WEBVTT 1 00:00:00.000 --> 00:00:02.490 Hi everyone and welcome back to another lecture 2 00:00:02.490 --> 00:00:05.460 here in module one of Public Health Advocacy. 3 00:00:05.460 --> 00:00:07.440 Today, we are recapping some highlights 4 00:00:07.440 --> 00:00:10.260 from the required reading from the textbook. 5 00:00:10.260 --> 00:00:12.540 And this lecture is all about chapter two, 6 00:00:12.540 --> 00:00:16.530 which is planning goals, strategies and tactics. 7 00:00:16.530 --> 00:00:17.910 By the end of this course, 8 00:00:17.910 --> 00:00:19.230 you're definitely going to think 9 00:00:19.230 --> 00:00:20.610 I sound like a broken record, 10 00:00:20.610 --> 00:00:22.290 but I wanna highlight again 11 00:00:22.290 --> 00:00:24.840 the four steps to creating an advocacy plan 12 00:00:24.840 --> 00:00:26.550 and making a change. 13 00:00:26.550 --> 00:00:30.150 I wanna highlight that these steps can be done out of order 14 00:00:30.150 --> 00:00:31.470 on the exception of one, 15 00:00:31.470 --> 00:00:33.180 which is defining the problem. 16 00:00:33.180 --> 00:00:36.270 This is going to be the highlight of today's lecture. 17 00:00:36.270 --> 00:00:39.224 So the first is to define the problem and make a plan. 18 00:00:39.224 --> 00:00:40.740 That's where we're starting. 19 00:00:40.740 --> 00:00:41.970 And the rest of the steps, 20 00:00:41.970 --> 00:00:43.260 they happen as they come. 21 00:00:43.260 --> 00:00:45.870 That is to gather facts, build support 22 00:00:45.870 --> 00:00:48.090 and communicate a clear and compelling story 23 00:00:48.090 --> 00:00:51.954 of what is wrong and why we should intervene. 24 00:00:51.954 --> 00:00:53.880 As I mentioned on the last slide, 25 00:00:53.880 --> 00:00:57.330 the first step in developing any advocacy campaign 26 00:00:57.330 --> 00:00:59.040 or campaign for policy change 27 00:00:59.040 --> 00:01:00.780 is defining the problem. 28 00:01:00.780 --> 00:01:04.587 This is absolutely the most important step to advocacy work. 29 00:01:04.587 --> 00:01:06.420 And you may be asking why, 30 00:01:06.420 --> 00:01:07.920 and that's because it sets the stage 31 00:01:07.920 --> 00:01:09.693 for the entire movement. 32 00:01:10.980 --> 00:01:13.140 Without identifying the problem, 33 00:01:13.140 --> 00:01:14.970 how can we identify solutions 34 00:01:14.970 --> 00:01:17.370 or ways in which we can make a change? 35 00:01:17.370 --> 00:01:19.800 Defining the problem is not cut and dry, 36 00:01:19.800 --> 00:01:21.300 and oftentimes, it's going to feel 37 00:01:21.300 --> 00:01:23.460 like a very large undertaking, 38 00:01:23.460 --> 00:01:25.350 and that is because it is incredibly important 39 00:01:25.350 --> 00:01:30.350 to identify the true root cause of a problem. 40 00:01:30.450 --> 00:01:32.696 For example, there may be different layers 41 00:01:32.696 --> 00:01:34.380 or societal constructs 42 00:01:34.380 --> 00:01:37.020 that seem to be the root cause of a problem, 43 00:01:37.020 --> 00:01:41.850 but not necessarily the true, true cause. 44 00:01:41.850 --> 00:01:45.000 So it is important that you take a broad approach 45 00:01:45.000 --> 00:01:47.190 and garner opinions and participation 46 00:01:47.190 --> 00:01:50.155 from the population you are trying to advocate for. 47 00:01:50.155 --> 00:01:51.690 And that's important 48 00:01:51.690 --> 00:01:54.150 because when you're trying to define a problem, 49 00:01:54.150 --> 00:01:57.270 you are essentially making an executive decision 50 00:01:57.270 --> 00:02:01.060 that this is the problem and this is what we need to solve. 51 00:02:01.060 --> 00:02:03.741 It's important to consider that there's many determinants, 52 00:02:03.741 --> 00:02:06.360 and this is where health equity comes into play. 53 00:02:06.360 --> 00:02:09.270 We must consider health equity inequities and disparities 54 00:02:09.270 --> 00:02:12.900 when we try to identify the true problem, 55 00:02:12.900 --> 00:02:14.000 public health problem. 56 00:02:14.910 --> 00:02:16.920 A great way to use that is data. 57 00:02:16.920 --> 00:02:20.070 This is a great example of why public health advocacy 58 00:02:20.070 --> 00:02:23.070 is both a qualitative and quantitative field. 59 00:02:23.070 --> 00:02:25.890 It's because, yes, we are doing communication, 60 00:02:25.890 --> 00:02:28.470 but we also need that quantitative factor. 61 00:02:28.470 --> 00:02:30.266 We must use data and research 62 00:02:30.266 --> 00:02:33.210 to support identification of a problem 63 00:02:33.210 --> 00:02:35.643 and justify that that is the true cause. 64 00:02:36.600 --> 00:02:38.970 And the course text had a really great quote 65 00:02:38.970 --> 00:02:42.120 that I just felt compelled to share in the lecture, 66 00:02:42.120 --> 00:02:43.620 and that is public health advocacy 67 00:02:43.620 --> 00:02:46.530 is taking public health knowledge 68 00:02:46.530 --> 00:02:49.710 and applying to policy and law to ensure prevention, 69 00:02:49.710 --> 00:02:52.652 improve health and advance health equity. 70 00:02:52.652 --> 00:02:55.770 Yes, it might seem small to identify a problem, 71 00:02:55.770 --> 00:02:58.500 but this is taking on so much more. 72 00:02:58.500 --> 00:03:01.860 It's allowing us to identify disparity, 73 00:03:01.860 --> 00:03:03.210 especially in a population 74 00:03:03.210 --> 00:03:05.400 that we are interested in working with, 75 00:03:05.400 --> 00:03:07.928 and using our knowledge as public health professionals 76 00:03:07.928 --> 00:03:09.690 to truly make a change 77 00:03:09.690 --> 00:03:12.150 and to truly create an equitable place 78 00:03:12.150 --> 00:03:14.520 for individuals to live out their lives 79 00:03:14.520 --> 00:03:16.923 with the best possible health outcomes for them. 80 00:03:17.970 --> 00:03:21.480 And when we're defining what the problem is 81 00:03:21.480 --> 00:03:24.390 in a public health campaign or an advocacy movement, 82 00:03:24.390 --> 00:03:26.850 it's really important that we use a public health framework 83 00:03:26.850 --> 00:03:28.560 to frame what we're saying 84 00:03:28.560 --> 00:03:32.310 in the context of community level initiatives. 85 00:03:32.310 --> 00:03:33.570 And what I mean by that 86 00:03:33.570 --> 00:03:35.070 is that our advocacy work 87 00:03:35.070 --> 00:03:37.710 is often going to be a community level change 88 00:03:37.710 --> 00:03:39.927 and not an individual level change. 89 00:03:39.927 --> 00:03:43.380 I know that this class has both medical students, 90 00:03:43.380 --> 00:03:44.370 pre-med students, 91 00:03:44.370 --> 00:03:47.400 and oftentimes other healthcare professionals, 92 00:03:47.400 --> 00:03:51.180 and we often are seeing patients on an individual level. 93 00:03:51.180 --> 00:03:53.310 I want you to think of advocacy work 94 00:03:53.310 --> 00:03:54.143 as the patient 95 00:03:54.143 --> 00:03:58.020 being your community or audience for your initiative. 96 00:03:58.020 --> 00:03:59.790 We're really looking at the bigger picture 97 00:03:59.790 --> 00:04:03.960 and the environmental constructs that influence the problem. 98 00:04:03.960 --> 00:04:04.860 Think big picture, 99 00:04:04.860 --> 00:04:06.870 that's the best way to describe it. 100 00:04:06.870 --> 00:04:09.699 Think of the big picture and all of those players. 101 00:04:09.699 --> 00:04:12.053 Another great public health framework, 102 00:04:12.053 --> 00:04:14.130 if you're not familiar with this, 103 00:04:14.130 --> 00:04:15.870 if you're not in the MPH program, 104 00:04:15.870 --> 00:04:17.760 would be the socioecological model, 105 00:04:17.760 --> 00:04:19.950 which is a required reading this week. 106 00:04:19.950 --> 00:04:22.080 The (indistinct) health equity framework 107 00:04:22.080 --> 00:04:23.640 we discussed in lecture one, 108 00:04:23.640 --> 00:04:26.190 as well as systems thinking, 109 00:04:26.190 --> 00:04:29.976 which is going to be a big discussion in module three. 110 00:04:29.976 --> 00:04:32.550 This is just a quick pause and reflect moment. 111 00:04:32.550 --> 00:04:34.230 This is not going to be on your quiz 112 00:04:34.230 --> 00:04:36.390 and this is not something we're discussing, 113 00:04:36.390 --> 00:04:38.610 but I want you to pay close attention in the reading 114 00:04:38.610 --> 00:04:40.410 to box 2.2, 115 00:04:40.410 --> 00:04:43.620 and review some of those websites in the text. 116 00:04:43.620 --> 00:04:46.710 Can you think of how we can connect that 117 00:04:46.710 --> 00:04:48.030 to combat problems 118 00:04:48.030 --> 00:04:51.210 such as inequitable access to food, healthy food, 119 00:04:51.210 --> 00:04:52.770 and how this can cause obesity 120 00:04:52.770 --> 00:04:55.170 in low income urban neighborhoods? 121 00:04:55.170 --> 00:04:57.630 It's a great exercise just to get your mind thinking 122 00:04:57.630 --> 00:05:00.119 and start connecting resources 123 00:05:00.119 --> 00:05:02.853 to applied public health initiatives. 124 00:05:03.701 --> 00:05:06.270 Next, when we're making a plan 125 00:05:06.270 --> 00:05:07.620 after we've defined the problem, 126 00:05:07.620 --> 00:05:08.910 there is four steps 127 00:05:08.910 --> 00:05:12.000 that the text highlights are absolutely essential. 128 00:05:12.000 --> 00:05:14.940 The first is we must have a clearly defined problem 129 00:05:14.940 --> 00:05:17.040 and we must use a public health framework 130 00:05:17.040 --> 00:05:18.780 to define that problem. 131 00:05:18.780 --> 00:05:21.110 We also need to have a clearly defined solution 132 00:05:21.110 --> 00:05:25.350 and an interim goal towards achieving that solution. 133 00:05:25.350 --> 00:05:28.110 We have to have an assessment of resources available 134 00:05:28.110 --> 00:05:29.640 to accomplish the goals, 135 00:05:29.640 --> 00:05:31.230 as well as a clear strategy 136 00:05:31.230 --> 00:05:33.690 focusing on the appropriate decision makers 137 00:05:33.690 --> 00:05:34.803 to reach that goal. 138 00:05:36.810 --> 00:05:37.980 For solution and goals, 139 00:05:37.980 --> 00:05:40.320 this is again a great intersection 140 00:05:40.320 --> 00:05:42.480 of qualitative and quantitative public health 141 00:05:42.480 --> 00:05:45.060 coming together for the common good. 142 00:05:45.060 --> 00:05:48.090 So use data and existing research. 143 00:05:48.090 --> 00:05:51.045 How can we use the research out there 144 00:05:51.045 --> 00:05:55.470 to build on it and have it support our campaign? 145 00:05:55.470 --> 00:05:57.570 We must remember that it's not always necessary 146 00:05:57.570 --> 00:06:00.870 to reinvent the wheel and collect our own data and research. 147 00:06:00.870 --> 00:06:04.380 Use existing literature and data to support your claims. 148 00:06:04.380 --> 00:06:06.480 Just ensure that it is scholarly, 149 00:06:06.480 --> 00:06:08.283 relevant and peer reviewed. 150 00:06:09.390 --> 00:06:12.510 Another great way to develop solutions and interim goals 151 00:06:12.510 --> 00:06:15.510 is to adopt a multidisciplinary approach. 152 00:06:15.510 --> 00:06:16.740 As we know in public health, 153 00:06:16.740 --> 00:06:18.600 it is not just public health professionals 154 00:06:18.600 --> 00:06:21.060 working to promote health and prevent disease. 155 00:06:21.060 --> 00:06:23.250 We must consider many other perspectives 156 00:06:23.250 --> 00:06:24.690 and different specialties 157 00:06:24.690 --> 00:06:27.870 from economics, business, healthcare providers, 158 00:06:27.870 --> 00:06:30.180 agricultural, legislative. 159 00:06:30.180 --> 00:06:31.920 It's all important to garner ideas 160 00:06:31.920 --> 00:06:33.780 from perspectives from different stakeholders 161 00:06:33.780 --> 00:06:35.460 to have a robust plan 162 00:06:35.460 --> 00:06:37.440 and a solution that truly will work 163 00:06:37.440 --> 00:06:39.840 for the community you are trying to help. 164 00:06:39.840 --> 00:06:43.650 Lastly, develop short-term, interim and long-term goals. 165 00:06:43.650 --> 00:06:46.833 For example, look at the Healthy People 2030 initiative, 166 00:06:46.833 --> 00:06:49.873 their website, which is a required reading this week, 167 00:06:49.873 --> 00:06:52.170 and go through the different initiatives 168 00:06:52.170 --> 00:06:53.790 for the social determinants of health. 169 00:06:53.790 --> 00:06:56.040 You can see that they have different measures 170 00:06:56.040 --> 00:06:58.380 for efficacy, building support, 171 00:06:58.380 --> 00:06:59.400 as well as outline 172 00:06:59.400 --> 00:07:01.743 their short-term, interim and long-term goals. 173 00:07:03.570 --> 00:07:05.850 An assessment of resources available to goals. 174 00:07:05.850 --> 00:07:09.960 This is another component of making your plan. 175 00:07:09.960 --> 00:07:13.211 It's very important to have a credible campaign 176 00:07:13.211 --> 00:07:16.410 and ensure that your information is reliable, 177 00:07:16.410 --> 00:07:19.053 trustworthy and coming from a reputable source. 178 00:07:19.980 --> 00:07:23.158 The team dynamic of your campaign for an advocacy movement 179 00:07:23.158 --> 00:07:27.750 can either be your championship to make a change 180 00:07:27.750 --> 00:07:28.980 or it can be your downfall. 181 00:07:28.980 --> 00:07:32.130 It's a very, very, very delicate process. 182 00:07:32.130 --> 00:07:34.650 Ensure that you have a skilled campaign team 183 00:07:34.650 --> 00:07:36.090 and advocacy team 184 00:07:36.090 --> 00:07:38.040 that has qualified data persons, 185 00:07:38.040 --> 00:07:40.260 people who are effective at communicating, 186 00:07:40.260 --> 00:07:43.080 expert like economic experts, 187 00:07:43.080 --> 00:07:45.300 lawyers and even trained media experts. 188 00:07:45.300 --> 00:07:47.730 Everyone will have different skills 189 00:07:47.730 --> 00:07:50.340 that will be invaluable to your campaign, 190 00:07:50.340 --> 00:07:52.470 and ensuring that what you're advocating for 191 00:07:52.470 --> 00:07:55.350 does get resolved. 192 00:07:55.350 --> 00:07:57.510 Lastly, use what's in the community. 193 00:07:57.510 --> 00:07:58.650 I can't highlight enough 194 00:07:58.650 --> 00:08:02.580 how much a community can play a positive role 195 00:08:02.580 --> 00:08:04.350 in an advocacy campaign, 196 00:08:04.350 --> 00:08:05.760 so continue to outreach. 197 00:08:05.760 --> 00:08:07.350 It's something we're gonna go over a lot 198 00:08:07.350 --> 00:08:09.720 in module two, three and four. 199 00:08:09.720 --> 00:08:11.850 Lastly, take an assessment 200 00:08:11.850 --> 00:08:13.650 of the resources available to you. 201 00:08:13.650 --> 00:08:16.140 This can include looking for grants, 202 00:08:16.140 --> 00:08:18.843 private donations or fundraising. 203 00:08:20.130 --> 00:08:22.080 Deciding the forum. 204 00:08:22.080 --> 00:08:23.100 This is important 205 00:08:23.100 --> 00:08:26.100 because as you start to develop your campaign resources 206 00:08:26.100 --> 00:08:28.500 and develop a coalition 207 00:08:28.500 --> 00:08:32.310 or have stakeholders to provide insight on your goals, 208 00:08:32.310 --> 00:08:35.820 it's important to look at who you are talking to, 209 00:08:35.820 --> 00:08:37.620 how you are going to make the changes 210 00:08:37.620 --> 00:08:41.040 and identify the problems at the start of your campaign. 211 00:08:41.040 --> 00:08:43.307 When you're making your audience, 212 00:08:43.307 --> 00:08:45.090 please look at a strategy guide 213 00:08:45.090 --> 00:08:47.040 and look at who can help you 214 00:08:47.040 --> 00:08:50.694 and how you can use people and your stakeholders 215 00:08:50.694 --> 00:08:53.580 to outline supporters, opponents, 216 00:08:53.580 --> 00:08:56.760 and determine where to concentrate your efforts. 217 00:08:56.760 --> 00:08:58.410 I'm gonna quickly pause my screen 218 00:08:58.410 --> 00:09:01.530 so we can go over figure 2.1 together. 219 00:09:01.530 --> 00:09:03.600 When you're considering stakeholders, 220 00:09:03.600 --> 00:09:05.730 you wanna look at this strategy guide 221 00:09:05.730 --> 00:09:07.680 and consider how can the stakeholder 222 00:09:07.680 --> 00:09:09.360 strengthen your campaign, 223 00:09:09.360 --> 00:09:11.730 how hard they'll work against your campaign, 224 00:09:11.730 --> 00:09:13.620 how they can weaken your campaign 225 00:09:13.620 --> 00:09:16.233 and how hard they will work for the campaign. 226 00:09:17.250 --> 00:09:18.360 When we're looking at this, 227 00:09:18.360 --> 00:09:20.730 we do want somewhere along the lines 228 00:09:20.730 --> 00:09:23.910 of having someone who can strengthen your campaign, 229 00:09:23.910 --> 00:09:25.523 work hard for your campaign. 230 00:09:25.523 --> 00:09:28.650 So we're looking at this quadrant right here. 231 00:09:28.650 --> 00:09:31.031 When we're considering all of our stakeholders, 232 00:09:31.031 --> 00:09:33.060 we wanna be honest with ourselves 233 00:09:33.060 --> 00:09:35.610 because why would we want to have stakeholders 234 00:09:35.610 --> 00:09:40.020 who do not have a vested interest in our campaign? 235 00:09:40.020 --> 00:09:42.180 Though it is, to be fair, 236 00:09:42.180 --> 00:09:43.290 in a coalition building, 237 00:09:43.290 --> 00:09:45.840 it is important to have all perspectives, 238 00:09:45.840 --> 00:09:48.330 and therefore we should consider all stakeholders, 239 00:09:48.330 --> 00:09:50.883 despite where they fall on the strategy guide. 240 00:09:53.160 --> 00:09:56.610 Lastly, and here is a reference to our course text, 241 00:09:56.610 --> 00:09:58.080 this was just a quick highlight. 242 00:09:58.080 --> 00:10:01.380 There's a lot more material in our course text, 243 00:10:01.380 --> 00:10:03.150 as well as a required reading. 244 00:10:03.150 --> 00:10:05.550 I just wanted to go over a few highlights 245 00:10:05.550 --> 00:10:07.770 and really, really drive home 246 00:10:07.770 --> 00:10:11.490 that defining the problem is the absolute cornerstone 247 00:10:11.490 --> 00:10:14.220 in any public health campaign. 248 00:10:14.220 --> 00:10:15.720 We do have a quiz this week, 249 00:10:15.720 --> 00:10:18.990 as well as an engaging yellow dig and discussion question. 250 00:10:18.990 --> 00:10:21.923 I am available as always for any questions and concerns, 251 00:10:21.923 --> 00:10:24.390 and I really appreciate you taking the time 252 00:10:24.390 --> 00:10:26.253 to watch this lecture, thank you.