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Social marketing and health promotion - do they go together?

Social marketing and health promotion - do they go together?

Postby Torill.Bull on Wed Sep 09, 2009 11:29 am

A look at the compatibility of social marketing and health promotion.

ā€˜Social marketing’ is a buzz word in parts of public health thinking today, an approach to solving health problems in rich and poor countries alike. Department of Health, UK, has established its own centre for social marketing. But what exactly is social marketing? One could say that ironically, social marketing has failed at marketing itself to large audiences. Social marketing as a field has been said to have a communication problem because ā€œthe right wing detest the term ā€˜social’, and the left wing detest the term ā€˜marketingā€™ā€. So, what is social marketing, and how can we as health promoters relate to it?

One definition of social marketing is the following: "The systematic application of marketing, alongside other concepts and techniques to achieve specific behavioural goals, for a social good". Social marketing has also been defined as "a process for increasing the benefits and reducing the barriers which people care about to behaviors which benefit both the individual and society".
From the two definitions above one can extract that (1) Social marketing has individual behaviour change as its primary goal, (2) the desired behaviour change has the purpose of benefiting the individual and the society, not the marketing agent, (3) the good that is sought is a social good, and not necessarily a health-related good, (4) social marketing takes a point of departure in people’s expressed interests and cares, and (5) marketing techniques are used as a tool to achieve the desired behaviour change.
Social marketers acknowledge that behaviour change comes at a cost. If the benefits of behaviour change do not sum up to more than the costs of acquiring it, it has no net value to the customer. Therefore it is a vital principle in social marketing to increase the benefits and reduce the barriers of desired behaviour change for the customer. This includes working with both the desired behaviour and with the competing non-desired behaviour. One can increase benefits and reduce barriers of the desired behaviours, and vice versa for the non-desired behaviour. Barriers and benefits may be related to economic costs, to practical opportunities, to social costs, and to several other areas. Working with barriers and benefits also brings social marketing closer to upstream factors – structural conditions might have to be modified in order to reduce barriers.
Does the marketing terminology make social marketing commercial? The terminology, with terms like ā€˜customer’, ā€˜marketing’, and ā€˜product’ certainly represents a barrier in communication with health promotion as a field. It has been of concern in recent social marketing publications that social marketers and health promoters do not do each other justice in presenting the opposite field – do we have a communication barrier to reduce?
So where can social marketing and health promotion meet? Where do social marketing and health promotion differ? Can we meet on an ideological basis? Do we share a common value basis? The ideological basis of social marketing is not well defined, at least not well marketed. The same goes for basic values of the field. Can we meet on a practical basis? Can social marketing be used to influence policy makers? Are social marketing and health promotion completely separate fields? Some people see health promotion as a field nested within social marketing. Others see social marketing as a field nested within health promotion. Or are the fields separate but overlapping with a shared area?

I invite to discussion!

The following document is a good basis for a comparison of health promotion and social marketing:
Attachments
NSMC Social Marketing for Health Specialised Health Promotion FULL DISCUSSION Oct2008.pdf
(161.51 KB) Downloaded 349 times
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Re: Social marketing and health promotion - do they go together?

Postby Jeff.French on Fri Sep 11, 2009 10:09 am

What I wanted to add to your comment was that I think your first point about
SM being focused on individual behaior change needs clarifying. SM is about
behaviour change and individual people are the ones we ultimately want to
help to change. However SM is very much about changing the behaviour of
peope who are policy makers, strategy developers, organisational leaders ,
community leaders and individuals. SM is not jut about focusing on
individual behavior change it is also about systems change. We explore these
issues in a new book that is just about to be published by Oxford University
Press details attached. It can be preordered on Amazon at:

http://www.amazon.co.uk/Social-Marketin ... /019955069
7/ref=sr_1_1?ie=UTF8&s=books&qid=1252658420&sr=1-1


Jeff

(Copy the link and paste it in your address field. In case this does not work: the title of the book is 'Social Marketing and Public Health: Theory and practice')
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Re: Social marketing and health promotion - do they go together?

Postby Torill.Bull on Fri Sep 11, 2009 10:24 am

Sure, policy makers definitely are individuals as well! From a health promotion point of view, a focus on wider determinants of health, and the structural conditions for the choices individuals make, are of key interest. As most of the readers of this dialogue might not get access to the mentioned book, I wonder if anybody would be interested in sharing briefly about how SM can work towards systems change? (and posts on all other topics related to SM and HP are of course most welcome!)

Torill
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Re: Social marketing and health promotion - do they go together?

Postby PiroskaBistisBullen on Sat Oct 24, 2009 9:08 pm

To be honest, I have never considered social marketing and health promotion as two independent fields, and certainly never at odds with each other. Rather, I see social marketing as one set of tools that can be used to pursue positive change. These tools are available to the field of health promotion just as they are available to other fields. As with anything, it is important to select the right tool for the problem at hand.

I fully agree with Jeff that social marketing can be used to target policy makers. I work for a private company that delivers international health programs for multinationals. We use marketing techniques every day to successfully convince decision-makers to invest in health programs and change their policies. We present the benefits of health programs and show how they outweigh financial and other costs. We use a combination of emotive and rational appeals tailored to the audience, and we understand the motivation of peer-pressure. Once we have convinced the decision maker to invest in a program we use the same marketing techniques to convince individuals to participate. I see no reason why a similar approach could not be used under the heading ā€˜social marketing’ to pursue a health promotion agenda at a systems level.

-Piroska
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Re: Social marketing and health promotion - do they go together?

Postby Maria.Sandor on Thu Nov 26, 2009 11:11 am

I would agree that social marketing and health promotion should not be seen as two independent fields; however I do not see them as equal. If anything, social marketing should be seen as a means of conducting health promotion, however not an unproblematic means. When discussing social marketing and health promotion, I think it is unavoidable to discuss underlying principles of social marketing. On the one hand you have behavior change and on the other you have traditional or commercial marketing. Discussing the use of behavior change strategies requires a longer debate but marketing is often engaged with reinforcing stereotypes, is this something we should be doing in health promotion?
Perhaps SM is advantageous amongst decision-makers as Piroska is describing in the previous post, however as a field promoting equity and equality in health one can question the appropriateness of using SM as a means to conduct health promotion.

/Maria Sandor
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Social marketing and health promotion do they go together

Postby SkappearT on Fri Dec 18, 2009 8:03 pm

Social networking really helps a lot in increasing your website traffic and if they are promoting their business, it will help them increase their sales.
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Re: Social marketing and health promotion - do they go together?

Postby t.hanzar on Wed Feb 03, 2010 11:42 am

One of the big problems as I see it with Social Marketing (SM) is the way it is used by govt as a marketing tool. What I mean by this is that SM is often used by govt as a public display of action e.g. addressing obesity, encouraging fruit & veg consumption, tackling binge drinking etc. However, I am yet to be convinced that SM leads to any kind of long term sustainable behaviour change. Don’t get me wrong here; it can and does lead to increased awareness of the particular health issue at hand, for example: The Go For 2 fruit and 5 vegetable (GF2&5) campaign in Australia has led to an increase in awareness of the need to eat a minimum of 2 fruit & 5 veg per day as per national dietary guidelines, but an increase in actual consumption is still yet to be realised. Which leads me to the crux of the issue. SM will never lead to any improvement in health if it used in isolation, it needs to be backed up by other types of strategies. In my mind, if and when SM approaches are used, they need to be based on the most current and relevant research, should never be used in isolation, and must engage other sectors outside of the health realm.
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Re: Social marketing and health promotion - do they go together?

Postby Manmeet on Thu Mar 18, 2010 5:08 am

Health Promotion has often been viewed as selling of ideas within a sepcific environmental context. It is in a way marketing intengibles. Therefore i agree that social marketing is a useful tool for changing behavior.
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Re: Social marketing and health promotion - do they go together?

Postby Michael Shepherd on Thu Apr 29, 2010 2:13 pm

There is, I think, a saying in marketing that 50% of advertising works, we just don't know which 50%. But it does work and its effect (with other forms of marketing) is through constant exposure and einforcement to create cultures which value certain things - including fast food, tobacco products, inactivity.

So is the argument for social marketing that it presents and promotes an alternative culture, where other things are valued more highly - vegetables, smoke-free environments, active lifestyles. So the aim of social marketing is not to impact behaviour directly but to impact the causes of behaviour, the 'acceptability' of behaviour?
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Re: Social marketing and health promotion - do they go together?

Postby Torill.Bull on Thu May 06, 2010 6:45 am

You all definitely have good points to make in this discussion!

I think one aspect which can link social marketing closer to the approaches of health promotion, is structural work to reduce barriers and increase benefits of actions, thus making 'the healthy choice the easy choice'. In my view, sound social marketing does not only influence attitudes and norms, but provides practical options according to this 'reduce barriers and increase benefits' approach.

Sound social marketing, based on the acknowledged principles of SM, also takes a point of departure in the perceptions of the target group regarding needs and priorities. I guess I might be separating here between 'sound' social marketing and other varieties!

I do not have a particular view on the degree to which health promotion and social marketing are separate fields (they very well might be), but I definitely think that social marketing, if including structural means and/or policy change, goes well together with health promotion. For health promoters, I think of social marketing as one of many tools and approaches to achieve improved living conditions, health, and equity in health.
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