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Assessing the progress on the implementation of policy and legislation actions to address the Non-Communicable Diseases crisis in the Pacific
No full textAim
To assess the progress on the implementation of Non-Communicable Diseases (NCD) related policies and legislations in the Pacific Island Countries and Territories (PICTs).
Materials and methods
The Pacific Monitoring Alliance for NCD Action (MANA) Dashboard was used to assess the progress on the implementation. The MANA Dashboard includes 31 indicators across four different domains such as leadership and governance; preventative policies and legislations; health system response programs; and monitoring This progress assessment was conducted between 2019 and 2020 for all 21 PICTs. The data were analyzed and compared with the baseline status (2018) report and presented across four different domains of the MANA dashboard.
Results This progress assessment found that PICTs overall have made advancements in a number of areas, particularly the establishment of a national multi-sectoral NCD taskforce; implementation of referenced approaches to restrict trans-fat in the food supply in national documents; and fiscal measures to affect access and availability to less healthy foods and drinks.
However, the strengths of actions varied across PICTs, and most are categorised as low strengths. Measures which had the most limited progress in implementation include policy and legislation that restrict alcohol advertising; tobacco industry interference; marketing of foods and non-alcoholic beverages to children; and marketing for breast milk substitute
Gender roles, generational changes and environmental challenges: an intersectional interpretation of perceptions on healthy diets among iTaukei women and men in Fiji
No full textAbstract
Objective:
To investigate perceptions of iTaukei Fijian women and men around diet and the ability to consume a healthy diet.
Design:
Six focus groups were conducted with women and men separately. Six to ten women and men participated in each group. Discussions were recorded, transcribed, translated and thematically analysed. Themes were mapped to an intersectionality framework to aid interpretation.
Setting:
Four villages in Viti Levu, Fiji.
Participants:
Twenty-two women and twenty-four men.
Results:
Seven overarching themes were identified, including generational changes in food behaviour, strong-gendered beliefs around food and food provision, cultural and religious obligations around food, the impact of environmental change on the ability to consume a healthy diet, perceptions of the importance of food, food preferences and knowledge. Participants across focus groups identified that it was the ‘duty’ of women to prepare food for their families. However, some women reflected on this responsibility being unbalanced with many women now in the formal workforce. Changes between generations in food preferences and practices were highlighted, with a perception that previous generations were healthier. Power dynamics and external factors, such as environmental changes, were identified by women and men as crucial influences on their ability to eat a healthy diet.
Conclusion:
Embedded traditional perceptions of gendered roles related to nutrition were misaligned with other societal and environmental changes. Given factors other than gender, such as broader power dynamics and environmental factors were identified as influencing diet, viewing nutrition-related issues through an intersectional lens is important to inform equitable food policy in Fiji
Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation
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Background: There is a crisis of non-communicable diseases (NCDs) in the Pacifc Islands, and poor diets are a major
contributor. The COVID-19 pandemic and resulting economic crisis will likely further exacerbate the burden on food
systems. Pacifc Island leaders have adopted a range of food policies and regulations to improve diets. This includes
taxes and regulations on compositional standards for salt and sugar in foods or school food policies. Despite increas‑
ing evidence for the efectiveness of such policies globally, there is a lack of local context-specifc evidence about
how to implement them efectively in the Pacifc.
Methods: Our 5-year collaborative project will test the feasibility and efectiveness of policy interventions to reduce
salt and sugar consumption in Fiji and Samoa, and examine factors that support sustained implementation. We will
engage government agencies and civil society in Fiji and Samoa, to support the design, implementation and moni‑
toring of evidence-informed interventions. Specifc objectives are to: (1) conduct policy landscape analysis to under‑
stand potential opportunities and challenges to strengthen policies for prevention of diet-related NCDs in Fiji and
Samoa; (2) conduct repeat cross sectional surveys to measure dietary intake, food sources and diet-related biomark‑
ers; (3) use Systems Thinking in Community Knowledge Exchange (STICKE) to strengthen implementation of policies
to reduce salt and sugar consumption; (4) evaluate the impact, process and cost efectiveness of implementing these
policies. Quantitative and qualitative data on outcomes and process will be analysed to assess impact and support
scale-up of future interventions.
Discussion: The project will provide new evidence to support policy making, as well as developing a low-cost, high-tech, sustainable, scalable system for monitoring food consumption, the food supply and health-related outcome
�When they do that kind of bad things to me, I feel that they encourage me to be strong and be who I am�: How transfeminine people in Samoa, Tonga and the Cook Islands experience discrimination, acceptance and a sense of place
Get PDFThe impact of glucose tolerance state on seropositivity rate after hepatitis B vaccination
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