Articlediamond2015

The healthy food environment policy index: findings of an expert panel in New Zealand

Stefanie Vandevijvere · Clare H. Dominick · Anandita Devi · Boyd Anthony Swinburn

50 citations0/0 files storedBulletin of the World Health Organization

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Global Public Health Policies and Epidemiology Consumer Attitudes and Food Labeling Nutrition, Health, and Society Studies

Abstract

OBJECTIVE: To assess government actions to improve the healthiness of food environments in New Zealand, based on the healthy food environment policy index. METHODS: A panel of 52 public health experts rated the extent of government implementation against international best practice for 42 indicators of food environment policy and infrastructure support. Their ratings were informed by documented evidence, validated by government officials and international benchmarks. FINDINGS: There was a high level of implementation for some indicators: providing ingredient lists and nutrient declarations and regulating health claims on packaged foods; transparency in policy development; monitoring prevalence of noncommunicable diseases and monitoring risk factors for noncommunicable diseases. There was very little, if any implementation of the following indicators: restrictions on unhealthy food marketing to children; fiscal and food retail policies and protection of national food environments within trade agreements. Interrater reliability was 0.78 (95% confidence interval, CI: 0.76-0.79). Based on the implementation gaps, the experts recommended 34 actions, and prioritized seven of these. CONCLUSION: The healthy food environment policy index provides a useful set of indicators that can focus attention on where government action is needed. It is anticipated that this policy index will increase accountability of governments, stimulate government action and support civil society advocacy efforts.

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References

2013INFORMAS ( I nternational N etwork for F ood and O besity/non‐communicable diseases R esearch, M onitoring and A ction S upport): overview and key principles 2013A food policy package for healthy diets and the prevention of obesity and diet‐related non‐communicable diseases: the NOURISHING framework 2013Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: a proposed G overnment H ealthy F ood E nvironment P olicy I ndex 2013The impact of initiatives to limit the advertising of food and beverage products to children: a systematic review

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2019Benchmarking the commitments related to population nutrition and obesity prevention of major food companies in New Zealand 2018Measuring and stimulating progress on implementing widely recommended food environment policies: the New Zealand case study 2019The first INFORMAS national food environments and policies survey in New Zealand: A blueprint country profile for measuring progress on creating healthy food environments 2017Appetite for health-related food taxes: New Zealand stakeholder views 2020Benchmarking food environment policies for the prevention of diet-related non-communicable diseases in Kenya: National expert panel’s assessment and priority recommendations 2018Extent of implementation of food environment policies by the Malaysian Government: gaps and priority recommendations

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