Increasing Prices Without Compromising Access Research Division Population Services International Social Marketing and Communications for Health South Africa, Sexually Active Males 16-35, Willingness to Pay 100.0 80.0 % W2Pay 60.0 40.0 Trust $0.13 per condom 20.0 Lovers Plus $0.27per condom 2 .0 .0 20 19 .0 18 .0 .0 .0 17 16 15 .0 0 9. 14 0 8. .0 0 7. .0 0 6. 13 0 5. Price 12 0 4. .0 0 3. 11 0 2. .0 0 1. 10 0 0. 0.0 Expected Lovers Plus Revenue by Price (Condoms) $6,000,000 $5,000,000 Revenu $4,000,000 $3,000,000 $2,000,000 $1,000,000 $0 0 5 10 15 20 Price 3 25 30 35 40 South Africa, Males 16-35, Willingness to Pay by Socio-economic Status 100.0 80.0 Total 60.0 % W2Pay SES A&B SES C&D SES E Fitted SES A&B Fitted Total Fitted SES E 40.0 Fitted SES C&D Trust $0.13 per condom 20.0 Lovers Plus $0.27 per condom 4 .0 .0 20 19 .0 18 .0 17 .0 16 .0 15 .0 0 9. .0 0 8. 14 0 7. .0 0 6. 13 0 5. .0 0 4. Price 12 0 3. .0 0 2. 11 0 1. 10 0 0. 0.0 Willingness to Pay by Motivation 100 90 80 70 60 Low Med High 50 Poly. (Med) Poly. (Low) Poly. (High) 40 30 20 10 5 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 0 Willingness to Pay by Availability 100 90 80 70 60 Low % Med High 50 Poly. (High) Poly. (Med) Poly. (Low) 40 30 20 10 Price 6 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 0 TOTAL MARKET APPROACH Decision-Making Perspective: Program Scope: Public, Social Marketing and Commercial Sector Objective: Effectiveness and Efficiency (Increasing Prices without Compromising Access) Tool: Segmentation 7 PSI Segmentation Process: Step 1 No/Low Risk Risk/High Risk Population of South Africa 8 Willingness to Pay by Risk 100 90 80 70 % WTP 60 Risk 1 Risk 2 Risk 3 50 Poly. (Risk 2) Poly. (Risk 1) Poly. (Risk 3) 40 30 20 10 Price 9 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 0 No/Low Risk Risk/High Risk PSI Segmentation Process: Step 2 10 Population of South Africa Practice Desired Behavior Do Not Practice Willingness to pay by behavior 100 90 80 70 % WTP 60 Ever use Use at last sex Consistent use 50 Poly. (Consistent use) Poly. (Use at last sex) Poly. (Ever use) 40 30 20 10 Price 11 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 0 No/Low Risk Risk/High Risk PSI Segmentation Process: Step 3 12 Population of South Africa Practice Desired Behavior Do Not Practice Comparison Based on Behavior Change Theory Risk/High Risk PSI Segmentation Process: Step 3 Population of South Africa Practice Desired Behavior Do Not Practice •Higher perceived availability •Branding is more important •Higher self-efficacy •Higher risk perception •More motivated to practice all preventive behaviors •Higher Willingness to Pay No/Low Risk •Wealthier 13 PSI Segmentation Process: Step 4 No/Low Risk Risk/High Risk Population of South Africa Practice Desired Behavior 14 Commercial vs Social Marketing Public Sector vs Social Marketing •Lower perceived availability •Brand attributes less important •Brand attributes less important •More modern social norms •More modern social norms •Lower levels of motivation SM •Higher Willingness to Pay •Lower Willingness to Pay •Older (but not wealthier) •Younger and poorer Practice Desired Behavior •Behaver vs Non-Behaver •Higher perceived availability •Branding is more important •Higher self-efficacy Risk/High Risk •Higher risk perception •More motivated to practice all preventive behaviors •Higher Willingness to Pay •Wealthier Commercial vs Social Marketing Public Sector vs Social Marketing •Lower perceived availability •Brand attributes less important •Brand attributes less important •More modern social norms •More modern social norms •Lower levels of motivation 15 •Higher Willingness to Pay •Lower Willingness to Pay •Older (but not wealthier) •Younger and poorer Do Not Practice Analysis Effectiveness Willingness to Pay 16 Other Barriers Efficiency Commercial Users Willingness Other to Pay Barriers Public Sector Willingness Other to Pay Barriers Social Marketing Action Price 3Ps Impact on Stakeholders SM Program Efficiency Efficiency Users 1 --- *** ---/*** *** ---/*** increase ↑ ↑ 2 --- *** ---/*** --- ---/*** increase ↑ ↑ 3 --- --- *** --- *** increase 4 --- --- *** *** *** increase 5 --- --- --- *** --- 6 --- --- --- --- --- 7 *** *** ---/*** --- --- increase? 8 *** *** ---/*** *** ---/*** no change 9 *** *** ---/*** --- *** no change 10 *** --- *** decrease 11 *** --- --- conditional required ↑ wind up -switch to CS crowding out wind up -crowding out switch to CS switch to CS ↑ ↑ ↑ switch to PS ↑ ↔ switch to PS ↑ ↔ switch to SM ↔ ↔ target NU switch to SM target NU & PS switch to SM ↓ ↔ ↓ wind up -crowding out ↓ required no change A *** *** *** B *** *** -- C *** --- *** D *** --- -- E --- *** *** no change no change F --- *** -- target PS switch to SM G --- --- *** decrease decrease switch to SM ↑ For More Information Steven Chapman [email protected] www.psi.org 17
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