The Half Love Campaign – Restors & Zinkid An estimated 14,000 children under five die of diarrhoea every year in Uganda. Research shows that, if using the WHO-recommended combined treatment of ORS and zink, 90% of diarrhoea related deaths could be avoided. Uganda’s Ministry of Health were among the first to join the growing global commitment to eradicating such deaths, with its national Child Survival Strategy estimating that 8,500 annual deaths could be prevented if increasing coverage of the recommended treatment to 80%. The Half Love Campaign July 2012 – June 2013 Targeting health service provider and mothers and caretakers of children under 5 Through TV, radio, print and outdoor Nationwide In 8 languages Research Major barriers identified for the uptake of the combined treatment were the low awareness of the zink component, and the further challenge presented by the product being subject to medical prescription. In support of the MoH’s Child Survival Strategy, UHMG developed the Half Love campaign to increase awareness of its own brand product solution – Restors and Zinkid – amongst providers and caretakers, as well as increasing product availability and visibility at service provision level. The campaign specifically aimed to raise awareness of completing the combined treatment method by playing on the theme of ‘half love’. Advocacy As a member of the Committee for Diarrhoea and Pneumonia Control and the Technical Working Group on Medicines Procurement and Management, UHMG influenced decision makers at policy level to deregulate Zinkid to an over-thecounter product, thus making it more easily accessible to customers. Service Provision The nationwide campaign was launched through mainstream media. At service provision level, above the line efforts were supported through CMEs, product detailing and POS were produced and distributed including posters, brochures, display racks, t-shirts, and prescription pads and pens. “LivingGoods’ philosophy is very similar to that of UHMG as we both aim to improve the wellbeing of Ugandans through the uptake of ‘good’ products at affordable prices. We benefit a lot from their campaigns promoting such products and behaviour change as they complement our work in the communities. Zinkid was a new product that we wanted to introduce in response to WHO recommendations, but it was really hard penetrating the market as people are so used to treating diarrhoea with ORS alone. The UHMG campaign was a great help in raising awareness of the importance of the combined treatment among our clients and, as a result, really boosted our sales of the products.” Stella Ikila, Country Business Manager, LivingGoods Reach During the first quarter of the Half Love campaign, 8 million Ugandan adults were exposed to Zinkid/Restors messages through mass media alone. Impact A comprehensive behaviour change survey revealed that nearly half of respondents exposed had adopted the use of both products; a figure reflected in nationwide UHMG retail audits. Pre-campaign distribution figures had Restors at 28.5% and Zinkid at 31.1%. Peaking 3 months in to the campaign, 44% of outlets audited stocked Restors and 51% stocked Zinkid. Retail stocking in clinics showed a similar trend. Highlights As the first national campaign to focus on a drastic reduction in diarrhoea related deaths, UHMG’s efforts were praised by President Bill Clinton during a visit to promote the cause in 2012. In partnership with the Clinton Health Access Initiative, UHMG played an instrumental role at policy level to successfully change regulations in making Zinkid available over the counter. The deregulation came in to effect in March 2013 – a key effort in terms of increasing accessibility of the life-saving drug to Ugandan consumers. “We now sell about 100 hundred sachets of Restors/Zinkid per week; before it would be about 30. Some customers even ask for the actual brand; before they wouldn’t know the exact name, now they do. The reason we sell more, I think, is because people hear about the product, that it works and so they ask for it. Also, it is recommended form the health centre across the road. And you can tell that people have heard and seen the adverts, because they repeat the words, and they ask for Zinkid.” Rashida Nalukwago, El-Shaddai Drug Shop, Luwero