Towards better nutrition in Europe: Evaluating progress and defining future directions

Breda, João; Castro, Lea Samanta Nash; Whiting, Stephen; Williams, Julianne; Jewell, Jo; Engesveen, Kaia; Wickramasinghe, Kremlin

doi:10.1016/j.foodpol.2020.101887

Cited by 42 publications

(33 citation statements)

References 24 publications

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“…In particular, as unanimously mentioned by all stakeholders, capacity building, system monitoring and funding stability would be key resources needed for successful implementation of the 1000 days plus policies and programs in the future. The findings of this study are largely consistent with themes identified by a wide range of health policy implementation studies [ 5 , 17 , 28 , 29 , 30 , 31 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ].…”

Section: Discussionsupporting

confidence: 87%

“…Ghana could plan a single policy based on investigating which current 1000 days plus policies and programs are successful and scaling these up. To achieve this, as identified in this study and in line with the policy planning literature, a system of monitoring and evaluation that provides data on availability of resources, a detailed inventory on context-specific preconditions and data on the nutritional status of the entire Ghana in population, is needed [ 17 , 21 , 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana

Galaurchi

Chatio

Beeri

et al. 2021

IJERPH

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Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana’s recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitators to the implementation of nutrition policies and programs relating to the first 1000 days plus. Data analyzed included in-depth interviews and focus group discussions conducted in Ghana between March and April 2019. Participants were composed of experts from government agencies, civil society organizations, community-based organizations and international partners at national and subnational levels. Seven critical areas were identified: planning policy implementation, resources, leadership and stakeholders’ engagement, implementation guidance and ongoing communication, organizational culture, accountability and governance and coverage. The study showed that, to eradicate malnutrition in Ghana, priorities of individual stakeholders have to be merged and aligned into a single 1000 days plus nutrition policy framework. Furthermore, this study may support stakeholders in implementing successfully the 1000 days plus nutrition policy activities in Ghana.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana

Galaurchi

Chatio

Beeri

et al. 2021

IJERPH

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“…While there is huge amount of work to be done to create childcentered food systems from a nutritional perspective, in many contexts, existing policies and interventions are already contributing to food systems change (e.g. IFPRI, 2016;Ruel et al, 2018;Ridoutt et al, 2019;Breda et al, 2020;WCRF International, 2020). Where they do exist, recognising, building on and learning from these actions provides a base from which to work.…”

Section: • Builds On Actions Already In Placementioning

confidence: 99%

Child-centered food systems: Reorienting food systems towards healthy diets for children

Hawkes

Fox

Downs

et al. 2020

Global Food Security

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Current food systems are failing to guide children towards healthy diets. This paper presents a tool to identify the actions needed to reorient food systems to become more child-centred from a nutrition perspective. To connect the dots between children's lives, their food environments and food supply systems, the tool takes a childcentred, food systems approach. Comprising six methodological steps, the tool starts by measuring and understanding children's realities and then working back up into the system to identify how food environments and supply systems could make relevant foods more or less available, affordable, appealing and aspirational in the contexts of children's lives. The paper spells out the mix of methods needed to make this assessment, gives examples of the data and studies already available and type of insights they provide, and discusses the methodological challenges and gaps. It presents a worked example that shows how following these steps in sequence enables the identification of a package of actions that can act coherently to reorient food systems in the way most likely to have impact on child malnutrition.

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“…A recent study on policies for better nutrition in the European region conducted by the Regional World Health Organization (WHO) Office for Europe showed that while significant progress has been made by EU member states in some areas of public health nutrition, such as for school nutrition policies, product reformulation and implementation of trans fat regulations, more ambitious policies are needed to achieve global targets for the reduction of NCDs [5]. For example, to address the burden of unhealthy diets and improve the relative affordability of healthy foods, the WHO has called on member states to introduce healthrelated food taxes and subsidies [6].…”

Section: Introductionmentioning

confidence: 99%

Food cost and adherence to guidelines for healthy diets: evidence from Belgium

et al. 2020

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Background/Objectives Evidence on whether healthy diets are more expensive than less healthy diets is mixed. The relative cost of meeting healthy diet guidelines in Belgium was estimated. Subjects/Methods Data from the nationally representative food consumption survey (FCS) 2014-2015 (n = 3146; 3-64 years) were used. Dietary data were collected through two non-consecutive 24-h recalls (records for children). Average prices for >2000 foods were retrieved from the 2014 GfK ConsumerScan panel and linked with foods consumed in the FCS. Daily costs of meeting nutritional guidelines were estimated across age and household education level groups. Results Processed meat contributed most (9.8%-14.4% dependent on age group) to the daily cost of diets. Soft drinks contributed to the daily cost more while fruits and vegetables contributed less for lower versus higher educated households. Compared to individuals not meeting any nutrient recommendations (sodium, saturated fat, free sugar, fibre), the average cost/2000 kcal was significantly higher for individuals meeting one (0.36 ± 0.11€, p = 0.001), two (0.87 ± 0.14€, p < 0.001) or three or more (1.44 ± 0.24€, p < 0.001) recommendations. Similarly, compared to individuals not meeting any of the foodbased recommendations (fruit, vegetables, wholegrain, nuts and seeds, red meat, processed meat), the average cost/2000 kcal was significantly higher for individuals meeting three or more (1.04 ± 0.27€; p < 0.001) recommendations. For adults, diets meeting guidelines for vegetables were 20% and for fruits 10% more expensive than diets not meeting those guidelines. Conclusions The cost of diets of Belgian people meeting healthy diet guidelines is greater than of those not meeting guidelines. Policies that make healthy diets more affordable are recommended.

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Towards better nutrition in Europe: Evaluating progress and defining future directions

Cited by 42 publications

References 24 publications

Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana

Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana

Child-centered food systems: Reorienting food systems towards healthy diets for children

Food cost and adherence to guidelines for healthy diets: evidence from Belgium

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