Bringing in critical frameworks to investigate agenda-setting for the social determinants of health: Lessons from a multiple framework analysis

Social Science & Medicine
Belinda TownsendSharon Friel

Abstract

Public health scholars have increasingly called for greater attention to the political and policy processes that enable or constrain successful prioritisation of health on government agendas. Much research investigating policy agenda-setting in public health has focused on the use of single frameworks, in particular Kingdon's Multiple Streams Framework. More recently, scholars have argued that blending complementary policy frameworks can enable greater attention to a wider range of drivers that influence government agendas away from or towards progressive social and health policies. In this paper, we draw on multiple policy process frameworks in a study of agenda-setting for Australia's first national paid parental leave scheme. Introduced in 2011 after decades of advocacy, this scheme provides federal government-funded parental leave for eighteen weeks' pay at the minimum wage for primary caregivers, with evaluations showing improved health and equity outcomes. Drawing on empirical data collected from documentary sources and interviews with 25 key policy informants, we find that a combination of policy frameworks; in this case, Kingdon's Multiple Streams; Advocacy Coalition Framework; Punctuated Equilibrium; Narrative Policy F...Continue Reading

References

Jan 31, 2006·Policy, Politics & Nursing Practice·Virginia Schmied Blackman
Aug 20, 2010·Health Promotion International·Eric Breton, Evelyne De Leeuw
Sep 25, 2010·American Journal of Public Health·Rebekah L CraigMartha M Phillips
Oct 27, 2012·Journal of Epidemiology and Community Health·Katherine Elizabeth Smith, Srinivasa Vittal Katikireddi
Jan 9, 2015·BMJ : British Medical Journal·Ilona Kickbusch
Apr 15, 2016·International Journal of Health Services : Planning, Administration, Evaluation·Marina KaranikolosHelena Legido-Quigley
Mar 12, 2018·International Journal of Health Policy and Management·Phillip BakerTamara Mackean

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Citations

Jul 1, 2021·Social Science & Medicine·Sharon FrielFran Baum
Jul 18, 2021·International Journal for Equity in Health·David Colon-CabreraDikaios Sakellariou

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