The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
The Australian Prevention Partnership Centre, Sydney, New South Wales, Australia.
PLoS One. 2022 Sep 9;17(9):e0274246. doi: 10.1371/journal.pone.0274246. eCollection 2022.
Most Australian state and territory governments have healthy food provisioning policies targeting availability of unhealthy food at the retail level, and sustainability policies promoting a life-cycle approach to procurement. However, it remains unclear if health and sustainability are important considerations in awarding contracts, and whether these high-level policies are implemented into supplier contracts. A political economy analysis framework has been developed to prospectively identify and explain barriers and enablers to policy implementation. Using food procurement in Queensland and South Australia as case studies, the political economy analysis seeks to understand the structural and contextual factors, bargaining processes, stakeholders, and incentives and ideas surrounding food procurement. It involves a desktop and content analysis of existing policies and food contracts, and key informant interviews with government and industry stakeholders. Participants will be targeted across different departments (e.g. health, environment, treasury) and in varying roles from policy design, contract management and food service, and industry suppliers in different food and drink categories (e.g. meat, packaged foods, beverages, fruit & vegetables). Participants will be recruited using purposive sampling. Thematic analysis of interview transcripts will be undertaken, informed by the political economy analysis framework. The study will identify current food procurement policy implementation barriers and enablers, including why high-level policies aren't embedded into contracts, mechanisms for achieving policy coherence and future opportunities for addressing barriers and incorporating socio-economic, public health and environmental considerations into purchasing practices. Ultimately, the study will achieve impact by informing a whole of government approach to health and the environment by elevating the priority of health and sustainability in procurement (short term), increasing the availability of healthy and sustainable foods (medium term), and improving health and environmental outcomes (long term). To our knowledge this is the first political economy analysis of food procurement in Australia.
大多数澳大利亚州和地区政府都有针对零售层面不健康食品供应的健康食品供应政策，以及促进采购生命周期方法的可持续性政策。然而，目前尚不清楚在授予合同时是否将健康和可持续性作为重要考虑因素，以及这些高级别政策是否已纳入供应商合同。已经制定了政治经济学分析框架，以预测性地识别和解释政策实施的障碍和促进因素。该框架使用昆士兰州和南澳大利亚州的食品采购作为案例研究，旨在从结构和背景因素、讨价还价过程、利益相关者以及食品采购的激励和理念等方面来理解政治经济学。它涉及对现有政策和食品合同的桌面和内容分析，以及对政府和行业利益相关者的关键信息员访谈。参与者将根据不同的部门（例如健康、环境、财政部）和不同的角色（例如政策设计、合同管理和食品服务）进行定位，并针对不同食品和饮料类别的行业供应商（例如肉类、包装食品、饮料、水果和蔬菜）进行定位。将使用目的性抽样来招募参与者。将根据政治经济学分析框架对访谈记录进行主题分析。该研究将确定当前食品采购政策实施的障碍和促进因素，包括为什么高级别政策未纳入合同、实现政策一致性的机制以及解决障碍和将社会经济、公共卫生和环境考虑因素纳入采购实践的未来机会。最终，该研究将通过提升采购中健康和可持续性的优先级（短期）、增加健康和可持续食品的供应（中期）以及改善健康和环境结果（长期），为整个政府提供健康和环境方法提供信息，从而实现影响。据我们所知，这是澳大利亚首次对食品采购进行政治经济学分析。
