved Packaging subsidy: for those SMOs who market their own brands, since they supply the packaging materials to the manufacturer Operational Strategies » Tax incentives will be evolved for fast moving consumer goods (FMCG) companies » Government will introduce a performance related subsidy, and develop an appropriate formula to determine the cost per couple year of protection (CYP) » The new entrants in SMP will be offered brands with low subsidy component
  • 56. Page  57 DIVERSIFY SOURCES OF FUNDING GoI will continue to provide financial support to SMPs Additional resources mobilised from: – Multilateral development banks, – Bilateral and other development organisations –Global foundations – The private corporate sector –Other related programs and organisations, such as National AIDS Control Organisation (NACO)
  • 58. A promotional incentive provided to the SMOs Page  59 » 10 paise per condom sold for Deluxe and Super Deluxe varieties, and » 3 paise per condom sold for New Lubricated variety Deluxe Nirodh is also sold by State AIDS Control Societies through their NGOs net work. The names of manufacturers: » Hindustan Latex Ltd » TTK LIG » Polar Latex Ltd. » J.K. Ansell
  • 60. INSTITUTIONAL MECHANISM FOR RUNNING Page  61 SOCIAL MARKETING PROGRAMME Secretariat coordinated by UNFPA within the Consortium. Consortium on Social Marketing: A mechanism for stakeholder involvement in decision-making and for transparency. A dedicated Social Marketing Unit within MoHFW for performing the role of facilitator. Technical Support Group: A TSG contracted by Social Marketing Unit, within the MoHFW, for providing needed technical inputs in programme management, and advising the Secretariat and the Consortium
  • 61. Page  62 IMPROVING PROGRAMME MANAGEMENT Participation in the Social Marketing Programme: based on pre-defined criteria, carefully documented, and reviewed each year Programme Management: » memorandum of understanding (MOU) with details like price range » SMOs to furnish reports at regular and pre-determined intervals » External assessment twice a year Product Management: » Branding: promotes market segmentation and image building, which enhances demand » Quality assurance: an inter-laboratory calibration mechanism set up at the Nodal GOI laboratory for testing » Product pricing: an appropriate structure of margins in
  • 62. Page  63 ALLOCATION OF PUBLIC FUNDS TOWARDS AREA PROJECTS The Secretariat for the administration of the SMP: identifies areas of need in all parts of the country, and invites plans from the stakeholders for addressing the need through the special projects. Funding support for this component is over and above the funds earmarked for normal social marketing operations. Social Marketing endeavours were initiated in six States- Madhya Pradesh, Haryana, Andhra Pradesh, Bihar, Jharkhand and Orissa.
  • 63. Page  64 AREA PROJECTS Swastha Gram Pariyojana: In 1998-99, the Department of Family Welfare sanctioned a pilot project to M/s. Hindustan Latex Family Planning Promotion Trust, Thiruvananthapuram HLFPPT) of HLL, for strengthening Social Marketing of Contraceptives programme. The project has been implemented in three districts of Madhya Pradesh viz., Gwalior, Bhind and Morena. This has been extended up to 31.3.2001 with inclusion of two more adjacent districts namely; Shivpuri and Datia. Sukha Parivaram: Third project was launched in Andhra Pradesh in Feb., 2000 by M/s. Hindustan Latex Family Planning Promotion Trust, Thiruvananthapuram (HLFPPT) of HLL, with the funding from European Commission, at a total cost of Rs. 4.66 crores for a period of three years. For social marketing brands of contraceptives, sanitary napkins, ORS through unemployed, educated and mobile rural youth, supported by a
  • 64. Page  65 AREA PROJECTS Western - U.P Project: increase the number of villages having access to subsidized and fully priced contraceptives (condoms and pills) and other health care products like ORS (WHO formula), IFA tablets and DDKs, and to increase the number of outlets selling condoms, pills and RCH products Mobile Health Clinic Project: to ensure that the health services are able to reach the remote, inaccessible and underserved areas Community based distribution of Contraceptives project - Bihar, Jharkhand and Orissa: implemented in close co-ordination with the existing health service delivery systems. The Anganwadi workers of the ICDS programme form
  • 65. Page  66 AREA PROJECTS The TSG for the AVERT project, Maharashtra: set up in Mumbai under a bilateral agreement between India and the United States. Avert Project is a 41.2 million dollar programme for prevention and control of HIV/AIDS in the state of Maharashtra. Another area project on Social Marketing sanctioned to the Society for Woman and Child Health in Haryana, was launched in the districts of Ambala, Kurukshetra, Panchkula and Yamuna Nagar in April, 2000 for four years at a total cost of 1.32 crores.
  • 66. SOCIAL MARKETING OF MCH PRODUCTS Started in October 2002: Social Marketing of condoms under the brand name Masti, being supported by behaviour change communication through television in UP, Uttarakhand and hoardings in Jharkhand. Social marketing of OCPs under the brand name Pearl promoted through generic behaviour change communication campaigns on television; bolstered via the distribution of flyers addressing common myths regarding side effects of OCP consumption. Social marketing of ORS under the brand name Neotral supported by intensive meetings among groups of 18-20 private health providers, called “Saadhan Baithaks”. Providers are educated on the issues of diarrhoea, risks of dehydration, and use of ORT/ORS. The meetings are followed up with Page information  67 on PSI brands, and flyers distributed to providers for inter-personal communication with clients.
  • 67. SOCIAL MARKETING OF MCH PRODUCTS Social marketing of IFA tablets under the brand name Vitalet-preg Page  68 promoted through “Saadhan Baithaks”. The health providers were oriented on the effects of anaemia on women’s health and pregnancy outcomes. Flyers were given to these health providers for explaining the issues of anaemia and importance of IFA tablets during pregnancy. Newborn brand Clean Delivery Kits (CDK) were being sold in selected district of Uttar Pradesh and Jharkhand. – In UP the product was promoted through radio communication campaign, hoardings at grocery shops in villages and demo stalls at community conglomeration points. Traditional Births Attendants (TBAs) were being involved as ‘brand ambassadors’ for CDKs. The TBAs were oriented in a group of 15-20 on the issues of clean delivery and along with product demonstration. They were also informed about the nearby outlets where CDKs were available. – In Jharkhand, a partner NGO was making CDKs available through TBAs and through nine outreach clinics where pregnant women come for
  • 68. SOCIAL MARKETING OF MCH PRODUCTS Social marketing of water disinfectant under the brand name Safe-wat piloted in two districts of Uttaranchal. – Three programmatic approaches adopted for Safe-wat: Page  69 » community based approach for hygiene and sanitation education and product information, » health provider network for IPC on hygiene/ sanitation and its impact on child health and » trade approach through which product made available.
  • 69. Page  70 ACHIEVEMENTS
  • 70. Percent of currently married women Page  71 TRENDS IN KNOWLEDGE OF MODERN CONTRACEPTIVE METHODS 61 58 66 85 95 71 71 80 89 98 74 76 87 83 98 Female sterilization Male sterilization Pill IUD Condom/ Nirodh NFHS-1 NFHS-2 NFHS-3
  • 73. 1000 900 800 700 600 500 400 300 200 100 Page  74 DISTRIBUTION OF CONDOMS 891.22 741.7 685.85 674.7 624.36627.42 733 891.42 162.92 263.25 324.42348.74 477.74465.43438.79 513.77 0 IN MILLION PIECES FISCAL YEAR Free Supply Social Marketing
  • 74. 700 600 500 400 300 200 100 Page  75 DISTRIBUTION OF ORAL PILLS 411.2 397.94 467.1 452.32 488.98 554.39 528.54 574.31 146.8 162.42 228.4 255.08 349.03331.91 403.32 477.51 0 IN LAKH CYCLES FISCAL YEAR Free Supply Social Marketing
  • 75. 160 140 120 100 80 60 40 20 Page  76 SALE OF ‘SAHELI’ 44.17 62.05 94.06 Centchroman(Saheli) 87.7 56.83 63.98 129.6 135.58 0 IN LAKH TABLETS FISCAL YEAR Centchroman(Saheli)
  • 76. Socially marketed Socially marketed Page  77 USE OF SOCIAL MARKETING BRANDS 13 14 42 36 13 27 32 23 PILL USERS Free Fully priced Unknown CONDOM USERS (Men’s report) Free Fully priced Unknown Percent Percentage of men age 15-49
  • 77. Page  78 SOCIAL MARKETING ETHICS Be truthful, fair and balanced  Protect privacy  Don’t model inappropriate behavior  Don’t be offensive Do more good than harm Favor free choice Evaluate marketing within a broader context of behavior management Select marketing tactics that fit marketing philosophy Evaluate ethicality if policy before agreeing to develop strategy Seek permission to enter and address targeted social issues Be certain to understand culture, values and norms Ensure there will be responsible participation who can be held accountable for changes
  • 78. Page  79 BARRIERS Potential of social marketing unappreciated The consumer base is very heterogeneous, customization of products for so many segments and mini segments is virtually impossible Media is privately owned; airtime is expensive Social marketing is often done poorly; it is NOT the same as advertising Products are often the result of scientific research and hence cannot be varied easily Policy decisions at local, national and international levels often guide the product strategy and hence the product cannot be easily changed
  • 79. THE FUTURE OF SOCIAL MARKETING Public health offers to social marketing the challenge of a research and policy agenda that still needs to be addressed fully; AND Social marketing stretches public health in at least two important directions: 1) it calls attention to the need to learn how to identify fruitful Page  80 areas for using social marketing strategies 2) challenges health specialists to think in new ways about consumers and product design Entering the marketing world requires abandoning the expert’s mind-set that the product is intrinsically good, so that if it fails to sell, the defect must reside in uninformed or unmotivated consumers  A marketing approach demands attention to the cultural appropriateness, adequacy, and accessibility of initiatives as they are being designed, rather than having to retrofit them after
  • 80. Social marketing perspective on health raises the possibility that a number of the perennially frustrating health problems society continues to confront-the inadequate reach of prenatal care, immunization, and other public health services; and the intractability of risk behaviour leading to the spread of HIV, substance abuse, teenage pregnancy, and violent injury-can be radically rethought and more effectively addressed. These approaches will enable individuals and communities to gain greater control over their health and the quality of their lives.  Program administrators, health educators, and other program planners need to be trained in social marketing to enable them to imbue public health organizations with a marketing mind-set. Schools of public health offer a concentration in social Page  81 marketing, and some provide a complete course on the topic.
  • 81. In 2005, University of Stirling was the first university to open a dedicated research institute to Social Marketing, In 2007, Middlesex University became the first university to offer a specialized postgraduate programme in Health & Social Marketing Page  82
  • 82. Page  83 REFERENCES http://mohfw.nic.in/dofw -National Strategy For Social Marketing: DRAFT (November 2001) Marketing for Public Health Programmes, by A.D.Madhavi Ganju and Ram Prasad – The Journal of family Welfare, Vol.50, No.1, June 2004 What is Social Marketing? by Nedra Kline Weinreich Projects contracted and managed by HLFPPT http://www.lifecarehll.com Ethics in Social Marketing by Alan R. Andreasen – SMQ/Vol. VII/No.4/Winter 2001
  • 83. Page  84 THANK YOU