School of Medicine, Flinders University, South Australia.
Aust N Z J Public Health. 2011 Apr;35(2):111-6. doi: 10.1111/j.1753-6405.2010.00630.x. Epub 2010 Dec 9.
To better understand how public health nutrition has been represented during the past decade in Australia this paper critically analyses Eat Well Australia: An Agenda for Action for Public Health Nutrition 2000-2010 and its accompanying National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan.
The paper uses an interpretive approach, drawing on Bacchi's method of problem representation, to examine the strategies being offered within the policy. It uses this framework to uncover how public health nutrition has been represented and examines if the representation provided considers all aspects of the issue. The paper also considers how contextual factors affected policy development through examination of publicly available documents.
The problem is represented as being both an individual one and one due to social, structural and economic circumstances. There is a large focus on collaboration, research and capacity building. The context of the policy's development has affected the solutions contained within.
The policy's proposed actions reflect the policy-making environment in which it was conceived. A manifestation of this was unclear division of roles and responsibilities, lack of dedicated resources and inadequate focus on the social determinants of health.
As the policy's timeframe is drawing to its end, critical reflection on how the problem of nutrition has been represented over the previous decade provides greater insight and awareness to direct future public health nutrition work.
为了更好地了解过去十年澳大利亚公共卫生营养的表现情况，本文批判性地分析了《澳大利亚饮食健康：公共卫生营养 2000-2010 年行动计划》及其配套的《澳大利亚原住民和托雷斯海峡岛民营养战略和行动计划》。
本文采用解释性方法，借鉴 Bacchi 的问题表述方法，对政策中提供的策略进行了检查。它利用这一框架揭示了公共卫生营养是如何被表述的，并考察了所提供的表述是否考虑了问题的所有方面。本文还通过检查公开文件，考虑了背景因素对政策制定的影响。
该问题被表述为既是个人问题，也是由于社会、结构和经济环境造成的问题。该政策非常重视合作、研究和能力建设。政策制定的背景影响了其中包含的解决方案。
该政策提出的行动反映了其构思时的政策制定环境。一个表现是角色和责任划分不明确、缺乏专门资源以及对健康的社会决定因素关注不足。
随着政策的时间框架即将结束，对过去十年中营养问题的表述进行批判性反思，可以为未来的公共卫生营养工作提供更深入的见解和认识。
