Fifty shades of partnerships: a governance typology for public private engagement in the nutrition sector

Global Health. 2023 Feb 21;19(1):11. doi: 10.1186/s12992-023-00912-1.

Abstract

Background: Multistakeholder collaboration has emerged as a dominant approach for engaging and mobilising non-state actors; notably embedded in the paradigm of the UN Sustainable Development Goals. Yet, considerable ambiguity and contestation surrounds the appropriate terms of public private engagement (PPE) with industry actors.

Main body: This paper seeks to conceptualise different forms of engagement with the food industry in tackling diet-related noncommunicable disease, within the context of power asymmetries across engaged stakeholders. It does so by introducing the Governance Typology for Public Private Engagement in the Nutrition Sector, a typology for government-led engagement with food industry actors across three domains: (i) the form of industry and civil society actor engagement (i.e., rules of exercising institutional power), based on the degree of participation in formal decision-making as well as participation at different stages in the policy cycle; (ii) the type of industry actors being engaged (i.e., pre-existing power attributes), based on function, size, and product portfolios for profit; and (iii) the substantive policy focus of engagement.

Conclusions: The Governance Typology for Public Private Engagement in the Nutrition Sector seeks to inform national level nutrition policy makers on good engagement practice with food industry actors and complements existing risk assessment tools. This typology has the potential to inform decision-making on public sector engagement with other industries that profit from products detrimental to human and planetary health.

Keywords: Collaborative governance; Commercial determinants of health; Conflict of interest; Food governance; Food industry; Food policy; Multistakeholder engagement; Public-private partnerships.

MeSH terms

  • Diet
  • Government*
  • Humans
  • Nutritional Status
  • Public Health*
  • Public Sector
  • Public-Private Sector Partnerships