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Susan DeFrancesco, JD, MPH Assistant Scientist, Department of Health Policy and Management Hampton House, Room 502 Baltimore, Maryland 21205 _____________________________________ |
phone: (410) 502-8671 |
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Susan DeFrancesco, JD, MPH Assistant Scientist, Department of Health Policy and Management Hampton House, Room 502 Baltimore, Maryland 21205 _____________________________________ |
phone: (410) 502-8671 |
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Issues in Health Advocacy 301.645 (3 units)
3rd quarter, January 22
to March 14, 2002
Tuesdays and Thursdays, 9:00am to 10:20am
W2015 SPH
Syllabus
Faculty:
Susan DeFrancesco, JD, MPH
Assistant Scientist, Department of Health Policy and Management
Office: Hampton House, Room 502
Phone: 410-502-8671
E-mail: sdefranc@jhsph.edu
Shelley Hearne, Dr. P.H.
Executive Director, Trust for America’s Health
Office: 617 Water Street – Suite 317, Baltimore, MD 21202
Phone: 410-837-7350
E-mail: shearne@tfah.org
Course Learning Objectives:
Course Format: Accomplished public health advocates who work in a variety of settings on various health topics will lecture and introduce students to a broad range of perspectives and advocacy experiences. Class discussion and exercises, group work, and mock health advocacy exercises will serve to integrate and illuminate lecture topics.
Student Requirements: Students are strongly urged to attend class and come prepared to listen, think, and participate in discussions. The grade for the course will be based on class attendance and participation (20%), three writing assignments (20% each), and participation in a mock legislative hearing (20%). Instructions for the assignments will be given in class; due dates are included in the syllabus.
Additional Opportunities: Students who would like to work with an advocacy organization for additional credit or as part of the course (class assignments would be modified to compensate for the time spent working for the organization) please see Ms. DeFrancesco ASAP. Dr. Dan Morhaim, a member of the Maryland House of Delegates, is willing to provide an "internship" experience for interested students; other placements are possible.
Lecture Topics
January 22 Introductions. Overview of course content and requirements. Class exercise on "What is Advocacy?"
Learning Objective: To ascertain a working definition of public health advocacy, and to differentiate it from public campaigns aimed at changing unhealthy or unsafe behaviors
January 24
An introduction to public health
advocacy and related issues.
Susan DeFrancesco, JD, MPH
Learning Objective: To begin to gain an appreciation for the components of a public health advocacy effort and the barriers and aids to success.
Required Readings:
"The Advocacy Connection," Chapter 2 in Media Advocacy and Public
Health: Power for Prevention, L. Wallack, L. Dorfman, D. Jernigan and M.
Themba. Sage Publications, 1993.
First Assignment distributed - due Feb. 12
January 29
Media Advocacy
Lynn Cook, MHS, CHES
Learning Objectives: To learn what media advocacy is and understand its use as a tool for public health advocacy; to learn how to frame a media story.
Required Reading:
Media Advocacy: A Strategy for Advancing Policy and Promoting Health. L. Wallack
and L. Dorfman. Health Education Quarterly. Vol. 23(3):293-317. August
1996.
January 31 Class exercise in media advocacy.
Required Readings:
"Young Boy Pulled Trigger, Killing Mother, Police Say. Bob Robertson. Pittsburgh
Post- Gazette. July 23, 1994, p. B6.
"Childproof Guns" (Letter to the Editor). Susan DeFrancesco. Pittsburgh Post-Gazette. August 12, 1994.
"Parents Face a Dilemma: Custody vs. Care." William Branigin and Victoria Benning. The Washington Post. February 18, 2000, p. AO1.
"Activists: Ads tempt teens to smoke" by Phuong Ly, Charlotte Observer, 12-21-98
"Ads urge teens not to start smoking" by The Associated Press, Winston-Salem Journal, 12-22-98
"Drug Companies in South Africa Capitulate Under Barrage of Public Pressure," webplaced on Medecins Sans Frontieres website, April 19, 2001.
February 5
Building Coalitions and Using Voter Education to Implement Public Health
Goals
Glenn Schneider, Deputy Director, MD Citizens Health Initiative
Learning Objectives: To further understand the components of a public health advocacy campaign, including the importance of coalition building and the use of the media; to recognize the use of voter education as an advocacy tactic.
Required Readings:
Elections and Public Health. V. DeMarco and G. Schneider. American Journal of
Public Health, Vol. 90, No. 10:1513-1514. October 2000.
"Developing Effective Coalitions: An Eight-Step Guide," L. Cohen, N. Baer, and P. Satterwhite. Spring 1994. Contra Costa County Health Services Department Prevention Program.
February 7 Legislation
as a Tool for Health Advocacy
Shelley Hearne, Dr. P.H.
Learning Objectives: To understand the legislative, administrative, and judicial role in policymaking; to be able to assess the advocacy intervention points in the policymaking process.
Required Readings:
The Passage of Maryland’s Gun Law: Data and Advocacy for Injury Prevention. S.
Teret, G. Alexander, L. Bailey. Journal of Public Health Policy. Vol. 11,
No.1. Spring 1990.
Advocating for Children’s Health at the State Level: Lessons Learned. M.E. Aitken, L.A. Rowland, G. Wheeler. Arch. Pediatr. Adolesc. Med. Vol. 155. August 2001.
February 12
Advocacy in Health Care: the Maryland
State Legislature
Dan Morhaim, MD Delegate, 11th District, Maryland General Assembly
Learning Objective: To understand the legislative process in Maryland and the role of the public health advocate in policy development and political debate.
Required Reading:
Browse the Maryland General Assembly website at http://mlis.state.md.us
and Dr. Morhaim’s website at www.drdanmorhaim.com
Second Assignment will be distributed -- due February 28.
February 14 Grassroots
Advocacy: Community Advocates and Public Health
Betty Robinson, Director, Community Organizing, The Citizens Planning and
Housing Association
Wardie Smith, Community Organizer, Maryland Chapter of the National Council of
Alcoholism and Drug Dependence
Learning Objectives: To understand the role of community organizing in public health advocacy; to gain a sensitivity to the interpersonal issues involved in working with communities.
Required Reading:
An Agenda of Substance: Grassroots Efforts to Reduce Alcohol and Tobacco
Problems. Chapter 2 in Making Policy, Making Change: How Communities are
Taking Law into Their Own Hands, Makani N. Themba. Chardon Press, 1999.
February 19 Class exercise to integrate new knowledge.
February 21 Should Academicians Advocate?/Advocacy in the Courtroom
Learning Objective: To gain an appreciation for the issues that frame the debate regarding the academician’s role as advocate; to gain insight into the role of the public health professional in courtroom advocacy.
Required Readings:
So What? S. Teret. Epidemiology, Vol. 4, No. 2, p.93. March 1993. Policy
Recommendations in Epidemiology Research Papers. K. Rothman. Epidemiology,
Vol. 4, No. 2, p.94. March 1993.
Reflections: Testifying in the Minnesota tobacco lawsuit. J. Samet. Tobacco Control. 1999:8:101-5.
February 26
Advocacy: A Vital Element in Strategic
Communication in Many Countries
Phyllis T. Piotrow PhD, Professor and Director, Johns Hopkins University Center
for Communication Programs
Learning Objective: To understand the Johns Hopkins Center for Communication Programs’ approach to health advocacy and the use of the paradigm in international settings.
Required Reading:
"A" Frame for Advocacy
at www.jhuccp.org/pr/advocacy
(read through sections from Analysis to Continuity). Website of the Johns
Hopkins University Center for Communications Programs. Also, click on
"Article on Advocacy" for Some Thoughts on Advocacy for
Reproductive Health Programs by Phyllis Tilson Piotrow, Ph.D; also see www.jhuccp.org/pr/advocacy/about/ccp.htm
for information about the work of the the Johns Hopkins University Center for
Communications Programs.
February 28
Public Health Preparedness:
Analysis of the Current Political Debate
Shelley Hearne, Dr.P.H.
Learning Objective: To better understand the technical and political aspects of a current public health issue in preparation for the course's culminating exercise.
Required Readings:
Bioterrorism: Review of Public Health Preparedness Programs.
Testimony before the Subcommittee on Oversight and Investigations, Committee on
Energy and Commerce, House of Representatives, Statement of Janet Heinrich,
Director, Health Care-Public Health Issues. GAO-02-149T, October 10, 2001.
Available on the General Accounting Office (GAO) website – go to , click on
GAO reports, Find GAO reports, and search for the report by its number.
Bioterror An Uneasy Fit for the CDC. New York Times, Nov. 11, 2001.
Other readings may be assigned.
Assignment for Culminating Class Exercise will be distributed - due March 14.
March 5
Advocating for National Policies to Protect Consumer Safety and Health
Mary Ellen Fise, JD, General Counsel, Consumer Federation of America
Learning Objective: To comprehend the variety of tactics that are used to influence federal public health policies and the challenges involved in implementing those tactics.
Required Reading:
Selected parts of the Consumer Product
Safety Act.
March 7 The
Law of Lobbying and Advocacy for Non-Profits
Jon Vernick, JD, MPH, Assistant Professor, Johns Hopkins School of Public Health
Learning Objective: To better understand the important role of non-profit organizations in public health advocacy and legal limitations on their lobbying efforts
Required Reading:
Lobbying and Advocacy for the Public’s Health: What are the Limits for
Nonprofit Organizations? J. Vernick. American Journal of Public Health,
Vol. 89, No. 9:1425-1429. September 1999.
March 12 No class - faculty will be available in our classroom for consultation regarding the culminating exercise; classroom can also be used by students to work on their preparations.
March 14 Culminating Class Exercise - Mock Congressional hearing
Please note: This class will be held in W2008 SPH.
Additional Background Reading:
(These books are on reserve in the 9th floor library and are
available for purchase from the Medical Book Store).
Public Health Advocacy: Creating Community Change to Improve Health. David G. Altman et al. Palo Alto, CA: Stanford Center for Research in Disease Prevention, 1994.
News for A Change: An Advocate’s Guide to Working With the Media. L. Wallack, K. Woodruff, L. Dorfman and I. Diaz. Sage Publications, 1999.
