Best practices in policy and advocacy · 2017. 10. 27. · The Seven deadly Sins of Advocacy and...

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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