THE TOTAL CONDOM MARKET

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							                   CARISMA is…                                                             THE TOTAL CONDOM MARKET
                                                                                           The Caribbean presents an interesting
                       A three year CARICOM regional development
                                                                                           opportunity to combine approaches to
                       project, funded by KfW and CIDA.
                                                                                           expanding the total condom market, which
                       An innovative and multi faceted program,                            comprises commercial, subsidized and free
                       supporting     local   social   marketing                           sectors. Throughout most of the Caribbean
                       organisations (SMOs) across the region to                           region, a viable commercial sector sells a
                       promote HIV & AIDS prevention.                                      range of brands through traditional and non-
                                                                                           traditional outlets.    In the Dominican
                       Undertaking activities in 13 PANCAP                                 Republic, Belize and Haiti, Social Marketing
                       countries: Belize, the Dominican Republic,                          Organisations (SMOs) also sell their own
                       Jamaica, Haiti and the Eastern Caribbean                            brands of condoms at subsidised prices,
                       islands of Antigua & Barbuda, Barbados,                             while in Jamaica, Belize and parts of the
                       Dominica, Grenada, St. Kitts & Nevis, St                            English-speaking Caribbean, the SMOs help
                       Maarten, St. Lucia, St. Vincent & the                               distributors sell commercial brands. In all
                       Grenadines and Trinidad & Tobago, where                             countries, the public sector distributes
                       Social Marketing projects are working to                            either branded or unbranded condoms for
                       change high risk behaviors and slow the                             free.
                       HIV/AIDS    epidemic    through   targeted
                       behavior change communications and                                  CARISMA’s     goal    is  to   prevent  HIV
                       expanding the total condom market.                                  transmission through support to the social
                                                                                           marketing     sector.    However,    to  be
                       Promoting behavior change using both mass                           successful, the program must go beyond just
                       media and interpersonal communications to                           borrowing     market     share   from   the
                       target at risk populations and encourage                            commercial sector (“crowding out”), and
                       individuals to protect themselves and their                         must also increase demand for commercial
                       partners from HIV & AIDS.                                           condoms (“crowding in”). CARISMA therefore
                                                                                           seeks to increase the availability of and
                       Working to increase consumer demand for                             demand for all condoms, which is
                       and availability of condoms through the                             understood to be growth of the total
                       growth of the total condom market.                                  condom market.
                       Measuring the impact of social marketing
                                                                                           In 2006, total condom sales in the region
                       and HIV & AIDS prevention activities across
                                                                                           increased by approximately 10% over 2005
                       the region in order to inform regional level
                                                                                           sales. Sales increased in nearly all countries.
                       thinking on the total condom market and
                                                                                           Social marketing brands constitute 53% of
                       the role of Behavior Change Communication
                                                                                           the overall condom sales market, while
                       and Social Marketing.
                                                                                           commercial sector sales represent 47%.

                      The Total Market: Market Segmentation                                CARISMA contributes to building the total
                                                                                           condom market in the Caribbean by
                                                                                           involving commercial manufacturers and
                           A             Commercial Brands            Access to market
                                                                                           distributors in HIV & AIDS programs as well
                                                                                           as by measuring condom sales in all three
                                                                                           sectors. Similarly, by analyzing average per
                           B                                           limited market
                                                                           access
                                                                                           capita condom sales in countries with social
                                 Subsidised/Social Marketing Brands
                                                                                           marketing programs in comparison to
   Issue 1                                                                                 countries without, CARISMA is able to track
  Oct 2007                                                             Abs. Poverty Line   the impact that Social Marketing has on the
                                                                                           total condom market. The data collected
                           C               Free Distribution
                                                                                           reflect changes to and impact on the total
                                                                                           condom market and will be used to guide
                                                                                           future social marketing within the region.
                                                                         Source: KfW



CARISMA is a development program of CARICOM which is co-financed by the Federal
Republic of Germany through the German Development Bank (KfW) and the Canadian
International Development Agency (CIDA)
                                                        Focus on
                                                               Social Marketing Programs

Dominican Republic                                       Haiti
Through the CARISMA program, PSI/Dominican               PSI/Haiti is strengthening its
Republic is working with local NGOs to expand its        condom social marketing
targeted condom social marketing program in order        program to increase safer
to encourage safer sexual practices among high-risk      sexual practices among youth
groups, including commercial sex workers, batey          between the ages of 15 and
residents and youth.                                     24, commercial sex workers
                                                         and Haitian migrant workers
Pante condoms and lubricants are marketed to high        now living in the Dominican
risk individuals; primarily commercial sex workers       Republic.
and their partners, while support to PROFAMILIA
helps to build the total condom market by                Following extensive research,
increasing consumer access to and choice of a range      the program in Haiti has
of condom brands at different prices. Behavior           adapted communication
change communication messages encourage young            messages and social
people to delay the onset of sex, and for those who      marketing capacity to
                     choose not to abstain, to use       address specific needs of the
                     condoms       correctly      and    target population.
                     consistently. The project in the    Interpersonal communication
                     bateyes, publicized through         sessions are being expanded
                     the Amor de Batey mini-             to out of school youth and a
                     series, focuses on reducing the     mass media campaign
                     number of sexual partners and       targeting the youth with HIV
                     increasing correct & consistent     prevention messages has been
                     condom use.                         developed.
                                                         PEER research has led to the outreach
Amor de Batey                                            communication and condom promotion activities
                                                         targeting commercial sex workers, with an emphasis
PSI/Dominican Republic has teamed up with six
                                                         on reaching street-based sex workers as well as sex
NGOs working with batey communities across the
                                                         workers operating in 2nd and 3rd tier brothels.
country to develop a pioneering behaviour change
                                                         Improving the effectiveness of promotion and
communication campaign – much publicized through
                                                         distribution of Pante and Reyalite (male and
the telenovela Amor de Batey.
                                                         female) condoms in Haiti through social marketing,
                                                         commercial and public sector distribution is also
Broadcast nationwide in July, the 12-part mini-
                                                         fundamental to this program. By coordinating these
series follows the lives of batey couple Lucy and
                                                         activities with other planned donor activities, the
Pedro. It is just one component of a wider
                                                         project in Haiti helps to leverage available
behaviour change campaign which uses printed
                                                         resources for greater impact.
materials, discussion guides, and audio visual
materials to promote HIV prevention in the bateyes
of the Dominican Republic.
                                                         Visit PSI/DR’s award winning website for
Responding to the alarming rate of HIV infection         10-14 year olds and their parents:
among the batey population, the innovative
behavior change campaign is focused on increasing
personal risk assessment, reducing number of
sexual partners, reducing stigma against condom
use, and emphasizing consistent condom use with
all partners.

This campaign will pave the way for behaviour
change among Haitian migrants and low income
Dominicans living in the bateyes.
Focus on
     Social Marketing Programs

Belize                                                 Eastern Caribbean
Through its regional affiliate the Pan American        The program run by
Social Marketing Organization (PASMO) in Belize, PSI   PSI/Eastern
is working with local NGO partners to implement a      Caribbean promotes
Social Marketing program to contribute to a            safer sex practices
reduction of STI and HIV infection rates. The          among high risk
program objectives are to improve availability of      populations by
and access to low-priced high quality condoms and      increasing access to
other health products for the target groups in the     affordable condoms,
context of the overall growth of the total condom      decreasing barriers to
market and to increase preventive knowledge,           their use and
attitudes and behavior with regard to HIV/STIs         enhancing local
among the target populations: commercial sex           capacity for HIV
workers and their clients; men who have sex with       prevention in the
men; Garifuna populations, migrants and travel         region. The program
industry workers                                       is managed from Trinidad and includes Antigua and
                                                       Barbuda, Barbados, Dominica, Grenada, St. Kitts and
The program motivates these underserved                Nevis, St. Lucia and St. Vincent & the Grenadines. The
populations to say no to risky sex, reduce             program primarily targets high risk sexually active
partners, use condoms consistently, learn their        populations including men who have sex with men,
HIV status and treat sexually transmitted              commercial sex workers, uniformed personnel and
infections correctly.                                  youth in difficult circumstances.
                                                       To promote safer sexual practices among high risk
                                                       groups, the program works closely with commercial
Jamaica                                                condom distributors and manufacturers and continues
                                                                                     to increase access to
                                                                                     affordable        condoms,
Through KfW/PANCAP funding, Constella Futures/                                       especially for the most at-
Jamaica has developed a social marketing program                                     risk populations, decrease
to increase the consistent use of condoms among                                      barriers to consistent
population segments to reduce HIV risk, and                                          condom use and enhance
significantly expand the total condom market.                                        local     capacity      for
                                                                                     sustainable            HIV
The program is working across Jamaica to develop,                                    Prevention through the
implement, and assess the impact of a marketing                                      Got It? Get It campaign.
communications program in the context of
collaborative partnerships with commercial condom
distributors. The aim is to increase consumer use      New program!!
across the entire condom product category,             Migrants and Vulnerable Populations
including both branded products and generic
condoms distributed through public sector clinics,     in the Eastern Caribbean
NGOs, and other non-commercial outlets. The            PSI Eastern Caribbean has received KfW/PANCAP
program lays emphasis on partnerships with             funding for a 12-month program which targets
commercial operators, and aims to motivate them        Spanish-speaking migrant sex workers in Antigua &
to undertake their own more aggressive marketing       Barbuda, Dominica and St. Maarten and youth in
and distribution efforts. The program is also          especially difficult circumstances in St. Vincent and
building partnerships among commercial operators,      the Grenadines and Grenada, as well as vulnerable
donors, and NGOs.                                      youth from the indigenous Carib ethnic group in
                                                       Dominica. The project creates informed demand for
                                                       condoms among target populations through behaviour
For more information about CARISMA please visit:       change communication activities and messages
                                                       designed to a) reinforce condom use during every sex
    www.carisma-pancap.org                             act; b) increase personal risk perception; c) improve
Or contact:                                            one’s ability to negotiate condom use with a partner;
                                                       & d) decrease number of concurrent partners.
e.gardiner@options.co.uk / r.kirk@options.co.uk

						
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