Wednesday, April 04, 2007

UK NGDT Chair Defends “Give a Toss” Sperm Donor Campaign

Recruiting sperm donors: why it's time for a new approach

Laura Witjens, Chair, National Gamete Donation Trust
BioNews
April 4, 2007

The National Gamete Donation Trust (NGDT) has never believed that removal of anonymity in the UK caused the decline in sperm donor numbers. As we said in a previous BioNews commentary: 'It is important to remember that, with or without the removal of anonymity, there have never been enough gamete donors in the UK to meet the demand. One of the main problems continues to be lack of awareness' (BioNews, 7 August 2006).

In the same commentary we called for a 'can-do' attitude and referred to the clinics that have done well in recruiting. However, a year down the line we can only draw one conclusion. Whilst the model of donor recruitment of successful clinics can be emulated, it isn't. Furthermore, even at their most successful, it is highly unlikely that the handful of clinics that have done well in recruiting sperm donors would be able to satisfy the national requirement, which is estimated to be 500 donors at any given moment. There is a shortage and without a national approach we will continue to have one.

The Department of Health-funded 'Give Life Give Hope' campaign (2005), which coincided with the announcement of the removal of anonymity, allowed the NGDT to measure responses. We learnt that men who responded well to the campaign were in their thirties, avid users of the internet and hardly ever responded to just one message alone. We also learnt that getting the message across is a very expensive exercise. The advice we were given was that we should expect to spend on average £100,000 per year on public relations in addition to a skilled full time public relations staff member. A start-up advertising campaign would cost £500,000 for magazine advertising, £50,000 for radio and, if possible, TV at about £1m. Each year thereafter we should expect to spend £500,000.

So when we were approached by BDP Creative, who were interested in exploring and demonstrating the benefits of a digital viral marketing campaign, we were excited. It combined some of the points we had seen in the earlier campaign and it was aimed at our target market. They were looking for an interesting public service project to which they could bring their unique skills. Viral marketing facilitates and encourages people to pass along a marketing message. If a large percentage of recipients forward something to a large number of friends, the overall growth snowballs very quickly. If the pass- along numbers get too low, the overall growth quickly fizzles. For viral marketing to work, the initial message is required to capture the imagination of so many people that they pass it on to their friends by email. For marketing purposes, humour or eccentricity is often the key.

Our immediate reaction was to be cautious. It was obvious to all of us that this was likely to be sensitive. Also, as was recognised in a BioNews commentary published on 20 March 2007, the NGDT has been working hard to change the image of sperm donation and has made real progress together with the clinics. We would not want to tarnish the good work that has been done and we continue to be involved with. However, as our discussions progressed, discussions which included parents of donor conceived children, we decided that it was worth trying. We felt that the opportunity to address such a wide and otherwise new audience and get over the message justified a slightly over the top approach. We have to communicate with potential donors in a way that reaches them as they are, not how we would like them to be. We wanted to harness the typical and immediate response of the general public to work to our advantage, rather than be put off by it.

The purpose of the new campaign is threefold. Firstly, we are hoping to raise awareness of the need for sperm donation amongst young men, particularly amongst those whom we cannot reach by our normal methods, in the hope that a proportion of the older ones, in their mid to late thirties, will come forward in the nearish future. Our second purpose comes from our observation that people try new and interesting activities because they have heard of them over a period of time from a variety of independent sources. Typically, we might have read an article about something; a little bit later we see a documentary on the subject so that when a friend raves about it we decide to give it a try. So our other purpose, and perhaps the most important, is to plant the seed of the idea amongst the target group so that if and when one or more further triggers arise during the next few years, the seed will germinate into the act of donation. Finally the third purpose was to generate a debate on the issues in the wider media.

We do not believe that this campaign affects the altruistic nature of donation, that is, the kindness of the kind man. No one will donate because they think our campaign is funny; only those who take the bait, read on and get the message. Potential sperm donors that contact the National Office receive a full information pack with practical, legal and medical information. Initial follow-up calls suggest that these men did get the message, and a substantial percentage have actually decided to go on and contact a clinic. Regardless of what message made the potential sperm donor contact a clinic or the NGDT, we believe a donor is a very special, caring and committed person.

Due to a variety of circumstances, there is a lot of talk, not enough action and little money for organisations like ourselves. We are therefore grateful to be given this opportunity by BDP Creative. This campaign - which has cost the NGDT, the sector and the tax payer no money at all - has spurred over 100 potential sperm donors (with an average age of 26.8) to contact the NGDT in just over two weeks. Clinics have reported an increase in enquiries as well. The campaign 'Give Life Give Hope', attracted the same number of enquiries in double the time.

Finally, we'd like to quote Richard, a DC father (who was asked his views as the campaign was developed): 'It is all very well pussyfooting around the subject matter, trying to avoid upsetting the sensitivities of those that do not approve of DC in principle or to look at the present situation and say that the NGDT are undoing years of work to remove the stigma of donating when the current shortage of donors does not directly affect you. The reality is that those many years of work have simply not delivered results'.

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Saturday, March 24, 2007

UK BioNews: Donor recruitment: is "tackiness" the answer? (March 2007)

Eric Blyth is Professor of Social Work at the University of Huddersfield and Adjunct Professor at the John Dossetor Health Ethics Centre, University of Alberta, Canada Irene Ryll RN is convenor of Infertility Connection, Edmonton, Alberta, Canada

"In a previous Bionews Commentary, Joanne Adams, Elizabeth Pease and Brian Lieberman wrote of their experiences of recruiting sperm donors following the 2005 legislative change in the UK requiring donors to agree to the disclosure of their identity to any people conceived as a result of their donation. Their account of their success in recruiting donors cast doubt on the repeated claims that the change in law was necessarily responsible for a crisis in donor recruitment in the UK (after all many countries that still protect donor anonymity, such as Canada, also report donor shortages). They also challenged those wishing to provide donor services to change their attitude towards sperm donation.

Whether the change in attitude represented by the latest "Give a Toss" sperm donor recruitment campaign (http://www.giveatoss.com) was quite what they had in mind is another matter. Since it was established in 1998, the National Gamete Donation Trust (NGDT) has certainly not had an easy task either in raising awareness of gamete and embryo donation or increasing donor recruitment donors and the free PR, which has enabled the "Give a Toss" campaign to be launched, appears to have been an offer it couldn't refuse.

"Give a Toss" is provocatively tacky, designed to reach the potential sperm donors that other methods have failed to reach, although ironically perpetuating the very stereotype of sperm donation that NGDT was previously keen to dispel (1).

Relying on the tried and tested "sex sells" formula, the campaign website features young women in "We Want Your Sperm"- emblazoned T shirts, encouraging would be donors to practice and improve their "wrist action" on an interactive "Toss-O-Meter" game.

Among some useful facts about sperm and human reproduction, the website imparts further knowledge of the impact of ingesting certain foods on the taste of semen (we haven't tested these recipes, so readers will have to take the campaign's word for it - or try for themselves), although - to misapply an analogy - since you cannot have your cake and eat it, we can't quite see the relevance of semen as a dietary supplement for a campaign for sperm donation.

We could go on, but the two points we want to make here are, first, that we are not humourless killjoys who can't have a laugh when there is a laugh to be had. The second point, though, is that we think there's a time and a place, and a serious sperm donor recruitment campaign is not the place to employ adolescent humour to disparage sperm donation. One thing the campaign seems unlikely to do is encourage any man to advertise the fact that he donates sperm and so possibly recruit other donors through personal example.

Many people, including ourselves (IR as the mother of three donor conceived children and EB as an academic researcher) - as well as NGDT itself - have been working to change the image of sperm donation for years. We have promoted gamete donation in our own countries as a responsible and respectable activity that affords due respect to donors, to parents who have used donor conception to build their families and to donor-conceived people. In what appears to be a desperate measure to maximize recruitment, this campaign risks not only undermining much of that work but also of disrespecting, distressing and offending donors, people who have used donor conception, and donor-conceived people. Far better, as one young person has suggested to us, to share letters from recipients or donor-conceived people who want to thank their donor. Perhaps some may think that "thank you" letters won't "sell" sperm donation. Alternatively, they may well inspire prospective donors and honour past donors that they are involved in a valued form of family building.

The two Manchester clinics for which Joanne Adams and her colleagues are recruiting donors account for around a quarter of current UK sperm donors. Their approach may not generate the newsworthiness of the "Give a Toss" campaign, but it is delivering the goods while respecting the dignity of all those involved in gamete donation. Self-evidently, if two clinics can make such a difference, their model of donor recruitment can be emulated elsewhere in the UK without resorting to the tawdry message of the "Give a Toss" campaign."

(1) BBC Radio 4 (2006) Woman's Hour. 14 August

http://www.bbc.co.uk/radio4/womanshour/01/2006_33_mon.shtml

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