ADFX 2004 CASE HISTORIES

 
IBTS
Blood is thicker than water
Agency:
Client:

Irish International BBDO
Irish Blood Transfusion Service (IBTS)

Team: John Keating
Rachel Haslam
Barry Dooley
Adrian Dowling
Damian Hanley

INTRODUCTION
The IBTS has managed to safeguard Ireland’s self-sufficiency in blood whilst simultaneously taking the necessary steps to make the Irish blood supply one of the safest in the world. What makes this case study compelling is not just the size of the advertising task on a limited budget in difficult times, it is the fact that the IBTS had no marketing communications tool at its disposal other than advertising to drive
donations.

BACKGROUND
From February 1994 the IBTS was subjected to perhaps one of the most protracted periods of adverse publicity ever faced by an Irish service provider. By the middle of 2001 the IBTS found itself in an unenviable position. Its corporate reputation had suffered serious damage. Moreover, it had to introduce a precautionary vCJD safety measure that had the effect of reducing the number of eligible donors
by 12%. If blood supply fell short of demand, elective surgery would have to be postponed to facilitate
emergency transfusions. The efficient functioning of the whole Irish hospital system was under threat.

MARKETING OBJECTIVES
The IBTS set an objective of increasing Irish blood donations by 12%, staggered as evenly as possible
throughout the year. They set out to do this in a way that would reposition the IBTS as a caring and progressive organisation that Irish people can trust.

THE TASK
At a time when there had never been fewer Irish people either available or willing to donate, Irish
International BBDO were tasked with increasing blood donations by 12% on an ongoing basis and with
rehabilitating the public image of the IBTS.

THE START POINT
A Lansdowne quantitative study commissioned by IBTS in 1999 and 2001 revealed that, while over 70% of people were aware that donating blood can save lives, and 60% believed that they were eligible to donate, only 31% of Irish people had ever donated. So, what was stopping them?

Clearly, the most common reason for people not donating blood was ‘fear’ – fear of needles (16%), fear of weakness
(8%), fear of finding out bad news about their health (3%) and fear of contracting an infectious disease (10%). Most of these fears were based on mis-information or lack of information.

These fears, while unfounded, were growing rather than subsiding. When we compared the 2001 statistics with those found in 1999, we could see that bad publicity as a reason had almost doubled from 4% to 7%. Allied to this, the belief that donating blood ‘is not safe for you’ has also doubled from 5% to 10%.

Finally, interrogation of the ‘low awareness’ reason for non-donation revealed that this related, not to
unawareness of the need for blood donation, but to lack of understanding of the urgency for them personally to donate. What was required was not an ‘awareness’ campaign, but a ‘call to action’, one that would dramatically increase the perceived personal relevance of blood donation and increase the perceived urgency of acting on good intentions.

THE STRATEGIC SOLUTION

65% of those questioned by Lansdowne said they would be encouraged to give blood on a ‘friend,
relative or myself’ basis, either if a friend or relative needed blood, if a friend or relative asked them or if they were having an operation themselves.

The Irish International team concluded that the advertising had to work in a more direct and intimate
way if it was going to elicit the response we needed. The strategic solution was to ‘bring home’ the ongoing necessity of blood donation in terms of both personal responsibility for the act and the personal implications of the act.

The key message was: ‘It is up to you to make a difference to the lives of people who matter to you’

We also wanted to highlight the fact that one in four people in Ireland will need a blood transfusion at some point in their lives. This would demonstrate to people the chances of them knowing someone who needed a donation or of them needing one themselves.

THE CREATIVE IDEA
Dramatise the personal imperative to donate blood.

RECRUITMENT ADVERTISING
In 2002 the ‘Excuses’ TV and radio creative route used quotes from blood transfusion patients in hospital to suggest the triviality of the excuses normally given by non-donors when compared with the gravity of serious illness. Similar quotes were used to re-enforce the TV executions on commuter, bus and train cards.

In 2003, we re-ran the ‘Excuses’ TV but decided to refresh the creative message in other media, namely
outdoor, press and radio. The new creative route dramatised the times when we all want to help our friends or family recover from an accident or illness and suggested that donating blood was the most useful thing we could do for them.

MOBILE CLINIC ADVERTISING
We used regional radio and press to announce the arrival of a mobile clinic in a particular area but added a harder edge by including a strong call to action that tied in with the ‘personal imperative’ tone of the recruitment campaign. An ambient advertising campaign based on car stickers was also developed to drive home the ongoing imperative to donate.

THE RESULTS
The IBTS met the national demand for blood on a monthly basis between January 2002 to date without any elective surgery being cancelled and without any blood being imported. They did this despite a 12% reduction in the base of available donors from April 2001 and a further 5% reduction in the same base from May 2004. In these charts, ‘est. bled’ is national demand for blood, while ‘actual bled’ is national supply.

The IBTS believe that advertising activity tends to correlate directly with donation levels. They also note the extent to which the IBTS advertising has managed to positively influence its media coverage in Ireland. In May 2004 positive press coverage increased donation levels to the point where the IBTS reduced its planned advertising spend for three months, testimony to the work done to reposition the IBTS in the eyes of key influencers of public opinion.

PAYBACK OR RETURN ON INVESTMENT
The IBTS is unique in the sense that its ROI has to be measured in a different way to any other business
organisation. The effectiveness of its communications spend is based on maximising the safety and continuity of the Irish blood supply to those whose lives depend on it at minimum cost.

The IBTS spent €334k in 2002, €468k in 2003 and is planning to spend €625k in 2004 (The figure for this year includes an allocation of €45k for vCJD and a reserve of €30k). Based on total donation levels, the IBTS estimate the media investment cost of each donation procured at an average of €3. Relative to the cost of many other commodities in ‘Rip Off Ireland’, and given that importing blood is not an option (in terms of safety or cost), this represents remarkable value for money.

SUMMARY
Maintaining the blood supply is no ordinary public service. If blood is not available on the day it is required, surgery cannot be carried out. Yet, blood donation is entirely voluntary. It offers no material reward or personal recognition and in the last two years the IBTS has had to restrict its pool of available donors in the most difficult of circumstances.

Media advertising has been the only marketing communications tool used by the IBTS to safeguard the continuity of the blood supply. There is a direct correlation between blood donation levels and media advertising, which has also helped rehabilitate the IBTS in the eyes of the Irish public. All this has been achieved on a limited budget that places the average media cost of each donation at only €3.

Advertising has been put to many uses in its history, some noble, some less so. Rarely has it been pressed into service in a cause so immediate, so pervasive (one in four of us will need a blood transfusion in our lifetime), so demanding and so vital. The IBTS advertising campaign has helped to ensure that more Irish people realise they are closer than they think to saving a life.