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Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation.
Webster, Jacqui; Waqa, Gade; Thow, Anne-Marie; Allender, Steven; Lung, Thomas; Woodward, Mark; Rogers, Kris; Tukana, Isimeli; Kama, Ateca; Wilson, Donald; Mounsey, Sarah; Dodd, Rebecca; Reeve, Erica; McKenzie, Briar Louise; Johnson, Claire; Bell, Colin.
  • Webster J; George Institute for Global Health, University of New South Wales, 1 King Street, Newtown, Sydney, New South Wales, 2046, Australia. jwebster@georgeinstitute.org.au.
  • Waqa G; Pacific Research Centre for the Prevention of Obesity and Non-Communicable Diseases, Fiji National University, Suva, Fiji.
  • Thow AM; Menzies Centre for Health Policy, The University of Sydney, Sydney, Australia.
  • Allender S; Global Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Deakin University, Melbourne, Australia.
  • Lung T; George Institute for Global Health, University of New South Wales, 1 King Street, Newtown, Sydney, New South Wales, 2046, Australia.
  • Woodward M; George Institute for Global Health, University of New South Wales, 1 King Street, Newtown, Sydney, New South Wales, 2046, Australia.
  • Rogers K; George Institute for Global Health, Oxford University, Oxford, UK.
  • Tukana I; Johns Hopkins University, Baltimore, USA.
  • Kama A; George Institute for Global Health, University of New South Wales, 1 King Street, Newtown, Sydney, New South Wales, 2046, Australia.
  • Wilson D; Ministry of Health and Medical Services, Suva, Fiji.
  • Mounsey S; Ministry of Health and Medical Services, Suva, Fiji.
  • Dodd R; Pacific Research Centre for the Prevention of Obesity and Non-Communicable Diseases, Fiji National University, Suva, Fiji.
  • Reeve E; Menzies Centre for Health Policy, The University of Sydney, Sydney, Australia.
  • McKenzie BL; George Institute for Global Health, University of New South Wales, 1 King Street, Newtown, Sydney, New South Wales, 2046, Australia.
  • Johnson C; Global Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Deakin University, Melbourne, Australia.
  • Bell C; George Institute for Global Health, University of New South Wales, 1 King Street, Newtown, Sydney, New South Wales, 2046, Australia.
Nutr J ; 21(1): 8, 2022 02 02.
Article in English | MEDLINE | ID: covidwho-1690911
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Oceania Language: English Journal: Nutr J Journal subject: Nutritional Sciences Year: 2022 Document Type: Article Affiliation country: S12937-022-00761-5

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Oceania Language: English Journal: Nutr J Journal subject: Nutritional Sciences Year: 2022 Document Type: Article Affiliation country: S12937-022-00761-5