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Bestpracticesinpolicyandadvocacy
JeremiahMwangi,WorldHeartFederation20June 2017– CapeTown,SouthAfrica
Contents:1. Global health policy environment
2. What is advocacy?
3. Common weaknesses
4. Know what you want to change
5. What’s in a good plan?
6. Influencing strategies
7. Elements of success
8. Common weaknesses
9. Resources
Global Health policy environment
UNSustainableDevelopment Goals
UNPoliticalDeclarationonNCDs
UniversalHealthCoverage (UHC)
Health SystemsStrengthening
Primary HealthCareAgenda
Maternal,Child&AdolescentHealth
AddisAbbabaActionAgenda
Where does access fit?
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Global Development Agenda: The SDGs
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UN Political Declaration on NCDsHeadsofStateandGovernmentcommittofiveactions:• Reduceriskfactors• Strengthennationalpoliciesandhealthsystems• Internationalcooperation• Researchanddevelopment• Monitoringandevaluation
2011politicaldeclarationtasksgovernmentstoimplement:• Nationaltargetsandindicators• Functioningsystemforgeneratingreliablecausespecific
mortality• Operationalmultisectoral nationalstrategy/actionplan• Nationalguidelines/protocolsforthemanagementof
NCDsthroughaprimarycareapproach
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What is advocacy?Nosingledefinition…butaworkingdefinitioncouldbe:
“Advocacyisaprocessofinfluencing…
…selectedpeopleorinstitutions…
…inordertoachievepolicy,practice,social,behavioural orpoliticalchanges…
…thatwillbenefitparticulargroups.”
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Goals: Know what you want to change
IdentifyproblemorissuetobeaddressedAnalyseproblemorissueIdentifythesolution/policyDevelopanadvocacystrategy
Exerciseforgroupwork:ThinkaboutyourgroupsobjectiveDoyouhaveaclearlyspecifiedoutcome?Isit:
pecific, easureable, chievable, elevant, ime-bound
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Core elements of an advocacy plan• Goals• Resourcesandassets• Support/opposition• Targets/Agents• Strategies• Actionsteps
“Thedifferencebetweensuccessfulandunsuccessfuladvocacycampaignsisseldomtheworthinessofthecauseandmoreoftenthestrengthoftheplan.”
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Influencing strategies
“Apilltoprevent80%ofheartattacks”BMJ2003
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KeyoutputsofNoEmptyShelves
• Globallandscapereport:DiabetesSupplies:AreTheyThereWhenNeeded?
• Globalcalltoactionwithmorethan100individualandorganizationalsignatories.
• KenyaandSenegalcountryassessments,datadisseminationmeetings,andadvocacyworkshops.
• Groundworktoestablishacross-disciplinarycoalitiontoincreaseaccesstoessentialmedicinesandtechnologiesforNCDs.
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Chains of influence
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Cultivate champions:Patientchampions:Canbe“policyagitators”drawingontheirexperience
PublicHealthChampions:Doctors,healthworkersandinternationalexperts
PolicymakerChampions:Parliamentarians,civilservants,membersofcongressetc.whohavebeenconvincedofthevalueofmakingtobaccocontrolasignaturepolicyissue
HighProfileChampions:High-levelgovernmentofficials,politicalcelebritiesandothernotablefigureswhocangenerateattentiontotheissueamongcolleagues
Tip:Whenwritingyourproposalsidentifythechampionsyouneedtocultivateaspartofyourproposal.
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Common weaknessesTheSevendeadlySinsofAdvocacyandCampaigning1. Unclearaimsandobjectives2. Activityplanninghappeningbefore(orwithout)
developinganinfluencingstrategy3. Actionplansthatruntoaninternaltimetable4. Lackofinnovation5. Messagesthatdon’tgetnoticedandmovepeople6. Poormonitoring&evaluation7. Failingtofocus
Thank you!
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