Roblin Lynn, Truscott Rebecca, Boddy Meaghan R
a Dietitians of Canada, Ontario Public Health Association, Toronto, ON.
b Ontario Collaborative Group on Healthy Eating and Physical Activity, Toronto, ON.
Can J Diet Pract Res. 2018 Mar 1;79(1):28-34. doi: 10.3148/cjdpr-2017-033. Epub 2018 Feb 1.
A whole-system perspective is critical in efforts to create a healthy population and a productive, equitable, and sustainable food system. In 2009, the Ontario Collaborative Group on Healthy Eating and Physical Activity undertook a bold initiative to develop a comprehensive provincial strategy encompassing the entire food system. The Ontario Food and Nutrition Strategy was shaped through extensive consultation with diverse stakeholders. This strategy identified strategic directions and priority actions for productive, equitable, and sustainable food systems intended to promote the health and well-being of all Ontarians. Paramount to the strategy is a collaborative governance mechanism allowing for a cross-government, multistakeholder coordinated approach to food policy development. Key actors participated in a collective impact process to develop a theory of change and potential governance model. Different models for collaborative work were examined and a governance model for a multistakeholder coordinated provincial mechanism was proposed. Lessons learned from this process will inform others involved in food systems work at the provincial, regional, or local level and may pave the way towards successful inter-sectoral action on priority recommendations geared towards improved nutrition-related and food systems outcomes.
从全系统角度出发对于创建健康人口以及高效、公平和可持续的食品系统至关重要。2009年，安大略省健康饮食与身体活动协作小组发起了一项大胆举措，制定一项涵盖整个食品系统的省级综合战略。《安大略省食品与营养战略》是通过与不同利益相关者广泛协商而形成的。该战略确定了旨在促进所有安大略人健康和福祉的高效、公平和可持续食品系统的战略方向和优先行动。该战略的重中之重是一种协作治理机制，允许采用跨政府、多利益相关者协调的方法来制定食品政策。关键行为体参与了一个集体影响过程，以制定变革理论和潜在治理模式。研究了不同的协作工作模式，并提出了多利益相关者协调省级机制的治理模式。从这一过程中吸取的经验教训将为其他参与省级、区域或地方层面食品系统工作的人提供参考，并可能为就旨在改善营养相关和食品系统成果的优先建议采取成功的跨部门行动铺平道路。
