X
(All Fields are required)
Media Coverage

Considering the Context - Lifecycle of a Social Issue


Summer 2003 Trust Magazine Article

Few people would equate grantmaking with farming, but the comparison may be apt. Farmers adapt their crop decisions to different variables of soil and climate and develop a keen sense for when their crops are ripe and should be harvested. Like a farmer, a grantmaker must consider conditions, timing and ripeness to be effective.

For a grantmaker, timing and ripeness occur not within a crop’s growth cycle, but within the lifecycle--or development stages--of a social issue. An issue goes through stages set off by events or societal shifts and is carried forward by how groups in society decide to respond. Because issues evolve in a social context that is constantly changing, a grantmaker can more clearly determine how it might address them if it has a framework to understand the lifecycle.

Drawing from work by the sociologist Herbert Blumer and by the political scientist John W. Kingdon, a committee within the Trusts developed a five-phase lifecycle that ranges from the first notice of a social issue to the eventual course of action:

  • Recognition or Awareness 
  • Definition and Analysis      
  • Mobilization and Agenda Setting
  • Response
  • Implementation

This framework helps the Trusts make decisions about whether and how to invest in a particular issue. It also provides a common point of reference for staff, enabling them to more easily discuss similar grantmaking approaches and transfer lessons across our seven programs so that we may improve our strategies and interventions. Specifically, the lifecycle can help staff to:

  • Diagnose the status of an issue. Is the public aware of the problem? Does objective, nonpartisan data exist to inform decisions?     
  • Choose an approach appropriate to the issue’s stage of development. Do we know enough about this issue to address stakeholder consensus?      
  • Set realistic goals based on the stage of the issue and how far (i.e., through how many stages) we intend to support advancing the issue. How much progress is reasonable for a foundation to expect on this issue, especially given limited resources?      
  • Monitor the evolution of the issue to ensure that the approaches being used match its stage. Has the issue progressed to another stage that might call for a new course of action?

Over a sufficiently broad span of time, most social issues move through two or more stages of the lifecycle, although it is essential to note that these stages are not necessarily chronological and an issue may bypass, repeat or overlap phases. The Trusts may fund work at one stage of an issue or over multiple stages.

Eyes Opened

The earliest stage in the issue lifecycle, recognition or awareness, is marked when a new or neglected problem first begins to receive wide attention. Recognition may be precipitated by many means: for instance, a critical event or crisis (September 11), a demographic shift (marked increase in the Latino population), a political decision (withdrawal from the Kyoto negotiations on global warming), or a medical innovation (the invention of magnetic resonance imaging). Recognition can also result from a campaign by interested parties to raise the public’s awareness of an issue or problem (e.g., Mothers Against Drunk Driving).

In the recent Public Health Initiative, the Trusts funded a public education campaign administered by Health-Track which focused on dispelling the common misperception that the United States had a chronic-disease tracking network and raising awareness about the importance of such an infrastructure.

Probing Deeper

Once attention turns to an issue, people want to address it. At the definition and analysis stage, those with a stake in the outcome of an issue strive to understand and subsequently define it, often through public deliberations or discussions within a sector or field. These ongoing conversations give the issue legitimacy, prompting decision-makers to take notice of its significance.

Analyzing the issue typically entails researching the source and dimensions of the problem. Stakeholders may collect data, review existing research, commission new research, consult experts and study existing laws or policies. Defining the issue is an attempt to frame its boundaries, a process that will occur through the lens of the stakeholders’ underlying values and beliefs.

An example of the Trusts’ work at this stage is the Tides Center’s Pew Internet and American Life Project, which performs research on the impact of the Internet on American society in order to describe the reach and ramifications of this relatively new means of communication.

Taking a Stand

Once stakeholders have clarified their understanding and their own position, they then begin to advocate for their point of view in the larger public arena. This stage is mobilization and agenda-setting. Stakeholders often vie among one another to assure that their perspective predominates (on environmental issues, for example, one side may emphasize the benefits of environmental protection while another will focus on the costs).

Public discussion and debate occur around different solutions and/or recommendations as stakeholders compete for the attention of those who can advance their position. To augment their power and authority, stakeholders build alliances with influential individuals or groups. As the mobilization/agenda-setting stage unfolds, certain perspectives gain wider appeal by public debate while others diminish, until the most powerful points of view capture the attention of the relevant decision-makers.

An example of the Trusts’ work at this stage is the effort of The Pew Center on Global Climate Change (Center), a project of Strategies for the Global Environment, to organize major U.S. corporations to speak out on the need to address global climate change through reductions in greenhouse gas emissions. The Center now has 38 corporations in its Business Environmental Leadership Council, which is bringing the voice of progressive business to the climate change debate and working to build support of business and government to reduce those emissions.

Deciding on Direction

In the response stage, decision-makers, after weighing proposals, adopt a particular approach or formal response to the issue at hand. For initiatives with a policy focus, they might create a favorable environment for legislation, an executive order or adoption of regulations. For non-policy projects, a formal response likely would entail the adoption of a plan of action by leaders in a sector (e.g., broadcast journalism or the local arts community).

One example of the Trusts’ grantmaking in playing an important role in promoting an informed response is the McDonnell-Pew Program in Cognitive Neuroscience (Program). To meet its objective of advancing this field, the Program sought to establish cognitive neuroscience as a recognized discipline. One sign of success was the decision of the National Institutes of Health and the National Science Foundation to fund research in this area.

Going for It

After leaders choose a response, they then want to put plans into action. Whether and how well this implementation stage proceeds will determine the effectiveness of the response. An example of the Trusts’ grantmaking that seeks an impact is the Clear the Air Campaign, a project to reduce harmful emissions from the nation’s electric power sector through stronger federal and state air-emissions standards. In this case, part of the funding has gone to citizen groups so that they may provide input on the implementation of environmental regulations.

Of course, implementing programs and policies often raises new problems, setting the issue lifecycle in motion all over again. For example, as a nation we now know that improving or expanding highways can alleviate congestion but increase suburban sprawl. Yet experience has also taught us to anticipate unintended consequences, and so we monitor new policies with the idea of minimizing the unexpected and unwanted turns of events.

As diverse and changeable as the conditions a farmer faces in producing a healthy crop, so too are the surroundings of social issues. The lifecycle framework provides one tool to understand a complex situation, place it in a larger context and, in our case, inform a funding decision.

Date added:
Aug 1, 2003

Related Resources

It's Not Flu As Usual

Report

Every winter, the U.S. suffers a seasonal flu that kills approximately 36,000 Americans and hospitalizes more than 200,000. Terrible as that is, health experts are now warning about a far more lethal kind of flu – a pandemic flu that could kill over half a million Americans, hospitalize more than two million, cost our economy billions in lost productivity and direct medical expenses, and impact virtually every community.

More

Report Finds Major Gaps Exist in U.S. Pediatric Pandemic Preparations

Press Release

The American Academy of Pediatrics (AAP) and Trust for America’s Health (TFAH) issued a new report today, Pandemic Influenza: Warning, Children At-Risk, which finds that children and teens between the ages of 0-19 account for nearly 46 percent of all H5N1 “bird” flu cases and deaths. The report also identifies gaps in U.S. preparedness for treating and caring for children during a possible pandemic flu outbreak.

Four key areas of concern raised in the report include: child-appropriate doses of vaccine and medications; management and treatment of children who become ill; including children in strategies to slow the spread of influenza in communities; and caring for and supervising the health of children if schools and childcare facilities are closed for extended periods of time.

More

Pandemic Influenza: Warning, Children At Risk

Report

Experts predict a severe pandemic flu outbreak could result in up to 1.9 million deaths in the United States, approximately 9.9 million Americans needing to be hospitalized, and an economic recession with losses of over $680 billion to the U.S. Gross Domestic Product. How to treat and care for the nation’s 73.6 million children and adolescents during an influenza pandemic is a significant concern.

More

Peer-Reviewed, Online Database Showcases Pandemic Plans

Press Release

Public health planners have a new tool to help them prepare for one of the most daunting public health emergencies: an influenza pandemic. PandemicPractices.org, launched today by the Center for Infectious Disease Research & Policy (CIDRAP) at the University of Minnesota and the Pew Center on the States (PCS), a division of The Pew Charitable Trusts, brings together more than 130 peer-reviewed promising practices from four countries, 22 states and 33 counties. Compiled as a resource to save communities and states time and resources, the database enables public health professionals to learn from each other and to build on their own pandemic plans.

More

Pandemic Flu and the Potential for U.S. Economic Recession

Report

A pandemic flu outbreak could sicken 90 billion and kill 2 million people in the United States, according to estimates, but a recent Trust for America's Health report examines another potential casualty-- our economy. According to the report, an outbreak could deliver a $680 billion blow to the U.S. economy, leading to the second worst recession since World War II.

More

Report Finds U.S. Bioterror, Bird Flu, and Health Disaster Preparedness Inadequate

Press Release

Trust for America’s Health (TFAH) today released the fourth annual Ready or Not? Protecting the Public’s Health from Disease, Disasters, and Bioterrorism report, which found that five years after the September 11th and anthrax tragedies, emergency health preparedness is still inadequate in America. The Ready or Not? report contains state-by-state health preparedness scores based on 10 key indicators to assess health emergency preparedness capabilities. All 50 U.S. states and the District of Columbia were evaluated. Half of states scored six or less on the scale of 10 indicators. Oklahoma scored the highest with 10 out of 10; California, Iowa, Maryland, and New Jersey scored the lowest with four out of 10. States with stronger surge capacity capabilities and immunization programs scored higher in this year’s report, since four of the measures focus on these areas.

 

More

Ready or Not? Protecting the Public's Health from Disease, Disasters, and Bioterrorism, 2006

Report

Ready or Not? 2006 finds that five years after September 11, public health emergency preparedness is still not at an acceptable level. Limited progress continues to be but the big-picture goals of adequate preparedness remain unmet. As a result, Americans continue to face unnecessary and unacceptably high levels of risk.

In 2002, Congress passed the Public Health Security and Bioterrorism Act, allocating nearly $1 billion annually to states to bolster public health emergency preparedness. Even after this investment of almost $4 billion, the government health agencies have yet to release state-by-state information to Americans or policymakers about how prepared their communities are to respond to health threats.

More

If and When the Time Comes

Media Coverage

A flu pandemic will affect all sectors of society. Will they be ready to deal with it? The Pandemic Preparedness Initiative helps them plan. It saves time and resources—and quite possibly its work will save lives.

More

New Initiative Will Help State and Local Health Agencies Prepare for Pandemic Flu

Press Release

State and local health departments will soon get additional help preparing for a potential pandemic influenza through a partnership announced today between The Pew Charitable Trusts and the Center for Infectious Disease Research and Policy (CIDRAP) at the University of Minnesota.The project, a complement to the Trusts’ Pandemic Preparedness Initiative launched earlier this year, will identify the most problematic issues state and local agencies may confront in a pandemic, and then, by summer of 2007, collect and widely disseminate innovations and options for addressing them.

More

The Pew Charitable Trusts Supports U.S. Pandemic Planning Project

Press Release

In response to the threat that avian flu could transition into a human pandemic, The Pew Charitable Trusts announced today a $1.5 million investment to ensure that key decision makers at the federal, state and local levels are responsibly developing and executing plans to protect Americans from this or other widespread public health threats.

More