Is Aboriginal nutrition a priority for local government? A policy analysis

Public Health Nutr. 2017 Nov;20(16):3019-3028. doi: 10.1017/S1368980017001902. Epub 2017 Aug 14.

Abstract

Objective: The present study aimed to explore how Australian local governments prioritise the health and well-being of Aboriginal populations and the extent to which nutrition is addressed by local government health policy.

Design: In the state of Victoria, Australia, all seventy-nine local governments' public health policy documents were retrieved. Inclusion of Aboriginal health and nutrition in policy documents was analysed using quantitative content analysis. Representation of Aboriginal nutrition 'problems' and 'solutions' was examined using qualitative framing analysis. The socio-ecological framework was used to classify the types of Aboriginal nutrition issues and strategies within policy documents.

Setting: Victoria, Australia.

Subjects: Local governments' public health policy documents (n 79).

Results: A small proportion (14 %, n 11) of local governments addressed Aboriginal health and well-being in terms of nutrition. Where strategies aimed at nutrition existed, they mostly focused on individual factors rather than the broader macroenvironment.

Conclusions: A limited number of Victorian local governments address nutrition as a health issue for their Aboriginal populations in policy documents. Nutrition needs to be addressed as a community and social responsibility rather than merely an individual 'behaviour'. Partnerships are required to ensure Aboriginal people lead government policy development.

Keywords: Aboriginal health; Health policy; Indigenous health; Local government; Policy; Policy analysis.

MeSH terms

  • Culturally Competent Care / ethics
  • Culturally Competent Care / ethnology
  • Culturally Competent Care / legislation & jurisprudence
  • Health Priorities* / ethics
  • Health Priorities* / legislation & jurisprudence
  • Health Status Disparities*
  • Humans
  • Local Government*
  • Minority Health* / ethnology
  • Minority Health* / legislation & jurisprudence
  • Models, Organizational*
  • Native Hawaiian or Other Pacific Islander
  • Needs Assessment
  • Nutrition Policy* / legislation & jurisprudence
  • Nutritional Status* / ethnology
  • Policy Making
  • Victoria