Transnational corporations (TNCs) shape population health both positively and negatively through their national and international social, political and economic power and influence; and are a vital commercial determinant of health. In an articlein Health Promotion International, Julia Anaf and colleagues discuss the unequal power relations existing between TNCs that promote their own financial interests, and activists and advocates who support population and environmental health by challenging corporate power.
They describe the types of strategies that civil society organizations (CSOs) have used to encourage TNCs to act in more health promoting ways, the extent to which these strategies have been effective, and how TNCs have used their power to respond to civil society action. The authors highlight the rewards, and the very real challenges faced by CSOs trying to change TNC practices related to health, within a neoliberal policy environment. They provide evidence for socially oriented actors to inform their advocacy for changes in public policy or corporate practices that can contribute to improving population health and equity and tackling commercial determinants of health.