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Empowering Citizen Monitoring for Effective Public Health Advocacy

This document explores the importance of monitoring and advocacy in public health, focusing on community-led approaches that enhance public engagement in policymaking. It defines monitoring as systematically keeping track to inform actions, identifies barriers to effective monitoring including skepticism and lack of resources, and suggests constructive responses for overcoming these obstacles. By establishing credibility and fostering collaboration, citizen monitors can advocate for better policies, ultimately leading to improved public services and increased governmental accountability.

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Empowering Citizen Monitoring for Effective Public Health Advocacy

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  1. MONITORING & ADVOCACY Public Health Watch Open Society Institute

  2. Definitions of monitoring • Different definitions, methods and goals for different disciplines • OSI/PHW: • Definition of monitoring: “to keep close watch over”; “to keep track of systematically • Goal: activist/community-led monitoring as a tool for promoting informed public engagement in policymaking

  3. Obstacles • Skepticism/resistance • Lack of policy/scientific grounding • Lack of vocabulary to translate experience • Lack of “evidence” • Lack of “access” • Lack of support (financial, institutional, moral) • Lack of confidence Consequences: frustration, alienation, apathy, complacent governments; insulated experts; poor policies

  4. Responses/Approaches • Establish credibility • Develop methodological approach: reference to agreed-upon standard (comparability; operating at multiple levels) • Familiarize ourselves with technical vocabulary/concepts • Incorporation of multiple perspectives (governmental and non-governmental) • Strike constructive tone (acknowledge progress/positive steps as well as weaknesses; include recommendations) • Develop strong, persuasive materials (reports, bulletins, news articles, advocacy documents) to present research

  5. Approaches, continued…. • Provide support • Financial (OSI as beginning point…) • Technical • Resources/materials (monitoring framework, literature, TAG Listserve) • Editing/production of advocacy materials • Moral • Shared approach • Access to opportunities/forums to present findings and exchange experiences • Development of support network to build confidence

  6. Benefits • Citizen monitors are independent – can say things that bureaucrats can’t say • Direct experience has real value – can’t design effective services without input from people who will be using them. • Constructive critique leads to better, more efficient and effective policies and services • Scoring even small successes in demanding better policies and services is empowering – can spark community mobilization • Public engagement contributes to greater governmental accountability

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