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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

Browne, Jennifer, Gilmore, M, Lock, Mark and Backholer, Kathryn 2021, First Nations Peoples' Participation in the Development of Population-Wide Food and Nutrition Policy in Australia: A Political Economy and Cultural Safety Analysis, International journal of health policy and management, vol. 10, no. 12, pp. 871-885, doi: 10.34172/ijhpm.2020.175.

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Title First Nations Peoples' Participation in the Development of Population-Wide Food and Nutrition Policy in Australia: A Political Economy and Cultural Safety Analysis
Author(s) Browne, JenniferORCID iD for Browne, Jennifer orcid.org/0000-0002-6497-2541
Gilmore, M
Lock, MarkORCID iD for Lock, Mark orcid.org/0000-0002-9810-6086
Backholer, KathrynORCID iD for Backholer, Kathryn orcid.org/0000-0002-3323-575X
Journal name International journal of health policy and management
Volume number 10
Issue number 12
Start page 871
End page 885
Total pages 15
Publisher KERMAN UNIV MEDICAL SCIENCES
Place of publication Iran
Publication date 2021-12-01
ISSN 2322-5939
2322-5939
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Indigenous health
Aboriginal Health
Food Policy
Nutrition Policy
Cultural Safety
Australia
HEALTH-POLICY
INDIGENOUS PARTICIPATION
OBESITY PREVENTION
DETERMINANTS
INTERVENTIONS
FRAMEWORK
PRIORITY
SYSTEMS
CARE
GAP
Summary Background: Healthy and sustainable food systems underpin the well-being of Indigenous peoples. Increasingly governments are taking action to improve diets via population-wide policies. The United Nations Declaration on the Rights of Indigenous People states that Indigenous peoples have the right to participate in all decisions that affect them. We analysed Australian national food and nutrition policy processes to determine: (i) the participation of Aboriginal organisations, (ii) the issues raised in Aboriginal organisations’ policy submissions, and (iii) the extent to which Aboriginal organisations’ recommendations were addressed in final policy documents. Methods: Political economy and cultural safety lenses informed the study design. We analysed publicly-available documents for Australian population-wide food and nutrition policy consultations occurring 2008-2018. Data sources were policy documents, committee reports, terms of reference and consultation submissions. The submissions made by Aboriginal organisations were thematically analysed and key policy recommendations extracted. We examined the extent to which key recommendations made by Aboriginal organisations were included in the subsequent policy documents. Results: Five food and nutrition policy processes received submissions from Aboriginal organisations. Key themes centred on self-determination, culturally-appropriate approaches to health, and the need to address food insecurity and social determinants of health. These messages were underrepresented in final policy documents, and Aboriginal people were not included in any committees overseeing policy development processes. Conclusion: This analysis suggests that very few Aboriginal organisations have participated in Australian population-wide food and nutrition policy processes and that these policy development processes are culturally unsafe. In order to operationalise First Nations peoples’ right to self-determination, alternative mechanisms are required to redress the power imbalances preventing the full participation of Aboriginal and Torres Strait Islander peoples in population-wide food and nutrition policy decisions. This means reflecting on deeply embedded institutional structures and the normative assumptions upon which they rest.
Language eng
DOI 10.34172/ijhpm.2020.175
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30143718

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
Open Access Collection
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Created: Fri, 09 Oct 2020, 10:10:37 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.