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This version was published on July 1, 2008
Health Promotion Practice, Vol. 9, No. 3, 253-261 (2008)
DOI: 10.1177/1524839906292821

Grassroots Advocacy Campaign for HIV/AIDS Prevention: Lessons From the Field

Caroline Moseley, MEd, CHES

Guilford County Health Department in Raleigh, North Carolina

Larry Doug Melton, MPH

University of North Carolina in Greensboro, North Carolina

Vincent T. Francisco, PhD

Department of Public Health Education at the University of North Carolina in Greensboro, North Carolina

There are many guides written for developing strategies and tactics related to advocacy, and many pages of text are devoted to developing advocacy plans. Less well described is the context within which grassroots advocacy campaigns can be successful. This article describes a successful campaign to establish a needle-exchange program (NEP) in Guilford County, North Carolina. The authors briefly describe NEPs in general, the history of NEPs in North Carolina, the mission of the North Carolina Harm Reduction Coalition (NCHRC), and why this approach was considered particularly important for Guilford County. Then the context of the successful adoption of an NEP in Guilford County and the progress to make it legal will be examined, including describing the specific advocacy activities facilitated by members of NCHRC. The article concludes with a discussion of lessons learned that may be applicable to other grassroots advocacy initiatives.

Key Words: needle-exchange program • advocacy • community mobilization • health policy


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