How does policy framing enable or constrain inclusion of social determinants of health and health equity on trade policy agendas?

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dc.contributor.authorTownsend, Belinda
dc.contributor.authorSchram, Ashley
dc.contributor.authorBaum, Fran
dc.contributor.authorLabonte, Ronald
dc.contributor.authorFriel, Sharon
dc.date.accessioned2019-10-15T23:35:12Z
dc.date.issued2018
dc.date.updated2019-05-05T09:02:40Z
dc.description.abstractTrade agreements influence the distribution of money, goods, services and daily living conditions – the social determinants of health and health equity, which ultimately impacts differentially on health within and between countries. In order to advance health equity as a trade policy goal, greater understanding is needed of how different actors frame their interests in order to shape government priorities, thus helping to identify competing agendas across policy communities. This paper reports on a study of how policy actors framed their interests for the Trans Pacific Partnership agreement. We analysed 88 submissions made by industry actors, not for profit organisations, unions, researchers and individual citizens to the Australian government during treaty negotiations. We show that policy actors’ ideas of the purpose of trade agreements are shaped by competing underlying assumptions of the role of the state, market and society. We identify three primary framings: a dominant neoliberal market frame, and counter frames for the public interest and state sovereignty. Our analysis highlights the potential enabling and constraining impact of policy frames for health equity. In particular, the current dominant market framing largely excludes the social determinants of health and health equity. We argue that advocacy needs to tackle head on the underlying assumptions of market framings in order to open up space for the social. We identify successful examples of health framing for equity as well as opportunities for engagement with ‘non-traditional’ allies on shared issues of concern.en_AU
dc.description.sponsorshipThis work was supported by the NHMRC 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; National Health and Medical Research Council [APP1078046].en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn0958-1596en_AU
dc.identifier.urihttp://hdl.handle.net/1885/176995
dc.language.isoen_AUen_AU
dc.publisherTaylor & Francis Groupen_AU
dc.relationhttp://purl.org/au-research/grants/nhmrc/1078046en_AU
dc.rights© 2018 Informa UK Limited, trading as Taylor & Francis Groupen_AU
dc.sourceCritical Public Healthen_AU
dc.titleHow does policy framing enable or constrain inclusion of social determinants of health and health equity on trade policy agendas?en_AU
dc.typeJournal articleen_AU
local.bibliographicCitation.lastpage12en_AU
local.bibliographicCitation.startpage1en_AU
local.contributor.affiliationTownsend, Belinda, College of Asia and the Pacific, ANUen_AU
local.contributor.affiliationSchram (Grau), Ashley, College of Asia and the Pacific, ANUen_AU
local.contributor.affiliationBaum, Fran, Flinders Universityen_AU
local.contributor.affiliationLabonte, Ronald, University of Ottawaen_AU
local.contributor.affiliationFriel, Sharon, College of Asia and the Pacific, ANUen_AU
local.contributor.authoremailu1031451@anu.edu.auen_AU
local.contributor.authoruidTownsend, Belinda, u1040233en_AU
local.contributor.authoruidSchram (Grau), Ashley, u1031451en_AU
local.contributor.authoruidFriel, Sharon, u4162881en_AU
local.description.embargo2037-12-31
local.description.notesImported from ARIESen_AU
local.identifier.absfor160510 - Public Policyen_AU
local.identifier.absfor111799 - Public Health and Health Services not elsewhere classifieden_AU
local.identifier.absseo920499 - Public Health (excl. Specific Population Health) not elsewhere classifieden_AU
local.identifier.ariespublicationu1026210xPUB187en_AU
local.identifier.ariespublicationa383154xPUB10903
local.identifier.doi10.1080/09581596.2018.1509059en_AU
local.identifier.uidSubmittedByu1026210en_AU
local.publisher.urlhttps://www.routledge.com/en_AU
local.type.statusPublished Versionen_AU

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