8 Steps to Building & Sustaining Effective Immunization Coalitions
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- Diana Williams
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1 8 Steps to Building & Sustaining Effective Immunization Coalitions NYSACHO Webinar February 13, :30 am - 12:00 noon Frances Dunn Butterfoss, PhD Yorktown, Virginia Joint Efforts A word by any other name... Network Consortium Federation Advisory Committee Alliance Coalition Council Coalition Group of individuals representing diverse organizations or constituencies who agree to work together to achieve common goals (Feighery & Rogers, 1990) 1
2 Why Partnerships Form Mandated by funder or lead agency Respond to opportunity (funding) or threat (teen drug & alcohol use) Enhance limited resources (e.g., staff, time, influence) & reduce duplication of services Produce broad, sustained change Demonstrate/develop community support Maximize i power of individuals/groups id by acting collectively Mobilize diverse talents, resources, strategies Benefits of Coalitions 2
3 Strength in Numbers Strength in Relationships 3
4 Strength in Diversity Strength in Resources 4
5 Challenges of Coalitions YouTube - EDS, an HP Company 'Cat Herders' Risk losing autonomy, competitive edge, control Conflict over goals & methods Expend scarce resources (time, $, status, data) Delays in solving problems Eight Steps to Sustain Coalitions 5
6 STEP 1 Clarify or Reaffirm Vision & Mission SWOT Analysis Strengths - internal factors that allow coalition to take advantage of opportunities or reduce barriers Weaknesses - internal factors or challenges that prevent coalition from taking advantage of opportunities or reducing barriers Opportunities - external factors that allow coalition to take action, build membership, or improve community Threats external factors that hinder goal attainment Threats - external factors that hinder goal attainment, sustaining momentum, or long-term survival 6
7 Vision Shared by members & easily communicated Broad enough to include diverse viewpoints Inspiring & uplifting We envision a county where all residents live immunized, healthy lives! Mission Statement Describes what group is going to do Concise: Gets point across in 1 sentence Outcome-oriented: Explains outcomes coalition is working to achieve Inclusive: Doesn t limit sectors or strategies that may be involved in projects We are dedicated to changing policies systems & environments We are dedicated to changing policies, systems & environments to promote an immunized, healthy County 7
8 STEP 2 Create Ownership of Coalition Coalition Ownership Engage members to: Define issues Identify solutions & strategies Develop tools/resources to implement & evaluate strategies 8
9 STEP 3 Solidify Coalition Infrastructure & Processes Coalitions Work on 2 Levels Inward Work Outward Work Processes that build, nurture & maintain coalition Task-oriented behaviors t0 achieve coalition goals 9
10 In essence, you must fly the plane, while you build it... YouTube - EDS "Airplane" Coalition Structure Grantee - Convener Agency Coalition Steering Committee Work Group Work Group Work Group Work Group Work Group 10
11 Coalition Structures Vision, Mission & Goals Statements Roles & Responsibilities Og Organizational Chart Steering or Executive Committees Work Groups & Task Groups Bylaws & Guidelines Meetings Documents (agenda, minutes, rosters) Communication channels Decision-making Processes Problem-solving/Conflict resolution Orientation & Training Planning & Resource Allocation Evaluation 11
12 STEP 4 Recruit & Retain an Active, Diverse Membership Member Roles & Responsibilities Attend Coalition meetings/events on regular basis Collaborate to promote any joint/shared activities Provide leadership to Coalition Assist in planning & implementing activities Recruit new members Disseminate information/resources about immunization promotion strategies to own network & organization Identify/garner resources to support Coalition s strategies Advocate 12
13 Coalition Member Sectors Labor & Employment (Business) Professional/Trade Associations Advocacy & Special Interest (Parents & Families) Law Enforcement Community-based Organizations (CBOs) Medical/Health/Insurers Media Academic/Education Government/Legislative Religious/Faith-based Youth Organizations Annual Member Commitment Card I, hereby commit to providing the following resources to the (name of your Coalition) to assist in creating a healthier community. Resources In kind Cash Time Other Signature: Date: 13
14 Improve Member Retention Create positive social interactions Provide visibility, credit, decision-making influence Provide access to information/resources Make Coalition efficient & effective Provide orientation/training; link new members to veterans Provide varied & fulfilling opportunities to participate Appreciate need to vary involvement over time Butterfoss, 2007; Sofaer, 2001 STEP 5 Develop Transformational Leaders 14
15 Collaborative, Broad-based Leadership Multiple leaders share resources & power to set priorities & evaluate performance Allows for flexibility to prevent burnout Former leaders can mentor future ones Transformational Leadership Factors 1. Charisma, or idealized influence - role models w/high standards of moral & ethical conduct 2. Inspirational motivation - communicate high expectations; inspire followers to be committed to shared vision 3. Intellectual stimulation - stimulate followers to innovate & challenge beliefs of self, leader & organization 4. Individualized consideration support/listen to followers & coach them to be actualized or empowered Bass,
16 Transformational Leadership Idealized Individualized Inspirational Intellectual Influence Consideration Motivation Stimulation Transactional Leadership Expected Outcomes Outcomes Beyond Expectation Transformational Leaders Martin Luther King John F. Kennedy Mahatma Ghandi Mother Theresa Barack H. Obama Steve Jobs 16
17 Transformational Leaders 1. Let go of things others can do 2. Encourage ideas & risk-taking 3. Ensure that people have goals & know how they re doing 4. Delegate to challenge, develop & empower 5. Coach to ensure success 6. Reinforce good work & attempts 7. Share information, knowledge & skills 8. Value, trust & respect each individual 9. Provide support without taking over 10. Practice what they preach Leadership Incentives Network w/other community leaders Develop transferable leadership skills Represent coalition via media/other settings Represent coalition at national/grantee mtgs. Increase own organization s visibility & respect Add community service experience to resumes Get letters of reference/recommendation 17
18 STEP 6 Market Your Coalition Market Your Coalition Clarify coalition s product its agenda Brand the coalition logo, mission, byline Simplify the message Decide who will carry message & how Focus on data/accomplishments to build value Focus on data/accomplishments to build value & credibility 18
19 STEP 7 Focus on Action... Ideal Coalition Strategies Resource identification, development, dissemination Addressing gaps in service/education Collaborative tasks Communication campaigns public awareness Systems Change Advocacy 19
20 & Advocacy Effective Advocacy works when Cause or issue is right Advocates represent power in numbers Issues, opposition & climate of opinion about issue is well researched Advocates are skilled in using advocacy tools (including media) 20
21 Developing an Advocacy Strategy Choose issues that are compelling & realistically accomplished (1-2 yrs) Translate legislative procedures to partners Be a resource - build relationships & educate decision makers Focus on action (draft policy agenda, write editorials, meet w/legislators) Choose varied messengers constituents, experts & influencers Advocacy Institute, 2005 Advocacy Virginians for a Healthy Future tobacco tax increases (Sept 06, 09); local restaurant smoking bans (Dec 09) PIV s Human Papilloma Virus Vaccine Law (2008) YES HPV 21
22 STEP 8 Evaluate & Sustain your Coalition Coalition Evaluation Builds capacity within coalition & community Determines whether strategies make a difference & whether outcomes are achieved Provides accountability & builds support from community, funding agencies & stakeholders 22
23 Coalition Evaluation LEVEL 3: Health/social status or community change (environment, policies & practices) LEVEL 2: Coalition strategies LEVEL 3 LEVEL 2 LEVEL 1: Coalition infrastructure, process or function LEVEL 1 Develop & Sustain Diverse Resources 1. Membership dues 2. Line item budget allocations (e.g., Grantee or partner agency funds staff & operating expenses) 3. Fund-raising events 4. Individual & business donors 5. Partner financial & in-kind contributions 6. Local community grants & contracts 7. Fees for Service (e.g., trainings & conferences) 23
24 Steps to Coalition Success 1. Clarify/reaffirm vision & mission 2. Create ownership of coalition 3. Solidify coalition infrastructure & processes 4. Recruit & retain active, diverse membership 5. Develop transformational leaders 6. Market your coalition 7. Focus on action & advocacy 8. Evaluate & sustain your coalition What I Know for Sure... Collaborative strategies more creative & achievable than any single organization can do alone Partnerships work best when they mobilize assets, respond to opportunities & develop integrated strategies As they mature, partnerships must shift from providing services to policy/advocacy activities Sustaining partnerships is harder than forming them Find structure that works, recruit & engage active organizations, diversify funding & focus on outcomes 24
25 Coalition Resources Butterfoss, FD. Coalitions and Coalitions for Community Health. San Francisco, CA: Jossey-Bass, Coalitions Work The Community Toolbox - Community Anti-Drug Coalitions of America (CADCA) Democracy Center Advocacy Training & Resources - CDC National Center for Chronic Disease Prevention and Health Promotion. Be the change you want to see in the world. Mahatma Gandhi
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