access to Sikika’s key target audience (the
MoHSW) and enabled them to present their
arguments in their own words. As it turned
out, the timing proved to be perfect for
influencing the subsequent year’s Budget
Guidelines.
It is important to select the target
audiences for an advocacy message
carefully; it is also important to think
about how to frame the message.
Audiences such as the Technical
Working Group or participants in the
Health Sector Review would have a high
level of knowledge about the health
sector, policy and financing. As a result,
it would likely be feasible and useful to
present figures about funds directed
to “wasteful expenditures” and how
those funds might be better spent.
These same audiences should be able
to understand technical discussions
about law and treaty obligations. It
would thus be feasible to point to the
government’s legal obligations under
article 2.
Strategy 2:
Advocacy with indirect decision-makers
Sikika’s analysis of “unnecessary
expenditures” in the budget proposal for
2009-10 pointed to the fact that the Prime
Minister’s directives and the Budget Guide
lines were being followed only selectively.
After targeting these findings to the
Ministry of Finance and the MoHSW without
positive responses, Sikika decided to direct
its advocacy efforts towards Members
of Parliament (MPs) serving on the Social
Services Committee. By targeting that
Committee—key players in the area of
government accountability—Sikika hoped
to strengthen its role in oversight and
budget planning.
Legislators are part of government, and
as such, have human rights obligations.
Informing legislators and legislative
committee members about issues and
about their roles in oversight and budget
decisions should include information
about the government’s human rights
obligations, the place of the budget in
fulfilling those obligations, and what
legislators should do to ensure that
the government is meeting its human
rights obligations.
Strategy 3: Media outreach
After reaching out to Parliament, Sikika
decided to engage with the public via a
media strategy to publicize its findings
broadly and keep the issue alive. Media
coverage was universally positive, and
unnecessary expenditures have become
an unavoidable topic of discussion
whenever the budget is tabled. Now, when
the government falls short in enforcing its
own directives, the organization has been
able to use the media to denounce its
shortcomings—thereby keeping the issue
in the public’s eye.
While ICESCR article 2 obligates
governments to progressively achieve
realization of the right to health (using
the maximum of available resources),
an increase in expenditures by a Ministry
of Health may not, in itself, translate
into increased realization of that right.
Similarly, a decrease in unnecessary
or wasteful expenditures would not, in
itself, guarantee that additional funds
are being spent in a way that effectively
realizes people’s right to health. In
other words, increases and decreases
in funding for essential services are
important pieces of evidence as to
a government’s compliance with its
article 2 obligations. More conclusive
evidence, however, would have to be
derived from trends in statistics related
to mortality, morbidity, disease, etc.