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https://www.readbyqxmd.com/read/27919261/caf%C3%A3-a-multicomponent-audit-and-feedback-intervention-to-improve-implementation-of-healthy-food-policy-in-primary-school-canteens-a-randomised-controlled-trial
#1
Sze Lin Yoong, Nicole Nathan, Luke Wolfenden, John Wiggers, Kathryn Reilly, Christopher Oldmeadow, Rebecca Wyse, Rachel Sutherland, Tessa Delaney, Peter Butler, Lisa Janssen, Sarah Preece, Christopher M Williams
BACKGROUND: The implementation of nutrition policies in schools has been recommended as a strategy to improve child dietary intake. Internationally, research suggests that the majority of schools do not implement these policies. In New South Wales (NSW), Australia, the NSW Healthy School Canteen Policy requires that school canteens prohibit the sale of 'red' foods (i.e. foods that are typically nutrient poor and high in energy, such as confectionary and deep-fried foods) and 'banned'drinks (i...
December 5, 2016: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/27909261/measuring-nutrition-governance-an-analysis-of-commitment-capability-and-collaboration-in-nepal
#2
Patrick Webb, Shibani Ghosh, Robin Shrestha, Grace Namirembe, Sabi Gurung, Diplav Sapkota, Winnie Fay Bell, Dale Davis, Eileen Kennedy, Shailes Neupane, Swetha Manohar, Kedar Baral
BACKGROUND: Global commitments to nutrition have supported calls for better evidence to support effective investments at national level. However, too little attention has so far been paid to the role of governance in achieving impacts. OBJECTIVE: This article explores the ways by which the commitment and capabilities of policy implementers affect collaborative efforts for achieving nutrition goals. METHODS: Over 1370 structured interviews were held with government and nongovernment officials over 3 years in 21 districts...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27909260/prioritizing-and-funding-nepal-s-multisector-nutrition-plan
#3
Amanda Pomeroy-Stevens, Madhukar B Shrestha, Monica Biradavolu, Kusum Hachhethu, Robin Houston, Indu Sharma, Jolene Wun
BACKGROUND: Nepal has a long tradition of designing good multisectoral nutrition policy. However, success of policy implementation has varied. More evidence on how to successfully carry out multisector nutrition policy is needed. OBJECTIVE: We tracked the influence of Nepal's multisectoral nutrition plan (MSNP) on the process of priority setting and budgeting from 2014 to 2016. METHODS: This study used a mixed-method longitudinal design to track qualitative and budgetary changes related to MSNP processes nationally as well as in 3 districts...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27909259/assessing-progress-in-implementing-uganda-s-nutrition-action-plan-district-level-insights
#4
Edgar Agaba, Amanda Pomeroy-Stevens, Shibani Ghosh, Jeffrey K Griffiths
BACKGROUND: The 2011 Uganda Nutrition Action Plan (UNAP) established 2016 maternal and child nutrition targets. However, there is a lack of routine district-level data collection to assess UNAP implementation. OBJECTIVE: To use Nutrition Innovation Lab (NIL) data to inform policy makers on the progress of UNAP-related indicators. METHODS: The NIL collected serial household-level survey data (n = 3600) in 6 districts, including 2 UNAP implementation districts, in 2012 and 2014...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27909257/implementing-multisector-nutrition-programs-in-ethiopia-and-nepal-challenges-and-opportunities-from-a-stakeholder-perspective
#5
Eileen Kennedy, Habtamu Fekadu, Shibani Ghosh, Kedar Baral, Dale Davis, Diplav Sapkota, Patrick Webb
Effective governance is essential for effective nutrition program implementation. There are additional challenges in launching multisector plans to enhance nutritional status. The present study compares the challenges and opportunities in Ethiopia and Nepal in designing and implementing a multisector plan for nutrition. A semi-quantitative questionnaire with open-ended questions was used to solicit information from senior national-level policy officials and other key stakeholders. The nature of the major nutrition problems in each country was similar; these include malnutrition (particularly stunting), food insecurity, and micronutrient malnutrition...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27909256/optimizing-the-multisectoral-nutrition-policy-cycle-a-systems-perspective
#6
Sascha Lamstein, Amanda Pomeroy-Stevens, Patrick Webb, Eileen Kennedy
Based on the data collected in Uganda, Nepal, and Ethiopia, the papers included in this supplement fill a critical gap in evidence regarding multisectoral National Nutrition Action Plans. The studies offer new data and new thinking on how and why governance, effective financial decentralization, and improved accountability all matter for nutrition actions in low-income countries. This introductory paper offers an overview of the current state of evidence and thinking on the multisectoral nutrition policy cycle, including how governance and financing support that process...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27878696/under-regional-characteristics-of-rural-china-a-clearer-view-on-the-performance-of-the-new-rural-cooperative-medical-scheme
#7
Dan Liu, Daniel Tsegai, David Litaker, Joachim von Braun
The New Cooperative Medical Scheme (NCMS) was implemented in 2003 in response to the poor state of health care in rural China. Considering the substantial differences in regional socioeconomics, preferences for health care needs, and concurrent implementation of other health-related policies, the extent to which the impact of the NCMS differs in rural communities across China is unclear. The objective of this paper, therefore, was to explore the variation in the determinants of household enrolment and the impact of enrolment on health care utilization and medical expenditures in three large geographic regions in China...
December 2015: Int J Health Econ Manag
https://www.readbyqxmd.com/read/27859342/aflatoxins-and-food-pathogens-impact-of-biologically-active-aflatoxins-and-their-control-strategies
#8
REVIEW
S Umesha, H M Manukumar, B Chandrasekhar, P Shivakumara, J Shiva Kumar, Sri Raghava, P Avinash, M Shirin, T R Bharathi, S B Rajini, M Nandhini, G Vinaya Rani, M Shobha, H S Prakash
Globally disease outbreaks are due to consumption of contaminated food and feedstuff is regular primary problem. The foremost elements contributing to contamination are microorganisms particularly fungi, which produce low-molecular-weight secondary metabolites, with demonstrated toxic properties referred to as mycotoxins. Aflatoxins contaminate agricultural commodities and may cause sickness or fatality in human and animals. Moreover, the terrible conditions of storage and deficiency in regulatory measures in food quality control aggravate the main issue within the country...
November 18, 2016: Journal of the Science of Food and Agriculture
https://www.readbyqxmd.com/read/27857832/best-strategies-to-improve-school-leavers-knowledge-of-nutrition-and-food-systems-views-from-experts-in-iran
#9
Sanaz Sadegholvad, Heather Yeatman, Nasrin Omidvar, Anne-Maree Parrish, Anthony Worsley
BACKGROUND: The research to date does not present an articulated approach to ensure nutrition and food systems education is systematically implemented within schools. This paper aimed to investigate food experts' views of the best strategies to improve school-leavers' knowledge of nutrition and food systems. METHODS: In this qualitative study, 28 Iranian food and nutrition experts from four major provinces (Tehran, Fars, Isfahan, and Gilan) were selected and agreed to be interviewed...
2016: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27843821/geriatric-health-policy-in-india-the-need-for-scaling-up-implementation
#10
REVIEW
N Sherin Susan Paul, Mathew Asirvatham
In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27816066/sectoral-system-capacity-development-in-health-promotion-evaluation-of-an-aboriginal-nutrition-program
#11
Bill Genat, Jennifer Browne, Sharon Thorpe, Catherine MacDonald
Issue addressed: The study examined effective ways to build the capacity of health organisations and professionals in the public health sector to reduce Aboriginal chronic disease risk factors. It investigated the capacity-building strategies of the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) nutrition team in the facilitation of the statewide implementation of the Victorian Aboriginal Nutrition and Physical Activity Strategy 2009-2014 (VANPAS).Methods: Using a qualitative design, the study analysed the VACCHO program from 2009-2014 across five domains of capacity development: workforce, resources, organisations, partnerships and leadership...
November 7, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27816061/political-economy-challenges-in-nutrition
#12
Yarlini Balarajan, Michael R Reich
BACKGROUND: Historically, implementing nutrition policy has confronted persistent obstacles, with many of these obstacles arising from political economy sources. While there has been increased global policy attention to improving nutrition in recent years, the difficulty of translating this policy momentum into results remains. DISCUSSION: We present key political economy themes emanating from the political economy of nutrition literature. Together, these interrelated themes create a complex web of obstacles to moving nutrition policy forward...
November 5, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27798521/state-level-farmers-market-activities-a-review-of-cdc-funded-state-public-health-actions-that-support-farmers-markets
#13
Sahra A Kahin, Demia S Wright, Anu Pejavara, Sonia A Kim
CONTEXT: Introducing farmers markets to underserved areas, or supporting existing farmers markets, can increase access and availability of fruits and vegetables and encourage healthy eating. Since 2003, the Centers for Disease Control and Prevention (CDC)'s Division of Nutrition, Physical Activity, and Obesity (DNPAO) has provided guidance and funding to state health departments (SHDs) to support the implementation of interventions, including activities around farmers markets, to address healthy eating, and improve the access to and availability of fruits and vegetables at state and community levels...
October 28, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27784507/barriers-and-enablers-to-malnutrition-screening-of-community-living-older-adults-a-content-analysis-of-survey-data-by-australian-dietitians
#14
Dana L Craven, Fiona E Pelly, Elisabeth Isenring, Geoff P Lovell
Many older adults living in their own homes are at nutrition risk which, left untreated, can lead to the state of malnutrition. To reduce the prevalence of malnutrition among community-living older adults (CLOAs), risk factors should be identified and addressed early via malnutrition screening. The aim of this study was to identify barriers and enablers to malnutrition screening of CLOAs from the perspective of dietitians. Ninety-two dietitians working for government, not-for-profit and private organisations in Australia provided written comments to open-ended survey questions...
October 27, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27780198/impacts-on-breastfeeding-practices-of-at-scale-strategies-that-combine-intensive-interpersonal-counseling-mass-media-and-community-mobilization-results-of-cluster-randomized-program-evaluations-in-bangladesh-and-viet-nam
#15
Purnima Menon, Phuong Hong Nguyen, Kuntal Kumar Saha, Adiba Khaled, Andrew Kennedy, Lan Mai Tran, Tina Sanghvi, Nemat Hajeebhoy, Jean Baker, Silvia Alayon, Kaosar Afsana, Raisul Haque, Edward A Frongillo, Marie T Ruel, Rahul Rawat
BACKGROUND: Despite recommendations supporting optimal breastfeeding, the number of women practicing exclusive breastfeeding (EBF) remains low, and few interventions have demonstrated implementation and impact at scale. Alive & Thrive was implemented over a period of 6 y (2009-2014) and aimed to improve breastfeeding practices through intensified interpersonal counseling (IPC), mass media (MM), and community mobilization (CM) intervention components delivered at scale in the context of policy advocacy (PA) in Bangladesh and Viet Nam...
October 2016: PLoS Medicine
https://www.readbyqxmd.com/read/27745570/position-paper-on-the-need-for-portion-size-education-and-a-standardised-unit-of-measurement
#16
Tamara Bucher, Megan E Rollo, Shamus P Smith, Moira Dean, Hannah Brown, Mingui Sun, Clare Collins
Large portion sizes contribute to weight gain in western societies. Portion-size interventions, aids and education can be effective in helping prevent weight gain, but consumers are unsure what appropriate portions are and express confusion about existing guidelines. A lack of clarity about suggested serving size recommendations is a major barrier to food portion-size control. Therefore, standardised measurement units and unambiguous terminologies are required. This position paper summarises the evidence regarding the impact and importance of portion-size education and estimation, and outlines strategies for improving consumer understanding and application of this through the development of an international food measurement system and a range of appropriate portion control tools...
October 13, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27719680/potential-for-task-sharing-to-lady-health-workers-for-identification-and-emergency-management-of-pre-eclampsia-at-community-level-in-pakistan
#17
Rehana A Salam, Rahat Najam Qureshi, Sana Sheikh, Asif Raza Khowaja, Diane Sawchuck, Marianne Vidler, Peter von Dadelszen, Shujaat Zaidi, Zulfiqar Bhutta
BACKGROUND: An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10 % of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible to provide a comprehensive package of antenatal services. However, there is a need to increase focus on early identification and prompt diagnosis of pre-eclampsia in community settings, since women with mild pre-eclampsia often present without symptoms...
September 30, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27717393/effectiveness-of-a-multicomponent-intervention-to-enhance-implementation-of-a-healthy-canteen-policy-in-australian-primary-schools-a-randomised-controlled-trial
#18
Nicole Nathan, Sze Lin Yoong, Rachel Sutherland, Kathryn Reilly, Tessa Delaney, Lisa Janssen, Katie Robertson, Renee Reynolds, Li Kheng Chai, Christophe Lecathelinais, John Wiggers, Luke Wolfenden
BACKGROUND: The implementation of school nutrition policies, which govern the provision of food in schools, is recommended as a public health strategy to support the development of healthy dietary behaviours in school-aged children. Despite this, research internationally and in Australia indicates that few schools implement such policies. This study aims to examine whether a theoretically designed, multi-strategy intervention was effective in increasing the implementation of a healthy canteen policy in Australian primary schools...
October 7, 2016: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/27717351/improvement-in-delivery-of-type-2-diabetes-services-differs-by-mode-of-care-a-retrospective-longitudinal-analysis-in-the-aboriginal-and-torres-strait-islander-primary-health-care-setting
#19
Gill Schierhout, Veronica Matthews, Christine Connors, Sandra Thompson, Ru Kwedza, Catherine Kennedy, Ross Bailie
BACKGROUND: Addressing evidence-practice gaps in primary care remains a significant public health challenge and is likely to require action at different levels of the health system. Whilst Continuous Quality Improvement (CQI) is associated with improvements in overall delivery, little is known about delivery of different types of care processes, and their relative improvement during CQI. METHODS: We used data from over 15,000 clinical audit records of clients with Type 2 diabetes collected as part of a wide-scale CQI program implemented between 2005 and 2014 in 162 Aboriginal and Torres Strait Islander health centres...
October 7, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27702730/middle-class-household-food-providers-views-and-experiences-of-food-marketing-in-vietnam
#20
Quynh Th Pham, Anthony Worsley
BACKGROUND AND OBJECTIVES: Food marketing has been identified as a target for intervention in the prevention of childhood overweight and obesity within countries and globally, and promotion of healthy diets has been classified as a key strategy to reduce the burden of non-communicable diseases and health inequalities. The present study aims to investigate how Vietnamese middle-class household food providers are impacted by food advertising communications, their views of food marketing and the ways they think the government can control food marketing to assist people to consume healthier diets...
December 2016: Asia Pacific Journal of Clinical Nutrition
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