Condom Social Marketing in India Innovations to drive condom usage

1. Condom Social Marketing in IndiaInnovations to drive condom usage International AIDS Conference Washington July 2012

2. Background • Condom Promotion historically associated with Family Planning. • Focus on high fertility states • govt. distribution : free supplies : public health system • Communication limited to family planning • Gap in availability and affordability; • Commercial condoms restricted to Urban India; • Limited or negligible interest of private sector in rural areas • High distribution cost barrier

3. Background…. • Very few (4-5) social marketing organizations covering the entire country. • Only donor supported programs received adequate coverage • Independent activity in limited areas by different donors leading to disparate efforts • Lack of technical and professional management of condom promotion. NACOrecognized the need to a have “single national program” with a “focussedapproach” to ensure availability of subsidized condoms to consumers in high priority districts.

4. Condom Market Segmentation Government

5. Targeted Condom Promotion • Availability and Accessibility: Expanding social marketing programs in the high priority (HP/HF) districts to ensure availability of subsidized condoms to consumers who cannot afford market priced (commercial) condoms • Focused on increasing demand for condoms among high risk, bridge and general population • Increasing consumer usage of paid condoms to ensure sustainability

6. Targeted Condom Promotion • Ensure condom availability (paid /free) in 100% high risk areas in • Targeted Intervention sites • Trucker halt points • Migrant districts (source, transit and destination) • Large construction sites • Minimizing wastage in free supply of condoms while maximizing its access the most vulnerable groups

7. Implementation Approach • Comprehensive Targets to ensure program priorities • targets on sales, outlets, demand generation activities with specific focus on non traditional outlets, rural and mid media contacts, and government brand • Performance based contracting : • Unique contracting with SMOs with payouts pro-rated to target achievements • Weightage given to key program priorities

8. Implementation Approach • Real-time monitoring of program implementation • field-level information ensures timely interventions and corrective actions if any required. • Experienced, professional implementers with strong marketing and sales experience

9. The Innovations • Distribution through non traditional outlets • taking the condom to where the consumer is…. • Demand Generation - • Mid-media – Using local theatre and folk culture for active social messaging and mass media

10. Mass media…message deepening Condom normalization …to Consistent use …to enhancing Risk Perception

11. Massive scale up of NACO’s Condom Social Marketing Programme

12. Impact Condom market growing at 15% YoY Ensuring sustainable condom usage thru increased use of paid condoms

13. Impact 89% 98% 30min 77% 77% Condom is easily accessible Mean time to access condom Consistent Condom Use can prevent HIV AIDS Condom Use with FSWs Condom use with non-regular/ casual partner 58% 88% 19min 81% 65% *BSS- Behavioral Surveillance Survey 2006 ** Condom Promotion Impact Survey 2010

14. Other Innovations • Female Condom Program • encourage condom use by empowering FSW in low negotiating situations. • FC programme implemented by NACO in 13 states • Condom Vending Machines (CVM) Program • 10,000 CVM installed across major towns in the country to provide 24x7 access to condoms • CVMs integrated into CSMP as non-traditional outlets

15. Thank You