SlideShare une entreprise Scribd logo
1  sur  11
 
 
Position of Johnson and Johnson vis-à-vis competition in the industry
                                             INDUSTRY CHARACTERISTIC FEATURES:

     Sutures (also known as stitches) are divided into two kinds – those which are absorbable and will break
     down harmlessly in the body over time without intervention, and those which are non-absorbable and
     must be manually removed if not left indefinitely.
         • Sutures to be placed internally would require re-opening if they were to be removed. Sutures
             which lie on the exterior of the body can be removed within minutes, and without re-opening the
             wound. As a result, absorbable sutures are often used internally while non-absorbable sutures are
             used externally
         • Sutures to be placed in a stressful environment, for example the heart (constant pressure and
             movement), the bladder (adverse chemical presence) or the bones (very high tensile forces) may
             require specialized or stronger materials to perform their role

     The characteristic features of the sutures industry are:
        • Surgeon specific industry
        • Infiltration of low priced products from small vendors like Futura surgicare
        • High degree of human intensive processes so cannot employ automation to reap the scale of
            economy

     Scanning of the Market Environment:                                                           -Makes policies on patent protection
                                                                                                   -Exercises price control


                                                                                   Government


                                                                                                                                   -Derives strength from their core
                                                                                                                Integration
                                                                                                                                   competencies
              -Sales force                                   MRs                                                with other
                                                                                                                businesses




    -Consumers                            Force of                              Suture                                         Medical                -Customers
                                          Patients                                                                            Profession
                                                                               Industry


-Effects the national market by
international laws
                                                        International                                                                      -Enables safe products
                                                                                                                Technology
                                                          Influence



                                                                                     Country
                                                                                      Status
                                               -Defines market potential


                                                                           Fig-1: Eight Forces 1




                                                                 
     1
         www.usitc.gov/publications/332/working_papers/EC200705A.pdf
      
      
INDIAN SUTURE MARKE T ANALY
                                                            N      E             YSIS:
         Key Pla
               ayers in the market:
                          e
         Indian su
                 uture market is majorly d
                                         dominated by 5 major pl
                                                    y          layers




         Figure-2: Ind                 mpanies2
                     dustry share of com                                Figure-3: Perceptu map of compan 3
                                                                        F                ual           nies
         SWOT Analysis of JnJ-Ethic
                        f         con
                                                Strength
                                                S                                                                              Weakne
                                                                                                                                    ess
                                                                                               * There is increasing pressu within the mar
                                                                                                         s                 ure              rket to reduce price in line with
                                                                                                                                                               es
* Etthicon has been the global leader in the wound closure business as well a in
                        e                 t                 e                   as
                                                                                               medical bbudgets.
India . JnJ Ethicon Gro
     a                 oup Has biggest market share in Ind this indicates a
                                         m                  dia,
                                                                                               * Challen nges have been fac within JnJ Eth
                                                                                                                           ced              hicon group where a reduction in
stron position for the group.
    ng
                                                                                               the marke demand for key products (Vicryl a Monocryl) has been identified
                                                                                                         et                                  and               s
* Th business model adapted by JnJ Eth
    he                                    hicon fundamental uses the adapta
                                                             lly               ation
                                                                                               as these p
                                                                                                        products have been replaced by low cost local sutures by many
                                                                                                                           n
of en
    ntrepreneurial valu in order to retain an edge within the market place.
                       ues
                                                                                               practition
                                                                                                        ners.
* Wo orking with intensive scientific notio JnJ Ethicon uti
                                          ons                ilises a varied expanse
                                                                                               * Monoc suture has not been as successfu in India as it was in other parts of
                                                                                                        cryl                                ul                 s
of pr
    roblem solving tec chniques in order to challenge the sta
                                          o                 andard practice and d
                                                                                               the worldd.
capittalise on growth th
                       hrough emerging markets which enab associated
                                         m                   bles
                                                                                               * Monocryl market had ju reached 3 crore in 10 years. With a smaller
                                                                                                                          ust               es                 h
growwth.
                                                                                               playing fi even if we upg
                                                                                                        field              grade 100% of exi isting Monocryl ussers, a 3 cr
* Th use of independe offices workin as standalone un provides the
    he                  ent              ng                 nits
                                                                                               topline w
                                                                                                       would not justify a new product.
oppoortunity to develop concepts with cultural consideratio which can prov
                       p                                   ons                 ve
                                                                                               * Ethico is not able to ad
                                                                                                        on                dvertise in mainline media as these w
                                                                                                                                                              were
impoortant when launch hing a product in any country.
                                         a
                                                                                               ethical/prrescription product and not OTC.
                                                                                                                           ts



                                                                                    Jn
                                                                                     nJ‐Ethicon

                                    Oppor
                                        rtunity                                                                                  Threat
                                                                                                                                      t
* Jn Ethicon Group h developed new products (plus su
    nJ                has              w                 utures) with regula atory             * There i a high level of c
                                                                                                        is               competition for ma  arket.
approvals, which provi ides the opportuni to grow the exis
                                        ity               sting product                        * Suture are fast becomin a commoditized category. Many n
                                                                                                       es                 ng                 d                new
portffolio.                                                                                    comprommised quality/low c producers hav entered into the market.
                                                                                                                         cost                ve
* E Ethicon team had converted 18% of Vicryl users to plu as Ethicon’s repl to
                                        V                us                   ly               Competittion was able to sell the finished goo at nearly half th price of
                                                                                                                                             ods              he
                                                                                               Ethicon p
                                                                                                       products.
the lo cost threat to V
     ow               Vicryl. They succeesfully moved the s
                                                          surgeon higher on the
                                                                             n                 * Chinese Imports have st  tarted hitting India hospitals.
                                                                                                                                             an
bene ladder rather th competing on cost and hence kee the value intact.
    efit              han                c                ept                                  * There i no surity about w would happe to the brand extension of a
                                                                                                        is                what               en
The same strategy may work for Monocr
                      y                  ryl.                                                  product (M
                                                                                                        Monocryl) which had already receiv a lukewarm response from
                                                                                                                                             ved
* W the developme of WTO rules to prevent the avai
   With               ent               t                 ilability of cheap                   Indian Su
                                                                                                       urgeons.
medi products, there is the opportunit to reduce the lev of lost profit du
     ical              e                ty                vel                 ue               * Next ggeneration topical s
                                                                                                                          skin adhesives may replace suture m
                                                                                                                                              y             market in the long
to low cost competitorrs.                                                                      run by re
                                                                                                       edefining it with m
                                                                                                                         methods to close th skin using no su
                                                                                                                                             he              utures at all .




                                                                                                      J-Ethicon4
                                                                          Figure-4: SWO Analysis of JnJ
                                                                                      OT


                                                                     
         2
           Annexure-2, Envidea Case
                      ,
         3
           http://www.r
                      researchandmarke ets.com/reports/65
                                                        51976/sutures_ind
                                                                        dia_private_limited
                                                                                          d_medical_equipm
                                                                                                         ment
         4
           http://www.ethicon.com/
                      jnjindia.com/medical_ethicon.asp
           http://www.j

          
          
STRATEGIZING THE LAUNCH OF MONOCRYL PLUS BY
                             ETHICON

                                                                 KEY ISSUES
The “plus” variants of Vicryl and Monocryl are essentially strategic products to counter the
commoditization of the suture market. Instead of confronting the low cost producers and Chinese
exporters (who played on aggressive pricing) head on, J & J introduced innovated variants with
antibacterial coating to prevent bacterial colonization. The success in upgrading 18% of Vicryl users to
Vicryl Plus and attaining positive bottom line impact is difficult to replicate in the case of Monocryl Plus.
The reasons are:
    • Difference in the market size of Vicryl (Rs.80Crore) and Monocryl (Rs.3Crore). In the case of
        Monocryl, even a 100% up gradation would not make significant impact
    • Positioning of Monocryl suture restricting its use only to skin closures, and contraindicating it for
        deeper layers, Cardiac tissues and Neurological tissues
    • Since the use of sutures is skill driven, an important concern is to educate the surgeons and instill
        confidence in the new product to ensure adoption
    • The constraint of not being able to talk in the mainline media, and the uphill task of being able to
        transform a “push” product into a “pull” product, sought by the dealers, surgeons and the end
        consumers, i.e. the patients
    • The lukewarm response of Monocryl in the Indian market did not set up a conducive backdrop for
        launch of Monocryl Plus

                                                               PRE-LAUNCH PLAN

Market Segmentation
The customer net for the suture market is quite complicated and interlinked. The first interface of the firm
(J & J) is with the Medical Representatives (MR), who show-case the product to the physicians, surgeons,
etc. The end consumer is the patient who rarely exercises a voice in the choice of the suture.
The variables for segmenting the different categories of the customer segments are quite different.
     1. The doctors and the physicians are classified on the basis of the following variables:
         • Prescribing habits of the doctors
         • Degree of openness towards adopting new technology products
                  Experimentalists
                  Progressive
                  Early adopters or Innovators
                  Traditionalists
         • Patient Load (Size of the practice)
         • Accessibility times of the doctors
         • Specialization of the doctors
         • Sensitivity of the physicians to varied promotion schemes, and ethical stands taken.
         • Relationship with doctors – Emphasis on inner circle of doctors for brand recommendation
     2. The end users or the patients are classified on the basis of the following variables:
         • Level of keenness towards participation in the decision of surgical products use
         • Level of awareness of surgical products like sutures
         • Demographic – age, type of illness
         • Geographic – Tier I/Tier II/ Tier III city of residence/treatment, urban or rural
         • Economic strata of the society - Directly reflects the willingness to pay for premium products
     3. The wholesalers/retailers/stockists
         • Though this is not an OTC product, regular surgical equipment suppliers of government
             hospitals should be offered Monocryl Plus at discounted rate5 to facilitate the bidding for
             tenders6

                                                            
5
  This is subject to the comfort level of company in giving out such discounts. Also, precautionary measures should be applied so that the product
reaches the targeted customers at the discounted rate
6
  Government hospitals purchase surgical equipment through tender. (Primary Interview – Dr. Ashok Sinha, IMA Bihar Chapter)
 
 
Defining Target Segments
Customers
As for the doctors, who would recommend the use of Monocryl Plus products, we aim at the following
target segments in the order of priority:




Fig-5: Target Market for Monocryl Plus 7
We base our recommendations on the premise that since Monocryl plus gives better results than other
competing brands in case of cardiovascular, gynecological and general surgery, so doctors in these
segments will be susceptible to upgrading to Monocryl Plus, thereby making them potential market for
Monocryl Plus.

Consumer
Population Breakup




Figure-6: Population Breakup8


Consumer Behavior9
Following conclusion can be reached in terms of the attitude of different income group households
towards the medical facility they want to avail themselves of.
     Social Class                   Nursing homes              Private hospitals       Governmental Hospitals           Total
        High                          72(86.7%)                   11(13.3%)                      -                       83
       Middle                         45(97.8%)                    1(1.2% )                      -                       46
    Low/Very Low                        2(5%)                          -                     38(95% )                    40
Table-1: Consumer behavior for medical facilities selection
     Social Class                    Nursing homes             Private hospitals                   Governmental Hospitals
        High                           72(60.5%)                  11(91.6%)                                  -
       Middle                          45(37.8%)                   1(8.4%)                                   -
    Low/Very Low                        2(1.2%)                        -                                 38(100%)
        Total                             119                         12                                    38
    Table-2: Share of different Socio-economic classes of patients in various medical facilities

                                                            
7
  Case Facts
8
  http://indiaretailbiz.wordpress.com/2006/10/15/socio-economic-classifications-sec-categories/
   http://en.wikipedia.org/wiki/List_of_most_populous_metropolitan_areas_in_India
9
  http://books.google.com/books?id=717R24_QEsgC&pg=PA222&lpg=PA222&dq=medical+expenditure+india&source=bl&ots=jQBwWJDDJP&sig=QRv
aqUP1PaAFOoG 2NMRERXPuh0E&hl=en&ei=paR5SoynHY7a6gOoh_yhBQ&sa=X&oi=book_result&ct=result&resnum=9#v=onepage&q=&f=false

 
 
Targeting Strategy
           Concluding from the above data, the following targeting strategy is recommended for Monocryl Plus:-
           • Target only high and middle social sections in tier I/II cities for mass marketing and spreading
              awareness
           • For private nursing homes, design the campaign for both high and medium social class
           • For private hospitals, design the campaign for only high class

           Strategic Positioning of Monocryl Plus
           Monocryl Plus should be positioned as an innovative product with first in class approach, which would make a
           paradigm shift in the surgical stitching.

           Key attributes
              • Low tissue reactivity
              • High tensile strength - Consistent absorption rate with a predictable decrease in tensile strength
              • Half-life of 7 to 14 days
                          Monocryl Plus Suture provides wound support for approximately 14 days
              • Slippery surface - makes it easier to pass
                          Smoothness of Monocryl Plus Suture results in less tissue drags than gut sutures and
                          braided synthetic absorbable sutures
                          Monocryl Plus Suture needs fewer stitch granulomas than braided stitch
              • Excellent first throw hold for easy and secure wound approximation
              • Protection for Surgical site Infections (SSI)10

           Applications and Uses
           Presently Monocryl Plus is mostly being used in
               • Cosmetic Surgery
                   Monocryl Plus dissolvable suture allows finer approximation of edges and gives excellent results,
                   when they are used to close the incisions by subcuticular stitching11

           However, due to unique attributes and benefits offered by Monocryl Plus, we may also target the
           following specialties:-
               • Cardio Vascular Surgery
                   Though contraindicated for use in Cardio Vascular Surgery, primary interviews have revealed
                   that transparent Monocryl would be preferred suture in Cardio Vascular Surgery since it offers
                   high tensile strength and longer half life, along with low tissue reactivity12
               • General Surgery 13
                         Knotless surgery offered by Monocryl Plus saves a lot of time, and with increasing
                         operating room charges this is viewed positively by general surgeons14
                  •      Gynecological Surgery
                         Absorbable monofilament sutures (like Monocryl Plus) are preferred by many surgeons for
                         fascial closure of a transverse incision. These sutures are often used with midline incision
                         closures in gynecologic surgeries. It is believed that using a delayed absorbable suture in a mass
                         closure of all layers of the abdominal wall is efficient and safe15
                  •      Oral Surgery
                                 Microbial load is significantly lower when absorbable monofilament Monocryl is used16

                                                                       
10
   SSIs account for more than 20% of all healthcare-acquired infections. Over 60% of surgical site infections (SSIs) occur at the incision. Monocryl Plus Suture, with its
advanced antibacterial technology, creates a zone of inhibition around the suture that kills pathogens and inhibits bacterial colonization of the suture.
11
   http://www.feedage.com/feeds/2338975/breast-augmentation-toronto
   http://books.google.co.in/books?id=cYGaj7GYstgC&pg=PA1012&lpg=PA1012&dq=Gynaecology+surgery+monocryl&source=bl&ots=033sXZweeS&sig=-
hTluKJa24YvHYTvPzm2A7uWx-4&hl=en&ei=6Xh8StKpLsmNkQWW3M3vAg&sa=X&oi=book_result&ct=result&resnum=7#v=onepage&q=monocryl&f=false
12
   Primary Survey – Dr. Ashok Kumar Sinha, IMA Bihar Chapter
  Primary Survey – Dr. Kiran Kumari, Gynecologist, Patna
13
   General surgery, despite its name, is a surgical specialty that focuses on abdominal organs, e.g. intestines including esophagus, stomach, small bowel,
colon, liver, pancreas, gallbladder and bile ducts, and often the thyroid gland (depending on the availability of head and neck surgery specialists). They also
deal with diseases involving the skin and hernias. These surgeons deal mainly in the Torso.
14
   Primary Survey – Dr. Ashok Kumar Sinha, IMA Bihar Chapter
15
   http://emedicine.medscape.com/article/271349-overview
16
   http://linkinghub.elsevier.com/retrieve/pii/S0278239106019343
            
            
Communication and Promotion
For surgical products (like suture), the response gathered in the first year of the launch is what decides
the fate of the product. Any product that initially takes a beating at the hands of the customers, is least
likely to come up again and capture the market share, because a loss of trust and confidence, in the case of
health related products, gives it a negative stand.
We must take care of this fact before reaching out to communicate with the doctors and the end
consumers (patients). Before launching Monocryl Plus, the pre-launch strategy must be clearly laid out.

If we plot the riskiness associated with the use of product and the degree of rationality required in making
the choice, we arrive at the following figure (Figure-7).
Hence the choice of sutures by the physicians/surgeons is
dictated by a high degree of rationality and the risk associated
with the use of product. Therefore, communicating key
information to the doctors is very important. Literature
suggests two schools of thought, used for communication with
the doctors: Medical School which relies totally on facts to
keep a knowldege user uptodate with the latest technologies
and the Psycho-Behavorial School which emphasizes the
focus on repeated messages, brand recall, and the role played
by noise (marketing communication from other products) and Figure-7: Communication Matrix for health professionals
ethical issues.
We suggest a combination of both approaches to be adopted by Ethicon in getting its message across.

Strategies to communicate with the doctors
The key here is to Inform and communicate that staying abreast of technology adds value.
    • Advertise in medical newsletters, journals and magzines
    • Communicate to doctors personally via telemarketing and web marketing using digital media
    • Hold seminars, symposiums & workshops for familiarising surgeons with the product
    • Send samples of the Monocryl Plus suture along with “Monocryl theme” gifts through MRs
    • Display posters and calendars in the hospitals and nursing homes
    • Use Doctor Mailing cards ( with the product message on one side and the harmful effects of
        surgical site infections on the ther side of the postcard). Keep a structured feedback and followup
        mechanism for all the unaccepted parcels
    • Get endorsed by medical forums,like Indian Association of Cardiovascular & Thoracic Surgeons.
    • Tie-up with with medical colleges for interaction with students, with the purpose of familiarising
        them with Monocryl Plus

The other channel to bank upon is that of the well trained Medical Representatives. Whereas an
advertisement in the mass media gets an attention span of atmost 5-6 seconds, an MR gets a personalized
attention span of 2-3 minutes, and works on
relationship management with the doctors. Hence,                                    Productive             Prescription of
                                                                                    Effort                 Monocryl Plus
incentivize the MRs. The dynamics of interaction
between doctors and MRs is illustrated in figure-8.                            Unproductive
The various stages right from the communication of          Wasted             Effort                      Adoption and Use
                                                            Effort                                         of Monocryl Plus
new product launch, illustrating its benefits and the
adoption of the product can be explained in terms of
the stages listed below:                                                              Make a call
                                                                                                     Evaluation of Monocryl
                                                                                      to a doctor
                                                                                                     Plus vis-à-vis other brands
         Awareness
         Arise Interest
         Sales Proposition leading to persuasion and           Trust and                                   Satisfaction
                                                                                        Repeat
         Preference                                            Confidence in            Purchase
         Availability of the product                                                                    Dissatisfactio
         Trial
                                                                  Brand
         Confidence and Trust in the eyes of the                  Relationship
         opinion leaders
         Repeat Purchase                                Figure-8: dynamics of interaction between a doctor and an MR
         Mass adoption of the product
 
 
We can illustrate a sample message in print media for doctor in the following figure:-




Strategies to communicate with the patients:
The key here is to Reassure the patients that Monocryl Plus offers safety and hygiene that no other
product to date offers. This would be the most significant step in transforming this “push” product into a
“pull” product.
    • Use digital media advertisements, like on the dedicated audio-video devices in the waiting area
        in clinincs and hospitals
    • Use print media for Monocryl Plus advertisements
    • Use the Monocryl Plus and mnemonics on the consultants’ visiting cards and the stationery
    • Keep brochures and printed material available in the medicine shops
We can illustrate a sample message in print media for patient in the following figure:-




Other smart strategies
   • Influence Purchase committee of the government and private hospitals for guiding their
       purchase intention towards Monocryl plus.
   • Bulk clients like Fortis and Max hospital can be offered17
           o Tailored product packaging and delivery at competitive prices
           o Consulting services to nurses on how to reduce wastage by decreasing the notoriously
                high rate of opened, unused and discarded products

                                                            
17
  The cost of this strategy has not been included in the marketing budget because this would be subjected to the management of the hospital
concerned

 
 
Strategi Advanta Focus
            ic      age
     Synergy w the diffe
              with       erent business segments of Johnson & Johnson, and strategy for Monocryl Plus to
                                         s            f                  d            r
     leverage t strengths of all sister co
              the         o              ompanies is represented be
                                                                  elow:-

Core Compet
C         tency                                     C
                                                    Company                           Leveraging si
                                                                                                  ister compan
                                                                                                             nies’ strength
                                                                                                                          hs 



‐One of the world’s most                                                          • Le
                                                                                     everage brand name, promote 
respected brandss in surgical                                                       Monocryl as hig
                                                                                    M              ghly innovative
                                                                                                                 e and safe 
and health care. 
               ovative 
‐Famous for Inno                               ET
                                                THICON
                                                     N                              product of Ethic
                                                                                                   con. 
products 




‐Well known in CCardio 
                                                                                  • Associate with C
                                                                                                   Cordis productts in Cardio         
Vascular Segmen nt 
                                                                                    Vascular Segmeent, to influenc
                                                                                                                 ce Doctors 
‐ Famous for its c
                 commitment                      CORDIS
                                                 C                                   nd make them
                                                                                    an           m switch to Mon  nocryl.
to R&D                                                                                                                               M
                                                                                                                                     O
‐Strong training n
‐                network 
                                                                                  • Use training nettwork of Depuy
                                                                                     raining to surge
                                                                                    tr
                                                                                                                   y, provide 
                                                                                                    eons for using Monocryl
                                                                                                                                     N
‐Strong marketing and sales 
‐
distribution netw
d               work                              DEPUY
                                                  D                               • Use marketing a and sales distri
                                                                                    network of Depuy to enhance
                                                                                                                   ibution 
                                                                                                                  e reach of 
                                                                                                                                     O
                                                                                    Monocryl
                                                                                    M
                                                                                                                                     C
‐Strong brand rep
‐               putation in                                                       •D
                                                                                   Devise joint pro
                                                                                                  omotion schemmes with              R 
minimally invasive and open 
m
surgical procedur
s               res  
                                          Ethic
                                              con End
                                                    do‐                            Monocryl (as a non‐invasive p
                                                                                   M
                                                                                   Et
                                                                                    thicon) to leve
                                                                                                               product of 
                                                                                                  erage brand name in                Y 
                                             Surgery
                                             S                                     minimally invasive  and open s
                                                                                   m                            surgical 
                                                                                   procedures.                                       L 
‐Well known for its range of 
‐                                                                                 • Use brand repute of JJHS to promote               
infection prevent
                tion products                                                       Monocryl as a in
                                                                                    M              nfection‐free ssuture
                                                     JJHS                         • Use network of JJHS to promo
                                                                                     f Monocryl , sp
                                                                                    of
                                                                                                                  ote usage 
                                                                                                   pecially in nurs
                                                                                                                  sing homes         P 
                                                                                    an
                                                                                     nd mini hospitals.
                                                                                                                                     L
‐Strong Professio
‐               onal                                                              • Use Professiona
                                                                                                  al Education ne
                                                                                                                etwork,              U
Education network 
E                                                                                   provide ‘hands‐
                                                                                                  ‐on’ Monocryl experience 
                                                      EISE                           o surgeons. 
                                                                                    to                                               S


‐Strong service network for 
‐                                             Bu
                                               usinesss                           • Use service netw
                                                                                    usage of Monoc
                                                                                                   work of BKC to  o promote 
                                                                                                   cryl by their clients.
Operational Exce
O               ellence, 
Global Process O
G               Outsourcing                  Kno
                                               owledgge 
and Knowledge D
a               Development 
                                               Centre
                                               C
                                                                                                                                  
      
      
IMPLEMENTATION PLAN

          Segmentation of Medical Facilities18
          City                          Private Hospitals                     Government Hospitals                Nursing Home              Total
          Tier -1                                               425                                   2188                      24807       27420
          Tier -2                                               390                                    516                      11128       12034
          Tier -3                                                35                                   2046                      14065       16146
          Total                                                 850                                   4750                      50000
          Table-3: Segmentation of Medical Facilities


          Roadmap and Costing for promotion of Monocryl Plus19
                                                                                               Mile stones

‐T‐Communicate to                                        ‐Communicate to surgeons                         ‐Communicate to surgeons                  ‐Communicate to surgeons
surgeons via mobiles,                                    via mobiles, emails and MRs                      via mobiles, emails and MRs               via mobiles, emails and MRs   
emails and MRs                                                   Tier     Tier    Tier                            Tier   Tier        Tier                    Tier    Tier     Tier 
       Tier       Tier  Tier                                     I        II      III                             I      II          III                     I       II       III 
       I          II    III                              PH  35%  40%             40%                     PH      25%    20%         25%            PH  10%          10%      0%
PH  30%  30%  35%                                        GH  30%  35%             25%                     GH 30%         30%         30%            GH  20%          15%      25%
GH  20%  20%  20%                                        NH  35%  40%             35%                     NH 20%         20%         35%            NH  20%          15%      15%
NH  25%  25%  15%                                        ‐Advertisements in MIMS,                         ‐Advertisements in MIMS,                  ‐Advertisements in MIMS, 
‐Advertisements in MIMS,                                 SIMS (Medical Journals)                          SIMS (Medical Journals)                   SIMS (Medical Journals) 
SIMS (Medical Journals)                                  ‐10 workshops in tier I cities                   ‐1 presentation in 25                     ‐2 seminars in each tier I 
‐2 one day symposiums in                                 and 10 workshops in tier II                      different government                      and II cities with invitation 
every tier I cities                                      cities with invitation to all                    colleges across tier I, II, III           to all the surgeons in tier III 
                                                         surgeons from tier III cities                    cities on Monocryl plus                   cities   


          2 months                                                       4 months                                     6 months                              8 months

No. of Medical          12300                            No. of Medical             19724                    No. of Medical       13728             No. of Medical       9848
Facilities to be                                         Facilities to be                                    Facilities to be                       Facilities to be
covered                                                  covered                                             covered                                covered
Expense on MRs          Rs.                              Expense on MRs             Rs.                      Expense on MRs       Rs.               Expense on MRs       Rs.
                        3200000                                                     5150000                                       3600000                                2600000
Expense on Mobile       Rs.                              Expense on Mobile          Rs.                      Expense on Mobile    Rs.               Expense on Mobile    Rs.
advertisements          100000                           advertisements             130000                   advertisements       110000            advertisements       90000
Expense on e-mail       Rs.                              Expense on e-mail          Rs.                      Expense on e-mail    Rs.               Expense on e-mail    Rs.
advertisements          50000                            advertisements             70000                    advertisements       60000             advertisements       50000
Cost of                 Rs.                              Cost of                    Rs.                      Cost of              Rs.               Cost of              Rs.
advertisements in       350000                           advertisements in          350000                   advertisements in    350000            advertisements in    350000
MIMS and SIMS                                            MIMS and SIMS                                       MIMS and SIMS                          MIMS and SIMS
Expense on              Rs.                              Expense on                 Rs.                      Expense on           Rs.               Expense on           Rs.
symposiums              1200000                          workshop                   2000000                  presentation         250000            seminar              1400000
Total Projected         Rs.                              Total Projected            Rs.                      Total Projected      Rs.               Total Projected      Rs.
Cost                    4900000                          Cost                       7700000                  Cost                 4370000           Cost                 4490000



                                                                                              Projected Cost


                                                                             Total Projected Cost = Rs.2.146Crores
          18
             Assumptions:-
                •    The percentage share of different types of medical facilities has been constant since March 2005.
                •    http://www.karmayog.com
          19
             Assumptions:
                •    An MR takes about 2 months to communicate about the product and get a confirmed response from all the potential customers in his
                     area of operation (positive/negative).
                •    An MR can visit 4 potential customers in a day.
                •    A typical week-work for an MR is of 6 days.
                •    We have set the aggressive targets considering qualified sales force and competitive position of Ethicon vis-à-vis other players.
                •    Average expense on one MR = Rs. 50000 per month (including all travel expenses and benefits).
                •    Average price of magazine advertisement = Rs. 90,000 per magazine per month
                •    Average cost of mobile advertisement = Rs. 4 to Rs. 5 per prospect per month (For the applicable size of prospects in this case)
                •    Average cost of e-mail advertisement = Rs. 2 to Rs. 3 per prospect per month (For the applicable size of prospects in this case)
                •    Average cost of one day symposium = Rs.2,00,000
                •    Average cost of one seminar = Rs. 1,00,000
                •    Average cost of one workshop = Rs.100000
                •    Average cost of one presentation = Rs. 10000
           
           
REVENUE  PROJECTI
                                                                   ION FOR M
                                                                           MONOCRYL
                                                                                  L PLUS 
                               Target Segment of S
                                     t            Surgeons                                                      Annual potential rrevenue per surgeon
               Specializ
                       zation          No of Doctor
                                                  rs   Target SSegment                                    Total annual revenue of E
                                                                                                                                  Ethicon       Rs.83Crore
                                                                                                                                                         e
                                                       (Yes/No))                                          from 52500 Surgeons wit current
                                                                                                                                   th
               General SSurgeons       20000           Yes                                                product porttfolio
               Gynecolo ogists         25000           Yes
                                                                                                          Adjusted To annual rev
                                                                                                                     otal         venue of      Rs.90Crore
                                                                                                                                                         e
               Plastic Su
                        urgeons        1000            Yes
               Cardiac SSurgeons       500             Yes                                                Ethicon from 52500 Surg
                                                                                                                     m 20         geons with
               Orthoped dic            6000            No                                                 Monocryl Plus
               Total                   52500                                                              Average ann potential revenue
                                                                                                                     nual         l             Rs.16225
               Total Nu umber of surg
                                    geons in target Segment = 46
                                                  t            6500                                       per Surgeonn
               Table-4: Ta
                         arget Segment of Surgeons
                                          S                                                               Table‐5: Annual potential revenue
                                                                                                                                          e per surgeon 

                   Nummber of Hospitals Conta
                                            acted                                      Number of Su
                                                                                       N          urgeons Con
                                                                                                            ntacted                       Number of s
                                                                                                                                          N             surgeons per
                                                                                                                                          hospital is smo
                                                                                                                                          h              oothened out
                 Total Number of Hospitals = 5
                                  H          55600                                    To Number o Surgeons = 46500
                                                                                       otal       of
                                                                                                                                          a average for calculation
                                                                                                                                          as
                Phase - (Month 2)
                      -1             12300      22%                                               10230                                   purpose. Thus percentage
                                                                                                                                          p             s,
                Phase - (Month 4)
                      -2             32024      58%                                               26970
                                                                                                  2                                       o surgeons contacted is
                                                                                                                                          of
                Phase - (Month 6)
                      -3             45752      82%                                               38130
                                                                                                  3                                       equal to the p
                                                                                                                                          e             percentage of
                Phase - (Month 8)
                      -4             55600     100%                                               46500
                                                                                                  4                                       hospitals conta
                                                                                                                                          h             acted
               Table-6: Ph
                         hase-wise details of established cont
                                           o                 tacts
                Numbe of Surgeons Contacted
                    er            C
         0 10230 10230 26970 26970 38130 38130 46500
                                 0                                                   Con
                                                                                       ntacts already est
                                                                                                        tablished with the targets, conver
                                                                                                                                         rsion in process

Month         1  2  3              4         5        6         7         8     9      10 
                                                                                       1      11     12     13      14     15      16     17      18       19
                                                                                                                                                            9 
         0     1023    1023       2697      4743
                                               3       5859      9207 10044 15857 15
                                                                                   5857 23390 233
                                                                                                390 28830 28830 34271 34271 35945 35945 37
                                                                                                              0                          7200
                                                                     21
                 Numbe of Surgeons Converted
                     er




                                                                               Figure-9: P
                                                                                         Projected Reven
                                                                                                       nues
          Revenue from one sur   rgeon in a fin
                                              nancial year = Annual Ear
                                                                      rning from on surgeon*(n
                                                                                   ne          number of mmonths
          left after c
                     conversion/12
                                 2)
          Assumptions:-
               • C  CAGR = 9%22  2

               • N  Number of Su urgeons contacted/converte in a phase are considered to be cont
                                                            ed                                 tacted/conver
                                                                                                           rted at
                    th end of the phase for calc
                     he           p            culation purpoose
                                                                  Total
                                                                      l Projected Rev
                                                                                    venue in 5 yea
                                                                                                 ars = Rs.304.45
                                                                                                               5Crore
                                                                      
          20
             Assuming p
                      price index for Moonocryl plus = 130 extrapolating from Case Facts (Ann
                                                          0                  m                 nexure-5)
             We conside taking over of Vicryl/ Vicryl Plus m
                      er               Vi                  market by Monocr plus as an oppo
                                                                            ryl               ortunity as it provi
                                                                                                                 ides a better bottom line..
                                                                                                                                    m
          21
             We are suc
                      ccessful in converti 80% of our est
                                         ing               tablished touch po
                                                                            oints. However, thi happens in a pha
                                                                                              is                 ase-wise manner
                          o      10% will be converted imm
                                         l                mediately
                          o      20% mor will be converte after 3 months
                                         re               ed
                          o      35% mor will be converte after 4 more mo
                                         re               ed                onths
                          o      15% mor will be converte after one year o first contact
                                         re               ed                 of
          22
             bw.businessworld.in/PDF_up  pload/Indian_Phar rma.pdf
           
           

Contenu connexe

En vedette

2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by Hubspot2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by HubspotMarius Sescu
 
Everything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPTEverything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPTExpeed Software
 
Product Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage EngineeringsProduct Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage EngineeringsPixeldarts
 
How Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental HealthHow Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental HealthThinkNow
 
AI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdfAI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdfmarketingartwork
 
PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024Neil Kimberley
 
Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)contently
 
How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024Albert Qian
 
Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsSocial Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsKurio // The Social Media Age(ncy)
 
Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Search Engine Journal
 
5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summarySpeakerHub
 
ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd Clark Boyd
 
Getting into the tech field. what next
Getting into the tech field. what next Getting into the tech field. what next
Getting into the tech field. what next Tessa Mero
 
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentGoogle's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentLily Ray
 
Time Management & Productivity - Best Practices
Time Management & Productivity -  Best PracticesTime Management & Productivity -  Best Practices
Time Management & Productivity - Best PracticesVit Horky
 
The six step guide to practical project management
The six step guide to practical project managementThe six step guide to practical project management
The six step guide to practical project managementMindGenius
 
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...RachelPearson36
 

En vedette (20)

2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by Hubspot2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by Hubspot
 
Everything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPTEverything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPT
 
Product Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage EngineeringsProduct Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage Engineerings
 
How Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental HealthHow Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental Health
 
AI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdfAI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdf
 
Skeleton Culture Code
Skeleton Culture CodeSkeleton Culture Code
Skeleton Culture Code
 
PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024
 
Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)
 
How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024
 
Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsSocial Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie Insights
 
Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024
 
5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary
 
ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd
 
Getting into the tech field. what next
Getting into the tech field. what next Getting into the tech field. what next
Getting into the tech field. what next
 
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentGoogle's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search Intent
 
How to have difficult conversations
How to have difficult conversations How to have difficult conversations
How to have difficult conversations
 
Introduction to Data Science
Introduction to Data ScienceIntroduction to Data Science
Introduction to Data Science
 
Time Management & Productivity - Best Practices
Time Management & Productivity -  Best PracticesTime Management & Productivity -  Best Practices
Time Management & Productivity - Best Practices
 
The six step guide to practical project management
The six step guide to practical project managementThe six step guide to practical project management
The six step guide to practical project management
 
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
 

JnJ

  • 2. Position of Johnson and Johnson vis-à-vis competition in the industry INDUSTRY CHARACTERISTIC FEATURES: Sutures (also known as stitches) are divided into two kinds – those which are absorbable and will break down harmlessly in the body over time without intervention, and those which are non-absorbable and must be manually removed if not left indefinitely. • Sutures to be placed internally would require re-opening if they were to be removed. Sutures which lie on the exterior of the body can be removed within minutes, and without re-opening the wound. As a result, absorbable sutures are often used internally while non-absorbable sutures are used externally • Sutures to be placed in a stressful environment, for example the heart (constant pressure and movement), the bladder (adverse chemical presence) or the bones (very high tensile forces) may require specialized or stronger materials to perform their role The characteristic features of the sutures industry are: • Surgeon specific industry • Infiltration of low priced products from small vendors like Futura surgicare • High degree of human intensive processes so cannot employ automation to reap the scale of economy Scanning of the Market Environment: -Makes policies on patent protection -Exercises price control Government -Derives strength from their core Integration competencies -Sales force MRs with other businesses -Consumers Force of Suture Medical -Customers Patients Profession Industry -Effects the national market by international laws International -Enables safe products Technology Influence Country Status -Defines market potential Fig-1: Eight Forces 1                                                              1 www.usitc.gov/publications/332/working_papers/EC200705A.pdf    
  • 3. INDIAN SUTURE MARKE T ANALY N E YSIS: Key Pla ayers in the market: e Indian su uture market is majorly d dominated by 5 major pl y layers Figure-2: Ind mpanies2 dustry share of com Figure-3: Perceptu map of compan 3 F ual nies SWOT Analysis of JnJ-Ethic f con Strength S Weakne ess * There is increasing pressu within the mar s ure rket to reduce price in line with es * Etthicon has been the global leader in the wound closure business as well a in e t e as medical bbudgets. India . JnJ Ethicon Gro a oup Has biggest market share in Ind this indicates a m dia, * Challen nges have been fac within JnJ Eth ced hicon group where a reduction in stron position for the group. ng the marke demand for key products (Vicryl a Monocryl) has been identified et and s * Th business model adapted by JnJ Eth he hicon fundamental uses the adapta lly ation as these p products have been replaced by low cost local sutures by many n of en ntrepreneurial valu in order to retain an edge within the market place. ues practition ners. * Wo orking with intensive scientific notio JnJ Ethicon uti ons ilises a varied expanse * Monoc suture has not been as successfu in India as it was in other parts of cryl ul s of pr roblem solving tec chniques in order to challenge the sta o andard practice and d the worldd. capittalise on growth th hrough emerging markets which enab associated m bles * Monocryl market had ju reached 3 crore in 10 years. With a smaller ust es h growwth. playing fi even if we upg field grade 100% of exi isting Monocryl ussers, a 3 cr * Th use of independe offices workin as standalone un provides the he ent ng nits topline w would not justify a new product. oppoortunity to develop concepts with cultural consideratio which can prov p ons ve * Ethico is not able to ad on dvertise in mainline media as these w were impoortant when launch hing a product in any country. a ethical/prrescription product and not OTC. ts Jn nJ‐Ethicon Oppor rtunity Threat t * Jn Ethicon Group h developed new products (plus su nJ has w utures) with regula atory * There i a high level of c is competition for ma arket. approvals, which provi ides the opportuni to grow the exis ity sting product * Suture are fast becomin a commoditized category. Many n es ng d new portffolio. comprommised quality/low c producers hav entered into the market. cost ve * E Ethicon team had converted 18% of Vicryl users to plu as Ethicon’s repl to V us ly Competittion was able to sell the finished goo at nearly half th price of ods he Ethicon p products. the lo cost threat to V ow Vicryl. They succeesfully moved the s surgeon higher on the n * Chinese Imports have st tarted hitting India hospitals. an bene ladder rather th competing on cost and hence kee the value intact. efit han c ept * There i no surity about w would happe to the brand extension of a is what en The same strategy may work for Monocr y ryl. product (M Monocryl) which had already receiv a lukewarm response from ved * W the developme of WTO rules to prevent the avai With ent t ilability of cheap Indian Su urgeons. medi products, there is the opportunit to reduce the lev of lost profit du ical e ty vel ue * Next ggeneration topical s skin adhesives may replace suture m y market in the long to low cost competitorrs. run by re edefining it with m methods to close th skin using no su he utures at all . J-Ethicon4 Figure-4: SWO Analysis of JnJ OT                                                              2 Annexure-2, Envidea Case , 3 http://www.r researchandmarke ets.com/reports/65 51976/sutures_ind dia_private_limited d_medical_equipm ment 4 http://www.ethicon.com/ jnjindia.com/medical_ethicon.asp http://www.j    
  • 4. STRATEGIZING THE LAUNCH OF MONOCRYL PLUS BY ETHICON KEY ISSUES The “plus” variants of Vicryl and Monocryl are essentially strategic products to counter the commoditization of the suture market. Instead of confronting the low cost producers and Chinese exporters (who played on aggressive pricing) head on, J & J introduced innovated variants with antibacterial coating to prevent bacterial colonization. The success in upgrading 18% of Vicryl users to Vicryl Plus and attaining positive bottom line impact is difficult to replicate in the case of Monocryl Plus. The reasons are: • Difference in the market size of Vicryl (Rs.80Crore) and Monocryl (Rs.3Crore). In the case of Monocryl, even a 100% up gradation would not make significant impact • Positioning of Monocryl suture restricting its use only to skin closures, and contraindicating it for deeper layers, Cardiac tissues and Neurological tissues • Since the use of sutures is skill driven, an important concern is to educate the surgeons and instill confidence in the new product to ensure adoption • The constraint of not being able to talk in the mainline media, and the uphill task of being able to transform a “push” product into a “pull” product, sought by the dealers, surgeons and the end consumers, i.e. the patients • The lukewarm response of Monocryl in the Indian market did not set up a conducive backdrop for launch of Monocryl Plus PRE-LAUNCH PLAN Market Segmentation The customer net for the suture market is quite complicated and interlinked. The first interface of the firm (J & J) is with the Medical Representatives (MR), who show-case the product to the physicians, surgeons, etc. The end consumer is the patient who rarely exercises a voice in the choice of the suture. The variables for segmenting the different categories of the customer segments are quite different. 1. The doctors and the physicians are classified on the basis of the following variables: • Prescribing habits of the doctors • Degree of openness towards adopting new technology products Experimentalists Progressive Early adopters or Innovators Traditionalists • Patient Load (Size of the practice) • Accessibility times of the doctors • Specialization of the doctors • Sensitivity of the physicians to varied promotion schemes, and ethical stands taken. • Relationship with doctors – Emphasis on inner circle of doctors for brand recommendation 2. The end users or the patients are classified on the basis of the following variables: • Level of keenness towards participation in the decision of surgical products use • Level of awareness of surgical products like sutures • Demographic – age, type of illness • Geographic – Tier I/Tier II/ Tier III city of residence/treatment, urban or rural • Economic strata of the society - Directly reflects the willingness to pay for premium products 3. The wholesalers/retailers/stockists • Though this is not an OTC product, regular surgical equipment suppliers of government hospitals should be offered Monocryl Plus at discounted rate5 to facilitate the bidding for tenders6                                                              5 This is subject to the comfort level of company in giving out such discounts. Also, precautionary measures should be applied so that the product reaches the targeted customers at the discounted rate 6 Government hospitals purchase surgical equipment through tender. (Primary Interview – Dr. Ashok Sinha, IMA Bihar Chapter)    
  • 5. Defining Target Segments Customers As for the doctors, who would recommend the use of Monocryl Plus products, we aim at the following target segments in the order of priority: Fig-5: Target Market for Monocryl Plus 7 We base our recommendations on the premise that since Monocryl plus gives better results than other competing brands in case of cardiovascular, gynecological and general surgery, so doctors in these segments will be susceptible to upgrading to Monocryl Plus, thereby making them potential market for Monocryl Plus. Consumer Population Breakup Figure-6: Population Breakup8 Consumer Behavior9 Following conclusion can be reached in terms of the attitude of different income group households towards the medical facility they want to avail themselves of. Social Class Nursing homes Private hospitals Governmental Hospitals Total High 72(86.7%) 11(13.3%) - 83 Middle 45(97.8%) 1(1.2% ) - 46 Low/Very Low 2(5%) - 38(95% ) 40 Table-1: Consumer behavior for medical facilities selection Social Class Nursing homes Private hospitals Governmental Hospitals High 72(60.5%) 11(91.6%) - Middle 45(37.8%) 1(8.4%) - Low/Very Low 2(1.2%) - 38(100%) Total 119 12 38 Table-2: Share of different Socio-economic classes of patients in various medical facilities                                                              7 Case Facts 8 http://indiaretailbiz.wordpress.com/2006/10/15/socio-economic-classifications-sec-categories/ http://en.wikipedia.org/wiki/List_of_most_populous_metropolitan_areas_in_India 9 http://books.google.com/books?id=717R24_QEsgC&pg=PA222&lpg=PA222&dq=medical+expenditure+india&source=bl&ots=jQBwWJDDJP&sig=QRv aqUP1PaAFOoG 2NMRERXPuh0E&hl=en&ei=paR5SoynHY7a6gOoh_yhBQ&sa=X&oi=book_result&ct=result&resnum=9#v=onepage&q=&f=false    
  • 6. Targeting Strategy Concluding from the above data, the following targeting strategy is recommended for Monocryl Plus:- • Target only high and middle social sections in tier I/II cities for mass marketing and spreading awareness • For private nursing homes, design the campaign for both high and medium social class • For private hospitals, design the campaign for only high class Strategic Positioning of Monocryl Plus Monocryl Plus should be positioned as an innovative product with first in class approach, which would make a paradigm shift in the surgical stitching. Key attributes • Low tissue reactivity • High tensile strength - Consistent absorption rate with a predictable decrease in tensile strength • Half-life of 7 to 14 days Monocryl Plus Suture provides wound support for approximately 14 days • Slippery surface - makes it easier to pass Smoothness of Monocryl Plus Suture results in less tissue drags than gut sutures and braided synthetic absorbable sutures Monocryl Plus Suture needs fewer stitch granulomas than braided stitch • Excellent first throw hold for easy and secure wound approximation • Protection for Surgical site Infections (SSI)10 Applications and Uses Presently Monocryl Plus is mostly being used in • Cosmetic Surgery Monocryl Plus dissolvable suture allows finer approximation of edges and gives excellent results, when they are used to close the incisions by subcuticular stitching11 However, due to unique attributes and benefits offered by Monocryl Plus, we may also target the following specialties:- • Cardio Vascular Surgery Though contraindicated for use in Cardio Vascular Surgery, primary interviews have revealed that transparent Monocryl would be preferred suture in Cardio Vascular Surgery since it offers high tensile strength and longer half life, along with low tissue reactivity12 • General Surgery 13 Knotless surgery offered by Monocryl Plus saves a lot of time, and with increasing operating room charges this is viewed positively by general surgeons14 • Gynecological Surgery Absorbable monofilament sutures (like Monocryl Plus) are preferred by many surgeons for fascial closure of a transverse incision. These sutures are often used with midline incision closures in gynecologic surgeries. It is believed that using a delayed absorbable suture in a mass closure of all layers of the abdominal wall is efficient and safe15 • Oral Surgery Microbial load is significantly lower when absorbable monofilament Monocryl is used16                                                              10 SSIs account for more than 20% of all healthcare-acquired infections. Over 60% of surgical site infections (SSIs) occur at the incision. Monocryl Plus Suture, with its advanced antibacterial technology, creates a zone of inhibition around the suture that kills pathogens and inhibits bacterial colonization of the suture. 11 http://www.feedage.com/feeds/2338975/breast-augmentation-toronto http://books.google.co.in/books?id=cYGaj7GYstgC&pg=PA1012&lpg=PA1012&dq=Gynaecology+surgery+monocryl&source=bl&ots=033sXZweeS&sig=- hTluKJa24YvHYTvPzm2A7uWx-4&hl=en&ei=6Xh8StKpLsmNkQWW3M3vAg&sa=X&oi=book_result&ct=result&resnum=7#v=onepage&q=monocryl&f=false 12 Primary Survey – Dr. Ashok Kumar Sinha, IMA Bihar Chapter Primary Survey – Dr. Kiran Kumari, Gynecologist, Patna 13 General surgery, despite its name, is a surgical specialty that focuses on abdominal organs, e.g. intestines including esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder and bile ducts, and often the thyroid gland (depending on the availability of head and neck surgery specialists). They also deal with diseases involving the skin and hernias. These surgeons deal mainly in the Torso. 14 Primary Survey – Dr. Ashok Kumar Sinha, IMA Bihar Chapter 15 http://emedicine.medscape.com/article/271349-overview 16 http://linkinghub.elsevier.com/retrieve/pii/S0278239106019343    
  • 7. Communication and Promotion For surgical products (like suture), the response gathered in the first year of the launch is what decides the fate of the product. Any product that initially takes a beating at the hands of the customers, is least likely to come up again and capture the market share, because a loss of trust and confidence, in the case of health related products, gives it a negative stand. We must take care of this fact before reaching out to communicate with the doctors and the end consumers (patients). Before launching Monocryl Plus, the pre-launch strategy must be clearly laid out. If we plot the riskiness associated with the use of product and the degree of rationality required in making the choice, we arrive at the following figure (Figure-7). Hence the choice of sutures by the physicians/surgeons is dictated by a high degree of rationality and the risk associated with the use of product. Therefore, communicating key information to the doctors is very important. Literature suggests two schools of thought, used for communication with the doctors: Medical School which relies totally on facts to keep a knowldege user uptodate with the latest technologies and the Psycho-Behavorial School which emphasizes the focus on repeated messages, brand recall, and the role played by noise (marketing communication from other products) and Figure-7: Communication Matrix for health professionals ethical issues. We suggest a combination of both approaches to be adopted by Ethicon in getting its message across. Strategies to communicate with the doctors The key here is to Inform and communicate that staying abreast of technology adds value. • Advertise in medical newsletters, journals and magzines • Communicate to doctors personally via telemarketing and web marketing using digital media • Hold seminars, symposiums & workshops for familiarising surgeons with the product • Send samples of the Monocryl Plus suture along with “Monocryl theme” gifts through MRs • Display posters and calendars in the hospitals and nursing homes • Use Doctor Mailing cards ( with the product message on one side and the harmful effects of surgical site infections on the ther side of the postcard). Keep a structured feedback and followup mechanism for all the unaccepted parcels • Get endorsed by medical forums,like Indian Association of Cardiovascular & Thoracic Surgeons. • Tie-up with with medical colleges for interaction with students, with the purpose of familiarising them with Monocryl Plus The other channel to bank upon is that of the well trained Medical Representatives. Whereas an advertisement in the mass media gets an attention span of atmost 5-6 seconds, an MR gets a personalized attention span of 2-3 minutes, and works on relationship management with the doctors. Hence, Productive Prescription of Effort Monocryl Plus incentivize the MRs. The dynamics of interaction between doctors and MRs is illustrated in figure-8. Unproductive The various stages right from the communication of Wasted Effort Adoption and Use Effort of Monocryl Plus new product launch, illustrating its benefits and the adoption of the product can be explained in terms of the stages listed below: Make a call Evaluation of Monocryl to a doctor Plus vis-à-vis other brands Awareness Arise Interest Sales Proposition leading to persuasion and Trust and Satisfaction Repeat Preference Confidence in Purchase Availability of the product Dissatisfactio Trial Brand Confidence and Trust in the eyes of the Relationship opinion leaders Repeat Purchase Figure-8: dynamics of interaction between a doctor and an MR Mass adoption of the product    
  • 8. We can illustrate a sample message in print media for doctor in the following figure:- Strategies to communicate with the patients: The key here is to Reassure the patients that Monocryl Plus offers safety and hygiene that no other product to date offers. This would be the most significant step in transforming this “push” product into a “pull” product. • Use digital media advertisements, like on the dedicated audio-video devices in the waiting area in clinincs and hospitals • Use print media for Monocryl Plus advertisements • Use the Monocryl Plus and mnemonics on the consultants’ visiting cards and the stationery • Keep brochures and printed material available in the medicine shops We can illustrate a sample message in print media for patient in the following figure:- Other smart strategies • Influence Purchase committee of the government and private hospitals for guiding their purchase intention towards Monocryl plus. • Bulk clients like Fortis and Max hospital can be offered17 o Tailored product packaging and delivery at competitive prices o Consulting services to nurses on how to reduce wastage by decreasing the notoriously high rate of opened, unused and discarded products                                                              17 The cost of this strategy has not been included in the marketing budget because this would be subjected to the management of the hospital concerned    
  • 9. Strategi Advanta Focus ic age Synergy w the diffe with erent business segments of Johnson & Johnson, and strategy for Monocryl Plus to s f d r leverage t strengths of all sister co the o ompanies is represented be elow:- Core Compet C tency                                     C Company                         Leveraging si ister compan nies’ strength hs  ‐One of the world’s most  • Le everage brand name, promote  respected brandss in surgical  Monocryl as hig M ghly innovative e and safe  and health care.  ovative  ‐Famous for Inno ET THICON N product of Ethic con.  products  ‐Well known in CCardio  • Associate with C Cordis productts in Cardio    Vascular Segmen nt  Vascular Segmeent, to influenc ce Doctors  ‐ Famous for its c commitment  CORDIS C nd make them an m switch to Mon nocryl. to R&D  M O ‐Strong training n ‐ network  • Use training nettwork of Depuy raining to surge tr y, provide  eons for using Monocryl N ‐Strong marketing and sales  ‐ distribution netw d work  DEPUY D • Use marketing a and sales distri network of Depuy to enhance ibution  e reach of  O Monocryl M C ‐Strong brand rep ‐ putation in  •D Devise joint pro omotion schemmes with  R  minimally invasive and open  m surgical procedur s res   Ethic con End do‐ Monocryl (as a non‐invasive p M Et thicon) to leve product of  erage brand name in  Y    Surgery S minimally invasive  and open s m surgical  procedures. L  ‐Well known for its range of  ‐ • Use brand repute of JJHS to promote    infection prevent tion products  Monocryl as a in M nfection‐free ssuture JJHS • Use network of JJHS to promo f Monocryl , sp of ote usage  pecially in nurs sing homes  P  an nd mini hospitals. L ‐Strong Professio ‐ onal  • Use Professiona al Education ne etwork,  U Education network  E provide ‘hands‐ ‐on’ Monocryl experience  EISE o surgeons.  to S ‐Strong service network for  ‐ Bu usinesss  • Use service netw usage of Monoc work of BKC to o promote  cryl by their clients. Operational Exce O ellence,  Global Process O G Outsourcing  Kno owledgge  and Knowledge D a Development  Centre C            
  • 10. IMPLEMENTATION PLAN Segmentation of Medical Facilities18 City Private Hospitals Government Hospitals Nursing Home Total Tier -1 425 2188 24807 27420 Tier -2 390 516 11128 12034 Tier -3 35 2046 14065 16146 Total 850 4750 50000 Table-3: Segmentation of Medical Facilities Roadmap and Costing for promotion of Monocryl Plus19 Mile stones ‐T‐Communicate to  ‐Communicate to surgeons ‐Communicate to surgeons ‐Communicate to surgeons surgeons via mobiles,  via mobiles, emails and MRs    via mobiles, emails and MRs    via mobiles, emails and MRs    emails and MRs      Tier  Tier  Tier  Tier  Tier  Tier    Tier  Tier  Tier    Tier  Tier  Tier  I  II  III  I  II  III  I  II  III  I  II  III  PH  35%  40% 40% PH 25% 20% 25% PH  10% 10% 0% PH  30%  30%  35%  GH  30%  35% 25% GH 30% 30% 30% GH  20% 15% 25% GH  20%  20%  20%  NH  35%  40% 35% NH 20% 20% 35% NH  20% 15% 15% NH  25%  25%  15%  ‐Advertisements in MIMS,  ‐Advertisements in MIMS,  ‐Advertisements in MIMS,  ‐Advertisements in MIMS,  SIMS (Medical Journals)  SIMS (Medical Journals)  SIMS (Medical Journals)  SIMS (Medical Journals)  ‐10 workshops in tier I cities  ‐1 presentation in 25  ‐2 seminars in each tier I  ‐2 one day symposiums in  and 10 workshops in tier II  different government  and II cities with invitation  every tier I cities  cities with invitation to all  colleges across tier I, II, III  to all the surgeons in tier III    surgeons from tier III cities  cities on Monocryl plus  cities    2 months 4 months 6 months 8 months No. of Medical 12300 No. of Medical 19724 No. of Medical 13728 No. of Medical 9848 Facilities to be Facilities to be Facilities to be Facilities to be covered covered covered covered Expense on MRs Rs. Expense on MRs Rs. Expense on MRs Rs. Expense on MRs Rs. 3200000 5150000 3600000 2600000 Expense on Mobile Rs. Expense on Mobile Rs. Expense on Mobile Rs. Expense on Mobile Rs. advertisements 100000 advertisements 130000 advertisements 110000 advertisements 90000 Expense on e-mail Rs. Expense on e-mail Rs. Expense on e-mail Rs. Expense on e-mail Rs. advertisements 50000 advertisements 70000 advertisements 60000 advertisements 50000 Cost of Rs. Cost of Rs. Cost of Rs. Cost of Rs. advertisements in 350000 advertisements in 350000 advertisements in 350000 advertisements in 350000 MIMS and SIMS MIMS and SIMS MIMS and SIMS MIMS and SIMS Expense on Rs. Expense on Rs. Expense on Rs. Expense on Rs. symposiums 1200000 workshop 2000000 presentation 250000 seminar 1400000 Total Projected Rs. Total Projected Rs. Total Projected Rs. Total Projected Rs. Cost 4900000 Cost 7700000 Cost 4370000 Cost 4490000 Projected Cost                                                              Total Projected Cost = Rs.2.146Crores 18 Assumptions:- • The percentage share of different types of medical facilities has been constant since March 2005. • http://www.karmayog.com 19 Assumptions: • An MR takes about 2 months to communicate about the product and get a confirmed response from all the potential customers in his area of operation (positive/negative). • An MR can visit 4 potential customers in a day. • A typical week-work for an MR is of 6 days. • We have set the aggressive targets considering qualified sales force and competitive position of Ethicon vis-à-vis other players. • Average expense on one MR = Rs. 50000 per month (including all travel expenses and benefits). • Average price of magazine advertisement = Rs. 90,000 per magazine per month • Average cost of mobile advertisement = Rs. 4 to Rs. 5 per prospect per month (For the applicable size of prospects in this case) • Average cost of e-mail advertisement = Rs. 2 to Rs. 3 per prospect per month (For the applicable size of prospects in this case) • Average cost of one day symposium = Rs.2,00,000 • Average cost of one seminar = Rs. 1,00,000 • Average cost of one workshop = Rs.100000 • Average cost of one presentation = Rs. 10000    
  • 11. REVENUE  PROJECTI ION FOR M MONOCRYL L PLUS  Target Segment of S t Surgeons Annual potential rrevenue per surgeon Specializ zation No of Doctor rs Target SSegment Total annual revenue of E Ethicon Rs.83Crore e (Yes/No)) from 52500 Surgeons wit current th General SSurgeons 20000 Yes product porttfolio Gynecolo ogists 25000 Yes Adjusted To annual rev otal venue of Rs.90Crore e Plastic Su urgeons 1000 Yes Cardiac SSurgeons 500 Yes Ethicon from 52500 Surg m 20 geons with Orthoped dic 6000 No Monocryl Plus Total 52500 Average ann potential revenue nual l Rs.16225 Total Nu umber of surg geons in target Segment = 46 t 6500 per Surgeonn Table-4: Ta arget Segment of Surgeons S Table‐5: Annual potential revenue e per surgeon  Nummber of Hospitals Conta acted Number of Su N urgeons Con ntacted Number of s N surgeons per hospital is smo h oothened out Total Number of Hospitals = 5 H 55600 To Number o Surgeons = 46500 otal of a average for calculation as Phase - (Month 2) -1 12300 22% 10230 purpose. Thus percentage p s, Phase - (Month 4) -2 32024 58% 26970 2 o surgeons contacted is of Phase - (Month 6) -3 45752 82% 38130 3 equal to the p e percentage of Phase - (Month 8) -4 55600 100% 46500 4 hospitals conta h acted Table-6: Ph hase-wise details of established cont o tacts   Numbe of Surgeons Contacted er C 0 10230 10230 26970 26970 38130 38130 46500 0 Con ntacts already est tablished with the targets, conver rsion in process Month  1  2  3  4  5  6  7  8  9  10  1 11  12 13  14  15  16  17  18  19 9  0 1023 1023 2697 4743 3 5859 9207 10044 15857 15 5857 23390 233 390 28830 28830 34271 34271 35945 35945 37 0 7200 21 Numbe of Surgeons Converted er Figure-9: P Projected Reven nues Revenue from one sur rgeon in a fin nancial year = Annual Ear rning from on surgeon*(n ne number of mmonths left after c conversion/12 2) Assumptions:- • C CAGR = 9%22 2 • N Number of Su urgeons contacted/converte in a phase are considered to be cont ed tacted/conver rted at th end of the phase for calc he p culation purpoose Total l Projected Rev venue in 5 yea ars = Rs.304.45 5Crore                                                              20 Assuming p price index for Moonocryl plus = 130 extrapolating from Case Facts (Ann 0 m nexure-5) We conside taking over of Vicryl/ Vicryl Plus m er Vi market by Monocr plus as an oppo ryl ortunity as it provi ides a better bottom line.. m 21 We are suc ccessful in converti 80% of our est ing tablished touch po oints. However, thi happens in a pha is ase-wise manner o 10% will be converted imm l mediately o 20% mor will be converte after 3 months re ed o 35% mor will be converte after 4 more mo re ed onths o 15% mor will be converte after one year o first contact re ed of 22 bw.businessworld.in/PDF_up pload/Indian_Phar rma.pdf