A systematic interim assessment of the Australian Government's Food and Health Dialogue.
Tamara Elliott,Helen Trevena,Gary Sacks,Elizabeth Dunford,Jane Martin,Jacqui Webster,Boyd Swinburn,A Rob Moodie,Bruce Neal +8 more
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Evaluated whether the Food and Health Dialogue, established by the Australian Government in 2009, is having an impact on reducing premature death and disability caused by poor diet in Australia.Abstract:
Objective To evaluate whether the Food and Health Dialogue (the Dialogue), established by the Australian Government in 2009, is having an impact on reducing premature death and disability caused by poor diet in Australia. Design and setting We used information derived from the Dialogue website, media releases, communiques and e-newsletters to evaluate the Dialogue's achievements from October 2009 to September 2013, using the RE-AIM (reach, efficacy, adoption, implementation and maintenance) framework. Data describing the processed foods marketed in Australia were extracted from an existing food composition database. Main outcome measures Achievements of the Dialogue (goals, targets, actions and health outcomes). Results The primary goal of the Dialogue was identified as "raising the nutritional profile of foods" to be achieved "through reformulation, consumer education and portion standardisation". Employing a public-private partnership model, the Dialogue has established a framework for collaboration between government, public health groups and industry. In the first 4 years, targets were set for 11 (8.9%) of a total of 124 possible action areas for food reformulation and portion standardisation. None were yet due to have been achieved. There was no evidence that any education programs had been implemented by the Dialogue. There are no indicators of the extent to which population exposure to target nutrients has changed or whether any positive or negative health impacts have ensued. Conclusions The Dialogue has highly creditable goals but the mechanism for delivering on them has proved inadequate. Explicit processes and the outcomes to be delivered within defined timelines are required, along with a clear plan for remediation if they are not achieved.read more
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Strengthening of accountability systems to create healthy food environments and reduce global obesity
Boyd Swinburn,Boyd Swinburn,Vivica I. Kraak,Vivica I. Kraak,Harry Rutter,Stefanie Vandevijvere,Tim Lobstein,Gary Sacks,Fabio da Silva Gomes,Tim Marsh,Roger Magnusson +10 more
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Evaluating the public health impact of health promotion interventions: the RE-AIM framework.
TL;DR: A model for evaluating public health interventions that assesses 5 dimensions: reach, efficacy, adoption, implementation, implementation and maintenance is proposed (termed the RE-AIM model).
Journal ArticleDOI
Priority actions for the non-communicable disease crisis
Robert Beaglehole,Ruth Bonita,Richard Horton,Cary Adams,George Alleyne,Perviz Asaria,Vanessa Baugh,Henk Bekedam,Nils Billo,Sally Casswell,Michele Cecchini,Ruth Colagiuri,Stephen Colagiuri,Téa E Collins,Shah Ebrahim,Michael M. Engelgau,Gauden Galea,Thomas A. Gaziano,Robert Geneau,Andy Haines,James Hospedales,Prabhat Jha,Ann Keeling,Stephen R. Leeder,Paul Lincoln,Martin McKee,Judith Mackay,Roger Magnusson,Rob Moodie,Modi Mwatsama,Sania Nishtar,Bo Norrving,David Patterson,Peter Piot,Johanna Ralston,Manju Rani,K. Srinath Reddy,Franco Sassi,Nick Sheron,David Stuckler,Il Suh,Julie Torode,Cherian Varghese,Judith Watt +43 more
TL;DR: The Lancet NCD Action Group and the NCD Alliance propose five overarching priority actions for the response to the crisis and the delivery of five priority interventions--tobacco control, salt reduction, improved diets and physical activity, reduction in hazardous alcohol intake, and essential drugs and technologies.
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Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries
Rob Moodie,David Stuckler,Carlos Augusto Monteiro,Nick Sheron,Bruce Neal,Thaksaphon Thamarangsi,Paul Lincoln,Sally Casswell +7 more
TL;DR: This paper assess the eff ectiveness of self-regulation, public-private partnerships, and public regulation models of interaction with unhealthy commodity industries and conclude that unhealthy commodity industry should have no role in the formation of national or international NCD policy.
Journal ArticleDOI
Projected Effect of Dietary Salt Reductions on Future Cardiovascular Disease
Kirsten Bibbins-Domingo,Glenn M. Chertow,Pamela G. Coxson,Andrew E. Moran,James Lightwood,Mark J. Pletcher,Lee Goldman +6 more
TL;DR: In this article, the authors used the Coronary Heart Disease (CHD) Policy Model to quantify the benefits of potentially achievable, population-wide reductions in dietary salt of up to 3 g per day (1200 mg of sodium per day).
Chronic Diseases: Chronic Diseases and Development 5 Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries
Ala Alwan,David R. MacLean,Leanne M. Riley,Colin Mathers,Gretchen A Stevens,Douglas Bettcher +5 more
TL;DR: A framework for monitoring of such diseases is outlined and the mortality burden and the capacity of countries to respond to them are reviewed and it is shown that capacity for prevention and control of non-communicable diseases is inadequate.