ArticlePublic health nutrition2021
The political economy of restricting marketing to address the double burden of malnutrition: two case studies from Fiji.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identifying barriers and facilitators in the development and implementation of government-led food environment policies: a systematic review.Nutrition reviews · 2022Pooled it
- Understanding power in food policy: a critical scoping review of methods to guide future research.Health promotion international · 2026Article
- Political economy analysis of health: a scoping review of concepts, definitions, frameworks, outcomes, and applications.Health policy and planning · 2026Article
- Factors influencing parents' food-purchasing decisions in the Pacific: a qualitative study in Tonga.BMC public health · 2025Article
- A political economy analysis of the legislative response to unhealthy food and beverage marketing in Chile, Canada and the UK.Globalization and health · 2025Article
- Food environments in the Pacific region and efforts to improve them: a scoping review.Public health nutrition · 2024Article
- Inhibitors and Supporters of Policy Change in the Regulation of Unhealthy Food Marketing in Australia.International journal of health policy and management · 2024Article
- Protecting children from unhealthy food marketing: a comparative policy analysis in Australia, Fiji and Thailand.Health promotion international · 2023Article
- Article
- The challenges in protecting public health interests in multisectoral governance in the context of small island developing states: the case of tobacco control in Fiji and Vanuatu.Globalization and health · 2023Article
- Research protocol for impact assessment of a project to scale up food policies in the Pacific.Health research policy and systems · 2022Article
- A comparative policy analysis of the adoption and implementation of sugar-sweetened beverage taxes (2016-19) in 16 countries.Health policy and planning · 2022Article
- Moving from silos to synergies: strengthening governance of food marketing policy in Thailand.Globalization and health · 2022Article
- Analysis of the policy process for the implementation of nutritional warning labels in Uruguay.Public health nutrition · 2021Article
- Implications of international trade and investment agreements on policy space for restricting marketing of unhealthy food and beverages to children: lessons from inter-disciplinary expert interviews.Public health nutrition · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo draw lessons from Fiji regarding the challenges and opportunities for policy initiatives to restrict (i) food marketing to children and (ii) marketing of breast milk substitutes, to inform policy for the double burden of malnutrition.
designQualitative political economy analysis of two policy case studies.
settingFiji.
participantsEleven key informants from relevant sectors, representing public health, economic and consumer interests.
resultsThis study used two policy initiatives as case studies to examine factors influencing decision-making: Marketing Controls (Foods for Infants and Young Children) Regulations 2010, amended in 2016 to remove guidelines and restrictions on marketing in the form of labelling, and the draft Advertising and Promotion of Unhealthy Foods and Non-Alcoholic Beverages to Children Regulation developed in 2014 but awaiting review by the Solicitor General's Office. Factors identified included: a policy paradigm in which regulation of business activity contradicts economic policy goals; limited perception by key policy actors of links between nutrition and marketing of breast milk substitutes, foods and beverages; and a power imbalance between industry and public health stakeholders in policymaking. Regulation of marketing for health purposes sits within the health sector's interest but not its legislative remit, while within the economic sector's remit but not interest. Opportunities to strengthen restrictions on marketing to improve nutrition and health include reframing the policy issue, strategic advocacy and community engagement.
conclusionsRestricting marketing should be recognised by public health actors as a public health and an industry policy issue, to support strategic engagement with economic policy actors.
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