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01.12.2018 | Research | Ausgabe 1/2018 Open Access

Health Research Policy and Systems 1/2018

Measuring and stimulating progress on implementing widely recommended food environment policies: the New Zealand case study

Zeitschrift:
Health Research Policy and Systems > Ausgabe 1/2018
Autoren:
Stefanie Vandevijvere, Sally Mackay, Boyd Swinburn
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12961-018-0278-0) contains supplementary material, which is available to authorized users.

Abstract

Background

Monitoring the degree of implementation of widely recommended food environment policies by national governments is an important part of stimulating progress towards better population nutritional health.

Methods

The Healthy Food Environment Policy Index (Food-EPI) was applied for the second time in New Zealand in 2017 (initially applied in 2014) to measure progress on implementation of widely recommended food environment policies. A national panel of 71 independent (n = 48) and government (n = 23) public health experts rated the extent of implementation of 47 policy and infrastructure support good practice indicators by the Government against international best practice, using an extensive evidence document verified by government officials. Experts proposed and prioritised concrete actions needed to address the critical implementation gaps identified.

Results

Inter-rater reliability was good (Gwet’s AC2 > 0.8). Approximately half (47%) of the indicators were rated as having ‘low’ or ‘very little, if any’ implementation compared to international benchmarks, a decrease since 2014 (60%). A lower proportion of infrastructure support (29%) compared to policy (70%) indicators were rated as having ‘low’ or ‘very little, if any’ implementation. The experts recommended 53 actions, prioritising nine for immediate implementation; three of those prioritised actions were the same as in 2014. The vast majority of experts agreed that the Food-EPI is likely to contribute to beneficial policy change and increased their knowledge about food environments and policies.

Conclusion

The Food-EPI has the potential to increase accountability of governments to implement widely recommended food environment policies and reduce the burden of obesity and diet-related diseases.
Zusatzmaterial
Additional file 1: Healthy Food Environment Policy Index (Food-EPI) tool and process. (DOCX 133 kb)
12961_2018_278_MOESM1_ESM.docx
Additional file 2: Healthy Food Environment Policy Index (Food-EPI) good practice indicators and recommendations made by the experts. (DOCX 62 kb)
12961_2018_278_MOESM2_ESM.docx
Literatur
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