How does policy framing enable or constrain inclusion of social determinants of health and health equity on trade policy agendas?

Townsend, Belinda; Schram, Ashley; Baum, Fran; Labonté, Ronald; Friel, Sharon

doi:10.1080/09581596.2018.1509059

Cited by 45 publications

(50 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As the issue of trade highlights, and as noted throughout the two Lancet Commissions 23,24 , many of the needed policy actions to improve malnutrition and climate change fall outside the health and climate portfolios, requiring coordinated actions across many sectors, at multiple levels, within and outside of government. Fundamentally, this raises issues of power, with government priorities and decisions influenced by the interests of powerful policy actors and the strategies they adopt to advance their interests [53][54][55] .…”

Section: The Political Economy Of Tradementioning

confidence: 99%

“…Internationally, the dominant framing in trade policy remains a neoliberal market framing, which emphasises competitive markets, continuing export growth including agricultural export growth and deregulation 61,62,[66][67][68][69] . The logic of neoliberalism promotes export growth of commodities with no attention to whether such goods improve malnutrition (through for example, ultra-processed foods) or mitigate climate change 62,68,70 .…”

Section: The Political Economy Of Tradementioning

confidence: 99%

“…Within this market framing, agri-businesses have advanced attention to food safety through phytosanitary measures, while discussions of food security, diet-related NCDs and climate-sensitive agriculture have been largely excluded from the discourse 66,[71][72][73] . Analyses of trade policy in Australia, for example, demonstrates that the dominance of a 'productivist' paradigm which emphasises agricultural exports and market growth over nutrition objectives has influenced the continuing low salience of nutrition in trade policy 67 .…”

Section: The Political Economy Of Tradementioning

confidence: 99%

See 2 more Smart Citations

The nexus between international trade, food systems, malnutrition and climate change

2020

Self Cite

View full text Add to dashboard Cite

F ood systems, which are at the heart of pressing societal challenges including malnutrition and climate change, are heavily influenced by trade-related changes to domestic policy and product environments-in both positive and negative ways. This interaction between trade, malnutrition and climate change has been amplified in the last decades by the shift towards industrial food systems, with global supply chains owned and operated by large or transnational agribusinesses, manufacturers, retailers and food service chains 1 . If global malnutrition and climate change are to be addressed, it is vital to understand their link with trade agreements and how these can be improved to support a nutritious, equitable and environmentally sustainable food system. While there is a growing body of evidence related to trade, food systems and malnutrition, what remains absent from the literature is an examination of the current understanding of the ways in which the technical and political aspects of trade agreements interact with food systems to affect malnutrition and climate change. Here, we review the literature connecting trade and food systems to show how major technical and political aspects of such relationships may affect malnutrition and climate change ( Fig. 1). We aim to elucidate how the technicalities of trade, through different types of agreements and provisions, sit alongside the political economy of trade policy. In doing so, we also highlight the opportunities and challenges of creating nutrition-and climate-sensitive trade policy.The Review starts with an overview of the global food trade regime and the technicalities of how trade agreements interact with policies aimed at improving malnutrition and climate change. It then focuses on the political and policy processes surrounding trade agreements that can enable or constrain attention to malnutrition and climate change. Global and national policy windows for connecting trade, nutrition and climate change mitigation are highlighted at the end, as well as how public interest actors must work to ensure policy coherence towards those goals. The global trade regimeEstablished in 1995, the World Trade Organization (WTO) governs the multilateral trade rules among its 164 member countries 2 and presides over 24 multilateral trade agreements. These agreements cover a wide range of binding obligations on issues including trade in services (General Agreement on Trades in Services; GATS), Trade-Related aspects of Intellectual Property rights (TRIPS), Technical Barriers to Trade (TBT), agriculture (the Agreement on Agriculture; AOA) and a dispute settlement system 3 .Through these trade agreements, member states are required to open their markets, including agri-food markets, by reducing tariffs and non-tariff barriers to imports, reducing subsidies for exports and reducing domestic agricultural support. WTO rules promote the global integration of markets and provide a favourable operating environment for the private sector. These liberalization policies and agreements hav...

show abstract

Section: The Political Economy Of Tradementioning

confidence: 99%

Section: The Political Economy Of Tradementioning

confidence: 99%

Section: The Political Economy Of Tradementioning

confidence: 99%

See 1 more Smart Citation

The nexus between international trade, food systems, malnutrition and climate change

2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ці переходи змінюють дитячі уявлення про здоров'я та добробут, а також змінюються економічними й соціальними чинниками всередині країни, що призводить до нерівності. Перегляд наявних даних про вплив соціальних детермінант на здоров'я молоді віком 10-24 років та результатів екологічного аналізу на рівні країн свідчить, що найважливішими детермінантами здоров'я підлітків в усьому світі є структурні фактори, такі як національне багатство, нерівність доходів та доступ до освіти (Viner R.M. et al, 2012;N�v�tný J. et al, 2014).…”

Section: результати та їх обговоренняunclassified

Медико-Соціальні Детермінанти Здоров’я (Огляд Світової Літератури)

Liubinets¹,

Гржибовський²

2020

UMJ

View full text Add to dashboard Cite

Медико-соціальні детермінанти здоров'я (огляд світової літератури)Мета -вивчення ролі медико-соціальних детермінант у формуванні здоров'я населення. Об'єкт і методи дослідження. Вивчено джерела наукової літератури за період 2008-2020 рр. Визначальними методами дослідження були системний підхід та аналіз, а також бібліосемантичний метод. Результати. У проаналізованих працях розглянуто питання щодо політики здоров'я, значення фактичного місця проживання щодо доступу до медичної допомоги, урбанізації, організації системи охорони здоров'я, рівня та доступу до освіти, впливу природного навколишнього середовища, торгівлі, місця комунікацій у підвищенні обізнаності громадян про важливість соціальних детермінант та диспропорцій у сфері здоров'я, необхідності продовження досліджень з питань детермінант здоров'я. Висновки. Міжнародний досвід функціонування державних інституцій, досліджень науковців з питань громадського здоров'я повинен слугувати підґрунтям становлення сучасної системи громадського здоров'я в Україні у світлі намагань щодо успішного розвитку держави, покращення здоров'я населення як основного її багатства. Ключові слова: медико-соціальні детермінанти, здоров'я, медична допомога. Адреса для листування:Любінець Олег Володимирович 79010, Львів, вул. Пекарська, 69 Львівський національний медичний університет імені Данила Галицького, кафедра громадського здоров'я

show abstract

“…I agree with the authors and have argued elsewhere that the dominant neoliberal ideas in trade policymaking -for continued export growth and private enterprise with a reduced role of the state in regulation -constrain attention to the wider social determinants of health that are shaped by trade deals. 7 We can also see these dynamics playing out in new regional trade and investment agreements through which attention to the potential public health impacts, or coherence with government NCD targets, remain largely on the periphery. The Trans-Pacific Partnership agreement, a mega regional trade deal initially led by the United States with eleven counties in the Pacific Rim, is a key example of the new generation of trade agreements that contain a raft of measures which constrain public regulatory space and enable greater access to health-harmful products including the NCD risk factors tobacco, alcohol, and ultra-processed foods.…”

Section: Neoliberalism and Trade And Investmentmentioning

confidence: 99%

Next Steps for Elevating Health on Trade and Investment Policy Agendas Comment on "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention"

Townsend

2019

Int J Health Policy Manag

Self Cite

View full text Add to dashboard Cite

Despite intergovernmental calls for greater policy coherence to tackle rising non-communicable diseases (NCDs), there has been a striking lack of coherence internationally and nationally between trade and health sectors. In this commentary, I explore the arguments by Lenucha and Thow in relation to barriers for greater coherence for NCDs, apply them to regional trade agreements, and point to next steps in research and advocacy for greater attention to health and NCD prevention in government trade agendas.

show abstract

How does policy framing enable or constrain inclusion of social determinants of health and health equity on trade policy agendas?

Cited by 45 publications

References 25 publications

The nexus between international trade, food systems, malnutrition and climate change

The nexus between international trade, food systems, malnutrition and climate change

Медико-Соціальні Детермінанти Здоров’я (Огляд Світової Літератури)

Next Steps for Elevating Health on Trade and Investment Policy Agendas Comment on "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention"

Contact Info

Product

Resources

About