KK Christoffel
Department of Pediatrics, Northwestern University, Chicago, Ill., USA. kkauferchristoffel@nwu.edu
OBJECTIVES: In this article the author describes public health advocacy and
proposes a conceptual framework for understanding how it works. METHODS:
The proposed framework incorporates the image of an assembly line. The
public health advocacy assembly line produces changes in societal resource
allocation that are necessary for optimizing public health. The framework
involves 3 main stages: information, strategy, and action. These stages are
conceptually sequential but, in practice, simultaneous. The work at each
stage is continually adjusted according to circumstances at the other
stages. RESULTS: The framework has practical implications; for example,
public health advocacy teams need members with complementary skills in
distinct roles. Potential applications are illustrated via two public
health advocacy efforts. CONCLUSIONS: The framework may be useful in
assessing staffing and funding needs for public health advocacy endeavors,
explaining common problems in these endeavors and suggesting solutions, and
guiding decisions concerning effort allocation. Application of the
framework to a variety of public health advocacy endeavors will clarify its
strengths and weaknesses.
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