ADVOCACY HEALTH PROMOTION & EDUCATION SUBMITTED TO :- Instructor LYDIA TESFAYE (MPH in RH) 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 1
Introduction The word " advocate " originally stems from the Greek word " advokar ", meaning 'one who pleads on behalf of the other. Advocacy involves the active support of an idea or cause expressed through strategies and methods that influence the opinions and decisions of people and organizations. The aims of advocacy are to create or change policies, laws, regulations, distribution of resources or other decisions that affect people's lives and to ensure that such decisions lead to implementation . 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 2
Introduction Although individual health advocacy for patients and clients can be practiced, it should be stressed that public health advocacy is undertaken to enhance the health of the community through improved health policies and programs . Advocacy is generally directed at policy makers including politicians, government officials and public servants, but also private sector leaders whose decisions impact upon peoples lives, as well as those whose opinions and actions influence policy makers, such as journalists and the media, development agencies and large NGOs . 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 3
General objective At the end of this lecture/ discussion, students should be able to acquire knowledge on advocacy in relation to public health Specific objectives At the end of this lecture/ discussion, students should be able to: Define advocacy and public health advocacy Explain the principles of advocacy Explain the models of advocacy List Steps in the advocacy process Explain Elements of advocacy List Qualities of an advocator 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 4
Definitions Advocacy An action directed at changing the policies, positions or program of any type of institution. Pleading for, defending or recommending an idea before other people Speaking up and directing decision makers towards a solution. Speaking , pleading or interceding for someone else. (concise oxford dictionary (Eleventh Edition) 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 5
Definitions Public heath advocacy Public heath advocacy refers to educating, organizing and mobilizing systems change in population health. Public health advocacy is also defined as the process of gaining political commitment for a particular goal or program. An action directed at changing the policies, positions or program affecting the health of the population . 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 6
Principles of Public Health Advocacy Confidentiality Have a written confidentiality policy and make sure you take proper care of information entrusted to you unless where you have been permitted. Diligence and competence Carry out the instructions with diligence and competence (thoroughly, well and efficiently). This implies that the care giver should uphold standard of practice which is of quality through out. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 7
Principles of the Advocacy Act in the best interest of the client Anything being advocated for should not benefit the health care provider directly but the client/community. Act in accordance with the client's wishes and instructions Do not go beyond the client's wishes, follow the client's instructions Keep the client well informed Client should always be updated by way of providing feedback on how the process is progressing, this assist clients make informed decisions. to Act impartially Offer frank independent advise to clients. This encourages fairness of health care givers and respect to all clients as she/he Interacts with them. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 8
Importance of advocacy Protects the health and safety of the patients. Used for protection of the rights of the patients. Empower patients and community and ensure that the basic resources and conditions necessary for health care are accessible to all. Help bring people together towards improvement in treatment and care. Fosters participation in the service. May influence policy decisions. Seeks to ensure that people, particularly those who are most vulnerable in society, are able to have their voice heard on issues that are important to them. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 9
Models of advocacy Self advocacy Individuals represent and speak up for themselves or on their own behalf. Peer advocacy The advocate and the person have a common background, for example, they may have shared experience of service provision, "experts by experience. Volunteer Citizen advocacy Volunteer Citizen advocacy involves volunteers (unpaid) who are recruited, trained and matched with an individual, the volunteer represents the views of the person. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 10
Models of advocacy Professional advocacy Use of experts in professional field such as lawyers. The advocate provides support, information and representation. Non-instructed advocacy Advocacy can be provided to those who are, for reasons of capacity, unable to personally instruct their advocate. This may be because of the person's limitations in grasping concepts or because they are not able to make others. understand their wishes because of significant communication barriers . Crisis advocacy Helping with a one-off difficult situation or crisis. Collective advocacy A group of people campaign on behalf of themselves or others to try and change things . 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 11
Steps in the advocacy process Problem (issue) that requires a policy action. Goal , a statement of a general result you want or a vision. Objective , an incremental step towards achieving the a goal. Target audience . Massage development . Channels of communications . Building support . Fundraising . Implementation . Data collection- gathering, analyzing and using appropriate . data to support each step . Monitoring and evaluation . 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 12
Elements of advocacy Form the basic building blocks for effective advocacy. Not all elements can be used at the time or at once but only the useful and appropriate ones at a particular time . Selecting an advocacy objective Examine the complexity of the problem. Determine whether the objective address the problem. will Determine whether the objective is achievable Using data and research in advocacy Data and research is essential when choosing a problem to work on, identifying solutions to the problem, setting realistic goals and supporting your argument. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 13
Elements of advocacy Identifying advocacy audiences Once issues and goals are selected; Advocacy efforts must be directed to people with decision making powers who influence the decision makers e.g. staff, advisors, influential leaders, media and the public. Know the names of the decision makers who can make your goal a reality. Establish what influences these decision makers. Developing and delivering advocacy Different audiences respond to different massages. Establish what massage will get the selected audience to act on your behalf. Ensure that the massage developed is of great interest to the selected audience. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 14
Elements of advocacy Building Coalition Power of advocacy is found in the number of people who support your advocacy goal esp if large numbers of people representing diverse interests are involved. Large numbers of people who support goal help to provide safety for advocacy and build political support. Within organization, internal coalition building by e.g. involving people from different departments in developing new program helps to building consensus on the action. It is important to find out who else can invite to join your cause and who can be reliable. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 15
Elements of advocacy Making persuasive presentations Opportunities to influence key audiences are often limited. Careful and thorough preparation of convincing arguments and presentation style can turn these brief opportunities into successful advocacy. Fundraising for advocacy Advocacy like most activity resources. Investing time and energy in raising funds or other resources to support your work will sustain an effective advocacy effort over a long time. Its important to plan how to mobilize the heeded resources for your advocacy. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 16
Elements of advocacy Evaluating advocacy efforts Evaluating your advocacy efforts will enable you to know if you have succeeded in reaching your advocacy goals or not. An evaluation will reveal how you can improve your advocacy strategies. Continuous feedback and evaluation of your efforts is important for effective advocacy . 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 17
Qualities of an advocator Good communicator/good communication skills . Good listener . Knowledgeable . Good judgment . Accommodating . Approachable . Empathetic . Patience . Passionate . Being Diplomatic . Accountable . Acting peacefully . Ensuring legitimacy . Respectful . Trust worth . Understanding . Broad cultured . Friendliness. 18-Jun-24 Prepared by (YLCHS STUDENTS OF MRT 2014 G.C BATCHS) 18