Abstract
The Bill & Melinda Gates Foundation hired Mann Global Health to conduct an analysis of the state of condom programming for HIV prevention in five countries in sub-Saharan Africa. Concerned that funding for condoms has declined, the Foundation sought greater insight into condom total markets – meaning the larger context of all condoms distributed in each country, whether via the public sector, the private non-pro t sector (including social marketing), or the for-pro t commercial sector. The focus of this assessment is on sustainability, equity and impact using the market development approach. The objective is to provide recommendations for building and sustaining condom programs, based on a clear understanding of how and why existing markets are failing, and how programs can be strengthened, along with the future investments needed to ensure a healthy total market that aims for equity, sustainability and scale.
This Zambia market assessment presents insights into what happens to the total market when a condom social marketing program that is entirely reliant on donor funding ends. The assessment provides an opportunity to study whether the gains made in condom programming in the past can continue, and whether the condom market can achieve future growth that is equitable and sustainable. It also presents an opportunity to understand how best to position future condom program funding and activities linked to market failures, rather than investments in pre-determined sectors.
