Devlin-Foltz David, Fagen Michael C, Reed Ehren, Medina Robert, Neiger Brad L
The Aspen Institute, Washington, DC, USA.
Health Promot Pract. 2012 Sep;13(5):581-6. doi: 10.1177/1524839912446482. Epub 2012 Jul 5.
Devising, promoting, and implementing changes in policies and regulations are important components of population-level health promotion. Whether advocating for changes in school meal nutrition standards or restrictions on secondhand smoke, policy change can create environments conducive to healthier choices. Such policy changes often result from complex advocacy efforts that do not lend themselves to traditional evaluation approaches. In a challenging fiscal environment, allocating scarce resources to policy advocacy may be particularly difficult. A well-designed evaluation that moves beyond inventorying advocacy activities can help make the case for funding advocacy and policy change efforts. Although it is one thing to catalog meetings held, position papers drafted, and pamphlets distributed, it is quite another to demonstrate that these outputs resulted in useful policy change outcomes. This is where the emerging field of advocacy evaluation fits in by assessing (among other things) strategic learning, capacity building, and community organizing. Based on recent developments, this article highlights several challenges advocacy evaluators are currently facing and provides new resources for addressing them.
制定、推广和实施政策法规的变革是人群层面健康促进的重要组成部分。无论是倡导学校膳食营养标准的改变还是二手烟限制,政策变革都能营造有利于做出更健康选择的环境。此类政策变革往往源于复杂的倡导努力,而这些努力并不适合采用传统的评估方法。在充满挑战的财政环境中,将稀缺资源分配给政策倡导可能尤其困难。一项精心设计的评估,若超越对倡导活动的罗列,有助于为资助倡导及政策变革努力提供依据。虽然记录召开的会议、起草的立场文件和分发的宣传册是一回事,但要证明这些成果带来了有益的政策变革结果则是另一回事。这正是新兴的倡导评估领域发挥作用之处,它通过评估(包括但不限于)战略学习、能力建设和社区组织等方面来实现。基于近期的发展,本文突出了倡导评估人员目前面临的若干挑战,并提供了应对这些挑战的新资源。