Watsan Enterprises and
Social Marketing
Water and sanitation are primary drivers of public
health. I often refer to them as ‘Health 101’, which means that once we
can secure access to clean water and adequate sanitation facilities for
all people, irrespective of the difference in their living conditions, a
huge battle against all kinds of diseases will be won.
Dr LEE Jong-Wook
Director-General
World Health Organisation
S ocial
enterprises globally face the dual challenge of ensuring impact and
maintaining financial sustainability. Developmental challenges of
poverty, education and health are increasing and with it there is an
increase in the demand for innovative solutions.
With respect to health, one of
the key challenges facing the world is equitable access to clean
drinking water and sanitation. Around 1.1 billion people globally do not
have access to improved water supply sources, whereas 2.4 billion people
do not have access to any type of improved sanitation facility. About 2
million people die every year due to diarrhoeal diseases; most of them
are children less than 5 years of age. The most affected are the
populations in developing countries, living in extreme conditions of
poverty, normally peri-urban dwellers or rural inhabitants. Among the
main problems which are responsible for this situation include lack of
priority given to the sector, lack of financial resources, lack of
sustainability of water supply and sanitation services, poor hygiene
behaviours and inadequate sanitation in public places including
hospitals, health centres and schools. Providing access to safe water,
provision of facilities for sanitary disposal of excreta and
introduction of sound hygiene behaviours are of crucial importance to
reduce the burden of disease caused by these risk factors.1
The market today has seen a
surge in the number of water and sanitation (WATSAN) enterprises. These
enterprises provide economical solutions that combine quality with
affordable pricing for the population at the base of the pyramid. They
have in their basket dynamic solutions to bring about large-scale impact
and change. These solutions are in the form of low cost filters, water
purifiers, point-of-use water disinfection methods and toilets, all
specially designed for those at the base of the pyramid.
However, what these enterprises
often fail to take into consideration is: Do people even perceive a need
for these solutions? Do they understand the implications that it might
have on their health? Do they understand that the solution alone is not
an end in itself and that it is equally important to ensure proper
maintenance and personal hygiene to attain the health objectives the
solution is intended to achieve?
For example, what is the point
in trying to sell water purifiers to people who feel that their water is
clean? Similarly, what use lies in trying to make toilets available for
use when the actual problem is not its availability but a cultural
barrier which prevents its use? A latrine provides the primary barrier
against faeco-oral transmission of disease. However, this barrier is
easily breached by a dirty latrine or if hand washing after use does not
become normal practice.
Not long ago, the remedy to
this problem would have been to market the solution along with ‘hygiene
promotion’. Traditional hygiene promotion programmes have commonly been
concerned with the ‘supply’ of education and materials, rather than with
satisfying a ‘demand’ from intended beneficiaries. In recent times, this
has been replaced with social marketing which is a systematic
application of marketing along with other concepts and techniques to
achieve specific behavioral goals for a social good. The primary aim of
social marketing is demand creation apart from bringing together
marketing, hygiene promotion and beneficiary participation.
This form of marketing comes
along with practices to scale up the demand and supply for safe drinking
water and sanitation among the poor. It offers a staged,
customer-focused approach, converting assessed user needs into demand
and then providing the means of satisfying the demand. However, to use
it, WATSAN enterprises require a good understanding of their customer
base and various approaches to reach them.
The key components of social
marketing are as follows:
•
Systematic data
collection and analysis to develop appropriate strategies
•
Making products,
services, or behaviours fit the felt needs of the consumers
•
Strategic approach to
promoting the products, services, or behaviours
•
Methods for effective
distribution so that when a demand is created, consumers know where and
how to get the products, services or behaviours
•
Improving the adoption
of products, services, or behaviours and increasing the willingness of
consumers to contribute something in exchange
•
Pricing so that the
product or service is affordable
The basic characteristics of
the social marketing approach are the four Ps: Product, Price, Place and
Promotion. What is the product, its form, format and presentation in
terms of packaging? What price would the consumer be willing to pay for
the product? Where will the product be available to the consumers,
including where is it displayed or demonstrated? How will the consumers
know that the product exists? What are its benefits, costs and where and
how to get it?
The promotion must ideally
influence the primary users and those who influence them in the family
circle or in the wider community social structure. The medium used for
promotion must be carefully selected keeping in mind the environment in
which the target audience interacts. In this way, enterprises can get
the perfect marketing mix.
TARA plans to roll out a social
marketing campaign for one of its products Aqua+, a point of use water
disinfection product. In the pilot phase, this product is being promoted
in a number of urban slums in Delhi. With the help of a market research
and consulting firm IPSOS, it was found that women should be the target
audience for the social marketing campaign as they deal with the
day-to-day chores and household activities and would be the primary
users of the product. The women in these urban slums are influenced by
the opinions of their husbands, in-laws and neighbours. Therefore, this
group would encompass the secondary target audience. The urban slum
women are also influenced by women association leaders, authorities of
the schools that their children attended and Registered Medical
Practitioners (RMPs) in their locality. These are primarily people who
shape the opinion of others in the community. This group would become
TARA’s tertiary audience for the campaign. TARA realised that in order
to have a successful social marketing campaign it needed to gain the
acceptance of all the identified stakeholders. A survey was also done to
check the perceptions of people on the existing product, packaging and
price. Local consumer stores, slum-level entrepreneurs, RMPs, water
tanker owners and government authorities were interviewed to check the
acceptability of the product and, in some cases, their ability to
promote it. It was established that slum-level entrepreneurs had a good
understanding of the community they lived in and would be ideal choices
for promoting Aqua+ in their community apart from others such as RMPs.
Interviews also revealed that promotion would best be in the form of
street plays, posters and similar awareness-generation activities. This
kind of background work ensures successful rollout of a social marketing
campaign. It also gives us an idea as to how strategic partnerships can
be built to ensure achievement of the campaign and associated WATSAN
goals.
Some of the most successful
social marketing campaigns in the WATSAN sector have been introduced by
Population Services International (PSI), which has launched safe water
programmes in more than 20 countries and Sulabh International Social
Service Organisation, India. There are several reports and case studies
available on the Internet that provide substantive evidence to this
claim.
In the current scenario, the
challenges faced in implementing social marketing approaches in WATSAN
lie in the so-called enabling environment. Some of the key ones include:
•
Lack of institutional
arrangements such as a WATSAN sanitation policy and strategy and in the
identification of social marketing as a key approach
•
Lack of nationally
representative surveys for the sector and large mass media campaigns
•
Lack in the projection
of social benefit over the commercial gain in WATSAN marketing
(especially considering the number of solutions available in the
market).
It is now obvious that the
immediate change that WATSAN enterprises should be looking for is not so
much a behaviour change for the poor, but a change for themselves: the
way they work with government and other stakeholders, the way they
subsidise, and the way they market the same to the poor. To succeed,
they must integrate their efforts and ask themselves: How might we, as
agents of change, who have a common interest to help others, step out of
our spaces, and work together more? How might we adopt new technologies
to improve efficiency by bringing together ideas that work? The answers
to these are the need of the hour.
q
Faustina Gomez
fgomez@devalt.org
Endnote
1 Global analysis and assessment of sanitation
and drinking-water (GLAAS) report 2012
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