Tag Archives: behaviour change

Change agents and social marketing presentation at the World Social Marketing Conference in Toronto

logo-WSMNick presented at the World Social Marketing Conference held in Toronto, Canada. His paper showed how to support social and behaviour change through the use of change agents. It will be useful for those designing and implementing social marketing programs and research. How we select change agents – e.g. peer educators, opinion leaders, community health workers and counsellors – helps determine the effectiveness of a program. While there is evidence to support the use of change agents, there are limitations to current methods to select effective ones. This paper  examined new evidence from the field for a method to help find effective change agents. It will draw on several case studies, including alcohol use in Australia and an Indonesian community based sanitation program.

AusAID releases concept note for new Maternal and Newborn Health and Nutrition Program for Indonesia

Aloisa Ernesta, head midwife in the perinatal unit at Ende District Hospital in Eastern Indonesia. Photo: AusAID

Aloisa Ernesta, head midwife at Ende District Hospital. Photo: AusAID

AusAID has released a draft concept note for the new Maternal and Newborn Health and Nutrition Program for Indonesia. The 8-year A$200 million program of support for maternal and newborn health aims to assist Indonesia to close the socio-economic and geographical equity gap in reducing maternal and neonatal deaths and child stunting.

Our initial review reveals that one of the outcomes is “Greater informed demand and changed individual, household and community knowledge and behaviour related to family planning, maternal and neonatal health and nutrition” (p. v) which is a welcome sign of the integration of behaviour change and social marketing approaches. Sufficient investment in creating demand for services will be key to the success of this program.

Individuals and organisations are encouraged to submit views and issues that they would like to see further considered or clarified during the design process. The closing date for submissions is 30 June 2013.

DKT International – the purest marketing approach to behavior change?

DKT International is a social marketing nonprofit working in Asia, Latin America and Africa to improve access to reproductive health products and services. DKT adopts one of the “purest” market-based approaches to behavior change. It now boats the enviable record of around 75% of its revenue brought in from the sale of condoms, birth control pills and other products and services, including the highly successful Fiesta brand of condoms.

Founded in 1989 by Phil Harvey, DKT was named after Dharmendra Kumar Tyagi (1928–1969), who was an Assistant Commissioner for the Indian Family Planning program. An early pioneer and champion of family planning in India and elsewhere, he invented the well-known (in India and some other countries) “Red Triangle” symbol as a branding effort to familiarize and popularize the idea of family planning.

Many of the branding and mass communication techniques DKT developed are now used throughout the developing world to combat disease (such as HIV/AIDS) and poverty. His success in saturating the country with simple, attractive messages and designs (including the Red Triangle, which is now in use in several other countries) overcame age-old communication barriers and greatly increased public awareness of birth control. DKT’s staff consider its model to be the purest form of marketing and therefore most sustainable. Is this true? And if so, can it be applied to other behavior change efforts, especially those which don’t use products?

Sustainable change marketing: an approach to development and communications programs in Indonesia and beyond

Growing Sustainable CommunitiesThe following is the abstract for a chapter I’m writing in a soon-to-be-released book edited by Linda Brennan et al. Thank you in advance for any feedback.

The sustainability of development programs is affected by the way in which information is produced and disseminated. This chapter examines the role of communications in social and behavior change, with a focus on an Indonesian sanitation project, ‘Fantastic Mom’, which aimed to reduce infant mortality. It highlights the link between communications and sustainability, particularly the importance of empowering individuals and their communities through participation and capacity building. The chapter then combines these elements and introduces the Sustainable Change Marketing (SCHEMA) model, using it to analyze the results of Indonesia’s Fantastic Mom project. This project succeeded in changing behaviors and building capacity but failed to effectively engage decision makers, affecting its sustainability. Finally, the chapter reviews these findings and their implications for sustainability work in Southeast Asia and beyond, providing guidance for those planning, implementing and evaluating similar programs.

Reference: Linda Brennan, John Fien, Lukas Parker, Hue Duong, Mai Anh Doan and Torgeir Watne (2013 in press), Growing Sustainable Communities: A Development Guide for Southeast Asia, Tilde University Press.

Communications for Development: an analysis of the role of change agents in public programs

Here’s the abstract from a paper Nick gave yesterday at the 2012 Indonesia International Conference on Communication.

Governments, non-profits, businesses and other social change leaders face significant and persistent challenges to their efforts to address public policy issues. Attempts to improve outcomes through use of social and behaviour change models and strategies have had mixed results. Social marketing and other communications programs developed to address social issues, such as alcohol-related harm among young people, often focus on narrow frames for individual behaviours. Such programs often fail to reach target populations, to meet their understanding of an issue and their means to address it.

Public programs, for example those focused on health or education, often require “change agents” to effectively disseminate the messages that lead to social and behaviour change. This study will shed light on the moderating effect a community has on the effectiveness of change agents – peer educators, community health workers and counsellors – in disseminating information and influencing how it is received and used by members of any given group.

How government-led and other communications programs identify, construct and interpret these communities, populations and publics, helps determine how the problem is represented and addressed. To borrow from Marshall McLuhan (1994), it is a community – the masses – which moderates individual and social change, by affecting both the medium and the message.

The role of social dynamics, hierarchies of influence, information dissemination and consumption are often poorly understood or applied as vectors that influence behaviour change. Theories of diffusion of innovations and community psychology are useful to frame how information is moderated, shared and influenced within communities. This study will draw on these theories to develop a new approach to make social marketing campaigns more effective.

This study will adapt a field experiment design to test this approach in two case studies from Australia and Indonesia, using qualitative techniques to verify the findings. This will combine the relative strengths of internal validity for experimental work and external replicability for qualitative analysis. The Australian case study will focus on alcohol-related harm reduction programs implemented by the non-profit, Hello Sunday Morning (HSM). The Indonesian case study will focus on ‘High-5’, an integrated hygiene improvement program managed by the Cipta Cara Padu (CCP) Foundation.

If we can better understand how a sense of community influences change agents, we can design better interventions. This research will help governments, non profits and businesses to better understand how a community influences the dissemination of information within it and improve interventions aimed at achieving individual behaviour and social change.

New book chapter: ‘Brands and a sense of community’

Below is an abstract for a proposed new book chapter, I would appreciate any comments and suggestions. Thanks, Nick

Traditional approaches to marketing and communications are being broken down across commercial and public policy domains. One-way advertising and top-down public campaigns are becoming less effective than in the past. Changes in technology, including the rapid expansion of access to the Internet, mobile phones and social media, have enabled people to connect in new ways and interact with an intensity not seen before. Along the way, traditional forms of influence have been challenged, including the rise of so-called “strangers with experience” and word-of-mouth marketing. For decades, especially since Muniz and O’Guinn (2001) and others introduced the idea of the brand community, practitioners and researchers have worked to understand how groups of people form around their products, services and behaviors. The success of commercial campaigns like “The Old Spice Guy” and public ones like Australia’s “Slip, Slop, Slap” campaign on sun protection show that people’s need to feel connected to their communities helps drives people’s choices, decisions and behaviors. Understanding this is essential to the success of commercial and social brands.

Community psychology, particularly the work based on the concept of a “sense of community”, has a significant contribution to make in this area. Earlier work has established the Sense of Community Index (SCI) as a robust measure of the psychological sense of community of a member towards a nominated group (Chavis, Lee, & Acosta, 2008; Fisher, Sonn, & Bishop, 2002; Glynn, 1981; McMillan & Chavis, 1986; Sarason, 1974; Tartaglia, 2006). Recent work has shown that a sense of community is a predictor of social and behavior change (Finlayson, 2007; Graham, 2011; Hystad & Carpiano, 2012; Xu, Perkins, & Chow, 2010). This chapter will focus on understanding the sense of community and its influence on brands in the commercial and public domains. This will help governments, non-profits and businesses to better understand how a community influences people’s choices, decisions and behaviors – and improve their efforts to make their brands successful.

DFID commends SHARE’s Great Himalaya Trail Development Project in Nepal

Water tap in Kaski, Nepal. Picture: Simone D. McCourtie / World Bank

DFID announced an award for SNV Nepal‘s Great Himalaya Trail Development Program (GHTDP) as the best tourism project in the country. By facilitating access to less developed areas, GHDTP increases benefits for poor communities who live beyond established trekking hotspots. Nepal’s tourism contributes 4% of GDP.

The project is working with the Nepal Tourism Board and the Trekking Agencies’ Association of Nepal to create a new trek route, spanning the length of the country. By encouraging trekkers to pass through less developed areas, GHTDP aims to stimulate business and income growth in some of Nepal’s poorer communities. Tourists are offered information on clean and safe accommodation along the trail.

Many communities in Nepal still suffer from sub standard sanitary services. Of a population of 29 million, only 43% have access to good sanitation. This lack of access to information and services, especially in some of the more remote regions, is directly linked to diarrhoeal outbreaks. Sanitation and Hygiene Applied Research Equity (SHARE) is currently working in the country to improve systems of research use and uptake to establish safer methods of sanitation.

JHU-led team awarded $108 million USAID Health Communication Capacity Collaborative (HC3)

(c) Center for Communication Programs, Courtesy of Photoshare

USAID has awarded the Johns Hopkins Bloomberg School of Public Health’s Center for Communication Programs (JHU-CCP) a five-year, $108-million global health communication project to assist developing countries promote healthier behaviours.

The project – called the Health Communication Capacity Collaborative (HC3) – will be led by JHU∙CCP and includes Management Sciences for Health and NetHope as well as specialised communication partners Ogilvy Public RelationsInternewsPopulation Services International and an array of regional and country partners. It will use state-of-the-art techniques to build the capacity of local organizations to design, implement and evaluate communication projects that make a real difference in the health behaviours of their own communities.

Note: Goodwin Collaboration provided consultancy services as part of the development of the HC3 proposal. 

Workshops in Vietnam: 12th and 13th July

Nick will be in Vietnam next week to lead two Ogilvy workshops on social marketing, communications and behaviour change – with a particular focus on mobile communications.

The half day workshops are free and recommended for those in government, NGOs, international agencies and the private sector who are working on social and behaviour change communications. One workshop will be held in Ho Chi Minh City on Thursday 12 July and the other will be in Hanoi on  Friday 13 July. The invitations and details are below. We look forward to seeing you there!

Reclaim “social”: how technology and participation can improve social and behaviour change communications

The rise of a generation of new technologies and services, known as “social media”, provides considerable challenges and opportunities for practitioners and analysts of social marketing. In parallel with this rise, the theory and practice has tended to concentrate on the “marketing” side of “social marketing”, leaving the “social” relatively untouched. Some point to an existential threat from new technologies, which appear to overwhelm traditional communications. This paper seeks to re-examine and reclaim the “social” side of social marketing, offering the prospect of improved effectiveness for our work.

Frustration with traditional approaches to behaviour change and community development, including poor targeting and limited success has driven social change leaders – governments, academics, practitioners and opinion leaders – to turn to new approaches (Duhaime, McTavish et al., 1985). In this context, social marketing has enjoyed a significant expansion in its application in rich countries, including Australia and North America on issues such as alcohol use, smoking, littering, heart disease, recycling and elections. Marketing is a “social and managerial process by which individuals and groups obtain what they need and want through creating and exchanging products and value with others” (Kotler, Roberto et al. 2002). Since 1952, when G. D. Wiebe asked the question, “Why can’t you sell brotherhood…like you sell soap?”, social marketers have attempted to answer it by developing and testing marketing models and applying them to social issues.

Success with social marketing in rich countries gave rise to questions about its applicability in other countries in the hope that it could hold the key to major advances on complex issues relating to poverty, injustice and disadvantage. Since 1965, when a report to India’s Central Family Planning Board recommended how existing marketing resources of the private sector could be marshalled behind family planning drives, poor and emerging countries have applied social marketing to micro-credit, infectious disease, climate change, human rights, education and access to technology (Chandy, Balakrishman et al., 1965).

While much of the debate centered on the applicability of marketing models to social and behavior change, the concept of “social” was left largely untouched. Social has meant two things – a population and its problem. Many qualitative and quantitative methods and models see “target populations” and their behaviours largely as a homogeneous object of research and intervention. This one dimensional approach means that public interventions do not engage with dynamics that the target populations themselves experience, including the social dynamics that influence behaviours (Measham and Brain, 2006). Some analysis suggests that social and behaviour change policies and interventions have been significantly limited by the ways in which “the problem”, eg. alcohol misuse or HIV/AIDS, has been conceptualised and addressed (Moore and Rhodes, 2004).

The rapid emergence and dominance of technologies and services that are referred to collectively as social media has captured the public attention. The numbers are staggering, with Facebook amassing over 845 million active users since its inception in 2004 (Protalinski, 2012). Twitter has over 300 million users, generating over 300 million short messages (tweets) and handling over 1.6 billion search queries per day (Taylor, 2011). In the twenty years from 1990 to 2011, global mobile phone subscriptions grew from 12.4 million to over 5.6 billion (Market Watch, 2011). However, there is much that is not new in the behaviours that these technologies enable. In many respects, they enable people to do what they have always wanted to do, but not had the opportunity to do so (Shirky, 2010).

Capturing the impact of these developments, the following are four elements grouped together to redefine the “social” side of social marketing:

Connectivity: the ease of access to people all over the world at any time of the day means breaking down barriers and many more opportunities to connect. New tools and new ways of sharing are making progress toward shared solutions easier and more frequent. Technology enables collaboration but human need drives it.

Collaboration: people are demonstrating that they want to be partners not just consumers in the social and behaviour change. Whether it is controversies over vaccines or same sex marriage, people are not content with a one way feed of information. They want to participate in the process of communicating and shaping change that affects them.

Community: how people feel about the groups of which they are a part is a an unexplored area of social marketing. However, there is evidence from the field and other disciplines, such as community psychology, that how a person feels about their community has an impact on the propensity toward behavior change. Social network analysis explores how the structure of linkages (or ties or relationships) between individuals in groups influences diffusion processes (Axsen, 2010).

Concern: previously known as the “problem”, this has been renamed the “concern” to reflect the empirical and social nature of its qualities. The empirical impact of a behaviour, eg. alcohol misuse and violence, can be measured and tracked. The social nature, eg. how popular a cause is, helps to predict the public and political appetites for an intervention to address it.

The four elements defined above combine to encompass an enlarged and improved concept of “social”. These recognize formally the impact of new technologies, including the profound change in the ways information is produced and shared. These elements also recognize the foundations of social in human behaviours, especially those informed by psychology and sociology. By harnessing the promise of new technologies, whilst understanding the human drivers of their use, practitioners and analysts of social marketing will have more opportunities to improve their work.

*This is a draft of an abstract submitted to the International Social Marketing Conference to take place in Brisbane in June 2012.