This paper presents a decision-making model which can help public health professionals justify their decision to advocate for a particular intervention. The model is demonstrated by a case study related to advocacy of Random Breath Testing (RBT). For the purpose of this paper advocacy is a "catch-all word for the set of skills used to create a shift in public opinion and mobilise the necessary resources and forces to support an issue, policy, or constituency..." (Wallack, Dorfman, Jernigan & Themba, 1994).
Get full access to this article
View all access options for this article.
References
1.
Andreassen. D. (1992) Costs for accident-types and casualty classes. Report ARR-277. Canberra: Australian Research Road Board.
2.
Australian Institute of Health and Welfare. ( 2000). Australia's health 2000; The seventh biennial health report of the Australian Institute of Health and Welfare. Canberra: AIHW,
3.
Becker. M. (1993). A Medical sociologist looks at health promotion . Journal of Health and Social Behaviour. 34.1-6.
4.
Calman, K.Downes. R. (1997). Ethical principles and ethical issues in public health. In Oxford Text book of Public Health (3rd edition) 1 (23), 391-402. Oxford: Oxford University Press,
5.
Carey. V.Chapman. S., & Gaffney. D. (1994). Children's lives or garden aesthetics? A case study in public health advocacy, Australian Journal of Public Health18(1), 25-32.
6.
Chapman. S., & Lupton, D. (1994). The fight for public health - principles and practice of media advocacy. London: BMJ Publishing Group.
7.
Engs. R. (1991). Resurgence of a new clean living movement in the United States. Journal of School Health61(4), 155 -158.
8.
Gillon. G. (1990). Ethics in health promotion and prevention of diseaseJournal of Medical Ethics. 16. 171-172.
9.
Green, L. & Kreuter, M. (1999). Health promotion planning: An educational and ecological approach. Mountain View: Mayfield.
10.
Hawe, P.Degeling. D. & Hall. J. (1990). Evaluating health promotion: A guide for healthworkers . Sydney: MacLennan and Petty.
11.
Hawe. P. & Shiell. A. (1995) Preserving innovation under increasing accountability pressures: The Health promotion investment portfolio approach. Health Promotion Journal of Australia. 5, 4-10,
12.
Holder. H. & Treno. A. (1997). Media advocacy in community prevention: news as a means to advance policy change. Addiction. Supplement 2. 189-199.
13.
Homel, R. (1986). Random breath testing in Australia: a complex deterrent. Australian Drug and Alcohol Review. 7, 231-41.
14.
Howat. P.Sleet. D. & Smith. D. . (1991), Alcohol and driving: Is the.05 percent BAC limit justified?Australian Drug and Alcohol Review. 10(2).151-166.
15.
Howat. P.O'Connor. J. & Slinger. S. (1992). Community action groups and health policy. Health Promotion Journal of Australia. 2(3).16-22.
16.
Howat. P.Maycock. B.Jackson, L.Lower. T.Cross. D., Collins. J. & van Asselt. K. (2000). Development of competency based university health promotion courses. Promotion & Education. 7(1). 33-38.
17.
Kirov, C.Legge, M. & Rosman. D. (2000). Reported road crashes in Western Australia. Perth: Road Safety Council of Western Australia .
18.
Maycock. B., Howat, P. & Martin, M. (1996), Opposition to public health policy: Ethical challenges and considerations, the decision making process. Abstract Proceedings. Public Health Association Annual Conference. Perth. Australia, 29 September - 2 October.
19.
McLeroy. K., Bibeau, D.Steckler, A., Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly. 15, 351-377.
Select Committee on Road Safety. (1994). Road crash causes and the extent of the problem in Western Australia . Perth: Legislative Assembly,
23.
Shilton, T.Howat, P., James, R.Lower, T. & Jeffery, C. (2000), Competencies for health promotion practitioners in Australia. Paper presented at the 12th Australian National Health Promotion Conference. Melbourne, Australia, October 29 - November 1.
24.
Skranbanek. P. (1990). Why is preventive medicine exempt from ethical constraints?Journal of Medical Ethics. 16, 187-190,
25.
Van Beurden, E. (1994). HOOPS (Health outcome orientated problem segmentation): A graphic framework for health promotion planning. program development and evaluation. Health Promotion Journal of Australia. 4, 4-8,
26.
Viney, R. (1996). Health Promotion, economc, priority setting, resource allocation and outcomes at the margins. Health Promotion Journal of Australia. 6, 9-14,
27.
Wallack, L.Dorfman, L.Jernigan. D. & Themba, M. (1994). Media advocacy and public health; Power for prevention . London: Sage Publications, 27.
28.
World Nealth Organisation (1986). Ottawa Charter for Health Promotion. Geneva: WHO.
29.
World Health Organisation. (1997). The Jakarta Declaration on health promotion in the 21st Century. Geneva: WHO.
30.
Yeo. M. (1993). Towards an ethic of empowerment for health promotion . Health Promotion International, 8(3). 225-235.