ADVOCACY

1. Advocacy is a communication program to bring public problems closer to policy making.

2. Advocacy is basically a set of activities carried out in a planned and organized manner, aimed
at decision makers in order to provide policy support to overcome specific problems.
3. Advocacy is an effort to influence public policy through various forms of persuasive
communication
4. Advocacy is basically a set of activities carried out in a planned and organized manner, aimed
at decision makers to provide policy support to address specific problems.
5. Advocacy is an effort or process to obtain commitment, which is carried out persuasively using
accurate and accurate information
6. Advocacy is an effort to get or create the attention of decision makers on an issue / issue that is
important and directs to be willing to provide support to solve the problem
7. Advocacy in the field of health began to be used in the WHO public health program for the first
time in 1984 as one of the global strategies for Health Promotion. Health advocacy is an effort to
influence policy makers or decision makers to make public policies that are beneficial for
improving public health.
8. Health advocacy is a series of communication activities to influence policy makers by:
persuading, convincing, selling ideas to provide support for efforts to solve public health problems.

Aim :
1) There is an understanding or awareness of health problems
2) There is an interest in solving health problems
3) The willingness or concern to solve health problems by providing alternative solutions

The function of the Health Advocacy Technique:

1. Improve Understanding
2. Building Trust and Confidence
3. Build a positive attitude, or attraction, interest
4. Influencing the paradigm / mindset
5. Build Commitment
6. Motivate or move to act
7. Build good relationships or interactions with advocacy goals
Principle:
1. Advocacy is not just about political lobbying, but it includes persuasion, encouragement and
even pressure on institutional leaders
2. Advocacy is not only done by individuals, but also by groups or organizations, and the
community
3. Advocacy consists of a number of actions designed to draw public attention to an issue and
control policy makers to find a solution.
4. Advocacy also contains legal activities and politicians that can influence the form and practice
of applying the law.

Stages:
1) Identification of problems in the field
2) Determine the purpose and objectives to be achieved
3) Identify and set goals that will be met
4) Build and garner support from various parties
5) Determine the message to be conveyed.
6) Select the communication channel to be used
7) Collection of funds for activities
8) Work plan to be carried out
9) Monitoring and evaluation.

Forming an Advocacy team:

1. Identify and optimize existing health advocacy teams
2. Identifying individuals, groups and organizations or institutions that have the potential to
support health advocacy activities
3. Identifying the potential or capacity of individuals, groups and organizations or institutions that
support health activities
4. Planning the formation of a health advocacy team, by determining the position of individuals,
groups and organizations or institutions involved in health advocacy activities
5. Identifying the role of individuals, groups and organizations or institutions determined as a
health advocacy team in the process of implementing health advocacy activities
6. Approach or hold meetings with targets that will become the health advocacy team
7. Build commitment and determine the organization of health advocacy teams
8. Create the legality of a health advocacy team by an authorized official
Establishment of advocacy objectives
Done in the short term. In compiling it must pay attention to SMART (Specific, Measureable,
Action, Realistic, Time Bound)
Establishing Advocacy Targets
Targets of advocacy include advocators and public officials who have authority policies in setting
health-oriented public policies at various levels of administration
Advocacy Techniques
Perform techniques and methods in an integrated manner
Media Advocacy
The use of advocacy media with advocacy methods and techniques is tailored to what is applied
in health
Advocacy Implementation
The implementation of advocacy is individuals, groups, organizations, and institutions involved in
advocacy activities including planning, implementing, and monitoring
 Community Empowerment in Health Promotion
health promotion efforts:

marketing, selling, introducing messages or public health programs, receiving / buying / getting to
know those health messages that eventually people want to behave in a healthy life

The purpose of Promkes

 People are aware of the importance of health to them so that they themselves will make
efforts to make themselves healthy
 Community empowerment in the health sector is the main target of health promotion
Community empowerment
 Community empowerment is an effort or process to foster awareness, willingness, and
ability of the community to recognize, overcome, maintain, protect, and improve their own
welfare
The Purpose of Community Empowerment

1) Foster awareness, knowledge, and understanding of the health of individuals, groups and
communities.
2) Cause a will which is a tendency to take an action or attitude to improve their health.
3) Gives rise to the ability of the community to support the realization of healthy actions or
behavior.
Principles of Community Empowerment
a) Develop the potential of the community.
b) Develop community cooperation.
c) Exploring community contributions.
d) Establish a partnership.
e) Decentralization.
The Characteristics of Community Empowerment
1. Community leader:

Health workers approach the community leaders or leaders first. For example Camat, lurah,
customary head, ustad, and so on.
2. Community organization:
 Organizations such as the PKK, youth groups, majlis taklim, and others are potentials that can
be used as work partners in community empowerment efforts.
3. Community Fund

Health fund or Community Health Maintenance Guarantee (JPKM) developed with the
principle of mutual cooperation as one of the principles of community empowerment.
4. Community material

each region has its own potential that can be used to facilitate health services. For example, a
village near the sand stakes times has the potential to harden roads to facilitate access to the
puskesmas.
5. Community knowledge:

Empowerment aims to increase community knowledge with a variety of health education that
uses a community based health education approach.
6. Community technology:
Simple technology in the community can be used for developing health programs such as water
or sand filtration
The Community Said to be Independent in Health
 They are able to recognize health problems and factors that influence health problems
especially in their own neighborhood.
 They are able to overcome health problems independently by exploring the potential of
local communities.
 Able to maintain and protect themselves from various health threats by taking
precautionary measures.
 Able to improve health dynamically and continuously.
The Role of Health Officers in Community Empowerment

 Facilitating the community through community empowerment activities and programs

including community meetings and organizing
 Provide motivation for the community to work together in carrying out empowerment
activities so that the community wants to contribute to the program.
 Transfer knowledge, skills and technology to the community by conducting vocational
training.
Indicators of Community Empowerment Results
1) Input
 includes human resources, funds, materials, and tools that support community empowerment
activities.

2) Process

includes the amount of counseling carried out, the frequency of training carried out, the number
of community leaders involved, and meetings held.
Indicators of Community Empowerment Results
3) Output

include the number and types of health businesses that have community resources, the number
of people who have increased their knowledge and behavior about health, the number of family
members who have businesses increasing family income, and increasing public facilities in the
community.
4) Outcome

contributing to reducing morbidity, mortality, and birth rates and improving people's
nutritional status

Understanding Developing the atmosphere

 Fostering an atmosphere that is creating situations that are conducive to empowering clean
and healthy living behaviors.
 Clean and healthy living behavior can be created and developed if the environment
supports this, the environment includes the physical, socio-cultural, economic and political
environment.
The purpose of Community Development

 so that community leaders become a bridge between the health sector as the implementer
of the health program and the community (program recipients) of health.
 socializing health programs, so that people are willing to accept and want to participate in
the health program

Forms of social support activities: training, toma training, seminars, workshops, guidance to toma,
and so on.
How to Approach Community Development
1. Individual Approach
Developing Individual Atmosphere is aimed at individual community leaders. With this approach
it is expected:

 Can disseminate positive opinions on the behavior being introduced.

 Can be role models individuals in terms of behavior that is being introduced. Namely
willing or willing to practice the behavior that is being introduced (for example a religious
leader who diligently implements 3 M namely Drain, Cover and Bury to prevent the
emergence of dengue outbreaks).
 Efforts can be made that they are willing to become cadres and participate in disseminating
information to create an atmosphere conducive to changes in individual behavior.

2. Group Approach
Community Development Groups are aimed at groups in the community, such as the
neighborhood association boards (RT), the neighborhood association boards (RW), the Study
Board, the Arts Association, the Professional Organization, Women's Organizations, Student
Organizations, Student Organizations, Youth Organizations, etc. -other. This approach can be
carried out by and or together with community leaders / leaders who have cared. With this
approach the groups are expected to become concerned about the behavior being introduced and
approve or support it.
3. The General Public Approach

Community Development is carried out on the general public by fostering and utilizing
communication media, such as radio, television, newspapers, magazines, internet sites, etc., so that
positive public opinion can be created about the behavior.
With this approach it is expected:

 The mass media become concerned and support the behavior that is being introduced.
 The mass media are then willing to become partners in order to disseminate information
about the behavior that is being introduced and create a positive public opinion (public
opinion) about the behavior.
 This positive atmosphere or general opinion will also be felt as a support or "pressure"
(social pressure) by individual members of the community, so that eventually they want to
carry out the behavior that is being introduced.
Method of Constructing Atmosphere
1. Training
2. Press conference
3. Dialog opens
4. Counseling
5. Education
6. Traditional performances.
7. Round table discussion (Round table discussiaon)
8. Periodic meetings in the village
9. Field trips
10. Appeal study
11.Traveling seminar.
Things Needed To Maintain Balance of Community Development
1. Communication forum
2. Up-to-date documents and data (always new)
3. Following the development of community needs
4. Open, harmonious and dynamic relationships with partners
5. Foster a love of health

6. Utilizing the activities and sources of funds that support efforts to civilize clean and healthy
behavior
7. There is feedback and appreciation
Obstacles in Health Promotion
According to Taylor (1991), obstacles in the implementation are described below.
1. Structure and attitude of medical establishment
encourages healing rather than prevention, and health promotion is ignored.
2. Individual barriers

This is related to habits and risk perception. Health habits learned from childhood are sometimes
difficult to change, and so is perception.
3. Complex cooperative and planning networks

This includes practitioners of research practitioners from a variety of different disciplines, as well
as policy makers at each level. Before a program is deemed effective, a study, careful planning,
implementation, and evaluation are needed, and then it is planned to be re-planned.