Bringing in critical frameworks to investigate agenda-setting for the social determinants of health: Lessons from a multiple framework analysis

dc.contributor.authorTownsend, Belinda
dc.contributor.authorStrazdins, Lyndall
dc.contributor.authorHarris, Patrick John
dc.contributor.authorBaum, Fran
dc.contributor.authorFriel, Sharon
dc.date.accessioned2020-09-01T01:44:10Z
dc.date.issued2020
dc.date.updated2020-05-10T08:17:41Z
dc.description.abstractPublic health scholars have increasingly called for greater attention to the political and policy processes that enable or constrain successful prioritisation of health on government agendas. Much research investigating policy agenda-setting in public health has focused on the use of single frameworks, in particular Kingdon's Multiple Streams Framework. More recently, scholars have argued that blending complementary policy frameworks can enable greater attention to a wider range of drivers that influence government agendas away from or towards progressive social and health policies. In this paper, we draw on multiple policy process frameworks in a study of agenda-setting for Australia's first national paid parental leave scheme. Introduced in 2011 after decades of advocacy, this scheme provides federal government-funded parental leave for eighteen weeks' pay at the minimum wage for primary caregivers, with evaluations showing improved health and equity outcomes. Drawing on empirical data collected from documentary sources and interviews with 25 key policy informants, we find that a combination of policy frameworks; in this case, Kingdon's Multiple Streams; Advocacy Coalition Framework; Punctuated Equilibrium; Narrative Policy Framework; and Policy Feedback helped explain how this landmark social policy came about. However, none of these frameworks were adequate without situating them within a critical feminist lens which enabled an explicit focus on the gendered nature of power. We argue that, alongside making use of policy process frameworks, social determinants of health policy research needs to engage with critical frameworks which share an explicit agenda for improving people's daily living conditions and the re-distribution of power, money, and resources in ways that promote health equity.en_AU
dc.description.sponsorshipThis work was supported by the Australian National Health and Medical Research Council Centre of Research Excellence on the Social Determinants of Health Equity: Policy research on the social determinants of health equity (APP1078046). The NHMRC had no role in the conduct of this research.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn0277-9536en_AU
dc.identifier.urihttp://hdl.handle.net/1885/209168
dc.language.isoen_AUen_AU
dc.publisherElsevieren_AU
dc.relationhttp://purl.org/au-research/grants/nhmrc/1078046en_AU
dc.rights© 2020 Elsevier Ltd.en_AU
dc.sourceSocial Science and Medicineen_AU
dc.titleBringing in critical frameworks to investigate agenda-setting for the social determinants of health: Lessons from a multiple framework analysisen_AU
dc.typeJournal articleen_AU
local.bibliographicCitation.lastpage10en_AU
local.bibliographicCitation.startpage1en_AU
local.contributor.affiliationTownsend, Belinda, College of Asia and the Pacific, ANUen_AU
local.contributor.affiliationStrazdins, Lyndall, College of Health and Medicine, ANUen_AU
local.contributor.affiliationHarris, Patrick John, University of Sydneyen_AU
local.contributor.affiliationBaum, Fran, Flinders Universityen_AU
local.contributor.affiliationFriel, Sharon, College of Asia and the Pacific, ANUen_AU
local.contributor.authoremailu8901581@anu.edu.auen_AU
local.contributor.authoruidTownsend, Belinda, u1040233en_AU
local.contributor.authoruidStrazdins, Lyndall, u8901581en_AU
local.contributor.authoruidFriel, Sharon, u4162881en_AU
local.description.embargo2037-12-31
local.description.notesImported from ARIESen_AU
local.identifier.absfor111799 - Public Health and Health Services not elsewhere classifieden_AU
local.identifier.absfor160510 - Public Policyen_AU
local.identifier.absseo920407 - Health Protection and/or Disaster Responseen_AU
local.identifier.absseo929999 - Health not elsewhere classifieden_AU
local.identifier.ariespublicationu1026210xPUB274en_AU
local.identifier.citationvolume250en_AU
local.identifier.doi10.1016/j.socscimed.2020.112886en_AU
local.identifier.uidSubmittedByu1026210en_AU
local.publisher.urlhttps://www.elsevier.com/en-auen_AU
local.type.statusPublished Versionen_AU

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