Evaluating Adaptive Capacity and Skills + Resources in the Consumer Health Advocacy Field in Missouri

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Since its inception in 2000, the Missouri Foundation for Health (MFH) has invested in policy change in Missouri. Recognizing a dearth of organizations with the capacity to advocate for Missouri health consumers, MFH broadened its grantmaking vision to building a field of consumer health advocates. Using the Framework for Evaluating Advocacy Field Building, Innovation Network and the Center for Evaluation Innovation are currently gauging how MFH shapes this field through its grantmaking. This presentation will focus on evaluating two dimensions of the Framework of this field: Adaptive Capacity and Skills & Resources. A discussion of data collection activities will give the audience ideas about how to evaluate these dimensions, lessons learned from the process, and what has been revealed through the evaluation about Skills & Resources and Adaptive Capacity in a field.

Evaluating
Adaptive Capacity and
Skills + Resources
in the Consumer Health Advocacy Field in Missouri
Kat Athanasiades
@KatAthanasiades
kathanasiades@innonet.org
AEA 2014, Denver, CO

https://www.flickr.com/photos/an_untrained_eye/6630719431

1 What and Why
2 How
3 So What?
https://www.flickr.com/photos/an_untrained_eye/6630719431

1 What and Why
https://www.flickr.com/photos/bobaubuchon/7029173397

2 How
Theory of Change- Advocacy for Positive
Health System Change
State of the Field 2013 5 Year Strategies Ideal Future Field 2018
Skills + Resources Skills + Resources
Different
strategies
affect
different field
dimensions
Connectivity Connectivity
Composition
Adaptive Capacity
Composition
Adaptive Capacity
Field Frame Field Frame

2 How
Adaptive Capacity-
Participatory Assessment
Interviews
https://www.flickr.com/photos/myklroventine/3333757313

2 How
Adaptive Capacity-
Strongly
Disagree
Strongly
Agree
Reasons
to
Disagree
Reasons
STATEMENT to Agree
https://www.flickr.com/photos/myklroventine/3333757313

2 How
Adaptive Capacity-
Strongly
Disagree
Strongly
Agree
Reasons
to
Disagree
Reasons
to Agree
“We respond to the
moves of the opposition
in a timely way.”
My organization
https://www.flickr.com/photos/myklroventine/3333757313

2 How
https://www.flickr.com/photos/myklroventine/3333757313

2 How
Skills + Resources-
Participatory Assessment
Interviews
Advocates’ Survey
https://www.flickr.com/photos/alatryste/3933874400

3 So What
Are there significant skill or knowledge gaps we need to address among certain
types of advocates?
Where should we build skills within organizations vs. linking advocates with different
skill sets together?
Between what kinds of advocates is there a connectivity problem and why? And
with what kinds of policy issues will this trip us up?
Do “missing constituencies” in the policy arena warrant supporting new
organizations or building the capacity of existing organizations who represent them?
Where and among whom do we need to support increased time for shared political
analysis?
What other constraints to adaptive capacity can be addressed via grantmaking or
auxiliary supports?
https://www.flickr.com/photos/bobaubuchon/7029173397

3 So What
Examples-https://
www.flickr.com/photos/bobaubuchon/7029173397

Field Organization
0.47 0.81
3 So What
Adaptive Capacity-
Collective Efficacy Survey
-2 -1 0 1 2
0.45 0.87
Lower adaptive
capacity
Adaptive Capacity H-Forms
Higher adaptive
capacity
-2 -1 0 1 2
Lower adaptive
capacity
Higher adaptive
capacity

Outcomes
Policy focus: Medicaid (blue)
(n = 34 organizations)
Audiences
AWARENESS WILL ACTION
PUBLIC INFLUENCERS DECISION MAKERS

Outcomes
Policy focus: Medicaid (blue) & Nutrition (red)
(n = 34 organizations)
Audiences
AWARENESS WILL ACTION
PUBLIC INFLUENCERS DECISION MAKERS

Policy focus: Medicaid (blue) & Nutrition (red)
(n = 34 organizations)
Advocacy Capacity Building
Coalition Building
Communications and
Messaging
Community Mobilization
Community Organizing
Demonstration Programs
Public Education Campaign
Influencer Education
Leadership Development
Litigation
Lobbying
Media Advocacy
Model Legislation
Political Will Campaigns
Policy Analysis/Research
Policymaker Education
Public Education
Public Forums
Public Polling
Regulatory Feedback
Voter Outreach
Outcomes
Audiences
AWARENESS WILL ACTION
PUBLIC INFLUENCERS DECISION MAKERS

So What?
https://www.flickr.com/photos/an_untrained_eye/6630719431

Thank you!
Kat Athanasiades
@KatAthanasiades
kathanasiades@innonet.org

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Evaluating Adaptive Capacity and Skills + Resources in the Consumer Health Advocacy Field in Missouri

1. Evaluating Adaptive Capacity and Skills + Resources in the Consumer Health Advocacy Field in Missouri Kat Athanasiades @KatAthanasiades kathanasiades@innonet.org AEA 2014, Denver, CO

2. https://www.flickr.com/photos/an_untrained_eye/6630719431

3. 1 What and Why 2 How 3 So What? https://www.flickr.com/photos/an_untrained_eye/6630719431

4. 1 What and Why https://www.flickr.com/photos/bobaubuchon/7029173397

5. 2 How Theory of Change- Advocacy for Positive Health System Change State of the Field 2013 5 Year Strategies Ideal Future Field 2018 Skills + Resources Skills + Resources Different strategies affect different field dimensions Connectivity Connectivity Composition Adaptive Capacity Composition Adaptive Capacity Field Frame Field Frame

6. 2 How Theory of Change- Advocacy for Positive Health System Change State of the Field 2013 5 Year Strategies Ideal Future Field 2018 Skills + Resources Skills + Resources Connectivity Connectivity Composition Adaptive Capacity Composition Adaptive Capacity Field Frame Field Frame

7. 2 How Adaptive Capacity- Participatory Assessment Interviews https://www.flickr.com/photos/myklroventine/3333757313

8. 2 How Adaptive Capacity- Participatory Assessment Interviews https://www.flickr.com/photos/myklroventine/3333757313

9. 2 How Adaptive Capacity- Strongly Disagree Strongly Agree Reasons to Disagree Reasons STATEMENT to Agree https://www.flickr.com/photos/myklroventine/3333757313

10. 2 How Adaptive Capacity- Strongly Disagree Strongly Agree Reasons to Disagree Reasons to Agree “We respond to the moves of the opposition in a timely way.” My organization https://www.flickr.com/photos/myklroventine/3333757313

11. 2 How Adaptive Capacity- Strongly Disagree Strongly Agree Reasons to Disagree Reasons to Agree “We respond to the moves of the opposition in a timely way.” My organization The field of consumer health advocates https://www.flickr.com/photos/myklroventine/3333757313

12. 2 How https://www.flickr.com/photos/myklroventine/3333757313

13. 2 How Adaptive Capacity- Participatory Assessment Interviews https://www.flickr.com/photos/myklroventine/3333757313

14. 2 How Skills + Resources- Participatory Assessment Interviews Advocates’ Survey https://www.flickr.com/photos/alatryste/3933874400

15. 3 So What Are there significant skill or knowledge gaps we need to address among certain types of advocates? Where should we build skills within organizations vs. linking advocates with different skill sets together? Between what kinds of advocates is there a connectivity problem and why? And with what kinds of policy issues will this trip us up? Do “missing constituencies” in the policy arena warrant supporting new organizations or building the capacity of existing organizations who represent them? Where and among whom do we need to support increased time for shared political analysis? What other constraints to adaptive capacity can be addressed via grantmaking or auxiliary supports? https://www.flickr.com/photos/bobaubuchon/7029173397

16. 3 So What Examples-https:// www.flickr.com/photos/bobaubuchon/7029173397

17. Field Organization 0.47 0.81 3 So What Adaptive Capacity- Collective Efficacy Survey -2 -1 0 1 2 0.45 0.87 Lower adaptive capacity Adaptive Capacity H-Forms Higher adaptive capacity -2 -1 0 1 2 Lower adaptive capacity Higher adaptive capacity

18. 3 So What Skills + Resources-

19. Outcomes Policy focus: Medicaid (blue) (n = 34 organizations) Audiences AWARENESS WILL ACTION PUBLIC INFLUENCERS DECISION MAKERS

20. Outcomes Policy focus: Medicaid (blue) & Nutrition (red) (n = 34 organizations) Audiences AWARENESS WILL ACTION PUBLIC INFLUENCERS DECISION MAKERS

21. Policy focus: Medicaid (blue) & Nutrition (red) (n = 34 organizations) Advocacy Capacity Building Coalition Building Communications and Messaging Community Mobilization Community Organizing Demonstration Programs Public Education Campaign Influencer Education Leadership Development Litigation Lobbying Media Advocacy Model Legislation Political Will Campaigns Policy Analysis/Research Policymaker Education Public Education Public Forums Public Polling Regulatory Feedback Voter Outreach Outcomes Audiences AWARENESS WILL ACTION PUBLIC INFLUENCERS DECISION MAKERS

22. So What? https://www.flickr.com/photos/an_untrained_eye/6630719431

23. Thank you! Kat Athanasiades @KatAthanasiades kathanasiades@innonet.org

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