Abstract
Purpose This study aims to investigate the role of the public health advocacy coalition (PHC) in the context of policy change. Using the “advocacy coalition framework” theory, this study examines how new ideas and the transformation of the policy subsystem influenced the adaptation of strategy, framing and messaging used by PHC actors. Design/methodology/approach A detailed policy case study was conducted based on a range of primary documents and individual semi-structured interviews (n = 34) with key decision-makers, civil servants, NGO leaders, public health experts and AI representatives. Findings In 2020, the Lithuanian PHC coalition became involved in policy-making with a slightly re-framed strategy, which was based on public health priorities and scientific research evidence. The priorities and relevant activities were aimed at maintaining a wide range of regulative measures. The PHC advocates focused on and prioritised arguments pertaining to the social and economic harms of alcohol. This framework created some ground for policy-influencing action and was important for debates with AI actors. The PHC put a great deal of pressure on Members of Parliament to continue the implementation of evidence-based policies. Originality/value Over two decades, Lithuanian alcohol policy has shifted in waves, from liberalisation to stricter control interventions. The previous wave of strict alcohol policy was effective from the perspective of the measures implemented, and it also reduced alcohol-related harm. In 2020, two liberal and conservative parties focused on a laissez-faire approach to the elimination of some unfavourable restrictions for the alcohol industry (AI).
Published Version
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