Articlebronze2019

An exposé of the realpolitik of trade negotiations: implications for population nutrition

Sharon Friel · Phillip Baker · Anne Marie Thow · Deborah Gleeson · Belinda Townsend · Ashley Schram

35 citations0/0 files storedPublic Health Nutrition

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Global Public Health Policies and Epidemiology Public Health Policies and Education Nutrition, Health, and Society Studies

Abstract

OBJECTIVE: To explore the formal and informal ways in which different actors involved in shaping trade agreements pursue their interests and understand the interactions with nutrition, in order to improve coherence between trade and nutrition policy goals. DESIGN: The paper draws on empirical evidence from Australian key informant interviews that explore the underlying political dimensions of trade agreements that act as barriers or facilitators to getting nutrition objectives on trade agendas. SETTING: Countries experiencing greater availability and access to diets full of energy-dense and nutrient-poor foods through increased imports, greater foreign direct investment and increasing constraints on national health policy space as a result of trade agreements. PARTICIPANTS: Interviews took place with Australian government officials, industry, public-interest non-government organizations and academics. RESULTS: The analysis reveals the formal and informal mechanisms and structures that different policy actors use both inside and outside trade negotiations to pursue their interests. The analysis also identifies the discourses used by the different actors, as they attempt to influence trade agreements in ways that support or undermine nutrition-related goals. CONCLUSIONS: Moving forward requires policy makers, researchers and health advocates to use various strategies including: reframing the role of trade agreements to include health outcomes; reforming the process to allow greater access and voice to health arguments and stakeholders; establishing cross-government partners through accountable committees; and building circles of consensus and coalitions of sympathetic public-interest actors.

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References

1993Policy Paradigms, Social Learning, and the State: The Case of Economic Policymaking in Britain 2007Institutions and Organizations: Ideas, Interests, and Identities 2014The political origins of health inequity: prospects for change 2011Understanding Public Policy: Theories and Issues 2009Globalization and Health: Pathways, Evidence and Policy 2014Will the next generation of preferential trade and investment agreements undermine prevention of noncommunicable diseases? A prospective policy analysis of the Trans Pacific Partnership Agreement 2018Improving policy coherence for food security and nutrition in South Africa: a qualitative policy analysis 2015The role of trade and investment liberalization in the sugar-sweetened carbonated beverages market: a natural experiment contrasting Vietnam and the Philippines

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