scholarly journals Public health nutrition workforce development in seven European countries: constraining and enabling factors

2012 ◽  
Vol 15 (11) ◽  
pp. 1989-1998 ◽  
Author(s):  
Susanna Kugelberg ◽  
Svandis Jonsdottir ◽  
Elisabeth Faxelid ◽  
Kristina Jönsson ◽  
Ann Fox ◽  
...  
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Organizational Structures ◽  
European Countries ◽  
Public Health Nutrition ◽  
Enabling Factors ◽  
Face To Face ◽  
Agents Of Change ◽  
Training Programmes ◽  
The Uk

AbstractObjectivesLittle is known about current public health nutrition workforce development in Europe. The present study aimed to understand constraining and enabling factors to workforce development in seven European countries.DesignA qualitative study comprised of semi-structured face-to-face interviews was conducted and content analysis was used to analyse the transcribed interview data.SettingThe study was carried out in Finland, Iceland, Ireland, Slovenia, Spain, Sweden and the UK.SubjectsSixty key informants participated in the study.ResultsThere are constraining and enabling factors for public health nutrition workforce development. The main constraining factors relate to the lack of a supportive policy environment, fragmented organizational structures and a workforce that is not cohesive enough to implement public health nutrition strategic initiatives. Enabling factors were identified as the presence of skilled and dedicated individuals who assume roles as leaders and change agents.ConclusionsThere is a need to strengthen coordination between policy and implementation of programmes which may operate across the national to local spectrum. Public health organizations are advised to further define aims and objectives relevant to public health nutrition. Leaders and agents of change will play important roles in fostering intersectorial partnerships, advocating for policy change, establishing professional competencies and developing education and training programmes.

Abstract P409: Assessing public health nutrition policies using a novel framework across 30 European countries: Lessons for the USA?

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Ffion Lloyd-Williams ◽  
Helen Bromley ◽  
Lois Orton ◽  
Corinna Hawkes ◽  
David Taylor-Robinson ◽  
...  
Keyword(s):  
Public Health ◽  
Grey Literature ◽  
Salt Content ◽  
Nutrition Policy ◽  
European Countries ◽  
Public Health Nutrition ◽  
Information Strategies ◽  
Nutrition Policies ◽  
The Usa ◽  
The Uk

Background: Countries across Europe have introduced a wide variety of policies to improve nutrition. However, the sheer diversity of interventions is potentially bewildering. We therefore aimed to map existing public health nutrition policies and identify their perceived effectiveness, in order to inform future evidence-based diet strategies. Methods: Mapping exercise: We created a public health nutrition policy database for 30 European countries (EU 27 plus Iceland, Norway and Switzerland), by summarising policy documents, grey literature, web searches and advice from topic experts. National nutrition policies were then classified using the marketing “4Ps” approach: Product (reformulation, elimination, new healthier products); Price (taxes, subsidies); Promotion (advertising, food labelling and health education) and Place (schools, workplaces, etc.) Policy interviews: We interviewed 71 senior policy-makers, public health nutrition policy experts and academics from 14 of the 30 countries, eliciting their views on diverse current and possible nutrition strategies. Results Product: Voluntary reformulation of foods, (especially salt, sugar and total fat) is widespread but with questionable impact. Denmark, Austria, Iceland and Switzerland have trans fats bans. Twelve countries regulate maximum salt content in specific foods. Price: EU School Fruit Scheme subsidies are almost universal, with variable implementation. Taxes are uncommon. However, Finland, France, Hungary and Latvia have implemented ‘sugar taxes’ on sugary foods and sugar-sweetened beverages. Finland, Hungary and Portugal also tax salty products. Promotion: Dialogue, recommendations, nutrition guidelines, information and education campaigns are widespread (all 30 countries). Labelling information is widespread, but variable. Restrictions on marketing to children are widespread but mostly voluntary. Place: Interventions reducing the availability of unhealthy foods were most commonly found in schools and workplace canteens (e.g. vending machines). Comparative effectiveness: Interviewees generally considered mandatory reformulation more effective than voluntary, and regulation and fiscal interventions much more effective than information strategies, but politically much more challenging. Implications: Public health nutrition policies in Europe appear diverse, dynamic, complex and bewildering. However, the “4Ps” framework potentially offers a structured and comprehensive categorisation. Most European countries are active in nutrition policy. However, exemplars are few, including Finland, Norway, Iceland, Denmark, Hungary, Portugal and the UK. Do these offer any useful lessons for US states addressing similar challenges? In conclusion, fiscal and regulatory nutrition policies appear potentially powerful and should be considered across Europe, and perhaps across the US?

OP16 Utilising a Novel Framework to Assess Public Health Nutrition Actions Across 30 European Countries (EuroHeart II Project)

2013 ◽  
Vol 67 (Suppl 1) ◽  
pp. A10.2-A11
Author(s):  
H Bromley ◽  
F Lloyd Williams ◽  
L Orton ◽  
R McGill ◽  
E Anwar ◽  
...  
Keyword(s):  
Public Health ◽  
European Countries ◽  
Public Health Nutrition

scholarly journals COVID-19 Pandemic: The Urgent Dental Hub experience from a primary care perspective

2021 ◽  
Vol 10 (3) ◽  
pp. 41-45
Author(s):  
Zohaib Khwaja ◽  
Awais Ali ◽  
Manraj Rai
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Dental Care ◽  
Specialist Care ◽  
Health Message ◽  
Face To Face ◽  
General Dental Practitioner ◽  
Public Health Message ◽  
The Uk

In response to the nationwide lockdown on 23 March 2020 in the UK, urgent dental hubs (UDHs) were established in the community to provide emergency dental care. Consecutive referrals to a primary care UDH were prospectively analysed over a one-month period, from 18 May 2020 to 18 June 2020. Of 400 referrals received, the most common were in relation to pain (87%). In 63% neither a radiograph nor photograph was provided with the referral. Seventy percent of patients were telephone triaged within 24 hours of receipt of referral. Fifty-three percent of referrals were accepted for face-to-face treatment, of which 69% were treated by extraction. Of rejected referrals (n=179; 45%), 79% were due to symptoms having settled or being manageable by the time of triage. A small number of referrals were redirected for specialist care. Referrals that were accepted were more likely to have been prescribed antibiotics and less likely to have been referred by the general dental practitioner (GDP) they regularly saw (p <0.01). Patients that were older and those that identified themselves as not having a regular GDP were less likely to have been referred to an UDH. The quality of referrals was poor and there may be a role for virtual consultations moving forwards. We found pre-referral antimicrobial prescriptions were high and a confused public health message may have been sent.

scholarly journals Public health nutrition in Afghanistan: policies, strategies and capacity-building: current scenario and initiatives

2021 ◽  
Author(s):  
Jyoti Sharma ◽  
Homayoun Ludin ◽  
Monika Chauhan ◽  
Sanjay Zodpey
Keyword(s):  
Public Health ◽  
Nutrition Education ◽  
Child Nutrition ◽  
Institutional Environment ◽  
Scale Up ◽  
Critical Issue ◽  
Noncommunicable Diseases ◽  
Public Health Nutrition ◽  
Weak Institutions ◽  
Training Programmes

Background: Afghanistan is grappling with high burden of malnutrition in women and children and a rising burden of noncommunicable diseases. Aims: A narrative review was conducted with the aim of mapping current nutrition policies and capacity development initiatives to assess policy and the institutional environment and identify gaps and opportunities. Methods: A comprehensive, broad based search was conducted, including databases and websites and policy and programme documents. Results: The policy focuses on multisectoral efforts to address nutrition challenges; however; implementation of nutrition-specific and nutrition-sensitive interventions is not delivered uniformly at the community level due to continued conflict situations and geographic inaccessibility, lack of availability of trained human resources and weak institutions. There is limited evidence on the effectiveness of nutrition programmes in Afghanistan. Limited policy provisions are available to address nutrition issues due to the rising burden of noncommunicable diseases, urbanization and changing dietary patterns. The shortage of skilled nutritional professionals is a critical issue. Lack of institutional capacity, educational standards and accreditation mechanism poses major challenges. Ongoing training programmes are fragmented and fail to meet the requirements of a professional nutrition workforce. Conclusion: The findings highlight that well-structured policies and strategies focusing on maternal and child nutrition provide an enabling policy environment to scale up nutrition interventions.Evidence on the implementation of programmes is needed to aid policy recommendations. The lack of an institutional mechanism for professional nutrition education highlights the great need for action in Afghanistan for public health nutrition and education.

scholarly journals Public health nutrition in the UK

Medicine ◽  
2019 ◽  
Vol 47 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Dimitrios A. Koutoukidis ◽  
Susan A. Jebb
Keyword(s):  
Public Health ◽  
Public Health Nutrition ◽  
The Uk

scholarly journals A qualitative evaluation of an Australian public health nutrition workforce development intervention involving mentoring circles

2010 ◽  
Vol 14 (8) ◽  
pp. 1458-1465 ◽  
Author(s):  
Claire Palermo ◽  
Roger Hughes ◽  
Louise McCall
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Qualitative Evaluation ◽  
Structured Interview ◽  
Public Health Nutrition ◽  
Post Intervention ◽  
Development Intervention ◽  
Supportive Environment ◽  
Split Function ◽  
And Function

AbstractObjectiveTo evaluate a mentoring circle workforce development intervention among a group of public health nutrition novices.DesignThe mentoring circle intervention focused on facilitating practice-based public health nutrition competence development and supporting reorientation of practice from clinical services to preventive services. A retrospective post-intervention qualitative semi-structured interview was used to explore the experiences of those participating in the mentoring circle and to make evaluative judgements about intervention attributes and effectiveness.SettingVictoria, Australia.SubjectsThirty-two novice public health nutrition practitioners employed in the state public health system.ResultsKey evaluative theme categories relating to the mentoring circle intervention were identified, including the structure and function of the group, the utility of using advanced-level competency items to guide planning, having a safe and supportive environment for learning and the utility of learning via mentoring and on-the-job experiences. These qualitative evaluation data identify the attributes of the mentoring circle intervention contributing to intervention effectiveness.ConclusionsThis qualitative evaluation indicates that mentoring circles can be an effective workforce capacity-building intervention, particularly in novice workforces characterised by professional isolation and split function roles.

scholarly journals A capacity-building conceptual framework for public health nutrition practice

2009 ◽  
Vol 12 (8) ◽  
pp. 1031-1038 ◽  
Author(s):  
Elizabeth Baillie ◽  
Christel Bjarnholt ◽  
Marlies Gruber ◽  
Roger Hughes
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Capacity Building ◽  
Workforce Development ◽  
Development Project ◽  
Nutrition Intervention ◽  
Public Health Nutrition ◽  
Systematic Assessment ◽  
Effective Public Health ◽  
Nutrition Practice

AbstractObjectivesTo describe a conceptual framework to assist in the application of capacity-building principles to public health nutrition practice.DesignA review of the literature and consideration of the determinants of effective public health nutrition practice has been used to inform the development of a conceptual framework for capacity building in the context of public health nutrition practice.ResultThe limited literature supports a greater integration and application of capacity-building strategies and principles in public health nutrition practice, and that this application should be overt and strategic. A framework is proposed that identifies a number of determinants of capacity for effective public health nutrition action. The framework represents the key foundations for building capacity including leadership, resourcing and intelligence. Five key strategic domains supported by these foundation elements, including partnerships, organisational development, project management quality, workforce development and community development, are proposed. This framework can be used to assist the systematic assessment, development and evaluation of capacity-building activity within public health nutrition practice.ConclusionsCapacity building is a strategy within public health nutrition practice that needs to be central to public health nutrition intervention management. The present paper defines, contextualises and outlines a framework for integrating and making explicit the importance of capacity building within public health nutrition practice at many levels.

scholarly journals EP.FRI.422 Over 100,000 COVID-19 deaths calls for a radical reform of health and care system in the UK

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shruti Bodapati ◽  
Raghvinder Gambhir
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Secondary Care ◽  
Face To Face ◽  
Radical Reform ◽  
National Statistics ◽  
The Uk ◽  
Second Wave ◽  
Excess Deaths ◽  
Care System

Abstract Aim With over 100,000 deaths due to COVID 19 and still counting, is it a wake-up call to overhaul our health and care system. Methods Review of NHS England, Office of National Statistics (ONS) and Public Health England (PHE) data to determine where the deaths occurred and what role did the primary care, secondary care, play in delivering the service. Results The data shows that it took 40 weeks to get to the first 50,000 deaths and just another 10 weeks to add another 50,000 deaths. Among the OECD UK ranked number 1 for deaths due to COVID 19.  69.9%   of deaths occurred in hospitals, 24.1% in care homes, while 4.9% occurred at homes. The primary care effectively remained shut for face to face consultation, effectively leaving people to manage themselves at home on their own or reach A & E when things got worse. The hospitals where overwhelmed and coped by shutting out all elective work and converting normal wards to COVID wards and that is where the maximum deaths occurred. There were over 80000 excess deaths above the five-year average. Conclusion We may have been underprepared for the first wave but had the PPE and plans to battle the second wave yet we had the highest mortality in Europe. Is it a price we paid for our disjointed health and care system. There is a need for radical changes to prepare for future disasters.

scholarly journals Workforce development in South Africa with a focus on public health nutrition

2008 ◽  
Vol 11 (8) ◽  
pp. 792-800 ◽  
Author(s):  
Nelia P Steyn ◽  
Xikombiso G Mbhenyane
Keyword(s):  
Public Health ◽  
South Africa ◽  
Workforce Development ◽  
Health Sector ◽  
Primary Health Care System ◽  
Public Health Nutrition ◽  
Mortality And Morbidity ◽  
The Public ◽  
Aids Epidemic ◽  
National Human

AbstractObjectivesThe present paper aims to review and report on the current and predicted future public health nutrition workforce in South Africa. Additionally, it examines ways in which the Department of Health (DOH) is striving to meet the increasing burden of nutrition-related diseases in South Africa.MethodsThe primary sources of data used for the review were reports from the Census office, South African health reviews, mortality and morbidity statistics, and documents from the Health Professions Council of South Africa.ResultsThere are fewer than 2000 registered dietitians in South Africa and fewer than 600 of them work in the public health sector. Furthermore, professional nurses – who are the backbone of the primary health-care system and deliver the rudiments of basic nutritional care – are not being trained in sufficient numbers to meet population growth; in 2004 there was only one nurse per 4000 persons. This situation is aggravated by the growing burden of conditions associated with both overnutrition and undernutrition, as well as the enormous demands of the HIV/AIDS epidemic. The DOH is striving to meet these increasing needs by means of the Integrated Nutrition Programme as well as a National Human Resources Plan which includes numerous strategies to improve the quantity and quality of health professionals’ training, including dietitians and nutritionists. This plan includes the objective of increasing the public health nutrition workforce to more than 250 newly trained dietitians and nutritionists per annum by 2010.

scholarly journals Curriculum design for professional development in public health nutrition in Britain

1998 ◽  
Vol 1 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Jacqueline Landman ◽  
Judith Buttriss ◽  
Barrie Margetts
Keyword(s):  
Public Health ◽  
Professional Development ◽  
Curriculum Design ◽  
Professional Education ◽  
Qualitative Case Study ◽  
Public Health Nutrition ◽  
The Uk ◽  
British State ◽  
Unique Relationship

AbstractObjective:To describe how the Nutrition Society developed public health nutrition as a profession between 1992 and 1997, and to analyse the influences propelling on this professionalization.Design:Qualitative case study.Setting:Britain.Results:The Nutrition Society of Britain consulted with various stakeholders (such as dietitians, researchers, professionals and practitioners and educators from the UK, and latterly from mainland Europe) to build a consensus about the definition, roles and functions of public health nutritionists and the need for, and scope of, this new profession. Building on this consensus, the Society developed a curriculum in line with British national nutrition policy. Analysis shows that the design and philosophy of the curriculum is explicitly international and European in orientation, in keeping with the tradition of the discipline and the Society. The curriculum is designed in terms of specialist competencies in public health nutrition, defining competency so that registered public health nutritionists are advanced practitioners or leaders: this is in keeping with contemporary trends in professional education generally and as expressed by the UNU/IUNS and at Bellagio, in nutrition in particular.Conclusions:Despite a unique relationship with British state and policy, this case of professionalization contributes to contemporary international inter- and intraprofessional debates about the nature of public health nutrition and is consistent with professional educational theory.

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