Ma Makin king the Case for g the Case for Syst Systems Cha ems - - PDF document
Ma Makin king the Case for g the Case for Syst Systems Cha ems Change ge Bui Building P lding Public ublic Will to Achi Will to Achieve Health E eve Health Equ quit ity Dr. Tiff r. Tiffany ny Ma Manuel nuel Ema mail: : DrT
ny Ma Manuel nuel
Ema mail: : DrT DrT@T @The heCas CaseM eMade. ade.co com
Presentation Notes
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Now Now, , mor more th e than an ev ever, , we we n need to eed to invest invest in in building p building publi blic w will ill. The work to build the public will to advance health equity may be tougher than many of us realize. While we are lifting data, policy and programmatic solutions, we are often missing the
wh why health equity matters; wh what “health To Too often
we let et our
data, resea esearch h and and evidenc evidence s e stand tand-in for a s for a str trong
call all-to to-action.
And when hen we do, we do, it
backfires.
That is, is, ou
data ultimately ltimately be becom
es the the neg egativ ative flas e flash h poi
t for
people eople who who feel feel disco disconnec ecte ted d fro from m thes hese iss e issues es more more gen ener erally ally, , or who dis who disagree wi agree with th the the br broad
er ag agen enda a da around equ d equit ity. We often overestimate the extent to which data, research and evidence can move public support for action. Surely, data are important for designing, implementing and evaluating health equity programs, but they must be embedded in a broader effort to make the case for equity and systems change, if they are to be helpful in elevating public support. Obj Objectiv tives es fo for This This Sess essio ion of
the Co Conve vening ing
primary goals – to help session participants:
and the importance of public will building around health equity
making the case for health equity
casemaking could be leveraged to strengthen public support. equity” means; wh why health equity is a shared public concern; and wh what systems changes are needed to advance better health outcomes for all.
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“…the more problematic issue here is that the economic plight of low-income Americans is worsening, and we do not have the public support we need to scale policies that would improve their well-being and transform the racially/ethnically segregated neighborhoods in which they live….”
Who Gets to Live Where, and Why? The Answer May Be Settled by Our Narratives If If our
is to bu to build ild publi blic s suppor
t for for equit equity, , we n e need t eed to redefi
e what at it means to “make the case” fo for th the e poli
ies, s, p programs
d inve vestm stmen ents ts we we know know wo would h ld help. elp. Buildi Building publi blic wi will a ll aroun
d equity ity requi equires es us s to be m to be mor
e inten tentional tional abo about H t HOW OW we we m mak ake th e the ca e case se for for system systems s chan hange. e. As advocates for health equity, we have all learned and mastered the art of making the case for change by presenting logical arguments with our data and evidence. However logical those arguments are, they miss the mark when they do not recognize and anticipate how those arguments will be received by public audiences – audiences who already have predisposed beliefs about how the world works. Our task is to be intentional about how we make the case for health equity – at very least to do no harm and at most, to change the public conversation in ways that lift up the need for systems change. At the most basic level, effective casemaking to support systems change is defined and shaped by several principles.
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Effecti Effective ca e casem semakin ing does does n not m
ean that we’re able to convince ev ever erybo body dy th that e at equit quity is is an an imp impor
tant goal
. It It m means eans th that we ar at we are a e able to ble to resh eshap ape th e the p e publi blic c conver
sation
so that that those those whose op whose opinions inions can be can be redir edirec ected, ed, wi will be. ll be. The The good n
ews s is t is that hat the there ar e are e a a number mber of
eviden idence-based based strategies strategies for for str stren enghten htenin ing h how
we we m mak ake th e the e case ase fo for system systems s chan hange. e.
based elements of effective casemaking:
from the Start
Before “What” or “How Many”
narratives the often reduce support for collective solutions
to further credential the problems we are trying to mitigate
problem (a challenge for smart, adaptive leaders to solve, NOT a challenge of failed or flawed people)
“Story of Marginalized People”
It is unrealistic to expect that our improved practice of casemaking will impact all people in the same way. While we won’t win over everybody with a more thoughtful casemaking approach, we HAVE TO win over some of them. When deployed effectively, casemaking can be instrumental in building stronger public support for equity by reducing the social distance or disconnection they feel from the issues we are raising as advocates. I I wa was s there the there the day day t the he conve
sation changed… Change does not happen overnight, but the best way to judge if your casemaking redirections are working is by listening to the public conversation on the other side
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Additional casemaking resources by Dr. Manuel:
Our Narratives
For more information about trainings, workshops, consulting and resources around casemaking, email Dr. Manuel at: DrT@TheCaseMade.com Our mission is to transform communities all over the world by helping leaders build the public will to intentionally tackle the issues of equity and inclusion. We work across sectors and issue areas to help leaders understand the power of effective casemaking and to use it as a critical instrument for systems change. Our approach is to use trainings, workshops, community engagement and consulting to deliver resources that are transformative. Connect with us through our website, social media or email - @TheCaseMade.