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Local government alcohol policy development: case studies in three New Zealand communities

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Summary:

These researchers examined local government responses to alcoholrelated problems in NZ communities and sought to identify factors that influence the formulation and adoption of alcohol policy. The research was guided by two conceptual frameworks: Kingdon’s Streams model and the Stakeholder model of policy development. Three communities were selected for in-depth investigation: a rural town, a provincial city and a metropolitan city. Newspaper reports, local government documents and key informant interviews were used to collect data which were analysed according to the Streams and Stakeholder models. Kingdon’s theoretical concepts associated with increased likelihood of policy change seemed to apply in the rural and metropolitan communities, whereas the political environment in the provincial city did not encourage the adoption of alcohol restrictions. The Stakeholder model highlighted differences between the communities in terms of power over agenda-setting and conflict between politicians and bureaucrats over policy solutions to alcohol-related harm. These differences were reflected in the ratio of policies considered versus adopted in each location.

Comment:
A great example of how the political process, even at a local level, can not only empower/disempower communities but impact on health outcomes.
Reference: Addiction 2013;108(5):885-95
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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