scholarly journals International moves to strengthen food policies

2009 ◽  
Vol 68 (2) ◽  
pp. 221-224 ◽  
Author(s):  
T. Lobstein

The present paper considers the need to move from a ‘health education’ approach to dietary health to an approach that focuses on food and nutrition policies at the population level, and especially those policies that avoid widening the inequalities in health between different socio-economic groups and those policies that promote healthy diets among children. Recent moves at the international level include measures to protect children from promotional marketing of fatty and sugary foods and the funding of free fruit for schoolchildren. By improving child health, improvements can be expected in the health of future generations.

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nandita Perumal ◽  
Beverly Bradley ◽  
Aviva Rappaport ◽  
Vanessa Pike ◽  
Stanley Zlotkin

Abstract Objectives To summarize the evidence on the impact of nutrition policies on improving health among children in low-, middle- and high-income countries (LMHICs). Methods A scoping review was conducted to map and describe peer-reviewed studies evaluating the impact of population-level nutrition policies on child health and undernutrition (using primary data) in LMHICs. We systematically searched Medline, Embase, Web of Science, Scopus, and PAIS Index for public policy, to identify eligible studies. Data on key study characteristics, including research design, type of nutrition policy, time span of policy, child's age at outcome assessment, and types of outcomes assessed, were abstracted. Abstract screening and data abstraction were conducted in duplicate and reconciled. Results Of the 5646 abstracts screened, 83 studies were included. The majority of studies were conducted in upper-middle or high-income settings (66%, 54/83 studies) (Figure 1). Most studies were observational study design (49%, 41/83 studies), evaluated regional/sub-national policies (68%, 56/83 studies), reported on mandatory policies (71%, 59/83 studies), were related to micronutrient food fortification and/or supplementation (70%, 58/83 studies), and assessed outcomes among children <5 years of age (55%, 46/83 studies). Iodine deficiency disorders (40%, 33 studies) and neural tube defects (18%, 15 studies) were the most commonly assessed child health outcomes. The impact of policy intervention on outcomes, such as low birth weight, breastfeeding rates, vitamin A deficiencies, and child growth, were assessed less frequently. Policies were largely implemented between 1990–2000 (36%, 30/83 studies) and studies mostly evaluated effects within a year (28%, 23/83) or within 2–5 years since policy implementation (13%, 11/83 studies). Conclusions Among the studies reviewed, nutrition policies were commonly associated with improved child nutrition and health. However, current evidence is primarily based on regional studies from high-income settings evaluating the effect of micronutrient food fortification and/or supplementation policies on a narrow set of outcomes. Further research is needed to assess the impact of a broader range of nutrition policies on child health, particularly in LMICs. Funding Sources Funding for this research was provided by the 2017 SickKids Centre for Global Child Health Catalyst Grant Competition. Supporting Tables, Images and/or Graphs


2002 ◽  
Vol 61 (4) ◽  
pp. 579-585 ◽  
Author(s):  
Tim Lobstein

Food policies deliver large quantities of food relatively safely, but they are failing to deliver healthy diets. Policies fall into three broad categories: the supply of sufficient amounts of food (food security); the provision of food free from contamination (food safety); the provision of a healthy diet available to all (nutritional quality). These three aspects are dealt with by institutions that rarely engage with each other, let alone coordinate their strategies. Greater financial support has been given to agricultural policy than to any other joint EU endeavour. In the last decade food safety has dominated headlines and has influenced recent changes to EU food policies. New food authorities and agencies have been established and ministerial responsibilities have been redefined. Yet, it is nutrition, or rather `mis-nutrition', that is the largest single cause of death and disease within the region, and indeed worldwide. This need not be the case. Nutrition and dietary policies may find themselves in close alliance with policies for sustainable agriculture. However, the change in thinking that will be required will mean reconsidering the role of commercial food production. Successful nutrition policies may yet prove to be the next major step in the improvement of public health.


2009 ◽  
Vol 68 (2) ◽  
pp. 216-220 ◽  
Author(s):  
L. B. Levy

There are a range of government food policies at national and international level. Overall, their aims are diverse but all will have an impact on women and thus impact on the developmental origins of adult disease through their role as mothers of future generations. The present paper describes the approach of the Food Standards Agency to help consumers choose, cook and eat healthy safe food by influencing individuals, products and the food environment. Examples of activity at the national, local and international level are used to demonstrate this approach.


Author(s):  
Nobuyo Tsuboyama-Kasaoka ◽  
Mari Hamada ◽  
Kae Ohnishi ◽  
Sakiko Ueda ◽  
Yukako Ito ◽  
...  

Infants need sufficient nutrients even during disasters. Only qualitative descriptive analysis has been reported regarding nutritional problems of mothers and children after the Kumamoto earthquake, and non-subjective analysis is required. This study examined issues concerning maternal and child health, food and nutrition after the Kumamoto earthquake using automatic computer quantitative analysis from focus group interviews (FGIs). Study participants (n = 13) consisted of dietitians in charge of nutrition assistance of infants in affected areas. The content of the interviews was converted into text, nouns were extracted, and co-occurrence network diagram analysis was performed. In the severely damaged area, there were hygienic problems not only in the acute phase but also in the mid-to-long-term phase. “Allergy” was extracted in the surrounding area in the acute and the mid-to-long-term phase, but not in the severely damaged area as the acute phase issue. In the surrounding area, problems have shifted to health and the quality of diet in the mid-to-long-term phase. This objective analysis suggested that dietary problems for mothers and children after disaster occurred also in the mid-to-long-term phase. It will be necessary to combine the overall trends obtained in this study with the results of qualitative descriptive analysis.


2003 ◽  
Vol 62 (4) ◽  
pp. 359-368 ◽  
Author(s):  
Rhiannon England ◽  
Kathy Doughty ◽  
Sevtap Genc ◽  
Zeynep Putkeli

2000 ◽  
Vol 83 (S1) ◽  
pp. S181-S186 ◽  
Author(s):  
Åke Bruce

The remarkable increase over the past 40 years in some chronic diseases, including the metabolic syndrome, has increased the demand for government and international policies to encourage various approaches to decrease the risk of these diseases. There are some prerequisites for working out successful national food and nutrition policies. Firstly, it is necessary to have a clear picture of the dietary pattern in a country and its associated public health problems. Based on these data, nutrient recommendations and goals are formulated by international or national scientific committees. Governments should translate these nutrient goals into food goals and eventually into national dietary guidelines. The means by which the national authorities can implement a nutrition policy include fortification and supplementation. Equally important are educational and informative tools, such as labelling on the packed food products including information about ingredients and nutrient content. With respect to the metabolic syndrome, this implies nutrient recommendations regarding the intake of fat and carbohydrates (energy per cent) and dietary fibre; dietary guidelines regarding balance between energy intake and expenditure; decreased consumption of products rich in fat and increased consumption of cereals and other products rich in dietary fibre, etc.; recommendations from the authorities regarding nutrient labelling (content of fat and dietary fibre) on relevant products; and nutrient and health claims and other aids (symbols) as tools to make it easier for consumers to select the appropriate food products.


2020 ◽  
Author(s):  
Lauren Yu-Lien Maldonado ◽  
Julia J. Songok ◽  
John W. Snelgrove ◽  
Christian B. Ochieng ◽  
Sheilah Chelagat ◽  
...  

Abstract Background: We launched Chamas for Change (Chamas), a group-based health education and microfinance program for pregnant women and their infants, to address inequities contributing to high rates of maternal and neonatal mortality in western Kenya. In this prospective matched cohort study, we evaluated the association between Chamas participation and uptake of evidence-based, maternal, newborn and child health (MNCH) behaviors. Methods: We prospectively compared the uptake of MNCH behaviors between a cohort of Chamas participants and controls matched for age, parity, and prenatal care location. Between October-December 2012, government-sponsored community health volunteers (CHV) recruited pregnant women attending their first antenatal care (ANC) visits at health facilities in Busia County to participate in Chamas . Women enrolled in Chamas agreed to attend bi-monthly group health education and optional microfinance sessions for 12 months. We collected baseline sociodemographic data at study enrollment for each cohort. We used descriptive analyses and adjusted multivariable logistic regression models to compare outcomes across cohorts at 6-12 months postpartum, with α set to 0.05. Results: Compared to controls (n=115), a significantly higher proportion of Chamas participants (n=211) delivered in a facility with a skilled birth attendant (84.4% vs. 50.4%, p<0.001), attended at least four ANC visits (64.0% vs. 37.4%, p<0·001), exclusively breastfed to six months (82.0% vs. 47.0%, p<0·001), and received a CHV home visit within 48 hours postpartum (75.8% vs. 38.3%, p<0·001). In our adjusted models, Chamas participants were nearly five times as likely as controls to deliver in a health facility (OR 5.07, 95% CI 2.74-9.36, p<0.001). Though not statistically significant, Chamas participants experienced a lower proportion of stillbirths (0.9% vs. 5.2%), miscarriages (5.2% vs. 7.8%), infant deaths (2.8% vs. 3.4%), and maternal deaths (0.9% vs. 1.7%) compared to controls. Our sensitivity analyses revealed no significant difference in the odds of facility delivery based on microfinance participation. Conclusions: Chamas participation was associated with increased practice of evidence-based MNCH health behaviors among pregnant women in western Kenya. Our findings demonstrate this program’s potential to achieve population-level MNCH benefits; however, a larger study is needed to validate this observed effect.


2021 ◽  
Vol 5 (1) ◽  
pp. 12-16
Author(s):  
Hairil Akbar ◽  
Sarman ◽  
Muhammad Ichsan Hadiansyah

Efforts to achieve Indonesian citizen with quality are closely related to food and nutrition factors. Fulfillment of food and nutrition adequacy can be seen from the level of food provided and the quality and diversity of food and nutrition available. Approximately 70% of cases of food poisoning in the world are caused by ready-to-eat food, namely processed food, especially by catering businesses, restaurants, canteens, restaurants, or street food. Food poisoning is usually caused by the food being contaminated with bacteria or microbes. The purpose of this community service is to increase students' knowledge and understanding regarding selecting, processing, and serving safe food. Methods used consisted of counseling and health education on tips for selecting, processing, and serving food using the zoom cloud meeting application, with the target of Graha Medika Kotamobagu Health Institute students. The activity was held on Monday, October 12, 2020. The results of the community service activities showed that of the 34 students who participated in the activity, 80% of students knew and could mention tips on choosing, processing, and serving safe food. The implementation of social service is very important to increase knowledge in selecting, processing and serving food that is safe for consumption.


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