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Pill testing policy change in Australia was analyzed using the Advocacy Coalition Framework (ACF). The ACT

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Area of Science:

  • Public Health Policy
  • Social Science Research
  • Harm Reduction Strategies

Background:

  • Pill testing is a debated harm reduction intervention.
  • Policy change processes are complex and influenced by various factors.
  • Examining pill testing policy in Australian jurisdictions offers insights into policy adoption.

Purpose of the Study:

  • To analyze factors influencing policy change regarding pill testing.
  • To compare policy dynamics in the Australian Capital Territory (ACT) and New South Wales (NSW).
  • To apply the Advocacy Coalition Framework (ACF) to understand policy subsystem shifts.

Main Methods:

  • The study employed the Advocacy Coalition Framework (ACF).
  • Data sources were coded deductively and inductively to identify actors, beliefs, and coalitions.
  • Analysis focused on comparing policy subsystems in the ACT and NSW.

Main Results:

  • In the ACT, a dominant 'harm reduction' coalition shifted secondary beliefs to enable pill testing.
  • In NSW, a 'law enforcement' coalition's core beliefs needed to shift, which is rare under the ACF.
  • Coalition belief shifts, both secondary and core, are critical for policy change.

Conclusions:

  • The ACF effectively explains how advocacy coalitions respond to change pressures.
  • Shifts in secondary beliefs are more common than core belief changes within dominant coalitions.
  • Further research should explore minority coalition strategies for aligning with dominant beliefs.