Cross-sector partnerships and public health: challenges and opportunities for addressing obesity and noncommunicable diseases through engagement with the private sector.

Over the past few decades, cross-sector partnerships with the private sector have become an increasingly accepted practice in public health, particularly in efforts to address infectious diseases in low- and middle-income countries. Now these partnerships are becoming a popular tool in efforts to reduce and prevent obesity and the epidemic of noncommunicable diseases. Partnering with businesses presents a means to acquire resources, as well as opportunities to influence the private sector toward more healthful practices. Yet even though collaboration is a core principle of public health practice, public-private or nonprofit-private partnerships present risks and challenges that warrant specific consideration. In this article, we review the role of public health partnerships with the private sector, with a focus on efforts to address obesity and noncommunicable diseases in high-income settings. We identify key challenges-including goal alignment and conflict of interest-and consider how changes to partnership practice might address these.

[1]  Akbar Zaheer,et al.  Handbook of Advances in Trust Research , 2013 .

[2]  L. Dorfman,et al.  Soda and Tobacco Industry Corporate Social Responsibility Campaigns: How Do They Compare? , 2012, PLoS medicine.

[3]  Michael Pollan,et al.  Food Fight , 2005, Dad to Dad.

[4]  Sania Nishtar,et al.  Public – private 'partnerships' in health – a global call to action , 2004 .

[5]  Leslie J. Sim,et al.  Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation , 2012 .

[6]  K. Buse,et al.  Public-private health partnerships: a strategy for WHO. , 2001, Bulletin of the World Health Organization.

[7]  P. Hebert,et al.  Partnerships between health organizations and the food industry risk derailing public health nutrition , 2011, Canadian Medical Association Journal.

[8]  D. Finegood The Complex Systems Science of Obesity , 2011 .

[9]  Marion Nestle,et al.  Can the food industry play a constructive role in the obesity epidemic? , 2008, JAMA.

[10]  E. Jané-Llopis,et al.  A Multistakeholder Platform to Promote Health and Prevent Noncommunicable Diseases in the Region of the Americas: The Pan American Health Organization Partners Forum for Action , 2011, Journal of health communication.

[11]  Christina D. Economos,et al.  A Community-Based Restaurant Initiative to Increase Availability of Healthy Menu Options in Somerville, Massachusetts: Shape Up Somerville , 2009, Preventing chronic disease.

[12]  A. Yaroch,et al.  A Public-Private Partnership Model for Obesity Prevention , 2009, Preventing chronic disease.

[13]  K. Brownell Thinking Forward: The Quicksand of Appeasing the Food Industry , 2012, PLoS medicine.

[14]  C. Hawkes,et al.  Public health sector and food industry interaction: it's time to clarify the term 'partnership' and be honest about underlying interests. , 2011, European journal of public health.

[15]  T. Entwistle,et al.  Does Cross-Sectoral Partnership Deliver? An Empirical Exploration of Public Service Effectiveness, Efficiency, and Equity , 2010 .

[16]  S. Teutsch,et al.  Rediscovering the core of public health. , 2013, Annual review of public health.

[17]  L. Heim Identifying and Addressing Potential Conflict of Interest: A Professional Medical Organization’s Code of Ethics , 2010, The Annals of Family Medicine.

[18]  Emily Savell,et al.  Public health, corporations and the new responsibility deal: promoting partnerships with vectors of disease? , 2011, Journal of public health.

[19]  D. Barr,et al.  Ethics in public health research: a research protocol to evaluate the effectiveness of public-private partnerships as a means to improve health and welfare systems worldwide. , 2007, American journal of public health.

[20]  L. Elinder Obesity and chronic diseases, whose business? , 2011, European journal of public health.

[21]  Michael R. Reich,et al.  Public–private partnerships for public health , 2000, Nature Medicine.

[22]  K. Buse,et al.  Global public-private health partnerships: lessons learned from ten years of experience and evaluation. , 2011, International dental journal.

[23]  Diana Wright,et al.  Thinking in systems: a primer , 2012 .

[24]  H. Brody Clarifying conflict of interest. , 2011, The American journal of bioethics : AJOB.

[25]  S. Gill,et al.  BUILDING TRUST , 2020, Tao te Ching.

[26]  R Widdus,et al.  Public-private partnerships for health: their main targets, their diversity, and their future directions. , 2001, Bulletin of the World Health Organization.

[27]  R. Mckinnon A Case for Public-Private Partnerships in Health: Lessons From an Honest Broker , 2009, Preventing chronic disease.

[28]  Stephen P Teret,et al.  The food industry and self-regulation: standards to promote success and to avoid public health failures. , 2010, American journal of public health.

[29]  A. Must,et al.  Shape Up Somerville two-year results: a community-based environmental change intervention sustains weight reduction in children. , 2013, Preventive medicine.

[30]  W. Dietz Canada on the Move: a novel effort to increase physical activity among Canadians. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[31]  R. Solomon,et al.  Building Trust: In Business, Politics, Relationships, and Life , 2001 .

[32]  R. Lasker,et al.  Partnership synergy: a practical framework for studying and strengthening the collaborative advantage. , 2001, The Milbank quarterly.

[33]  A. Bauman,et al.  Innovations in Population Intervention Research Capacity: The Contributions of Canada on the Move , 2006, Canadian Journal of Public Health.

[34]  Roger Wettenhall,et al.  The Rhetoric and Reality of Public-Private Partnerships , 2003 .

[35]  D. Stuckler,et al.  Sick Societies: Responding to the global challenge of chronic disease , 2011 .

[36]  D. Yach Food companies and nutrition for better health , 2008, Public Health Nutrition.

[37]  M. Tremblay Major Initiatives Related to Childhood Obesity and Physical Inactivity in Canada: The Year in Review , 2007, Canadian Journal of Public Health.

[38]  D. Finegood,et al.  Systems science and obesity policy: a novel framework for analyzing and rethinking population-level planning. , 2014, American journal of public health.

[39]  M. Kottow Ethical quandaries posing as conflicts of interest , 2010, Journal of Medical Ethics.

[40]  Diane T. Finegood,et al.  Places to Intervene to Make Complex Food Systems More Healthy, Green, Fair, and Affordable , 2009, Journal of hunger & environmental nutrition.

[41]  L. Stell,et al.  Time to 'walk the walk' about industry ties to enhance health , 2011, Nature Medicine.

[42]  J. Whitehead,et al.  The Collaboration Challenge: How Nonprofits and Businesses Succeed Through Strategic Alliances , 2000 .

[43]  D. Yach,et al.  The role and challenges of the food industry in addressing chronic disease , 2010, Globalization and health.

[44]  Tony Proctor,et al.  Successful joint venture partnerships: public‐private partnerships , 2006 .

[45]  D. Stuckler,et al.  Big Food, Food Systems, and Global Health , 2012, PLoS medicine.

[46]  S. Ratzan Public-Private Partnerships for Health , 2007, Journal of health communication.

[47]  James E. Austin,et al.  Strategic Collaboration Between Nonprofits and Businesses , 2000 .