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engagement 9_10_15
- 1. H E A L T H P O L I C Y D I S C US S I O N ENGAGEMENT & EQUITY
- 2. Engagement & Equity Expand the understanding & conversation about what creates health Strengthen the capacity of communities to create their own healthy futures Adopt a health in all policies approach with health equity as the goal
- 3. STAKEHOLDER EXERCISE • Who do you work WITH? • Who do you FOR or ON BEHALF OF?
- 4. CURRENT WORK • Who is at the decision-making table, and who is not? • Who benefits? • Who is left out? • What are some ways that you can reach out and include them to inform your work?
- 5. LAYERS OF STAKEHOLDERS MDH Legislature Associates Public • Team/Unit • Other divisions • MDH leadership • Other agencies & funders • Appointed Committees • Ad hoc committees • Expert advisors • Elected officials • Grantees & Contractors (stack/spread) • Regulated entities • Professional associations • Applicants • Self-selected groups • Targeted participants • Media/press • General public Insider ENGAGEMENT Outsider
- 6. ENGAGEMENT POSSIBILITY • What decisions are being made and who is accountable? • How should the decision-making table be set? • What is needed to support this work?
- 7. IDEAS FOR CONTINUING THE CONVERSATION 1. Degree of Impact and Complexity – what input and why it matters 2. Levels of engagement 3. Principles of Authentic Engagement
- 8. Degree of Potential Sensitivity and/or Impact Amount of Variability and/or Complexity low low high high Talk about some key functions of your work or work unit. Are the issues and decisions your team makes potentially sensitive among the people you work for and with? Who benefits the most? Is any group negatively impacted? Will issue analysis be complex and address multiple factors or root causes? Are potential strategies and solutions still variable and imprecise?
- 9. Degree of Potential Sensitivity and/or Impact Amount of Variability and/or Complexity inform consult collaborate empower involve passive active high low low high Levels of Engagement by Content Sensitivity and Complexity
- 10. PRINCIPLES OF ENGAGEMENT (CDC AND ATSDR)
Editor's Notes
- With a partner, spend 5 minutes discussing: How do you contribute to creating health? How do we support communities to create their own healthy futures?
- Fold a sheet of paper, On one side, write down as many people (groups or individuals) that you work WITH outside of the HP Division, outside MDH? – be specific. On the other side, write down as many people (groups or individuals) that you work FOR or ON BEHALF OF? Compare your lists. Who benefits from your work? Who influences your work? Who is left out?
- Unit Discussion, or in small groups What groups or individuals are on your ‘For/On behalf’ of list that are not on your ‘With’ list? What are some ways that you can reach out and include them to inform your work?
- The central questions when looking at existing policies are: • What are the outcomes? • Who benefits? • Who is left out? The central questions to help design new policies are: • What outcomes do we want? • Who should be targeted to benefit? The central questions to examining processes are: • Who is at the decision-making table, and who is not? • Who has the power at the table? • Who is being held accountable and to whom or what are they accountable? The central questions to help develop new processes are: • How should the decision-making table be set, and who should set it? • Who should hold decision-makers accountable, and where should this accountability take place? The central questions to identify assumptions are: • What values underlie the decision-making process? • What is assumed to be true about the world and the role of the institution in the world? • What standards of success are being applied at different decision points, and by whom? The central questions to define new assumptions that will create the opportunity for health and healthy communities for all are: • What are our values? • What would it look like if equity was the starting point for decision-making?
- 5 minutes in Unit discussion on the first two questions Then full group discussion on the last question: What is needed to support this work?
- Talk about some key functions of your work or work unit. Are the issues and decisions your team makes potentially sensitive among the people you work for and with? Who benefits the most? Is any group negatively impacted? In terms of potential sensitivity and/or impact among the people you work for and with, where on the scale would you place your work? Do the issues your team tackles have a high degree of complexity? Are potential strategies and solutions still variable and imprecise? In terms of variability and complexity, where on the scale would you place your work?
- Low variability and impact or sensitivity may not require much engagement. Outreach to general audiences and some targeted consultation may be sufficient to keep people abreast of developments in your ongoing work. People want, and may demand, that they be involved in issues and decisions that directly or negatively impact them. More complex strategies and solutions often require people to be involved in the decisions impacting them. The more sensitive the issue and the more unpredictable the work, the more people want and need to be engaged in order to share accountability in a complex issue.
- http://www.atsdr.cdc.gov/communityengagement/images/figure1.1_lg.jpg