Understanding policy enactment: the New Orleans Fresh Food Retailer Initiative.

Abstract:

BACKGROUND:Healthy-food financing initiatives have been endorsed as a way to improve food access, but relatively little research exists on understanding the formulation of such policies. PURPOSE:This paper investigates the development of the New Orleans Fresh Food Retailer Initiative (FFRI) to highlight factors that enabled and impeded its enactment. METHODS:In 2010 and 2011, semistructured interviews were conducted with 22 key informants with firsthand experience of this case, including representatives from the private sector, nonprofit organizations, and government. A participant-observer approach was used to synthesize these observations with archived written materials and the authors' own observations. RESULTS:Historical disparities in food access in New Orleans were exacerbated by Hurricane Katrina, which also generated neighborhood activism and a pressing need to rebuild the city. A Food Policy Advisory Committee (FPAC) was formed from diverse groups. This paper describes the evolution of FPAC, its deliberations and report to the City Council, and actions to promote a financing initiative, as well as delays encountered in the process. CONCLUSIONS:Enactment of the FFRI was facilitated by a window of opportunity that opened in the storm's aftermath, broad-based stakeholder buy-in, the existence of political champions, and policy-relevant information that was simple and convincing. Impediments to success included the constant turnover of city staff, a skeptical state bureaucracy, and the many competing priorities in New Orleans. This study highlights the importance of having a clear policy objective to address a well-defined and illustrated problem, key advocates in diverse organizations, and broad-based support for its implementation.

journal_name

Am J Prev Med

authors

Ulmer VM,Rathert AR,Rose D

doi

10.1016/j.amepre.2012.05.011

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

S116-22

issue

3 Suppl 2

eissn

0749-3797

issn

1873-2607

pii

S0749-3797(12)00374-1

journal_volume

43

pub_type

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