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Am J Public Health. 2000 May; 90(5): 722–726.
PMCID: PMC1446217

Public health advocacy: process and product.


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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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Mercy JA, Rosenberg ML, Powell KE, Broome CV, Roper WL. Public health policy for preventing violence. Health Aff (Millwood) 1993 Winter;12(4):7–29. [PubMed]
  • Atwood K, Colditz GA, Kawachi I. From public health science to prevention policy: placing science in its social and political contexts. Am J Public Health. 1997 Oct;87(10):1603–1606. [PMC free article] [PubMed]

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