CHES Advocacy for Health 5 — Questions and Answers
Question 1: A CHES is concerned that a proposed state budget cut will eliminate a school-based health program. Which first step is MOST strategic?
- Immediately hold a press conference to condemn the cuts
- Map stakeholders who benefit from the program and assess their advocacy capacity (Correct answer)
- Write an op-ed without first gathering data
- File a lawsuit against the state budget committee
Correct answer: Map stakeholders who benefit from the program and assess their advocacy capacity
Stakeholder mapping is a foundational step that identifies allies, resources, and influence before launching advocacy activities.
Question 2: Which of the following BEST illustrates the use of data to drive advocacy?
- Sharing a compelling personal story without supporting statistics
- Presenting local hospitalization rates tied to the absence of a specific policy (Correct answer)
- Citing national averages that do not reflect local conditions
- Using data from a discredited source to strengthen the argument
Correct answer: Presenting local hospitalization rates tied to the absence of a specific policy
Local, specific data directly tied to a policy gap makes advocacy arguments concrete and credible to decision-makers.
Question 3: A health educator joins a task force where she disagrees with a proposed advocacy strategy on ethical grounds. What is the MOST appropriate action?
- Remain silent to preserve group harmony
- Raise the ethical concern clearly within the group and seek consensus (Correct answer)
- Secretly undermine the strategy without disclosing her disagreement
- Immediately resign from the task force
Correct answer: Raise the ethical concern clearly within the group and seek consensus
Ethical practice requires transparently raising concerns within appropriate channels rather than remaining silent or acting covertly.
Question 4: Which advocacy approach involves training community members to tell their own stories to media and policymakers?
- Public interest litigation
- Spokesperson development and narrative training (Correct answer)
- Regulatory comment submission
- Epidemiological surveillance
Correct answer: Spokesperson development and narrative training
Narrative training equips community members to articulate their experiences compellingly, amplifying authentic voices in the policy process.
Question 5: A CHES is reviewing a bill that includes health-relevant provisions buried in a larger infrastructure package. This reflects which concept in health policy advocacy?
- Street-level bureaucracy
- Policy windows and policy riders (Correct answer)
- Administrative rulemaking
- Judicial review
Correct answer: Policy windows and policy riders
Health provisions attached to broader legislation are called policy riders; recognizing them is essential for comprehensive advocacy monitoring.
Question 6: When a CHES practitioner partners with a faith community to advocate for mental health services, this strategy PRIMARILY leverages which advocacy asset?
- Legal authority
- Trusted social institutions and community credibility (Correct answer)
- Academic publishing platforms
- Government funding streams
Correct answer: Trusted social institutions and community credibility
Faith communities carry high trust and social capital, making them powerful allies for health advocacy in many communities.
Question 7: According to CHES competency standards, health educators engaged in advocacy must ensure their efforts are grounded in which foundational principle?
- Maximizing media exposure at all costs
- Advancing health equity and social justice (Correct answer)
- Prioritizing organizational reputation over community benefit
- Achieving rapid short-term policy wins over sustainable change
Correct answer: Advancing health equity and social justice
CHES advocacy competencies are rooted in health equity and social justice, ensuring that advocacy efforts reduce disparities rather than reinforce them.
A CHES is concerned that a proposed state budget cut will eliminate a school-based health program.
Which first step is MOST strategic?