Brookings Institution, Global Economy and Development Program, 1775 Massachusetts Avenue NW, Washington, DC 20036, USA.
Ahmadu Bello University, Food and Nutrition Unit, Department of Biochemistry, Samaru Campus, Community Market, Zaria 810211, Nigeria.
Health Policy Plan. 2022 Sep 13;37(8):963-978. doi: 10.1093/heapol/czac037.
Advocacy organizations have played a significant role in the field of nutrition in recent years. However, why are some advocates viewed as more effective than others? This paper derives metrics for assessing advocacy efficacy by first drawing on key insights from the nutrition and public policy scholarship. A set of metrics is proposed to capture the constitutive elements of three concepts that often emerge as critical from that literature: organizational capacity, strong networks and external outreach. Based on a survey of 66 nutrition stakeholders in Nigeria, including at the federal level and within the states of Kaduna and Kano, the metrics are then applied to a set of advocacy organizations within the country. We show that the metrics can provide insights into why some advocacy organizations are perceived as more effective than others by policymakers. Specifically, we find that geographical reach, the share of budget allocated to advocacy, action plans with clear objectives, large networks that include government and non-governmental policy champions, multiple media and dissemination outputs and numerous training events collectively increase nutrition advocates' visibility to, and influence on, policymakers. Although the metrics are subject to further testing in other country settings and need to be interpreted based on a country's underlying policy system, they offer a useful starting point for more systematic, comparative advocacy analysis and learning within the nutrition field and beyond.
倡导组织近年来在营养领域发挥了重要作用。然而,为什么有些倡导者比其他人更有效?本文首先借鉴营养与公共政策研究的关键见解,得出评估倡导效果的指标。提出了一套指标,以捕捉经常出现在文献中的三个概念的构成要素:组织能力、强大的网络和外部拓展。本研究对尼日利亚的 66 名营养利益相关者进行了调查,包括联邦一级以及卡杜纳州和卡诺州的州一级,然后将这些指标应用于该国的一些倡导组织。我们表明,这些指标可以深入了解为什么一些倡导组织被政策制定者认为比其他组织更有效。具体而言,我们发现,地理覆盖范围、用于倡导的预算份额、具有明确目标的行动计划、包括政府和非政府政策拥护者在内的庞大网络、多种媒体和传播成果以及众多培训活动,共同增加了营养倡导者对政策制定者的可见度和影响力。尽管这些指标还需要在其他国家背景下进一步测试,并需要根据一个国家的基本政策制度进行解释,但它们为营养领域内外更系统、更具比较性的倡导分析和学习提供了一个有用的起点。