Advocating for Public Health Authority

Protecting and expanding public health authority can help ensure an equitable, healthy future for all. When equipped with the tools and resources they need, public health officials can enact laws and policies that promote health and address inequities.

What is Advocacy?

Public Health’s vision is only achievable when the authority, ability, and funding are in place to act for the public’s health. This requires intentional and sustained advocacy. Advocacy is the means by which individuals or groups attempt to bring about social and/or organizational change on behalf of a health goal, program, interest, or population.

Public health advocacy takes many forms, including educating the public and informing elected officials about the importance of an issue, program, or need for funding. Advocacy can also include lobbying, where allowable, which is a strategy to persuade lawmakers to make a particular policy decision.

Advocacy is an approach by which you can help protect and expand public health authority and vital community conditions.

Advocating for Public Health

Public health advocacy seeks to advance policy solutions, shift practices, and catalyze investments. In recent years, passionate public health advocates have focused on pressing needs like law and policy solutions that protect public health, funding and workforce challenges, and are doing so with inclusive approaches that grow civic muscle and belonging.

Efforts to Strengthen Public Health Authority

Intentional and intersectional advocacy can be achieved through specific bills that directly strengthen authority, increase flexible funding, and call for community engagement. There have been many bright spots in public health legislation, practices, and investments since COVID-19 forced states to re-evaluate their public health landscape.

Strengthen local public health authority to act to protect the public’s health
Establish commissions or advisory bodies to inform response efforts
Increase transparency of and accountability for actions that affect the public’s health
Implications
These efforts include a variety of actions, such as:
  • Institutionalizing public health expertise in decision-making bodies;
  • Growing capacity of public health infrastructure; and
  • Expanding authority to local officials.
These efforts establish commissions or advisory bodies to make recommendations regarding public health emergency response efforts.
These efforts seek to require:
  • Written explanation or justification for actions taken
  • Public hearings or public comment;
  • Provision of information; or
  • Response to questions.
Example
Oklahoma SB 736 (enacted April 2021) allows for the creation of health districts composed multiple county boards as a means to enable the sharing of resources
New Mexico HM 2 (enacted March 2021) tasked the state department of health to convene a public health task force to study and make recommendations regarding public health infrastructure, workforce capacity, and laws that protect public health
Hawaii HB 103 (failed in 2021 Regular Session) sought to require an explanation and written justification for the suspension of any laws

Adapted from Strengthening Public Health Authority to Contain and Prevent Communicable Disease

Further Reading

Issue-Based Advocacy

Attacks on public health authority do not exist in isolation. Rather, they are part of broader social movements that threaten democratic institutions, civil rights, and progress toward health equity and mutual liberation. For example, over the last several years we have witnessed attacks on LGBTQ+ people, transgender rights, and abortion rights. Advocacy on specific issues and policies that safeguard people’s rights and opportunities for well-being is crucial. Such advocacy not only protects individuals but also drives systemic changes on interconnected issues and long-term shifts in power dynamics, culture, and environments that profoundly influence our health.

Public health advocacy seeks to advance policy solutions, shift practices, and catalyze investments. In recent years, passionate public health advocates have focused on pressing needs like law and policy solutions that protect public health, funding and workforce challenges, and are doing so with inclusive approaches that grow civic muscle and belonging.

While the political will may not currently exist in some places to act effectively on public health authority or cross-cutting public health issues, advocates can, and do, find ways to make incremental progress. There may, for example, be opportunity and will to address certain specific issues that can pave the way for progress.

Anyone Can Advocate!

You can be an advocate for public health! Constituents who call and send emails to their representatives to highlight the importance of public health programs are just as critical as subject matter experts and professional lobbyists. Click a button below to explore how each group can advocate. 

GUIDE FOR

State and Regional Affiliates

State and regional public health associations are important advocates for health and equity in their states and beyond. They: educate the public and policymakers; advocate for legislation that protects public health authority; engage in public health education and outreach campaigns; and build coalitions and collaborate to advance public health.

GUIDE FOR

Individuals and Community Residents

Individuals are the experts of their communities, and they are affected by state and local public health policies. They need a seat at every table, where their voices and perspectives can inform decision-making and ensure that public health policies are truly equitable.

GUIDE FOR

Students and Young People

Students and young people are powerful advocates at the forefront of social movements. Students can play a vital role in protecting public health by educating themselves about current issues, becoming advocates, and supporting organizations that are involved in this work.

Further Reading

Advocacy for Public Health

The American Public Health Association provides advocacy resources related to voting, Congressional engagement, policy statements, and resources explaining key ...

Public Health Advocacy: The Basics

This webinar explains public health authority and legislation related to lobbying and advocacy for public health professionals. The web page includes additional...

Making the Case for Public Health

This webinar includes resources for communicating the importance of public health infrastructure to prevent limits to public health authority. The resource incl...

Community Tool Box: Advocating for Change

This toolkit supports users planning for advocacy efforts and responding to opposition by providing an outline of key tasks, examples, and links to more detaile...

Equitable advocacy

Whether advocating for public health authority, the rights of specific priority populations, or policy matters, equity ought to be at the forefront. Centering the individuals and communities most impacted by issues can bring about policy solutions while aligning and building community.

 

Advocacy makes visible what public health does for communities, neighborhoods, health systems, and individuals, further emphasizing the importance of the work. With a public health sector that is sustainably funded and entrusted with the authority and data tools to promote health and prevent disease, communities can thrive and grow.

Reflection Questions

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  • What is a state level example of how public health authority is being strengthened? 
  • What is advocacy? Describe two opportunities to advocate for public health authority.
  • How do The 5 W’s of Practicing Equity as a Central Part of Advocacy support equitable advocacy approaches?

    This concludes the learning series. Return to previous chapters or return to the start.

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