Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation.

IF 3.8 2区医学 Q1 NUTRITION & DIETETICS

Nutrition Journal Pub Date : 2022-02-02 DOI:10.1186/s12937-022-00761-5

Jacqui Webster, Gade Waqa, Anne-Marie Thow, Steven Allender, Thomas Lung, Mark Woodward, Kris Rogers, Isimeli Tukana, Ateca Kama, Donald Wilson, Sarah Mounsey, Rebecca Dodd, Erica Reeve, Briar Louise McKenzie, Claire Johnson, Colin Bell

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引用次数: 9

Abstract

Background: There is a crisis of non-communicable diseases (NCDs) in the Pacific Islands, and poor diets are a major contributor. The COVID-19 pandemic and resulting economic crisis will likely further exacerbate the burden on food systems. Pacific Island leaders have adopted a range of food policies and regulations to improve diets. This includes taxes and regulations on compositional standards for salt and sugar in foods or school food policies. Despite increasing evidence for the effectiveness of such policies globally, there is a lack of local context-specific evidence about how to implement them effectively in the Pacific.

Methods: Our 5-year collaborative project will test the feasibility and effectiveness of policy interventions to reduce salt and sugar consumption in Fiji and Samoa, and examine factors that support sustained implementation. We will engage government agencies and civil society in Fiji and Samoa, to support the design, implementation and monitoring of evidence-informed interventions. Specific objectives are to: (1) conduct policy landscape analysis to understand potential opportunities and challenges to strengthen policies for prevention of diet-related NCDs in Fiji and Samoa; (2) conduct repeat cross sectional surveys to measure dietary intake, food sources and diet-related biomarkers; (3) use Systems Thinking in Community Knowledge Exchange (STICKE) to strengthen implementation of policies to reduce salt and sugar consumption; (4) evaluate the impact, process and cost effectiveness of implementing these policies. Quantitative and qualitative data on outcomes and process will be analysed to assess impact and support scale-up of future interventions.

Discussion: The project will provide new evidence to support policy making, as well as developing a low-cost, high-tech, sustainable, scalable system for monitoring food consumption, the food supply and health-related outcomes.

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太平洋岛屿扩大粮食政策:政策参与议定书和干预措施实施的混合方法评价。

背景:太平洋岛屿存在非传染性疾病危机，不良饮食是一个主要因素。2019冠状病毒病大流行及其引发的经济危机可能会进一步加剧粮食系统的负担。太平洋岛国领导人采取了一系列食品政策和法规来改善饮食。这包括税收和规定食品中盐和糖的成分标准或学校食品政策。尽管越来越多的证据表明这些政策在全球范围内是有效的，但关于如何在太平洋地区有效实施这些政策，缺乏针对当地具体情况的证据。方法:我们为期5年的合作项目将测试在斐济和萨摩亚减少盐和糖消费的政策干预措施的可行性和有效性，并审查支持持续实施的因素。我们将与斐济和萨摩亚的政府机构和民间社会合作，支持循证干预措施的设计、实施和监测。具体目标是:(1)进行政策格局分析，了解斐济和萨摩亚加强预防与饮食有关的非传染性疾病政策的潜在机遇和挑战;(2)进行重复横断面调查，测量膳食摄入量、食物来源和饮食相关生物标志物;(3)运用社区知识交流中的系统思维(STICKE)，加强实施减少盐和糖消费的政策;(4)评估实施这些政策的影响、过程和成本效益。将对结果和过程的定量和定性数据进行分析，以评估影响并支持扩大未来的干预措施。讨论:该项目将提供新的证据，支持政策制定，以及开发一个低成本、高科技、可持续、可扩展的系统，以监测粮食消费、粮食供应和卫生相关结果。

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来源期刊

Nutrition Journal NUTRITION & DIETETICS-

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Nutrition Journal publishes surveillance, epidemiologic, and intervention research that sheds light on i) influences (e.g., familial, environmental) on eating patterns; ii) associations between eating patterns and health, and iii) strategies to improve eating patterns among populations. The journal also welcomes manuscripts reporting on the psychometric properties (e.g., validity, reliability) and feasibility of methods (e.g., for assessing dietary intake) for human nutrition research. In addition, study protocols for controlled trials and cohort studies, with an emphasis on methods for assessing dietary exposures and outcomes as well as intervention components, will be considered. Manuscripts that consider eating patterns holistically, as opposed to solely reductionist approaches that focus on specific dietary components in isolation, are encouraged. Also encouraged are papers that take a holistic or systems perspective in attempting to understand possible compensatory and differential effects of nutrition interventions. The journal does not consider animal studies. In addition to the influence of eating patterns for human health, we also invite research providing insights into the environmental sustainability of dietary practices. Again, a holistic perspective is encouraged, for example, through the consideration of how eating patterns might maximize both human and planetary health.