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• W4386949047 abstract "In prior columns in our Management Moment series, we have encouraged public health leaders to enhance their skills in crafting richer messages to reach audiences with differing attitudes and beliefs across the political spectrum.1,2 Now, as leaders embark on change initiatives designed to revitalize the ways public health does its business,3 some pioneers have begun to explore ways to strengthen advocacy skills to build support for this revitalization effort.4 In this column, we summarize recent research designed to rebuild the advocacy foundation needed to revitalize our nation's public health system in a “post-COVID pandemic era.” Of highest priority are efforts to enhance workforce advocacy skills by providing tested tools that are permitted under current tax law to advocate more effectively for public health priorities.4–6 Since the onset of the COVID-19 pandemic in 2020, the politicization of once-widely accepted public health measures such as vaccinations and the declaration of public health emergencies has severely impacted public health's ability to protect and promote healthy communities. Unfortunately, these realities of eroding trust and falling investments come at a time when the political skill sets of public health practitioners have decreased, leaving public health increasingly vulnerable and unclear on how to rebuild community support and political will. Mark Barna in The Nation's Health summarized the context very well: For some periods during the 20th century, public health had a close relationship with policymakers, working together on sanitation, drinking water safety, healthy foods, seat belts, water fluoridation, safer workspaces, reduced smoking rates, and more. But in recent decades, public health has in many cases diverged from politics. Some professionals steer away from advocacy, viewing it as biased or political, and instead rely on expertise and research only as a means to spark change. However, peer-reviewed studies and expert advice are not the main drivers in the policy process. Facts must be understood within a political context. Advocates must be aware of how policymakers and outside interest groups see issues and be nimble enough to see openings for persuasion and adjust to changing circumstances.7(p7) Opportunities to Strengthen Advocacy Skills for Public Health Leaders To enhance understanding of the status of public health advocacy skills and approaches, the Network for Public Health Law recently released a feasibility study drawing on key informant interviews, webinars, and online and in-person meetings.4 The study identified 4 specific opportunities, as well as 2 crosscutting opportunities designed to build skills and foster better approaches for effective advocacy (Figure). That study identified action steps to be taken in both the near term and the long term, such as: Relationship building with elected officials as part of widely cultivating local “friends of public health”; Sharing advocacy curricula for schools of public health and through professional organizations (eg, Association of Public Health Laboratories, American Public Health Association, and Public Health Accreditation Board); and Conducting consumer research to identify and promote messages that work for a range of audiences. FIGURE: Opportunities to Rebuild Public Health AdvocacyTraining and Educating the Current and Future Workforce to Engage in Advocacy Core competencies: To support a conceptual foundation for training and educating the public health workforce, the Council on Linkages Between Academia and Public Health Practice (COL) developed a set of the core competencies for public health professionals in 2021.5 These competencies are bundled into 8 domains representing crosscutting skill areas that apply to current or future professionals who practice, teach, and/or research public health. In doing so, COL has either implicitly or explicitly built overarching advocacy-related competencies into each of these general domains. These provide an important starting point for development of more detailed advocacy-related competencies, which can then guide curriculum development for academic and professional organizations. Mapping competencies to specific advocacy skills and knowledge: For public health schools to meet their accreditation standards under the CEPH (Council on Education for Public Health) system,5 which states that master's level graduates should be able to “advocate for political, social or economic policies and programs that will improve health in diverse populations,” there is still a need for a consensus process to further build out and specify precisely what the advocacy skills and knowledge are in each of these domains.5 Already, schools of public health are building out advocacy training programs, such as the public health advocacy certificate program (eg, Johns Hopkins), experiential learning opportunities in advocacy through dedicated coursework (eg, Boston University), and hubs for advocacy, education, research, and service opportunities, such as the Activist Labs at the Univ. of South Florida College of Public Health and the Boston University School of Public Health. A new comprehensive field guide to public health advocacy: To enhance the skills of public health leaders to actively engage with the policy-setting process, a new APHA Press book6 offers a timely field guide on how to successfully use policy on political, social, and economic issues that improve population health. Policy Engagement, part of the Strategic Skills for Public Health Practice series sponsored by the de Beaumont Foundation, is a field guide for public health practitioners, from government workers to nonprofit leaders, on engaging with policymakers to create a healthier, more equitable world. This easy-to-read introduction to policy advocacy and decision making offers a tool kit of concrete, practical, and insightful strategies for informing and influencing policymakers. The book's central message is that partaking in the policymaking process is really part of the heart and soul of public health.6,7 Conclusion The future of public health depends on the ability of the public health workforce to become effective advocates for change. As noted here, advocacy comprises a discrete and teachable set of knowledge and skills that can be learned and developed. In doing so, today's public health leaders can identify and refine the specific advocacy skills and knowledge needed to fight for public health. As a result, the more public health leaders are engaged in the policymaking process, the greater influence and impact they can have on the public's health. Leaders can build a healthier, more equitable nation when they combine sound public health research with skillful advocacy to navigate the complex political forces shaping our nation's policy.6 The more that public health leaders understand decision makers, the more effective they will be." @default.
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• W4386949047 title "Strengthening Advocacy Skills for Public Health Leaders" @default.
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