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Since its inception in 2000, the Missouri Foundation for Health (MFH) has invested in policy change in Missouri. Recognizing a dearth of organizations with the capacity to advocate for Missouri health consumers, MFH broadened its grantmaking vision to building a field of consumer health advocates. Using the Framework for Evaluating Advocacy Field Building, Innovation Network and the Center for Evaluation Innovation are currently gauging how MFH shapes this field through its grantmaking. This presentation will focus on evaluating two dimensions of the Framework of this field: Adaptive Capacity and Skills & Resources. A discussion of data collection activities will give the audience ideas about how to evaluate these dimensions, lessons learned from the process, and what has been revealed through the evaluation about Skills & Resources and Adaptive Capacity in a field.
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EvaluatingAdaptive Capacity andSkills + Resourcesin the Consumer Health Advocacy Field in Missouri
Kat Athanasiades@[email protected]
AEA 2014, Denver, CO
https://www.flickr.com/photos/an_untrained_eye/6630719431
1 What and Why
2 How
3 So What?
https://www.flickr.com/photos/an_untrained_eye/6630719431
What and Why1
https://www.flickr.com/photos/bobaubuchon/7029173397
How2Theory of Change- Advocacy for Positive
Health System ChangeState of the Field 2013 Ideal Future Field 20185 Year Strategies
Skills + Resources Skills + Resources
Connectivity Connectivity
Composition
Adaptive Capacity
Composition
Adaptive Capacity
Field FrameField Frame
Different strategies
affect different field dimensions
Different strategies
affect different field dimensions
How2Theory of Change- Advocacy for Positive
Health System ChangeState of the Field 2013 Ideal Future Field 20185 Year Strategies
Skills + Resources Skills + Resources
Connectivity Connectivity
Composition
Adaptive Capacity
Composition
Adaptive Capacity
Field FrameField Frame
How2Adaptive Capacity-
Interviews
Participatory Assessment
https://www.flickr.com/photos/myklroventine/3333757313
How2Adaptive Capacity-
Interviews
Participatory Assessment
https://www.flickr.com/photos/myklroventine/3333757313
How2Adaptive Capacity-
Strongly Disagree
Strongly Agree
Reasons to
Disagree
Reasons to AgreeSTATEMENT
https://www.flickr.com/photos/myklroventine/3333757313
How2Adaptive Capacity-
Strongly Disagree
Strongly Agree
Reasons to
Disagree
Reasons to Agree
“We respond to the moves of the opposition
in a timely way.”
My organization
https://www.flickr.com/photos/myklroventine/3333757313
How2Adaptive Capacity-
Strongly Disagree
Strongly Agree
Reasons to
Disagree
Reasons to Agree
“We respond to the moves of the opposition
in a timely way.”
My organizationThe field of consumer health advocates
https://www.flickr.com/photos/myklroventine/3333757313
How2
https://www.flickr.com/photos/myklroventine/3333757313
How2Adaptive Capacity-
Interviews
Participatory Assessment
https://www.flickr.com/photos/myklroventine/3333757313
How2Skills + Resources-
Interviews
Participatory Assessment
Advocates’ Survey
https://www.flickr.com/photos/alatryste/3933874400
So What3Are there significant skill or knowledge gaps we need to address among certain types of advocates?
Where should we build skills within organizations vs. linking advocates with different skill sets together?
Between what kinds of advocates is there a connectivity problem and why? And with what kinds of policy issues will this trip us up?
Do “missing constituencies” in the policy arena warrant supporting new organizations or building the capacity of existing organizations who represent them?
Where and among whom do we need to support increased time for shared political analysis?
What other constraints to adaptive capacity can be addressed via grantmaking or auxiliary supports?
https://www.flickr.com/photos/bobaubuchon/7029173397
So What3Examples-
https://www.flickr.com/photos/bobaubuchon/7029173397
-2 -1 0 1 2
Series1
-2 -1 0 1 2
Series1
Adaptive Capacity-
So What3
Collective Efficacy Survey
Adaptive Capacity H-Forms
Lower adaptive capacity
Higher adaptive capacity
Lower adaptive capacity
Higher adaptive capacity
Field Organization
So What3Skills + Resources-
Audiences
Out
com
es
ACTI
ON
WIL
LAW
AREN
ESS
DECISION MAKERSPUBLIC INFLUENCERS
ACTI
ON
WIL
LAW
AREN
ESS
DECISION MAKERSPUBLIC INFLUENCERS
Policy focus: Medicaid (blue) (n = 34 organizations)
Audiences
Out
com
es
ACTI
ON
WIL
LAW
AREN
ESS
DECISION MAKERSPUBLIC INFLUENCERS
ACTI
ON
WIL
LAW
AREN
ESS
DECISION MAKERSPUBLIC INFLUENCERS
Policy focus: Medicaid (blue) & Nutrition (red)(n = 34 organizations)
Advocacy Capacity Building
Coalition Building
Communications and Messaging
Community Mobilization
Community Organizing
Demonstration Programs
Influencer Education
Leadership Development
Litigation
Lobbying
Media Advocacy
Model Legislation
Policy Analysis/Research
Policymaker Education
Political Will Campaigns
Public Education
Public Education Campaign
Public Forums
Public Polling
Regulatory Feedback
Voter Outreach
Audiences
Out
com
es
ACTI
ON
WIL
LAW
AREN
ESS
DECISION MAKERSPUBLIC INFLUENCERS
ACTI
ON
WIL
LAW
AREN
ESS
DECISION MAKERSPUBLIC INFLUENCERS
Policy focus: Medicaid (blue) & Nutrition (red)(n = 34 organizations)
So What?
https://www.flickr.com/photos/an_untrained_eye/6630719431
