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Advocacy is the Best Policy for Public Health Success and Sustainability

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Title: Advocacy Author: Amy Thompson Last modified by: John Dod Created Date: 4/28/2004 10:15:38 PM Document presentation format: On-screen Show (4:3) – PowerPoint PPT presentation

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Title: Advocacy is the Best Policy for Public Health Success and Sustainability


1
Advocacy is the Best Policy for Public Health
Success and Sustainability
  • Dr. Amy Thompson
  • The University of Toledo
  • National President
  • Eta Sigma Gamma


2
Objectives
  • Describe various methods of advocacy.
  • Explain the role that health educators have in
    advocacy and public policy.
  • Describe the legislative process.
  • Generate various methods of advocacy in response
    to various advocacy scenarios.
  • Identify various tools and resources that can be
    used to advocate by health educators.

3
What is Advocacy?
4
What is advocacy?
  • Actively working to change the social, political,
    legal, economic, and medical environment.
  • Derived from Latin word advocatus, which means
    one who gives voice.
  • World Health Organization definition
  • Any combination of individual and social actions
    designed to gain political commitment, support,
    social acceptance, and systems support for a
    particular health goal or program.

5
What Comes to Mind When You Think of Advocacy..
6
What Comes to Mind When You Think of Advocacy..
7
What Comes to Mind When You Think of Advocacy..
8
There Are Many Ways to Shape Policy
9
Are YOU an Advocate?...
  • Have you worked on implementing a health-related
    policy at your workplace or community?
  • Have you helped draft or pass a resolution on
    behalf of a professional organization?
  • Have you had a class project where you worked on
    advocacy related activities?

10
Are YOU An Advocate?.....
  • Have you ever met with administrators regarding
    the importance of school health?
  • Have you ever provided public testimony at a
    school board meeting or legislative meeting?
  • Have you voted in an election or forwarded health
    policy information to another student or
    colleague?

11
Pairshare-Where Are You on The Advocacy Stage of
Change Continuum??
  • I have never thought about being involved in
    advocacy.
  • I am currently thinking about engaging in
    advocacy related activities.
  • I am planning on engaging in advocacy related
    activities in the near future.
  • I am currently engaging in advocacy related
    activities.
  • I used to engage in advocacy related activities
    but no longer do so.

12
Never doubt that a small group of thoughtful,
committed citizens can change the world indeed
its the only thing that ever has.
  • Margaret Mead

13
You must be the change you wish to see in the
world.
  • Gandhi

14
Advocacy and Health Educators
  • RESPONSIBILITY I ASSESSING INDIVIDUAL AND
    COMMUNITY
  • NEEDS FOR HEALTH EDUCATION.
  • RESPONSIBILITY II PLANNING HEALTH EDUCATION
    STRATEGIES
  • INTEVENTIONS AND PROGRAMS.
  • RESPONSIBILITY III IMPLEMENTING HEALTH
    STRATEGOES, INTERVENTIONS, AND PROGRAMS.
  • RESPONSIBILITY IV CONDUCT EVALUATION AND RESEARCH
  • RELATED TO HEALTH EDUCATION.
  • RESPONSIBILITY V ADMINISTER HEALTH EDUCATION
  • STRATEGIES, INTERVENTION, AND PROGRAMS.
  • RESPONSIBILITY VI SERVE AS A RESOURCE PERSON IN
    HEALTH
  • EDUCATION.
  • RESPONSIBILITY VII COMMUNICATE AND ADVOCATE FOR
    HEALTH
  • AND HEALTH EDUCATION.

15
Public Policy Involvement of Health Educators
  • Holtrop, Summers, Price and Boardley (2000)
  • -National survey of 547 Health Educators
  • -98 of sample indicated perceived barriers to
    Public Policy Involvement
  • -Leading Barriers were
  • a.) Lack of time
  • b.) Other priorities
  • c.) Frustration with the process

16
Public Policy Involvement of Health Educators
  • The most commonly reported Advocacy Activities
    were
  • -Voted (86)
  • -Contacted a public official (65)
  • -Provided policy related information (59)
  • -Worked on a Coalition (50)
  • -Gave Money (48)
  • -Used Media (25)

17
Lobbying vs Advocacy
  • People sometimes confuse the words "lobbying" and
    "advocacy.
  • Lobbying is one form of advocacy, comprising
    efforts to influence specific legislation with
    legislators and their staff.
  • Advocacy covers a much broader range of
    activities such as influencing executive branch
    actions to implement the laws and public
    education.
  • One way of differentiating between the two terms
    is to understand that lobbying always involves
    advocacy but advocacy does not necessarily
    involve lobbying.

18
True or False
  • I work for a non-profit organization and
    therefore I cannot personally participate in a
    candidates campaign for elected office?
  • My non-profit organization cannot inform
    political candidates of their position on key
    issues and urge the candidate to go on record in
    support of our organizations position?
  • I want to go to a state lobby day. I work for the
    health department. I can apply for work travel
    funds to attend this event.

19
Under the Anti-Lobbying Act, government employees
as part of their official work MAY NOT
  • Engage in substantial 'grass roots' lobbying
    campaigns of telegrams, letters, and forms of
    communication expressly urging individuals to
    contact government officials in support of or
    opposition to specific legislation.
  • Prepare editorials or other communications that
    will be disseminated without an accurate
    disclosure of the government's role in their
    origin.
  • Appeal to members of the public to contact their
    elected representatives in support of or
    opposition to legislative matters or proposals.

20
How does politics effect health?
21
We Have Come Along Way Baby
  • Remember when you could smoke on an Airplane??

22
Remember when we could smoke in other places like
bars and restaurants
23
Other Advocacy Issues
24
Effective advocacy requires
  • Reasoned passion
  • Knowledge of politics
  • Knowledge of the practice of advocacy
  • Knowledge of the issue
  • Skill in advocating your issue
  • Keen sense of timing and
  • Perseverance.

25
Processes to Influence
  • Legislative Process
  • -Where laws are made
  • Regulatory Process
  • -where rules are made
  • -where laws are implemented

26
Regulatory Activities
  • Executive orders
  • Laws
  • Ordinances
  • Polices
  • Position Statements

27
Advocacy Levels
  • Federal
  • -Legislators
  • -Regulatory Bodies
  • State
  • -Legislators
  • -Regulatory Bodies (Department of Health)
  • Local
  • -City Council
  • -School Boards

28
(No Transcript)
29
Advocacy Activity
  • Please form groups of 5-6.
  • Each group will be given a scenario. As a group
    please discuss your scenario and generate ways to
    incorporate advocacy into the example you are
    given.
  • Be prepared to have a member of your group report
    on your suggestions

30
Scenario 1
  • You are the newly hired program director for a
    worksite wellness site of a major company. As a
    condition of employment, you are told that in
    order for your program to continue receiving
    funding you have one year to demonstrate that
    your program is beneficial. Although many people
    believe advocacy to solely be political how could
    you implement some of the advocacy strategies
    presented to further advance and maintain your
    program.

31
Scenario 2
  • As a health educator for a local health
    department, you observe firsthand the impact
    obesity has on your community. At a community
    obesity reduction coalition meeting you are
    approached to lead an effort to help implement a
    city-wide initiative to make the city more
    walkable and bikeable. What advocacy strategies
    might be appropriate to ensure your success of
    making the city more accessible for physical
    activity?

32
Scenario 3
  • As an injury prevention specialist for a local
    health department, you observe firsthand the
    impact unintentional injury has on your
    community. You are particularly concerned with
    the number of injuries that youth incur from
    riding their bicycles. You have heard about
    other communities who have implemented a
    mandatory bicycle helmet ordinance and think
    implementing a similar piece of legislation may
    help reduce the number of youth hospital visits.
    What advocacy strategies might be appropriate to
    ensure your success of implementing such an
    ordinance?

33
Scenario 4
  • You are the coordinator for a community
    after-school program that helps reduce youth
    violence and assists at-risk students with their
    homework while also providing a nutritious snack.
    You read in your local newspaper that in order
    to help balance the state budget that the Senate
    Education Committee is going to remove any state
    funding for after-school programs. If this
    occurs, your program as well as other throughout
    the state will not have enough funding to remain
    operating. What advocacy strategies might be
    appropriate to help ensure that funding for your
    program does not get cut?

34
Scenario 5
  • You are a parent of a 6th grader who attends the
    local neighborhood public school. As a result of
    changes made by your school superintendent all
    elementary and middle schools are combined making
    these schools k-8. As a result of this
    restructuring all middle school health teachers
    are reassigned to other teaching duties so health
    education is not provided until high school. What
    advocacy strategies could you use to create
    awareness about this or how can you help to
    change the current policy.

35
How Does Advocacy Make a Difference?
  • Does The squeaky wheel get the grease?
  • Examples
  • CDC Funding of Chronic Fatigue Syndrome
  • Advocacy resulted in 4.5mil. awareness
    campaign, shift in CDC priorities
  • State Tobacco Control Laws
  • The Affordable Health Care Act
  • Susan B. Komen Race for the Cure Now worlds
    largest grassroots network. http//cms.komen.org/k
    omen/index.htm

36
Sample Advocacy Groups
  • Planned Parenthood Action Network pro-choice,
    pro-contraception.(Walmart and EC now)
    www.plannedparenthood.org/action/
  • American Civil Liberties Union
  • APHA Advocacy section of their website contains
    many issues www.apha.org

37
More Advocacy Groups/Issues
  • Human Rights Campaign-gay rights group
    www.hrc.org Working on a federal hate crimes law.
  • Sexuality Information and Education Council of
    the US (SIECUS) www.siecus.org advocates for
    comprehensive sexuality education

38
Tips For Meeting With Policy MAKERS
  • KISS
  • Have your facts straight.
  • Be on time, polite, and patient.
  • If you go in group introduce each person and note
    what each persons connection is to policy maker.
  • Make the issue personal.
  • Be a resource.
  • Thank them for meeting you.
  • Report back to organization you advocated on
    behalf of.
  • Continue relationship with policy makers.
  • Provide opportunities for positive publicity.

39
Measuring the Success of Advocacy
  • Just because a topic disappears from the radar
    doesnt mean its a failure.
  • Success can be measure without achieving the
    goal.
  • Capacity and awareness building.
  • Stages of Change
  • Training and empowering of future advocates.
  • Changes in social norming.
  • Logging contacts with policy makers (process).

40
Share Your Success Stories
41
National Advocacy Priorities
  • http//www.apha.org/advocacy/priorities/
  • http//www.sophe.org/advocacy_priorities.cfm
  • http//www.ashaweb.org/i4a/pages/index.cfm?pageid
    3303

42
How Can I track Legislation
  • State
  • http//www.legislature.mi.gov/(S(gyvtwuu5a4d1i2nir
    giebq45))/mileg.aspx?pagehome
  • Federal
  • http//thomas.loc.gov/home/LegislativeData.php?nB
    SS

43
Health Advocacy Summit
  • Advancing Social Justice, Equal Opportunity
    Community Well-being
  • The Value of Investing in Prevention
  • Elevating Health Education and Physical
    Education
  • http//www.sophe.org/advocacysummit.cfml

44
Final Thought
  • Our lives begin to end the day we become silent
    about things that matter.
  • -Martin Luther King, Jr.

45
Remember
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