Openly accessible

Exploring the dynamics of food-related policymaking processes and evidence use in Fiji using systems thinking

Waqa, Gade, Moodie, Marj, Snowdon, Wendy, Latu, Catherine, Coriakula, Jeremaia, Allender, Steven and Bell, Colin 2017, Exploring the dynamics of food-related policymaking processes and evidence use in Fiji using systems thinking, Health research policy and systems, vol. 15, no. 74, pp. 1-8, doi: 10.1186/s12961-017-0240-6.

Attached Files
Name Description MIMEType Size Downloads
waqa-exploringthe-2017.pdf Published version application/pdf 906.67KB 4

Title Exploring the dynamics of food-related policymaking processes and evidence use in Fiji using systems thinking
Author(s) Waqa, Gade
Moodie, MarjORCID iD for Moodie, Marj orcid.org/0000-0001-6890-5250
Snowdon, Wendy
Latu, Catherine
Coriakula, Jeremaia
Allender, StevenORCID iD for Allender, Steven orcid.org/0000-0002-4842-3294
Bell, ColinORCID iD for Bell, Colin orcid.org/0000-0003-2731-9858
Journal name Health research policy and systems
Volume number 15
Issue number 74
Start page 1
End page 8
Total pages 8
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2017-08-29
ISSN 1478-4505
Keyword(s) Evidence use
Food policymaking
Policy implementation
Policymaking process
Systems thinking
Evidence-Based Practice
Fiji
Government
Health Policy
Humans
Nutrition Policy
Policy Making
Public Health
Systems Analysis
Science & Technology
Life Sciences & Biomedicine
Health Policy & Services
Health Care Sciences & Services
HEALTH
OBESITY
INTERVENTIONS
COUNTRIES
Summary BACKGROUND: Obesity and non-communicable diseases are significant public health issues globally and particularly in the Pacific. Poor diet is a major contributor to this issue and policy change is a powerful lever to improve food security and diet quality. This study aims to apply systems thinking to identify the causes and consequences of poor evidence use in food-related policymaking in selected government ministries in Fiji and to illicit strategies to strengthen the use of evidence in policymaking.

METHODS: The Ministry of Health and Medical Services and the Ministry of Agriculture in Fiji were invited through their respective Permanent Secretaries to participate in the study. Three 180-minute group model building (GMB) workshops were conducted separately in each ministry over three consecutive days with selected policymakers who were instrumental in developing food-related policies designed to prevent non-communicable diseases. The GMB workshops mapped the process of food-related policymaking and the contribution of scientific and local evidence to the process, and identified actions to enhance the use of evidence in policymaking.

RESULTS: An average of 10 policymakers participated from each ministry. The causal loop diagrams produced by each ministry illustrated the causes and consequences of insufficient evidence use in developing food policies or precursors of the specific actions. These included (1) consultation, (2) engagement with stakeholders, (3) access and use of evidence, and (4) delays in policy processes. Participants agreed to potential leverage points on the themes above, addressing pertinent policymaker challenges in precursor control, including political influence, understanding of trade policies, competing government priorities and level of awareness on the problem. Specific actions for strengthening evidence use included training in policy development and research skills, and strengthening of coordination between ministries.

CONCLUSIONS: The GMB workshops improved participants' understanding of how different parts of the policy system interact. The causal loop diagrams and subsequent action plans enabled the identification of systems-level interventions in both ministries to improve evidence-informed policy development. A guide for integrating multi-sectoral consultation and stakeholder engagement in developing cross-cutting policies is currently being developed.
Language eng
DOI 10.1186/s12961-017-0240-6
Field of Research 160508 Health Policy
1605 Policy And Administration
Socio Economic Objective 920307 Pacific Peoples Health - Health Status and Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Grant ID GNT1041020
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30102509

Document type: Journal Article
Collections: School of Medicine
Population Health
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 43 Abstract Views, 5 File Downloads  -  Detailed Statistics
Created: Wed, 18 Oct 2017, 12:54:30 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.