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Public Health Associations experience of influencing national public health policy and practice
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Public Health Associations experience of influencing national public health policy and practice
Thandi PuoaneAPHA 140th Annual Meeting
San Francisco, CA October 27-31, 2012
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• No relationships or conflicts of interest to disclose
• Thandi Puoane, University of the Western Cape, South Africa – PHASA
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PRESENTER DISCLOURES
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Background to Survey• Public Health Association of South Africa (PHASA)
– In operation for 12 years– Successes include
• Holding annual conference• Relatively financially viable• Regular newsletter and webpage (http://www.phasa.org.za)• Active executive & paid secretariat
• Extensive debate in last four years on influencing public health policy nationally
– Lacked resources or capacity to do so effectively– Key strategic goals
• WFPHA Conference3
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Methods• Studied finding of 2011 WFPHA survey• Questionnaire prepared
– Input from CPHA– Closed ended questions– Only in English and French
• Internet based• Executed by WFPHA secretariat who requested
members to complete questionnaire• Reminders sent
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Results• 20 responses
– 18 English; 2 French– 17 associations ; 3 non-members
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Response• In existence for
0 – 10 yrs 811 - 40 yrs 9> 40 yrs 3
• Membership numbers< 100 7100 – 999 71000 – 4999 45000+ 2
• employed staff & office space 70% 6
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Organisational development
• Organised a conference 14• Skills building workshops 11• Seminars / symposia 14 • Involved in public health days 4• Newsletter 13• Electronic newsletter 10• Webpage 12
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Organisational development
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Main sources of revenue
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• Use of partnerships / networks / coalitions– Special interest groups 7– Non-governmental organisation 17– Other professional organisations 16– Other (youth groups, civil society orgs)
Partnerships
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• Policy on engaging govt7
• Training/ manuals on policy influence 3• Dedicated policy staff 6• Who decides on policy?
– Executive members – volunteer time
Policy engagement
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Other (letter writing campaigns, journal, implementation research, demonstration projects, parliamentary committees, through coalitions)
Policy engagement
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Policy Issues engaged in
Other (tobacco control, alcohol, nutrition, injury prevention, HIV, NCD prevention and control, gun control, safe injection, development assistance framework, health information through census) 17
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Recommendations for policy influence• Organisational development
– Working groups focused on specific public health issues– Develop advocacy skills– Maintain an independent, politically non-partisan
stance/position • Research and Knowledge sharing
– Ensure evidence-informed positions on issues – Connect academics to policy making– Facilitate and support public health research– Understand who your audience is and how to
communicate with them 19
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Limitations• Time constraints
– Short period for response– No time for piloting– Lack of Portuguese translation– Could not delve into qualitative aspects of the “art
of influence”
• Poor response to questionnaire
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Conclusions• Few PHAs actively involved in policy
engagement with governments• Need to develop skills, policy and practice in this
field• Need to share experiences• Addressing resource availability for policy
influence
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Acknowledgements• Ulrich Laaser• Jim Chauvin• Laetitia Bourquin• Marta Lomazzi
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