To effectively advocate for how to address the health care needs of low income African Americans with chronic illness such as diabetes and hypertension, some context factors must be taken into account.

This helps to either promote or hinder this advocacy priority’s integration into the overall healthcare agenda. This analysis of these factors, if favoring or otherwise regarding inclusion of this advocacy priority, is provided below.

Contextual Factors that Promote Advocacy

Public Awareness and Education
Raising public awareness about health disparities facing low income African Americans with chronic illnesses, among other marginalized groups, is one of the most powerful contextual factors which promote advocacy for any particular group. The public support for policy changes related to these disparities increases as education and awareness of them increases. It can make political sense to create political momentum around systemic change. Public outreaches into research and media outlets in which these inequities in the healthcare can spark up a wave of understanding and support of policies aimed at addressing these issues. When the public realizes that there is a link between systemic racism, poverty and health outcomes, then there is a greater chance of political will to make changes (Brach & Fraser, 2002).
Strong Evidence and Data
This advocacy would itself be compelling based on data and research that show how chronic illnesses such as diabetes and hypertension disproportionately affect African Americans. With the works of (Snowden et al. 2022) as illustration, studies have shown the link of untreated mental illnesses to racial disparities as well as the scope of the challenges faced especially, by the marginalized communities. A strong, direct evidence on the links between health disparities and such outcomes, as health expectancy and morbidity and access to healthcare, can provide a solid basis for pushing healthcare reform on the political agenda. These issues can be strong evidence for policymakers to recognize it an urgent matter, improving the chances of funding and adjustments in policy to resolve the disparities (Williams, 2008).

Policy Champions and Political Support
Having those key policymakers who understand and support the advocacy issue of healthcare disparities is important. Particularly important are policy champions, those individuals from historically disenfranchised communities or those who represent the districts with high population of poverty. These people have the political power to sponsor bills, public speak and mobilize support of bills that can directly affect marginalized African American populations such as support for Medicaid expansion and affordable drugs. They make sure to bring the issue to the political agenda.
Contextual Factors that Might Work Against Advocacy

Political Opposition and Ideological Differences
Political resistance based on differences of opinion on healthcare policy, in some cases, represents a major barrier to advancing healthcare advocacy for the low income African Americans who suffer from chronic illnesses. So, those who oppose government intervention in healthcare, especially those who are favoring free market solutions to healthcare may argue against the policy of Medicaid expansion states commonly view as government overreach. Because of these individuals and groups, they may minimize or ignore the existence of healthcare disparities and instead emphasize personal responsibility or market driven approach. Thus, political resistance could hinder the securing of adequate funding or legislative support for health policies aimed at addressing health inequities

Limited Funding and Resources
Limited funding is also available fo