Martine SEGALEN : Quinze générations de Bas-Bretons, coll. " Les chemins de l'histoire ", Paris, Presses universitaires de France, 1985, 405 p.

Lemieux, Denise

doi:10.7202/006302ar

Cited by 4 publications

(6 citation statements)

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“…For instance, an open-ended question of ‘What were the key arguments and supports…?’ offered a window to explore the coalitions’ internal structures. It provided insights to facilitate the interpretation of transactions (cost-benefits analysis), relationships (motivating factors and basis of cooperation) and controls (resources management capacity i.e., members and its opponents) of the coalitions [ 23 , 24 ].…”

Section: Methodsmentioning

confidence: 99%

Tracking Progress from Policy Development to Implementation: A Case Study on Adoption of Mandatory Regulation for Nutrition Labelling in Malaysia

Kelly

Yeatman

et al. 2021

Nutrients

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Mandatory nutrition labelling, introduced in Malaysia in 2003, received a “medium implementation” rating from public health experts when previously benchmarked against international best practices by our group. The rating prompted this qualitative case study to explore barriers and facilitators during the policy process. Methods incorporated semi-structured interviews supplemented with cited documents and historical mapping of local and international directions up to 2017. Case participants held senior positions in the Federal government (n = 6), food industry (n = 3) and civil society representations (n = 3). Historical mapping revealed that international directions stimulated policy processes in Malaysia but policy inertia caused implementation gaps. Barriers hindering policy processes included lack of resources, governance complexity, lack of monitoring, technical challenges, policy characteristics linked to costing, lack of sustained efforts in policy advocacy, implementer characteristics and/or industry resistance, including corporate political activities (e.g., lobbying, policy substitution). Facilitators to the policy processes were resource maximization, leadership, stakeholder partnerships or support, policy windows and industry engagement or support. Progressing policy implementation required stronger leadership, resources, inter-ministerial coordination, advocacy partnerships and an accountability monitoring system. This study provides insights for national and global policy entrepreneurs when formulating strategies towards fostering healthy food environments.

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Section: Methodsmentioning

confidence: 99%

Tracking Progress from Policy Development to Implementation: A Case Study on Adoption of Mandatory Regulation for Nutrition Labelling in Malaysia

Kelly

Yeatman

et al. 2021

Nutrients

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“…A guide used in conducting the interviews was based on an integrated theoretical framework to design and collect relevant information related to the policy processes. This framework comprised key components of the Advocacy Coalition Framework [ 29 ], the Model of Agenda Building [ 30 ] and the Theory of Coalition Structuring [ 31 , 32 ]. The interview guide has been described in another case study [ 33 ] and included as Supplementary Material S1 .…”

Section: Methodsmentioning

confidence: 99%

Policy Inertia on Regulating Food Marketing to Children: A Case Study of Malaysia

Kelly

Yeatman

et al. 2021

IJERPH

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Unhealthy food marketing shapes children’s preference towards obesogenic foods. In Malaysia, policies regulating this food marketing were rated as poor compared to global standards, justifying the need to explore barriers and facilitators during policy development and implementation processes. The case study incorporated qualitative methods, including historical mapping, semi-structured interviews with key informants and a search of cited documents. Nine participants were interviewed, representing the Federal government (n = 5), food industry (n = 2) and civil society (n = 2). Even though the mandatory approach to government-led regulation of food marketing to children was the benchmark, more barriers than facilitators in the policy process led to industry self-regulations in Malaysia. Cited barriers were the lack of political will, industry resistance, complexity of legislation, technical challenges, and lack of resources, particularly professional skills. The adoption of industry self-regulation created further barriers to subsequent policy advancement. These included implementer indifference (industry), lack of monitoring, poor stakeholder relations, and policy characteristics linked to weak criteria and voluntary uptake. These underlying barriers, together with a lack of sustained public health advocacy, exacerbated policy inertia. Key recommendations include strengthening pro-public health stakeholder partnerships, applying sustained efforts in policy advocacy to overcome policy inertia, and conducting monitoring for policy compliance and accountability. These form the key lessons for advocating policy reforms.

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“…The theory of coalition structuring by Gamson, reviewed by Lemieux (1998), was used to analyse the coalition dynamics of actors concerned with malnutrition in Lao PDR [15].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…The theory of coalition structuring that we used, seemed to us particularly relevant, based on the literature that shows that this approach is an effective tool for revealing dynamics underpinning the emergence of policies [18]. This theory provides a framework for understanding how different actors come together to achieve their policy goals, how power and resources are distributed among these actors, and how they navigate the challenges and conflicts that arise in the policy-making process [15]. These aspects were intuitively felt to be present in the case of the nutrition policy in Lao PDR.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

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Emergence of National Nutrition Policy in the Lao People’s Democratic Republic: an analysis of collaborations between governmental and external actors

2023

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Background In most developing countries, addressing malnutrition involves a coalition of stakeholders that includes the government and international development partners. This study explores the evolution of the malnutrition actor coalition landscape before and after the emergence of the National Nutrition Policy in the Lao People’s Democratic Republic (Lao PDR) in 2008. Methods A qualitative study was conducted based on the theory of coalition structuring. Twenty semi-structured interviews were performed with representatives of national and international organisations involved in addressing malnutrition in Lao PDR. The information obtained from the interviews was complemented by an analysis of relevant documents dating back to 1990. Interviews were recorded and transcribed verbatim. A thematic analysis was performed using NVivo 11 software and the diagrams of collaboration drawn by the participants were turned into a visual collaboration map using SocNetV software. We relied on various types of triangulation to increase the analysis's credibility, reliability, and confirmability. Results The results showed that before the emergence of the National Nutrition Policy, three coalitions representing the health, agriculture, and education sectors coexisted. These colalitions worked largely in silos, although with some interactions when deemed necessary mainly by United Nations agencies. The emergence of the National Nutrition Policy provided the government with an effective political tool for coalescing the three coalitions into a unique coalition involving all major stakeholders in the nutrition field. All three forces that incite actors to collaborate inside a coalition according to the theory of coalition structuring (transactions, control, intangible factors) were mobilised in the creation of the single coalition. Conclusions Combating malnutrition is a government priority in the Lao PDR. The current study showed that the National Nutrition Policy in Lao PDR has led to a significant evolution in the malnutrition coalition landscape, resulting in improved collaboration among stakeholders. This finding highlights the effectiveness of public policies in facilitating intersectoral activities to tackle complex problems, such as malnutrition.

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Martine SEGALEN : Quinze générations de Bas-Bretons, coll. " Les chemins de l'histoire ", Paris, Presses universitaires de France, 1985, 405 p.

Cited by 4 publications

References 0 publications

Tracking Progress from Policy Development to Implementation: A Case Study on Adoption of Mandatory Regulation for Nutrition Labelling in Malaysia

Tracking Progress from Policy Development to Implementation: A Case Study on Adoption of Mandatory Regulation for Nutrition Labelling in Malaysia

Policy Inertia on Regulating Food Marketing to Children: A Case Study of Malaysia

Emergence of National Nutrition Policy in the Lao People’s Democratic Republic: an analysis of collaborations between governmental and external actors

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