Advocacy and Stop TB Campaign

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Advocacy and Stop TB Campaign

Module 4 29 September 2005
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Planning advocacy

• Agenda-setting identification of an issue for
  policy action
• Solution formulation propose solutions to the
  problem and select one that is politically,
  economically, and socially feasible
• Building the political will coalition building,
  meeting with decision makers, awareness building
  and delivering effective messages.
• Policy action the decision-making process
• Evaluation effectiveness of the change

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Building Facts

• Assess facts about your own country/constituency
  
• Show the severity of the situation or worsening
  trends
• Show improvements in TB control through use of
  DOTS
• Make the TB epidemic relevant to important
  constituencies.
• Document current spending on the disease
• Show that TB control makes economic sense
• Demonstrate that the DOTS strategy is feasible in
  your country
• Note the benefits of DOTS for the health
  infrastructure and development
• Demonstrate the consequences of inaction

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Prioritizing
How to select a high-impact-easy-to-change set
of target behavior?
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Advocacy message

• "Tuberculosis is a threat for our society, and
  kills still too many people. The poorest and
  people living with HIV are main sufferers. But we
  are all at risksince TB spreads by air. If you
  get sick, you may lose your job, infect your
  family/ friends, unless you seek prompt
  treatment. Your life and lives of many others can
  be saved with our cost-effective treatment.
• ? Politicians, your continuous commitment is
  crucial!
• ? Media, your support in communicating the health
  threat is critical!
• ? Community, you have the right to TB treatment,
  ask for it!"
• Strong and positive message - elements
• People focus (politicians/ decision-makers'
  concern)
• Risk-groups as hot topics
• Public good free treatment (politicians can
  offer solution)
• Cost-effective with positive economic impact

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Engage politicians

• Examine politician's agenda
• Use different channels
• 'Insiders'
• Media, influential people
• 'Outsiders' (activists)
• Show public concern and clearly articulate
  message
• Recognize decision-making process
• Recognize bureaucracy, budget and administration
  constraints

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TB Advocacy Campaigns Ideas

• Encourage thousands of people to write to
  politicians
• Compile list of people cured with TB (for
  advertisement, petition, etc.)
• Present petitions to politicians
• Celebrity involved as spokesperson
• Declare TB free zones or TB hot zones
• Create 'competition' amongst districts on
  progress
• Give certificates/ awards to private
  practitioners
• Organize contests (journalists, photographers,
  etc)
• Create a local radio-debate, TV-soap
• Exhibition or road-show
• Develop a logo or visual symbol (pins, stickers,
  etc)

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Writing Letters to Government officials

• Concise and focus on one issue,
• Well-reasoned arguments, supported with relevant
  data
• Powerful real-life stories
• Be clear about what you want
• Ask for specific action
• Request a response (direct or other) and phone
• Encourage others to join in letter-writing
  campaign
• Be positive
• Share responses with others

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Advocacy supported by Media campaign
Media Coverage and Funding for TB (USA)
TB Cooperative Agreement Appropriations (
millions)
Number of articles
Source CDC and Lexis-Omni
Kraig Klaudt, Massive Effort Campaign
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Stop TB Campaign

• Campaign is continuous momentum of your targeted
  messages
• Peak around WTBD following preparation, messages,
  materials (now often only event)
• Advertisement principles of repetition messages

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Mass-media AdvocacyRecognize create
opportunities

• Based on TB facts
• Release new TB data/ publication reports
• Local outbreaks/success-stories of TB
• Plan news create a story ("hook")
• Link TB news to the bigger news-stories
• Human story celebrity cured of TB, local hero,
  health-worker
• TB Champion/ Ambassadors President, Celebrity to
  visit health centre
• A special event where TB is featured
• TB campaigns Compile a calendar of dates
• National and international days
• TB relevant conferences and health seminars
• Special national/ regional events
• political, religious, social/cultural, sports, etc

Inaugural PM India 2nd Stop TB Partners Forum,
Delhi March 2004
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Celebrities as Stop TB Ambassadors
"We can't fight Aids unless we do much more to
fight TB as well" Nelson Mandela, XV Int AIDS
Conference Bangkok 2004

• MOH launched the National STOP TB Pakistan in the
  presence of Goodwill Ambassador Mr Wasim Akram

AR Rahman Indian composer/ musician meets with
Kofi Annan on behalf of Stop TB Partnership
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Calendar of Events

• 24 February Anniversary of John Keats' death
  (Famous poet died from TB at age 25. Most TB
  deaths are still among ages 15-44)
• 8 March International Women's Day (TB kills more
  women than all combined causes of maternal
  mortality)
• 24 March World TB Day (The threat of TB The
  effectiveness of DOTS)
• 7 April World Health Day (TB leading killer of
  youths/adults in dev. countries)
• 1 December World AIDS Day (TB/HIV co-epidemic)
• 5 December International Volunteer Day (DOTS
  volunteers)
• 10 December 50th anniversary of the Human Rights
  Declaration (The threat of TB in prisons)
• Religious holidays TB affects the poorest and
  most vulnerable.

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Create a brand for recognition/ visibility

• clear message
• slogan
• visuals
• colour
• one design format

How much will Coke spend on advertising for a 1
increase in Coke purchases?
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Stop TB logos-visuals
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Source Posters WHO/EMRO World TB Day 2003
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Stopping TB

• The reward will be found most meaningfully
• in the faces of those whose lives have been saved
  
• and health restored through our unremitting
  efforts.