Category : Advocacy

While many of us looked to systems we thought could guide us through COVID-19, we discovered that there were no systems where we expected to find them. What we are calling “system failure” is really system “expectation” failure.  Advocates often work to shift systems to have the greatest impact on the most people, but we must consider whether there is a system to change in the first place and whether a system can create the change we’re seeking. Here are questions we should be asking.

The 2020 legislative session will be my eighth legislative session as a child advocate. The eighth year I will go to the state capitol and work to ensure that children are a top priority for Iowa policymakers. This year is the first year that my advocacy efforts have transitioned from ideological to personal.

Remarks shared by Kayla Powell at the HealthConnect Fellowship Celebration on November 18, 2019. Kayla shares her story of growing up in the foster care system and challenges all of us to do better for Iowa's children.

Two years ago, we launched the fellowship to foster a "tipping point" towards sound policy and practice changes that would positively and equitably impact the health of Iowa's children. We invited seven health advocates to join us as the inaugural fellows. Here is the release of our Cultivating Change report highlighting their work and our collective impact thus far.

The first piece of advice we are given when we decide to try creating system-level change is “you need to form a coalition." And if you ask, “What does it need to look like?” your answer is, "Get all the key stakeholders around the table." This is not enough.

In October, 18 children’s health advocates and their mentors met—some for the first time—to share their story about how each of us had arrived to Mid-Iowa Health Foundation’s HealthConnect Fellowship. I was struck by several themes that emerged from the three-hour conversation.