Credibility

Tanzania post-mortem

Chip and I had an incredible time in Tanzania. So, let me start by saying this: You know that feeling you get when a full explanation would take 25,000 words, but you’ve only got 500, and you’re afraid to oversimplify, but you’re also afraid to give a vague “neat experience” summary, and this causes a cycle of anxiety and actually deters you from writing anything…? So, yeah, that’s the feeling I’ve got.

Let me start at the end: In conjunction with an amazing team of collaborators (more on them in a sec), we cooked up 2 campaigns that will likely be pilot-tested within 6 months. One campaign is intended to encourage Tanzanians to get tested for HIV. (The push for testing was recently given a huge boost by the Tanzanian president, who courageously made a well-publicized visit to a clinic to get tested. The number of tests spiked immediately afterward. And, as a further tangent, his action is a classic situation in which external credibility is more effective than idea stickiness.) The core of the “get tested” campaign is this: That getting tested is an act of solidarity with your fellow Tanzanians. It’s good for the country.

In the prototype posters we hatched, you see pairs of dissimilar Tanzanians (such as a grandma and granddaughter, or a Masai and a manager) who are clutching hands in a show of unity. Around their wrists are colorful bands that signify that they’ve been tested (a la LiveStrong). And the headline is, roughly, “We are Tanzanians.” [For those who have read MTS, we were consciously making an identity appeal with this campaign, similar to Don’t Mess With Texas. See the Emotion chapter. So many AIDS-related campaigns appeal solely to consequences — live longer, reduce your anxiety, it’s quick and easy, you can prevent harm for others, etc. We felt that an identity appeal could provide a stronger motivation.]

The other campaign is intended to combat the common phenomenon of cross-generational relationships. In the stereotypical case, an older male with money and status finds himself a young mistress (often as young as 18 or 19) and maintains a long-term-ish “sugar daddy” type relationship with her. These relationships provide a route for HIV to spread between dissimilar populations, which creates a nasty epidemiological problem. Now, certainly this kind of relationship exists in the Western world. But there’s a counterforce: Social taboos. If a 50 year-old guy is hitting on an 18 year-old, our Pathetic Alarm goes off. Nasty looks are offered. People whisper about the lecher behind his back. But there’s no real equivalent of this taboo in Tanzania — there’s no common language of scorn or disgust or distaste to invoke against these situations.

So, in the second campaign, we introduce a villainous character named Fataki (Swahili for “explosion” or “fireworks” — i.e., keep your distance from this dude). Fataki is a wealthy, powerful guy who is irredeemably sleazy. Comically sleazy. He hits on anything that moves — schoolgirls, strangers, other mens’ wives. In the campaign — which would include posters and radio spots — we’ll try to make people laugh at Fataki’s shamelessness, and also, importantly, at the repeated rejections he receives (think Wile E. Coyote). As the tagline of the campaign will read, “He’s constantly hitting on women. He won’t wear a condom. He won’t get tested. DON’T LET YOUR LOVED ONES GET MIXED UP WITH A FATAKI.”

Our hope is that “Fataki” will enter the lexicon. Our dream is that a year or two from now, we could return to Tanzania and overhear someone in a bar, saying about someone else, “He’s such a Fataki.”

Working on these campaigns was one of the most fun and satisfying moments since the book launch. And what made it fun and satisfying was the company we had: Our hosts, Pam and Mike, from USAID, the branch of the State Department that would lead the launch of these campaigns. Bob (affiliated with Johns Hopkins), who helped organize and lead our work. Plus a half-dozen AIDS-education experts who’ve been working in the region and were willing to share their knowledge and experience. And a hell of a Tanzanian creative team — approximately a dozen scriptwriters, producers, artists, and actors — who helped us develop and produce the campaign mockups, which in turn gave us something concrete to present to the decision-makers. (The process of producing creative work, with conversations constantly translated between English and Swahili, is probably worth another blog post.)

Okay, I’m gonna shut up now. Thanks to those of you who sent encouraging notes to us. We’ll continue to post updates to track the progress of the campaigns.

Conversation starter: Proudly made in China

Chip and I have been emailing back and forth with Jeff Delkin, the owner and cofounder of a startup company called Bambu, which makes lovely housewares out of bamboo and other renewable materials. He’s said a couple of things that inspired us, and Jeff gave us permission to share them with you.

A few months ago, we wrote a column for Fast Company — “Give ‘Em Something to Talk About” — about the importance of using your products/services to start a conversation with your customers. Jeff wrote in several examples of the attempts they’re making to start conversations, and here’s my favorite:

In small mice type, on each of our products, the label carries a simple, small but powerful message, ‘proudly made in China.’ And this alone has sparked numerous conversations. We turned a legal imperative into a statement of purposefulness. People ask, what does this mean? And challenge us, how can you say that? And we’re happy to reply. It carries meaning of care and quality to our customers, and sales team. It is a statement of pride for every craftsperson involved in our product process. That small bit of legalese has become a key differentiating statement of meaning. ‘Why We Can Say Proudly Made in China’ is now a document that demonstrates our transparency, our commitment to fair working conditions, and quality craftsmanship.In light of the current wave of suspicion surrounding China made products, this has become an increasingly important and relevant conversation people are having with us.”

That’s a really nice move — turning a legal necessity into an opportunity for dialogue, and using it even to express a sense of pride in one’s work.

P.S. Jeff also had a great Sinatra Test example. (The Sinatra Test is based on the song “New York, New York” and specifically the line “if I can make it there, I’ll make it anywhere.” The idea is that there are symbolic wins that may establish more credibility for organizations than more conventional wins, like revenue, units sold, etc.) Here it is:

“Our products have been used to serve dinner to honor His Holiness, the Dala Lama, late night food at the Golden Globe Awards, and organic wedding cake on Good Morning America. And now, just this week, served on at the Statue of Liberty.”

A tale of two bottled-water stories

I previously blogged about Charles Fishman’s insightful and thoroughly sticky piece on the bottled water industry. His main point: Our embrace of bottled water “is not a benign indulgence.”

Then I got this note from Mojo Mom, who I’m a big fan of:

Today I heard NY Times reporter Julia Moskin interviewed [about bottled water] on NPR’s The Splendid Table and I learned two interesting things:

She had written a long article about bottled water last year, “Must Be Something In the Water” (2/15/06) and covered much of the same ground as Charles Fishman in Fast Company.

But her article was much less sticky: she buried the lede about the environmental concerns in the middle of the article, and didn’t use compelling concrete or emotional details. She covered broad set of ideas, about why we like bottled water, what it tastes like, etc. Fishman made a much stickier, emotional narrative (going to Fiji and finding out that native people didn’t have access to water, when we Americans are buying their water and shipping it 8000 miles across the world when we have clean water coming out of our tap. Ouch.)

This is a great case study for people interested in sticky communication. Go ahead, follow the NYT link and plunk down the money for the archived article. It’s worth it. What you’ll find is that there is absolutely nothing wrong with Moskin’s article. It’s well-researched, interesting, well-written. But you’ll also notice that there is something different about Fishman’s piece, and it’s precisely that difference that is likely to change behavior.
Moskin’s piece doesn’t suggest it has qualms about bottled water until the 7th or 8th paragraph — and even then, it’s a qualm about whether sugary water (like Propel) counts as “water.”
Fishman’s piece leads off with an image that encapsulates the core idea of his piece (that our embrace of bottled water is absurd and costly):
The largest bottled-water factory in North America is located on the outskirts of Hollis, Maine. In the back of the plant stretches the staging area for finished product: 24 million bottles of Poland Spring water. As far as the eye can see, there are double-stacked pallets packed with half-pint bottles, half-liters, liters, “Aquapods” for school lunches, and 2.5-gallon jugs for the refrigerator.
Really, it is a lake of Poland Spring water, conveniently celled off in plastic, extending across 6 acres, 8 feet high. A week ago, the lake was still underground; within five days, it will all be gone, to supermarkets and convenience stores across the Northeast, replaced by another lake’s worth of bottles.

(Note, by the way, that the statistics are utterly unsticky — it’s only the image of vastness (a plastic lake) that sticks.)

Both writers discuss the environmental costs of trucking water around (in particular from Fiji). Here’s Moskin:

“This month the Earth Policy Institute, an environmental association based in Washington, published a research paper outlining the global issues raised by bottled water. ”Water is very heavy, and moving large quantities of it, for example, 8,000 miles from Fiji to New York, takes considerable resources,” said Janet Larsen, the institute’s director of research. ”Nearly a quarter of all bottled water around the world crosses national borders to get to its market. Bottled water is not a global environmental crisis in itself, but it is an issue of global equity and of human rights; we believe clean water is a basic human right.””

Here’s Fishman:

The label on a bottle of Fiji Water says “from the islands of Fiji.” Journey to the source of that water, and you realize just how extraordinary that promise is. From New York, for instance, it is an 18-hour plane ride west and south (via Los Angeles) almost to Australia, and then a four-hour drive along Fiji’s two-lane King’s Highway.

Every bottle of Fiji Water goes on its own version of this trip, in reverse, although by truck and ship. In fact, since the plastic for the bottles is shipped to Fiji first, the bottles’ journey is even longer. Half the wholesale cost of Fiji Water is transportation–which is to say, it costs as much to ship Fiji Water across the oceans and truck it to warehouses in the United States than it does to extract the water and bottle it.

That is not the only environmental cost embedded in each bottle of Fiji Water. The Fiji Water plant is a state-of-the-art facility that runs 24 hours a day. That means it requires an uninterrupted supply of electricity–something the local utility structure cannot support. So the factory supplies its own electricity, with three big generators running on diesel fuel. The water may come from “one of the last pristine ecosystems on earth,” as some of the labels say, but out back of the bottling plant is a less pristine ecosystem veiled with a diesel haze.

Each water bottler has its own version of this oxymoron: that something as pure and clean as water leaves a contrail.

Note a few things about Fishman’s work. First, instead of talking about the distance (8,000 miles) from Fiji to the U.S., he puts it in more human terms (a very long plane ride). Instead of talking about the big costs (in raw-dollar terms) of shipping, he makes a useful comparison — it costs as much to ship this water as it does to bottle it from its pristine source. And he also understands that this is an emotional issue. Can you drink Fiji for its purity when you know that the bottling plant “is veiled with a diesel haze”?

More on emotion. Fishman has a keen eye for gut-twisting irony:

And in Fiji, a state-of-the-art factory spins out more than a million bottles a day of the hippest bottled water on the U.S. market today, while more than half the people in Fiji do not have safe, reliable drinking water. Which means it is easier for the typical American in Beverly Hills or Baltimore to get a drink of safe, pure, refreshing Fiji water than it is for most people in Fiji.

This works because it’s tapping into your sense of identity. How can we drink fancy water from an exotic locale, shipped with grotesque expense to our doors, when the people who live in that locale are drinking dirty water? That doesn’t feel like us — that’s not the kind of people we are. Fishman has put the social justice into bottled water.

One final comparison. Both writers discuss the trivial costs of tap water compared to bottled water. Here’s how Moskin does it:

Neau, a nonprofit organization based in Amsterdam, has one goal (raising money for drinking-water projects in third world countries) and one product: an empty blue plastic bottle, for about $2, with a glossy logo and a flier inside explaining that profits are donated to the foundation’s water projects. The buyer is expected to fill the bottle with tap water. ”Two thousand liters of tap water cost less than one liter of Spa,” a popular Dutch mineral water, Mr. Liauw said. Ethos Water, an American company that sponsors similar drinking-water projects, was bought by Starbucks in 2005; 5 cents for each bottle sold is donated to water charities.

Here’s how Fishman handles the same point:

In San Francisco, the municipal water comes from inside Yosemite National Park. It’s so good the EPA doesn’t require San Francisco to filter it. If you bought and drank a bottle of Evian, you could refill that bottle once a day for 10 years, 5 months, and 21 days with San Francisco tap water before that water would cost $1.35. Put another way, if the water we use at home cost what even cheap bottled water costs, our monthly water bills would run $9,000.

Wow. Again, what he’s doing is putting statistics in human scale. The person quoted in Moskin’s piece goes with “2000 to 1” as her talking point. Fishman grounds the ratio in human experience. (Plus, the mental image of someone spending 10 years refilling a bottled water to “catch up” is fittingly absurd).

And here’s one for the road. In the book, we talk about the way vivid details build credibility. Here are two vivid details unearthed by Fishman:

– In the town of San Pellegrino Terme, Italy, for example, is a spigot that runs all the time, providing San Pellegrino water free to the local citizens–except the free Pellegrino has no bubbles. Pellegrino trucks in the bubbles for the bottling plant.

– At the height of Perrier’s popularity, Bruce Nevins [the man who brought Perrier to America] was asked on a live network radio show one morning to pick Perrier from a lineup of seven carbonated waters served in paper cups. It took him five tries.

The point of this post is not to have a “Moskin vs. Fishman” smackdown or something. And it is not fair to compare the persuasiveness of the two pieces, because Moskin is not writing a persuasive piece — she’s a reporter. (Nor did she have anywhere near the time or budget that Fishman did to pursue his story.) But what I care about is what we can learn from studying two sets of communications that spotlight the same issue.

Why does Fishman’s stick? Moskin samples various points related to bottled water; he hammers on his core point. (Simplicity) She presents useful statistics from experts; he makes those statistics real by grounding them in human terms. (Concreteness, Credibility) She presents a buffet of expert testimony; he finds the emblematic stories (Story). Both of them do a good job of shocking us into paying attention (Unexpectedness).

Only Fishman made me change my behavior.

(As a parting note, I have an unhealthy fascination with these side-by-side comparisons. If you come across pairings like this, please send ’em along.)

An ob/gyn on lectures that work

Chip and I love this post by an ob/gyn, which is titled “Teaching medicine to residents and students.” Lots of concrete examples of good versus bad teaching techniques. In particular scroll down and read the author’s 4 different options for presenting the “differential diagnosis of amenorrhea” (from the “right way” to the “disaster”). Here’s a quote:

I refuse to introduce topics with “this disease is veeery important because it is veeery expensive and xxx billions are spent annually on blablabla….” This is such a horrible introduction. Boring. Xxx billions means nothing to me, absolutely nothing. I can’t even imagine a billion dollars, I stop thinking after 20 million, since I would retire and sail around the Caribbean if I had them. And what do the billions matter to your practice? Nothing, nada, zilch, zero. It might matter to federal policy makers. Are those people seeing your power points?

What matters to me is “what percentage of patients that walk through my office door have this” because that determines if I am going to do something about it, how seriously I am going to take it and what I am going to do…

And finally, topics should be taught in a clinically relevant way and not in a pathologically / systematic way. It is depressing when students or residents are shown long lists of differential diagnoses with weighing them according to clinical importance. It is absolutely impossible to remember the 22 causes of amenorrhea when they are presented as a long systematic list. It is an insult to the learner! Presenting a list without weighing the differential diagnoses by frequency of occurrence means that the teacher really does not care about the student and just slaps something on the slide in who-cares-what-you-can-learn-from-it style.

Charles Fishman on bottled water

Fishman, author of The Wal-Mart Effect, writes this month in Fast Company about our love of bottled water, which he says “is not a benign indulgence.”

Check out this quote:

In San Francisco, the municipal water comes from inside Yosemite National Park. It’s so good the EPA doesn’t require San Francisco to filter it. If you bought and drank a bottle of Evian, you could refill that bottle once a day for 10 years, 5 months, and 21 days with San Francisco tap water before that water would cost $1.35.

That is what a sticky idea sounds like. I felt my brain squirm when I read that paragraph. I think Fishman may have single-handedly shamed me into giving up bottled water. You?