Evidence map›Paper›PMID 39697004›Full record

ArticleHealth promotion international2024

Aligning rhetoric with reality: a qualitative analysis of multistakeholder initiatives in the global food system.

Amber van den Akker, Anna B Gilmore, Alice Fabbri, Cecile Knai, Harry Rutter

Abstract read
In one paragraph

Article in Health promotion international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amber van den AkkerDepartment for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK.ORCID 0000-0001-8365-3418
Anna B GilmoreDepartment for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK.ORCID 0000-0003-0281-1248
Alice FabbriDepartment for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK.ORCID 0000-0001-8413-0440
Cecile KnaiFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, Keppel St, London WC1E 7HT, UK.ORCID 0000-0001-6663-7379
Harry RutterDepartment of Social & Policy Sciences, University of Bath, Claverton Down, Bath BA2 7AY, UK.ORCID 0000-0002-9322-0656

Funding

Medical Research Council MR/S037519/1SPECTRUM ConsortiumUK Prevention Research PartnershipUniversity of Bath MR/S037519/1
6 · The paper itself

Abstract

Global food system governance increasingly relies on multistakeholder initiatives (MSIs) that aim to include those who are affected by and/or affected by an issue. Multistakeholderism's perceived legitimacy is premised on both its outcomes (output legitimacy) and processes (input legitimacy), the latter in turn based on four key rationales: inclusiveness, procedural fairness, consensual orientation and transparency. To date, evidence on the ineffectiveness of MSI's outcomes undermines its claims to output legitimacy. While individual case study assessments have also raised concerns over their processes, documenting instances of power asymmetries and corporate capture, there has hitherto been no comprehensive assessment of the input legitimacy of multistakeholderism. This work addresses that gap through interviews with 31 participants working either in or on MSIs. Participants noted significant challenges related to input legitimacy, including that (i) inclusion was often based on pre-existing networks of an MSI's founders-most of whom were based in the global North-and risked excluding less well-resourced or marginalized actors; (ii) pre-existing power imbalances, both internal and external to the MSI, considerably influenced its processes and structures; (iii) goal-setting was complicated by conflicts of interest and (iv) reliance on informal processes limited transparency. The similarities in challenges across MSIs indicate that these are not attributable to shortcomings of individual MSIs but are instead indicative of wider system constraints. Rather than rely on multistakeholderism as a 'good' governance norm, our findings add to evidence that MSIs do not meet output legitimacy and signal that the legitimacy of MSIs in their current form should be questioned.

Indexed as

Food SupplyQualitative ResearchGlobal HealthHumansInterviews as Topiccommercial determinants of healthfood systemglobal governancemultistakeholderism

Identifiers

PMID39697004
PMCPMC11655872

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.