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.
Original language | English |
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Article number | daae165 |
Journal | Health Promotion International |
Volume | 39 |
Issue number | 6 |
Early online date | 19 Dec 2024 |
DOIs | |
Publication status | Published - 19 Dec 2024 |
Data Availability Statement
The data underlying this article cannot be shared publicly in order to protect the privacy of individuals participating in the study.Acknowledgements
The authors would like to thank all participants for their time and invaluable expertise. We would also like to thank Monika Kosinska for her input during the development and analysis stages of this study.Funding
This study was supported by PhD funding from the University of Bath, in affiliation with the SPECTRUM consortium (MR/S037519/1). SPECTRUM is funded by the UK Prevention Research Partnership (UKPRP). UKPRP is an initiative funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), The Health Foundation and Wellcome Trust.
Funders | Funder number |
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Natural Environment Research Council | |
Economic and Social Research Council | |
Medical Research Council | |
Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council | |
Department for Employment and Learning, Northern Ireland | |
National Institute for Health and Care Research | |
Public Health Agency | |
Wellcome Trust | |
Cancer Research UK | |
British Heart Foundation | |
Health Foundation | |
Health and Social Care Research and Development Division | |
University of Bath | MR/S037519/1 |
Keywords
- commercial determinants of health
- food system
- global governance
- multistakeholderism
ASJC Scopus subject areas
- Health(social science)
- Public Health, Environmental and Occupational Health