Department of Public Health, Universidad Miguel Hernández, Alicante, Spain.
CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Int J Health Policy Manag. 2022 Mar 1;11(3):394-397. doi: 10.34172/ijhpm.2021.148.
Ralston et al offer us an interesting analysis of the consultation process of World Health Organization's (WHO's) "Draft approach on the prevention and management of conflicts of interests in the policy development and implementation of nutrition programs at country level," in which it shows us how the industry tries to frame the discussion in individual conflicts of interest, avoiding structural conflicts of interest. We must not forget other issues of importance in policy-making, such as the imbalance of power between different actors and the strategies of undue influence used by food and beverage corporations. It is essential to develop regulatory-based tools and procedures that embody ethics and good governance and that can be applied systematically and routinely to prevent corporate influence in health policy-making. A global observatory of corporate practices would also be needed to recommend to governments efficient actions to avoid corporate capture of their policies.
拉尔斯顿等人对世界卫生组织(WHO)“国家层面营养规划政策制定与实施中预防和管理利益冲突草案方法”咨询过程进行了有趣的分析,该分析向我们展示了行业如何试图将讨论框定在个人利益冲突上,从而避免结构性利益冲突。我们决不能忘记决策制定中的其他重要问题,例如不同行为体之间权力的不平衡以及食品和饮料公司使用的不正当影响策略。至关重要的是,制定基于监管的工具和程序,体现伦理和良好治理,并能够系统地、常规地应用于防止企业对卫生政策制定的影响。还需要建立一个企业行为全球观察站,向各国政府建议采取有效行动,防止企业对其政策的控制。