The Turning Point Model State Public Health Act and Responsible Public Health Advocacy

Abstract Background Public health advocacy strategies facilitate policy change by bringing key health issues to the forefront of public and political discourse, influencing decision-makers and public opinion, and increasing policy demand. The Victorian Salt Reduction Partnership (VSRP) was established in 2014 in response to inadequate government action to improve population diets in Australia. This study aimed to evaluate the success of the VSRP’s advocacy strategy in achieving policy change. Methods Documentation of VSRP activities and outputs were collected, and semi-structured interviews conducted as part of a comprehensive process evaluation. For this study, the Kotter Plus 10-step public health advocacy evaluation framework was used to guide data extraction, analysis, and synthesis. Results A sense of urgency for salt reduction was generated by producing evidence and outlining the potential impact of a state-based salt reduction programme. This enabled the creation of a coalition with diverse skills and expertise, which facilitated the development of an innovative and collaborative advocacy action plan. A clear change vision was established, but communication of the vision to decision-makers was lacking, which reduced the impact of the programme as decision-makers were not provided with a clear incentive for policy change. As a result, while programme outputs were achieved, these did not translate to achieving broader strategic goals during a limited-term intervention in a political climate unconcerned with salt. Conclusions The Kotter Plus 10-step framework was a useful tool for evaluating the success of the VSRP advocacy strategy. The framework enabled the identification of key strengths, including the creation of the guiding coalition, and areas where efforts could be improved in future similar strategies, such as effective communication within partnerships and to decision-makers, to better influence policy and improve public health impact.

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Using the Turning Point Model State Public Health Law

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2003.tb00765.x ◽

2003 ◽

Vol 31 (S4) ◽

pp. 88-89

Author(s):

Lawrence O. Gostin ◽

Glen Safford ◽

Deborah Erickson

Keyword(s):

Public Health ◽

Health Systems ◽

Turning Point ◽

Planning Process ◽

National Level ◽

Health Law ◽

Point Model ◽

Public Health Systems ◽

State And Local ◽

Local Levels

The Turning Point Initiative is an initiative for which the Robert Wood Johnson (RWJ) and W.K. Kellogg foundations partnered in order to fund a group of states and a number of communities within each of those states to work through a planning process to look at ways to strengthen their public health systems at the state and local levels. Out of that process, the states and communities would come together at the national level to talk about what they had been learning and what the issues were. There were a number of issues that resonated with all of the states.

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Should industry care for children? Public health advocacy and law in Australia

Public Health ◽

10.1016/j.puhe.2008.12.008 ◽

2009 ◽

Vol 123 (3) ◽

pp. 283-286 ◽

Cited By ~ 8

Author(s):

F. Stanley ◽

M. Daube

Keyword(s):

Public Health ◽

Health Advocacy ◽

Public Health Advocacy

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An Evaluation of the Victorian Salt Reduction Partnership’s Advocacy and Policy Strengthening Strategy

10.21203/rs.3.rs-148658/v1 ◽

2021 ◽

Author(s):

Emalie Rosewarne ◽

Michael Moore ◽

Wai-Kwan Chislett ◽

Alexandra Jones ◽

Kathy Trieu ◽

...

Keyword(s):

Public Health ◽

Policy Change ◽

Action Plan ◽

Evaluation Framework ◽

Decision Makers ◽

Health Advocacy ◽

Salt Reduction ◽

Public Health Advocacy ◽

The Creation ◽

The Impact

Abstract Background: Public health advocacy strategies facilitate policy change by bringing key health issues to the forefront of public and political discourse, influencing decision-makers and public opinion, and increasing policy demand. The Victorian Salt Reduction Partnership (VSRP) was established in 2014 in response to inadequate government action to improve population diets in Australia. This study aimed to evaluate the success of the VSRP’s advocacy and policy strengthening strategy.Methods: Documentation of VSRP activities and outputs were collected, and semi-structured interviews conducted as part of a comprehensive process evaluation. For this study, the “Kotter Plus” 10-step public health advocacy evaluation framework was used to guide data extraction, analysis and synthesis.Results: A sense of urgency for salt reduction was generated by producing evidence and outlining the potential impact of a state-based salt reduction program. This enabled the creation of a coalition with diverse skills and expertise, which facilitated the development of an innovative and collaborative advocacy action plan. A clear change vision was established but communication of the vision to decision-makers was lacking, which reduced the impact of the program as decision-makers were not provided with a clear incentive for policy change. Program outputs were achieved; however, these did not translate to achieving broader strategic goals during a limited-term intervention in an unsympathetic political climate.Conclusions: The “Kotter Plus” 10-step framework was a useful tool for evaluating the success of the VSRP advocacy and policy strengthening strategy. The framework enabled the identification of key strengths, including the creation of the guiding coalition, and areas where efforts could be improved in future similar strategies, such as effective communication within the partnerships and to decision-makers, to better influence policy and improve public health impact.

Download Full-text