Document Type
Article
Publication Date
6-2-2020
Description
In the last two decades, global action to address noncommunicable diseases (NCDs) has accelerated, but policy adoption and implementation at the national level has been inadequate. This analysis examines the role of rationalities of governing, or governmentality, in national-level adoption of global recommendations. Critical discourse analysis was conducted using 49 formal institutional and organizational documents obtained through snowball sampling methodology. Text were coded using a framework of five forms of governmentality and analyzed to describe the order of discourse which has emerged within the global NCD policy domain. The dominant political rationality used to frame NCDs is rooted in risk governmentality. Recommendations for tobacco control and prevention of harmful alcohol use rely on a governmentality of police mixed with discipline. The promotion of physical activity relies heavily on disciplinary governmentality, and the prevention of unhealthy diet mixed disciplinary measures, discipline, and neoliberal governmentalities. To translate global NCD prevention and control strategies to national action, acceptability for the political rationalities embodied in policy options must be nurtured as new norms, procedures, and institutions appropriate to the political rationalities of specific interventions are developed.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Citation Information
Yang, Joshua S.; Mamudu, Hadii M.; and Mackey, Timothy K.. 2020. Governing Noncommunicable Diseases Through Political Rationality and Technologies of Government: A Discourse Analysis. International Journal of Environmental Research and Public Health. Vol.17(12). 1-16. https://doi.org/10.3390/ijerph17124413 PMID: 32575474 ISSN: 1661-7827
Copyright Statement
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).