Achieving Food System Transformation: Insights From A Retrospective Review of Nutrition Policy (In)Action in High-Income Countries
- سال انتشار: 1400
- محل انتشار: مجله بین المللی سیاست و مدیریت بهداشت، دوره: 10، شماره: 0
- کد COI اختصاصی: JR_HPM-10-01_003
- زبان مقاله: انگلیسی
- تعداد مشاهده: 137
نویسندگان
School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
چکیده
BackgroundComprehensive nutrition policies are required urgently to help transform food systems to more equitably deliver healthy, sustainable diets. MethodsLiterature was searched systematically for nutrition policies of the then ۳۴ Organisation for Economic Co-operation and Development (OECD) members as part of a scoping study. Recently, results were re-analysed, against the NOURISHING framework. ResultsTwenty-three nutrition policy documents were identified for ۱۹ jurisdictions. Most policy actions focused on the behaviour change communication domain: all (۱۰۰%) promoted consumption of ‘healthy’ choices. In the food environment domain, most policies included food labelling (۸۴%), product reformulation (۶۸%), providing healthy foods in public institutions (۸۹%, mainly schools), and restricting food advertising (۵۳%), largely through voluntary codes. Relatively few economic tools were being applied. There was very little focus on reducing consumption of ‘unhealthy’ food or drinks. Not all nutrition policy actions identified were covered by the NOURISHING framework. ConclusionThe NOURISHING framework could be expanded to more comprehensively encompass the health and sustainability dimensions of food systems, eg, by detailing optimum governance arrangements. As recently as seven years ago, half of the most developed economies globally did not have a publicly available nutrition policy. Existing policies were dominated by conventional nutrition education approaches, while policy actions targeting food environments, and regulatory and legislative reforms, were rare. This is consistent with a neo-liberal approach centring individual responsibility. No examples of the multi-strategy, inter-sectoral, coordinated, evidence-based policies required to drive systemic transformation were identified. Therefore, it is not surprising that rates of obesity and diet-related conditions have continued to rise in these jurisdictions, nor that governments are currently off-track to deliver the systemic transformation required to meet relevant global health and sustainable development goals.کلیدواژه ها
Nutrition Policy, Food Systems, Sustainability, Equity, NOURISHING Framework, OECD countriesاطلاعات بیشتر در مورد COI
COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.
کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.