The Commercial Market Strategies Project: Final Report 1998-2004
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The Commercial Market Strategies Project Final Report 1998–2004 The CMS Project, in partnership with the private and commercial sector, contributes to improved health by increasing the use of quality family planning and other health products and services. The Commercial Market Strategies Project Final Report Robert Bonardi Ruth Berg, PhD Susan Mitchell COMMERCIAL MARKET STRATEGIES ACKNOWLEDGMENTS services through the private sector. From 1998 to Commercial Market Strategies (CMS) is the Many thanks to the entire CMS team, who 2004, CMS worked in 29 countries to develop flagship private-sector project of USAID’s Office contributed to the success of the project’s and implement a wide range of country of Population and Reproductive Health. The CMS programs, special projects and initiatives, and programs, technical assistance projects, new project, in partnership with the private sector, research activities. We also wish to acknowledge initiatives, and global research — all with the aim works to improve health by increasing the use of the guidance and support of USAID’s Private- and of expanding access of family planning products quality family planning and other health products Commercial-Sector Team at the Office of and services through commercial approaches and and services. Population and Reproductive Health, comprising private-sector partnerships. The CMS Final Report Susan Wright (Cognizant Technical Officer) and provides a comprehensive examination of the Shyami deSilva, Maggie Farrell, and Barbara Addy technical strategies, accomplishments, results, and (Senior Technical Advisors). In addition, this report lessons learned from the project’s programs and was made possible with the oversight and activities. A major finding is that commercial nurturing provided by Christine Prefontaine, organizations are a key resource for donors and In partnership with: CMS’s Communications Manager, and the development projects in accomplishing health Abt Associates, Inc. editorial assistance of Rosemarie Phillips. sector objectives, particularly for family planning Population Services International and reproductive health care. CMS programs involved partnerships with the private sector in a PHOTO CREDITS broad range of countries (including India, Morocco, Jordan, Senegal, Uganda, Ghana, THIS PUBLICATION FINANCED BY USAID Cover text Detail from a Goli ke Hamjoli Madagascar, Nepal, Nicaragua, and the This publication was made possible advertisement in Northern India. Between 1999 Philippines), which resulted in improved access to, through support provided by the and 2002, CMS’s Goli ke Hamjoli (Friends of the and quality of, family planning products and Bureau of Global Health, Office of Pill) campaign increased the use of low-dose oral services. Through these programs, CMS provided Population and Reproductive contraceptives among young urban women. Sales consumers with valuable information about, and Health, United States Agency for of all commercially available oral contraceptive access to, essential health products, such as International Development (USAID) under the brands increased by 42 percent, and surveys modern contraceptives, oral rehydration therapies, terms of Contract No. HRN-C-00-98-00039-00. revealed positive changes in attitude and insecticide-treated malaria nets, treatment kits for The views and opinions of authors expressed knowledge among both providers and consumers. sexually transmitted infections, and voluntary herein do not necessarily state or reflect those of Page 1 Curt Carnemark/World Bank. testing and counseling services for HIV/AIDS. This USAID or the US Government. Page 13 © Guy Mansfield/Panos Pictures. report also provides detailed information on the Page 45 © CMS/Frank Feeley. Julius, the various technical strategies used by CMS, CMS/Health Partners Marketing Coordinator in including social marketing, support for provider ADDITIONAL COPIES Uganda’s Gulu district, talks to members of a networks, health financing, sustainability for rock-breaking co-op who have joined the Commercial Market Strategies Project health care non-governmental organizations, community health plan. 1001 G Street NW, Suite 400W corporate social responsibility, and policy. Washington, DC 20001-4545 Page 59 Youth in Jamaica, courtesy of the Pan American Health Organization. Page 67 © Jeremy Horner/Panos Pictures. Tel: (202) 220-2150 KEY WORDS E-mail: [email protected] People peer out the window of their highland home in Fianarantsoa, Madagascar. Commercial Market Strategies, CMS, USAID, Page 77 CMS/Elizabeth Gardiner. A drama population, private sector, commercial sector, family planning, contraceptives, reproductive DOWNLOAD performance raises awareness about the dangers of unsanitary birth practices and promotes CMS’s health, public-private partnerships, social Download copies of CMS publications at: New Maama clean-delivery kit. In addition to marketing, sustainability, private providers, www.cmsproject.com. brand-specific advertising for its social marketing provider networks, social franchising, corporate products, the CMS project develops behavior social responsibility, policy, health financing. change communications activities like this ABOUT THE AUTHORS community drama. All of the authors are CMS project staff. Robert RECOMMENDED CITATION Bonardi is the Project Director; Ruth Berg is Bonardi, R; R Berg; and S Michell. 2004. Director of Research, Monitoring, and Evaluation; ABSTRACT Commercial Market Strategies Project Final and Susan Mitchell is Director of Country The Commercial Market Strategies (CMS) project Report. Washington, DC: USAID/Commercial Programs. was the flagship private-sector project of USAID’s Market Strategies Project. Office of Population and Reproductive Health (G/PRH). CMS was designed to increase the use of family planning and other health products and ii The Commercial Market Strategies Project Final Report September 2004 CONTENTS Abbreviations and Acronyms ....................................v 1 Introduction .............................................................1 Purpose of the CMS Project .......................................2 Results Framework.....................................................3 Technical Strategies....................................................4 The CMS Portfolio of Program Activities.....................9 2 Country Programs: Achievements and Results........13 Madagascar: Private Distribution of Contraceptives..14 Senegal: NGO-Based Social Marketing .....................17 Morocco: Social Marketing Through Commercial Partnerships .............................................................20 Uganda: Integrated Private-Sector Program..............23 India: Integrated Behavior Change Campaign...........28 Nepal: Provider Networks.........................................31 Nicaragua: Integrated Clinic Network.......................34 Ghana: NGO and Corporate Programs.....................37 The Philippines: Contraceptive Security and Private-Sector Strategies....................................41 3 Technical Assistance Projects ..................................45 Technical Assistance to NGOs...................................46 Contraceptive Security Assessments .........................49 Summa Loans to Private Providers............................51 Health Financing ......................................................53 Corporate Partnerships.............................................54 iii Contents 4 Findings From CMS Global and MAPS Technical Research.................................................59 Contraceptive Security.............................................60 1 Countries where the CMS project worked, 1998 to 2004 ........................................................10 Health Financing .....................................................61 2 Countries with CMS country programs Behavior Change Communications and Social Marketing .....................................................61 and technical assistance initiatives (funded by USAID Missions) ...................................11 Youth......................................................................63 3 Countries with CMS core-funded initiatives............11 Corporate Social Responsibility ................................63 4 Countries with Summa Foundation loans...............11 5 Lessons Learned.....................................................67 Social Marketing......................................................68 5 Nine CMS countries that demonstrate the project’s technical breadth and strategic Private Providers ......................................................70 synergies................................................................15 NGO Sustainability...................................................71 Health Financing......................................................71 Corporate Social Responsibility ................................73 Improving the Policy Environment............................73 References .............................................................77 FIGURES 1 The CMS project results framework ........................5 2 Protector, Pilplan, and Confiance CYPs (in thousands) .......................................................17 3 Morocco: Sales of Kinat Al Hilal oral contraceptives, 1992 to 2003 ...............................21 4 Uganda: Sales of SmartNets, 2000 to 2003 ..........27 5 (a–c) Uganda: Likelihood of using contraception, by whether respondent recalled CMS ad, 2002.....28 6 Nepal: Average daily client flow ............................34