Advocacy for health policy change

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Advocacy for Policy Change Dr Nayyar R. Kazmi Material taken from N.Assifi, UNFPA

What is Advocacy? ,[object Object],[object Object]

Purpose of Advocacy ,[object Object],[object Object]

Major areas of advocacy work ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Stakeholders of Advocacy ,[object Object],[object Object],[object Object],[object Object]

Techniques and Tactics of Advocacy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key approaches used in advocacy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Techniques and Tactics Decisionmakers Adversaries Partners Beneficiaries Pressuring Petitioning Lobbying Negotiating Debating Dialoguing Mobilization Sensitization Audience/Stakeholder Category Advocacy techniques and tactics

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INTRODUCTION The term ‘non-technical skills’ was first applied to safety by the European civil aviation regulator in relation to airline pilots’ behaviour on the flight deck but is now used by a number of professions . Non-technical skills can be defined as ‘ the cognitive, social, and personal resource skills that complement technical skills, and contribute to safe and efficient task performance. NTS typically include situation awareness, decision-making, team work, leadership, and the management of stress and fatigue. Safety & efficiency in any field of work is not just limited to possession of thorough academic knowledge & skilful application of the technical skills, but it also encompasses the basic human behaviour & attitude of individuals during the course of performance of their duties. Deficiencies in non-technical skills can increase the chances of error, which in turn can increase the chances of an adverse event. Detailed investigations of adverse health care events have shown that in almost 80% of the cases the underlying cause is poor application of NTS like poor communication, inadequate monitoring, failures to cross-check drugs and equipment. Good non-technical skills (e.g. vigilance, anticipation, clear communication, team coordination) can reduce the likelihood of error and consequently of accidents Two categories of NTS have been recognized: 1. Cognitive & Mental skills which include planning, decision making, situation awareness etc. 2. Social & Interpersonal skills like coordinated team work, leadership, communication etc.

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By advocating and lobbying for a particular purpose the Civil Society Organizations may make democratic changes in the society, changes in the policies and the system in order to help the concerned citizens for which they advocate. The CSOs have a great role in creating the public awareness and they publicly advocate for overcoming some of the problems which the citizens face every day. They articulate the needs of the citizens and the advocate for their resolution. In fact, advocating often starts with detecting and defining the problem or issue for which we want to promote, initiate and propose a change in policy, system and practice. There are many concrete steps which a CSO can undertake in creating changes in the public awareness and resolution of some of the problems that the citizens in a country face. Activities through organizing debates, forums, advocating for a certain case, collecting signatures, organizing petitions, public debates, public hearings, testimonies and campaigns can help the CSOs to gain and include more supporters and allies in the process of lobbying and advocating. CSOs advocate for making certain changes, if it is necessary to amend certain laws which will be of use and in function of citizens in overcoming their problems. But, CSOs before starting the process of advocating and lobbying should obtain the mandate and legitimacy by citizens, they should get support by them, only that way they have the power to conspire and advocate. The changes for which the CSOs advocate often are connected with undertaking activities whose purpose is advocating social justice, better justice system vulnerable, marginalized groups and disadvantaged citizens, implementation of human rights in practice. CSOs strive to include the agenda they advocate and lobby for in the public to be part of the agenda of the decision makers. By addressing the issue in relation to the Government and Parliament, by receiving citizen and media support, the initiative of a CSO gets significance and fights for that issue to get more attention in the public space. By receiving public support CSOs become stronger and can ask and insist the decision makers to find a solution to the certain problems. But, it is also important for them to be included in giving suggestions and solutions and continuously to ask for support by the public to implement the solution in practice. In this process of advocacy and lobby CSOs undertake a concrete action and they offer concrete solutions in order to cause a certain change which will help the citizens to improve some situation in society. The CSOs should convince the decision makers that these suggestions and solutions for which they advocate to be in the best interest of citizens. This manual for advocacy and lobby should help the CSOs regarding the issue they advocate and lobby for to succeed in creating policies which will be accepted by the decision makers, therefore directly to help the citizens to resol

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8. Techniques and Tactics Decisionmakers Adversaries Partners Beneficiaries Pressuring Petitioning Lobbying Negotiating Debating Dialoguing Mobilization Sensitization Audience/Stakeholder Category Advocacy techniques and tactics