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

Sexual Health
Steven ChapmanMegan Kays

Abstract

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. 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. 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 s...Continue Reading

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Citations

Dec 4, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Don C Des JarlaisHannah L F Cooper
Sep 29, 2015·Tropical Medicine & International Health : TM & IH·Oona M R CampbellCaroline A Lynch
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Methods Mentioned

BETA
circumcision

Software Mentioned

SPSS
TMA

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