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

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...

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Main Authors: 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
Format: Article
Language:English
Published: BMC 2022-02-01
Series:Nutrition Journal
Subjects:
Online Access:https://doi.org/10.1186/s12937-022-00761-5
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author 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
author_facet 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
author_sort Jacqui Webster
collection DOAJ
description 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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spelling doaj.art-40cd35b3749b4677b089ed2387924e192022-12-22T04:10:57ZengBMCNutrition Journal1475-28912022-02-0121111110.1186/s12937-022-00761-5Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementationJacqui Webster0Gade Waqa1Anne-Marie Thow2Steven Allender3Thomas Lung4Mark Woodward5Kris Rogers6Isimeli Tukana7Ateca Kama8Donald Wilson9Sarah Mounsey10Rebecca Dodd11Erica Reeve12Briar Louise McKenzie13Claire Johnson14Colin Bell15George Institute for Global Health, University of New South WalesPacific Research Centre for the Prevention of Obesity and Non-Communicable Diseases, Fiji National UniversityMenzies Centre for Health Policy, The University of SydneyGlobal Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Deakin UniversityGeorge Institute for Global Health, University of New South WalesGeorge Institute for Global Health, University of New South WalesGeorge Institute for Global Health, University of New South WalesMinistry of Health and Medical ServicesMinistry of Health and Medical ServicesPacific Research Centre for the Prevention of Obesity and Non-Communicable Diseases, Fiji National UniversityMenzies Centre for Health Policy, The University of SydneyGeorge Institute for Global Health, University of New South WalesGlobal Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Deakin UniversityGeorge Institute for Global Health, University of New South WalesGeorge Institute for Global Health, University of New South WalesGlobal Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Deakin UniversityAbstract 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.https://doi.org/10.1186/s12937-022-00761-5Pacific healthFood policyInterventionSaltSugarHealth policy analysis
spellingShingle 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
Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
Nutrition Journal
Pacific health
Food policy
Intervention
Salt
Sugar
Health policy analysis
title Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
title_full Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
title_fullStr Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
title_full_unstemmed Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
title_short Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
title_sort scaling up food policies in the pacific islands protocol for policy engagement and mixed methods evaluation of intervention implementation
topic Pacific health
Food policy
Intervention
Salt
Sugar
Health policy analysis
url https://doi.org/10.1186/s12937-022-00761-5
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