Benchmarking public policies to create healthy food environments compared to best practice: the Healthy Food Environment Policy Index in Guatemala.

Autor: Sánchez-Nóchez CM; INCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Calzada Roosevelt 6-25 zona 11, 01188, Guatemala City, Guatemala.; Graduate School, Faculty of Pharmacy and Chemistry Sciences, Universidad de San Carlos de, 11th avenue, zone 12, 01012, Guatemala City, Guatemala., Ramirez-Zea M; INCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Calzada Roosevelt 6-25 zona 11, 01188, Guatemala City, Guatemala., Vandevijvere S; Scientific Institute of Public Health (Sciensano), Unit of Epidemiology, J. Wytsmanstraat 14, B-1050, Brussels, Belgium.; Department of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, PC. 1010, New Zealand., Kroker-Lobos MF; INCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Calzada Roosevelt 6-25 zona 11, 01188, Guatemala City, Guatemala. fkroker@incap.int.
Jazyk: angličtina
Zdroj: Archives of public health = Archives belges de sante publique [Arch Public Health] 2022 Jul 19; Vol. 80 (1), pp. 174. Date of Electronic Publication: 2022 Jul 19.
DOI: 10.1186/s13690-022-00928-w
Abstrakt: Background: Benchmarking the implementation of healthy food environment public policies against international best practices may accelerate the government response to prevent obesity and non-communicable diseases (NCDs) in the countries. The aim of the study was to determine the extent of food environment policy implementation in Guatemala and to identify and prioritize actions for the government to accelerate their implementation.
Methods: The INFORMAS Healthy Food Environment Policy Index (Food-EPI from the International Network for Food and Obesity/NCDs Research, Monitoring and Action Support) was used. Evidence of implementation for 50 good practice indicators within the seven food policies and six infrastructure support domains was compiled, and subsequently validated by Guatemalan government officials. A national civil society expert panel on public health and nutrition performed an online assessment of the implementation of healthy food environment policies against best international practices. The level of agreement among evaluators was measured using the Gwet second order agreement coefficient (AC2). The expert panel recommended actions for each indicator during on-site workshops and those actions were prioritized by importance and achievability.
Results: The expert panel rated implementation at zero for 26% of the indicators, very low for 28% of indicators, low for 42%, and medium for 4% of indicators (none were rated high). Indicators at medium implementation were related to the use of evidence for developing policies and ingredient list/nutrition information panels on packaged foods. Seventy-seven actions were recommended prioritizing the top 10 for immediate action. The Gwet AC2 was 0.73 (95% CI 0.67-0.80), indicating a good concordance among experts.
Conclusions: In the Food-EPI of Guatemala, almost all indicators of good practice had a low or less level of implementation. The expert panel proposed 12 priority actions to accelerate policy implementation to tackle obesity and NCDs in the country.
(© 2022. The Author(s).)
Databáze: MEDLINE
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