It all comes down to one thing: buy-in
Turns out the answer to everything isn’t 42. Or 6-7 for that matter (sorry, I couldn’t help myself!).
It’s BUY IN.
Turns out the answer to everything isn’t 42. Or 6-7 for that matter (sorry, I couldn’t help myself!).
It’s BUY IN.
Okay, maybe not the answer to everything but in the world of coalitions, it IS the answer to a lot of questions:
Q: How do we get more things done?
A: Buy-in.
Q: How do we get coalition members to participate meaningfully in our meetings?
A: Buy-in.
Q: How do we get local policymakers to make the changes our community needs?
A: Buy-in.
Q: How do we get new leadership to carry on the work we’ve started?
A: Buy-in.
Q: How do we get an organization’s staff to take action on the things our coalition has identified as helpful?
A: Buy-in.
As we noted earlier this month and as is the focus of this series, public health is a PEOPLE business. And for any of the work to move forward, PEOPLE have to be bought in to the work.
What people? It’s a long list: coalition members, local policymakers, community agencies and organizations (their leaders and their staff), community members themselves.
Which of these people really need to be bought in to a specific aspect of the work will vary based on their level of involvement and the stage of the work, but at some point, each of their buy-in will be important to advancing the work of your coalition.
So how do you get buy-in? Here are four steps to follow:
Whoever you need buy-in from, understand their ‘why’ - What do they most need and want? What motivates them and inspires them? What keeps them going? What keeps them up at night? What are their priorities and values? What metrics are they held accountable to?
Frame what you’re seeking in those terms - I’m not saying pander or change your goals (although sometimes, changing goals makes sense based on the input you get!). Rather, try to frame what you’re seeking in terms that align with their ‘why’ and understand what language to let go of and what language to amplify.
Bring them along for the ride - It’s hard to feel bought in to something if it’s been shaped without your input and now being forced on you. Understand who you need buy-in from and bring them along from the get-go. Involve them in shaping the work (This doesn’t mean you act on everything they say! But it’s important to hear them and be open to reshaping the work in ways that balance your ultimate goals and the needs and realities of those you need buy-in from to accomplish those goals).
Tell the story of how what you’re seeking is going to help them - How does what you’re seeking align with what they need and want, take something off their plate, help them achieve a goal, alleviate one of their pain points, or strengthen their impact?
Building buy-in is one of the most important roles of coalition leadership. I’d love to hear more about your experiences building buy-in. Whose buy in do you need that has been hardest to get? Is there a particular approach or conversation that has really worked for you in gaining buy-in? Drop me a note and let me know!
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Public health isn't a systems business
It might not be something you’d expect me to say - me, someone who has drunk the “systems change” Kool-aid from way back in my undergrad engineering days throughout my public health training and into launching PoP Health (where our entire mission is to work with community coalitions to transform health through systems change).
Well, did that title catch you off guard?
It might not be something you’d expect me to say - me, someone who has drunk the “systems change” Kool-aid from way back in my undergrad engineering days throughout my public health training and into launching PoP Health (where our entire mission is to work with community coalitions to transform health through systems change).
But at a conference a few months ago, I heard someone say something that has really stuck with me because of how unexpected yet true it is: Public health is a people business cleverly disguised as a systems business.
Systems only move when PEOPLE move. So as leaders of community coalitions, we all need to build our PEOPLE strategy, not just our systems change strategy.
This is why we’re heading into 2026 with a new special series of Community Threads, focused on public health as a people business.
Because systems don’t change if people aren’t bought in.
Because systems don’t change if people aren’t champions for that change.
Because systems don’t change if we don’t plan for people moving into and out of leadership.
Because systems don’t change if we don’t treat people like people.
Because systems don’t change if we aren’t real with people.
We’ll be sharing more on each of these points over the next couple months. Please join the conversation, and forward this on to friends and colleagues - especially those who lead community coalitions! - who might be interested (if you got this email forwarded to you, you can subscribe to Community Threads here so you don’t miss getting this series straight to your inbox!).
What do you think? In what ways do you see public health as a people business? In what ways do you see public health as a systems business? Drop me a note and let me know!
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