First Nations Peoples’ Participation in the Development of Population-Wide Food and Nutrition Policy in Australia: A Political Economy and Cultural Safety Analysis

Browne, Jennifer; Gilmore, Michelle; Lock, Mark; Backholer, Kathryn

doi:10.34172/ijhpm.2020.175

Cited by 15 publications

(15 citation statements)

References 52 publications

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“…73 Similarly, in their analysis of Australian food and nutrition policy processes, Browne and colleagues find that a number of structural, institutional and ideational factors selectively filter the voices and knowledge systems of Indigenous people in or out of policy-making processes. 74 Other papers in this series interrogate what regulatory approaches are required for transformative change. Parker et al provide an important critique of existing overly-circumscribed approaches, that alter minor system parameters in isolated ways through, for example, an emphasis on sustainable food labelling.…”

Section: Forms Of Powermentioning

confidence: 99%

Section: Understanding Power Within Food Systems and Challenges To Fo...mentioning

confidence: 99%

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The Political Economy of Healthy and Sustainable Food Systems: An Introduction to a Special Issue

Baker

Lacy-Nichols

Williams

et al. 2021

Int J Health Policy Manag

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Today’s food systems are contributing to multiple intersecting health and ecological crises. Many are now calling for transformative, or even radical, food systems change. Our starting assumption in this Special Issue is the broad claim that the transformative changes being called for in a global food system in crisis cannot – and ultimately will not – be achieved without intense scrutiny of and changes in the underlying political economies that drive today’s food systems. The aim is to draw from diverse disciplinary perspectives to critically evaluate the political economy of food systems, understand key challenges, and inform new thinking and action. We received 19 contributions covering a diversity of country contexts and perspectives, and revealing inter-connected challenges and opportunities for realising the transformation agenda. We find that a number of important changes in food governance and power relations have occurred in recent decades, with a displacement of power in four directions. First, upwards as globalization has given rise to more complex and globally integrated food systems governed increasingly by transnational food corporations (TFCs) and international financial actors. Second, downwards as urbanization and decentralization of authority in many countries gives cities and sub-national actors more prominence in food governance. Third, outwards with a greater role for corporate and civil society actors facilitated by an expansion of food industry power, and increasing preferences for market-orientated and multi-stakeholder forms of governance. Finally, power has also shifted inwards as markets have become increasingly concentrated through corporate strategies to gain market power within and across food supply chain segments. The transformation of food systems will ultimately require greater scrutiny of these challenges. Technical ‘problem-solving’ and overly-circumscribed policy approaches that depoliticise food systems challenges, are insufficient to generate the change we need, within the narrow time-frame we have. While there will be many paths to transformation, rights-based and commoning approaches hold great promise, based on principles of participation, accountability and non-discrimination, alongside coalition building and social mobilization, including social movements grounded in food sovereignty and agroecology.

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Section: Forms Of Powermentioning

confidence: 99%

Section: Understanding Power Within Food Systems and Challenges To Fo...mentioning

confidence: 99%

The Political Economy of Healthy and Sustainable Food Systems: An Introduction to a Special Issue

Baker

Lacy-Nichols

Williams

et al. 2021

Int J Health Policy Manag

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“…The synthesis of 21 relevant studies, representing the voices of diverse Aboriginal and Torres Strait Islander communities from urban, regional and remote locations across Australia, provides a rich source of intelligence for food and nutrition policy decision making. While this review does not replace the need for consultation, it makes an important contribution to the evidence base because the formal documentation of Aboriginal and Torres Strait Islander voices have been under-represented in national nutrition policy development processes [100]. Although a large number of Aboriginal and Torres Strait Islander Peoples participated in the studies within this review, it is important to note that their voices have been filtered through the mostly non-Indigenous researchers who authored the included studies.…”

Section: Discussionmentioning

confidence: 99%

Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence

Christidis

Lock

Walker

et al. 2021

Int J Equity Health

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Background Aboriginal and Torres Strait Islander Australians experience persistent health and social inequities. Chronic conditions, many of which are diet-related, are leading contributors to the burden of disease and health inequity in Australia. First Nations Peoples have the right to be involved in all policy decisions affecting them. This review aimed to synthesise Aboriginal and Torres Strait Islander Peoples’ concerns and priorities about food and nutrition in order to inform policies to improve health equity. Methods MEDLINE, CINAHL, Informit and Google Scholar were systematically searched to identify qualitative studies–published from January 2008–that included data from Aboriginal and/or Torres Strait Islander Peoples about their concerns and priorities related to food and nutrition. Data were extracted from included studies using a pre-determined template and study quality was assessed using the Aboriginal and Torres Strait Islander Quality Appraisal Tool. Qualitative findings were synthesised using inductive thematic analysis and categorised based on an ecological model of health. Results Twenty-one studies were included. Key factors influencing food and nutrition were identified across all levels of the ecological framework. These included interpersonal and institutional racism, junk food availability and marketing, food accessibility and affordability, housing conditions, food knowledge and cooking skills, and connection to family and culture. Conclusions Documenting Aboriginal and Torres Strait Islander Peoples’ lived experiences of the colonised food system is one step necessary for informing policy to tackle food and nutrition inequities. Based on existing qualitative research, food and nutrition policymakers should prioritise building a supportive food environment by focusing on self-determination; ensuring access to healthy, affordable food and safe housing; and by eliminating systemic racism.

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“…When designing food and nutrition initiatives for indigenous people, it is essential to consider the complex historical, social and cultural determinants of health. These determinants are underpinned and accentuated by ongoing dispossession, colonisation, racism and political disempowerment 50 . Improving indigenous health is ultimately systemic, and factors influencing food environments in remote areas are structural and external to the communities themselves.…”

Section: Discussionmentioning

confidence: 99%

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

Osborne¹,

Piper²,

Alston³

et al. 2020

Medical Journal of Australia

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Chapter 1: Retail initiatives to improve the healthiness of food environments in rural, regional and remote communities Objective: To synthesise the evidence for effectiveness of initiatives aimed at improving food retail environments and consumer dietary behaviour in rural, regional and remote populations in Australia and comparable countries, and to discuss the implications for future food environment initiatives for rural, regional and remote areas of Australia. Study design: Rapid review of articles published between January 2000 and May 2020. Data sources: We searched MEDLINE (EBSCOhost), Health and Society Database (Informit) and Rural and Remote Health Database (Informit), and included studies undertaken in rural food environment settings in Australia and other countries. Data synthesis: Twenty‐one articles met the inclusion criteria, including five conducted in Australia. Four of the Australian studies were conducted in very remote populations and in grocery stores, and one was conducted in regional Australia. All of the overseas studies were conducted in rural North America. All of them revealed a positive influence on food environment or consumer behaviour, and all were conducted in disadvantaged, rural communities. Positive outcomes were consistently revealed by studies of initiatives that focused on promotion and awareness of healthy foods and included co‐design to generate community ownership and branding. Conclusion: Initiatives aimed at improving rural food retail environments were effective and, when implemented in different rural settings, may encourage improvements in population diets. The paucity of studies over the past 20 years in Australia shows a need for more research into effective food retail environment initiatives, modelled on examples from overseas, with studies needed across all levels of remoteness in Australia. Several retail initiatives that were undertaken in rural North America could be replicated in rural Australia and could underpin future research. Chapter 2: Which interventions best support the health and wellbeing needs of rural populations experiencing natural disasters? Objective: To explore and evaluate health and social care interventions delivered to rural and remote communities experiencing natural disasters in Australia and other high income countries. Study design: We used systematic rapid review methods. First we identified a test set of citations and generated a frequency table of Medical Subject Headings (MeSH) to index articles. Then we used combinations of MeSH terms and keywords to search the MEDLINE (Ovid) database, and screened the titles and abstracts of the retrieved references. Data sources: We identified 1438 articles via database searches, and a further 62 articles via hand searching of key journals and reference lists. We also found four relevant grey literature resources. After removing duplicates and undertaking two stages of screening, we included 28 studies in a synthesis of qualitative evidence. Data synthesis: Four of us read and assesse...

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First Nations Peoples’ Participation in the Development of Population-Wide Food and Nutrition Policy in Australia: A Political Economy and Cultural Safety Analysis

Cited by 15 publications

References 52 publications

The Political Economy of Healthy and Sustainable Food Systems: An Introduction to a Special Issue

The Political Economy of Healthy and Sustainable Food Systems: An Introduction to a Special Issue

Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

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