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<v ->Hi everyone and welcome back to another lecture</v>

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here in module one of Public Health Advocacy.

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Today, we are recapping some highlights

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from the required reading from the textbook.

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And this lecture is all about chapter two,

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which is planning goals, strategies and tactics.

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By the end of this course,

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you're definitely going to think

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I sound like a broken record,

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but I wanna highlight again

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the four steps to creating an advocacy plan

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and making a change.

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I wanna highlight that these steps can be done out of order

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on the exception of one,

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which is defining the problem.

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This is going to be the highlight of today's lecture.

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So the first is to define the problem and make a plan.

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That's where we're starting.

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And the rest of the steps,

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they happen as they come.

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That is to gather facts, build support

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and communicate a clear and compelling story

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of what is wrong and why we should intervene.

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As I mentioned on the last slide,

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the first step in developing any advocacy campaign

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or campaign for policy change

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is defining the problem.

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This is absolutely the most important step to advocacy work.

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And you may be asking why,

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and that's because it sets the stage

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for the entire movement.

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Without identifying the problem,

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how can we identify solutions

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or ways in which we can make a change?

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Defining the problem is not cut and dry,

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and oftentimes, it's going to feel

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like a very large undertaking,

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and that is because it is incredibly important

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to identify the true root cause of a problem.

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For example, there may be different layers

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or societal constructs

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that seem to be the root cause of a problem,

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but not necessarily the true, true cause.

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So it is important that you take a broad approach

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and garner opinions and participation

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from the population you are trying to advocate for.

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And that's important

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because when you're trying to define a problem,

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you are essentially making an executive decision

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that this is the problem and this is what we need to solve.

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It's important to consider that there's many determinants,

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and this is where health equity comes into play.

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We must consider health equity inequities and disparities

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when we try to identify the true problem,

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public health problem.

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A great way to use that is data.

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This is a great example of why public health advocacy

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is both a qualitative and quantitative field.

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It's because, yes, we are doing communication,

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but we also need that quantitative factor.

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We must use data and research

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to support identification of a problem

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and justify that that is the true cause.

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And the course text had a really great quote

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that I just felt compelled to share in the lecture,

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and that is public health advocacy

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is taking public health knowledge

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and applying to policy and law to ensure prevention,

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improve health and advance health equity.

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Yes, it might seem small to identify a problem,

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but this is taking on so much more.

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It's allowing us to identify disparity,

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especially in a population

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that we are interested in working with,

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and using our knowledge as public health professionals

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to truly make a change

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and to truly create an equitable place

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for individuals to live out their lives

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with the best possible health outcomes for them.

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And when we're defining what the problem is

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in a public health campaign or an advocacy movement,

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it's really important that we use a public health framework

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to frame what we're saying

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in the context of community level initiatives.

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And what I mean by that

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is that our advocacy work

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is often going to be a community level change

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and not an individual level change.

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I know that this class has both medical students,

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pre-med students,

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and oftentimes other healthcare professionals,

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and we often are seeing patients on an individual level.

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I want you to think of advocacy work

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as the patient

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being your community or audience for your initiative.

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We're really looking at the bigger picture

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and the environmental constructs that influence the problem.

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Think big picture,

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that's the best way to describe it.

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Think of the big picture and all of those players.

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Another great public health framework,

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if you're not familiar with this,

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if you're not in the MPH program,

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would be the socioecological model,

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which is a required reading this week.

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The (indistinct) health equity framework

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we discussed in lecture one,

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as well as systems thinking,

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which is going to be a big discussion in module three.

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This is just a quick pause and reflect moment.

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This is not going to be on your quiz

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and this is not something we're discussing,

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but I want you to pay close attention in the reading

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to box 2.2,

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and review some of those websites in the text.

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Can you think of how we can connect that

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to combat problems

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such as inequitable access to food, healthy food,

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and how this can cause obesity

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in low income urban neighborhoods?

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It's a great exercise just to get your mind thinking

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and start connecting resources

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to applied public health initiatives.

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Next, when we're making a plan

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after we've defined the problem,

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there is four steps

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that the text highlights are absolutely essential.

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The first is we must have a clearly defined problem

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and we must use a public health framework

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to define that problem.

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We also need to have a clearly defined solution

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and an interim goal towards achieving that solution.

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We have to have an assessment of resources available

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to accomplish the goals,

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as well as a clear strategy

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focusing on the appropriate decision makers

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to reach that goal.

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For solution and goals,

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this is again a great intersection

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of qualitative and quantitative public health

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coming together for the common good.

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So use data and existing research.

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How can we use the research out there

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to build on it and have it support our campaign?

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We must remember that it's not always necessary

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to reinvent the wheel and collect our own data and research.

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Use existing literature and data to support your claims.

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Just ensure that it is scholarly,

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relevant and peer reviewed.

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Another great way to develop solutions and interim goals

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is to adopt a multidisciplinary approach.

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As we know in public health,

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it is not just public health professionals

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working to promote health and prevent disease.

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We must consider many other perspectives

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and different specialties

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from economics, business, healthcare providers,

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agricultural, legislative.

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It's all important to garner ideas

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from perspectives from different stakeholders

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to have a robust plan

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and a solution that truly will work

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for the community you are trying to help.

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Lastly, develop short-term, interim and long-term goals.

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For example, look at the Healthy People 2030 initiative,

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their website, which is a required reading this week,

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and go through the different initiatives

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for the social determinants of health.

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You can see that they have different measures

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for efficacy, building support,

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as well as outline

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their short-term, interim and long-term goals.

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An assessment of resources available to goals.

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This is another component of making your plan.

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It's very important to have a credible campaign

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and ensure that your information is reliable,

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trustworthy and coming from a reputable source.

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The team dynamic of your campaign for an advocacy movement

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can either be your championship to make a change

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or it can be your downfall.

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It's a very, very, very delicate process.

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Ensure that you have a skilled campaign team

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and advocacy team

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that has qualified data persons,

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people who are effective at communicating,

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expert like economic experts,

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lawyers and even trained media experts.

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Everyone will have different skills

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that will be invaluable to your campaign,

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and ensuring that what you're advocating for

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does get resolved.

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Lastly, use what's in the community.

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I can't highlight enough

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how much a community can play a positive role

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in an advocacy campaign,

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so continue to outreach.

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It's something we're gonna go over a lot

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in module two, three and four.

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Lastly, take an assessment

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of the resources available to you.

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This can include looking for grants,

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private donations or fundraising.

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Deciding the forum.

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This is important

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because as you start to develop your campaign resources

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and develop a coalition

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or have stakeholders to provide insight on your goals,

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it's important to look at who you are talking to,

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how you are going to make the changes

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and identify the problems at the start of your campaign.

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When you're making your audience,

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please look at a strategy guide

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and look at who can help you

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and how you can use people and your stakeholders

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to outline supporters, opponents,

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and determine where to concentrate your efforts.

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I'm gonna quickly pause my screen

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so we can go over figure 2.1 together.

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When you're considering stakeholders,

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you wanna look at this strategy guide

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and consider how can the stakeholder

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strengthen your campaign,

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how hard they'll work against your campaign,

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how they can weaken your campaign

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and how hard they will work for the campaign.

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When we're looking at this,

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we do want somewhere along the lines

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of having someone who can strengthen your campaign,

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work hard for your campaign.

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So we're looking at this quadrant right here.

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When we're considering all of our stakeholders,

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we wanna be honest with ourselves

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because why would we want to have stakeholders

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who do not have a vested interest in our campaign?

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Though it is, to be fair,

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in a coalition building,

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it is important to have all perspectives,

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and therefore we should consider all stakeholders,

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despite where they fall on the strategy guide.

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Lastly, and here is a reference to our course text,

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this was just a quick highlight.

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There's a lot more material in our course text,

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as well as a required reading.

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I just wanted to go over a few highlights

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and really, really drive home

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that defining the problem is the absolute cornerstone

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in any public health campaign.

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We do have a quiz this week,

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as well as an engaging yellow dig and discussion question.

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I am available as always for any questions and concerns,

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and I really appreciate you taking the time

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to watch this lecture, thank you.