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 languageEnglish
Article numberdaae165
JournalHealth Promotion International
Volume39
Issue number6
Early online date19 Dec 2024
DOIs
Publication statusPublished - 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.

FundersFunder number
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 BathMR/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

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