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