scholarly journals Evaluating food-related policies in Germany using the Food Environment Policy Index (Food-EPI)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Geffert ◽  
P von Philipsborn ◽  
J M Stratil ◽  
E A Rehfuess
Keyword(s):  
Food Environment ◽  
Food Systems ◽  
Best Practice ◽  
Online Survey ◽  
Food Environments ◽  
Expert Group ◽  
Sustainable Food ◽  
Environment Policy ◽  
Depth Analysis ◽  
German Food

Abstract Background Germany has seen as rising burden of diet-related adverse health outcomes. Policies for improving food environments and related infrastructure are essential to reduce this burden. A growing awareness of the interlinkages between sustainability and nutrition underlines the need for healthy, sustainable food environments. Therefore, we applied the Food Environment Policy Index (Food-EPI) with an additional domain on sustainability to monitor German food policies and to formulate actions for improvement. Methods For the evidence analysis information on food environment and infrastructure was collected from various sources. Results were validated with an expert group consisting of representatives of government agencies, non-governmental organizations and academia. The level of implementation, compared to international best practice examples, was ranked by the expert group through an online survey. A one-day workshop was conducted to identify actions to fill the gaps identified in the online ranking and to prioritize these actions in terms of importance and achievability. Results The application of the Food-EPI to German policies and interventions shows a nuanced picture of strengths and weaknesses of the German food environment and infrastructure. Some domains such as monitoring and surveillance are in line with international best practice, however other domains show considerable room for improvement. The recommended actions to improve the shortcomings of the German food environment includes a list with priority actions. Conclusions The results from the Food-EPI provides an in-depth analysis of German food environment policies and infrastructure, as well as a list of prioritized actions to improve it. Key message Integrating a sustainability domain into the Food-EPI offers opportunities to identify priority actions for the creation of healthy, sustainable food systems.

scholarly journals Has the Netherlands created a healthy food environment for its citizens? Application of the Food Environment Policy Index (Food-EPI)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S K Djojosoeparto ◽  
C B M Kamphuis ◽  
F van Lenthe ◽  
M P Poelman
Keyword(s):  
The Netherlands ◽  
Best Practices ◽  
Food Environment ◽  
Online Survey ◽  
National Level ◽  
Healthy Food ◽  
Food Environments ◽  
Environment Policy ◽  
National Prevention ◽  
Interdisciplinary Study

Abstract Background Healthy food environments have the potential to improve population nutrition and decrease NCDs. The aim of the study was to assess the efforts of the National Government in the Netherlands towards creating healthier food environments using the Healthy Food Environment Policy Index (Food-EPI). Methods We compiled evidence on national food environment policies in the Netherlands for each of the 47 indicators. This document has been verified for completeness and accuracy by Dutch governmental officials. A panel of independent, nongovernment experts specialized in nutrition, obesity or chronic diseases, was provided with this evidence and rated the extent of implementation of Dutch policies by benchmarking these policies against international best practices during an online survey in May-July 2020. The experts also rated to which extent policies could lead to a decrease or widening of socio-economic inequalities in dietary intake. In addition, experts formulated actions to improve food environment policies in the Netherlands. Results This is the first interdisciplinary study to assess food environment policies developed and set by the Netherlands. The overview of national level policies resulted in a evidence document, describing policies (or the lack thereof) for each of the 47 indicators. The evidence document shows that the Netherlands has mostly voluntary policies, mainly through the National Prevention Agreement (launched in 2018) and Agreement on Product Improvement (launched in 2014). Results from the online survey and the formulated actions will be presented during the conference. The results will reflect the experts' ratings supported by documented evidence and will provide meaningful guidance to governmental officials and public health advocates in their efforts to improve the food environment policies in the Netherlands.

scholarly journals Development of the University Food Environment Assessment (Uni-Food) Tool and Process to Benchmark the Healthiness, Equity, and Environmental Sustainability of University Food Environments

2021 ◽  
Vol 18 (22) ◽  
pp. 11895
Author(s):  
Davina Mann ◽  
Janelle Kwon ◽  
Shaan Naughton ◽  
Sinead Boylan ◽  
Jasmine Chan ◽  
...  
Keyword(s):  
Environmental Sustainability ◽  
Food Environment ◽  
Best Practice ◽  
Tertiary Education ◽  
Assessment Process ◽  
Advisory Panel ◽  
Food Environments ◽  
Sustainable Food ◽  
Environment Assessment ◽  
The University

Globally, there is increasing interest in monitoring actions to create healthy, equitable and environmentally sustainable food environments. Currently, there is a lack of detailed tools for monitoring and benchmarking university food environments. This study aimed to develop the University Food Environment Assessment (Uni-Food) tool and process to benchmark the healthiness, equity, and environmental sustainability of food environments in tertiary education settings, and pilot test its implementation in three Australian universities in 2021. The Uni-Food tool development was informed by a review of the literature and input from an expert advisory panel. It comprises three components: 1) university systems and governance, 2) campus facilities and environments, and 3) food retail outlets. The process for implementing the tool is designed for universities to self-assess the extent to which they have implemented recommended practice in 68 indicators, across 16 domains, weighted based on their relative importance. The pilot implementation of the tool identified moderate diversity in food environments across universities and highlighted several opportunities for improvements at each institution. The assessment process was found to be reliable, with assessors rating the tool as easy to use, requiring minimal resources. Broad application of the tool has the potential to increase accountability and guide best practice in tertiary education and other complex institutional settings.

scholarly journals Policies to Create Healthier Food Environments in Canada: Experts’ Evaluation and Prioritized Actions Using the Healthy Food Environment Policy Index (Food-EPI)

2019 ◽  
Vol 16 (22) ◽  
pp. 4473 ◽  
Author(s):  
Lana Vanderlee ◽  
Sahar Goorang ◽  
Kimiya Karbasy ◽  
Stefanie Vandevijvere ◽  
Mary R L’Abbé
Keyword(s):  
Policy Implementation ◽  
Food Environment ◽  
Good Practice ◽  
Critical Role ◽  
Food Choices ◽  
Healthy Food ◽  
Food Environments ◽  
Promising Practices ◽  
Environment Policy ◽  
Health Promoting

Food environment policies play a critical role in shaping food choices, diets, and health outcomes. This study endeavored to characterize and evaluate the current food environment policies in Canada using the Healthy Food Environment Policy Index (Food-EPI) to compare policies in place or under development in Canada as of 1 January 2017 to the most promising practices internationally. Evidence of policy implementation from the federal, provincial, and territorial governments was collated and verified by government stakeholders for 47 good practice indicators across 13 policy and infrastructure support domains. Canadian policies were rated by 71 experts from across Canada, and an aggregate score of national and subnational policies was created. Potential policy actions were identified and prioritized. Canadian governments scored ‘high’ compared to best practices for 3 indicators, ‘moderate’ for 14 indicators, ‘low’ for 25 indicators, and ‘very little or none’ for 4 indicators. Six policy and eight infrastructure support actions were prioritized as the most important and achievable. The Food-EPI identified some progress and considerable gaps in policy implementation in Canada, and highlights a particular need for greater attention to prioritized policies that can help to shift to a health-promoting food environment.

scholarly journals Exploring Undergraduate Indigenous Students’ Experiences with Institutional and Community Food Systems in a Canadian Urban Setting

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 252-252
Author(s):  
Hannah Neufeld ◽  
Hannah Wilson
Keyword(s):  
Focus Group ◽  
Food Insecurity ◽  
Food Environment ◽  
Food Systems ◽  
Local Food ◽  
Urban Setting ◽  
Food Environments ◽  
Indigenous Students ◽  
Community Food Systems ◽  
The University

Abstract Objectives Due to the high prevalence rates of food insecurity among university students and Indigenous Peoples in Canada, a qualitative study was designed to investigate the experiences of self-identified Indigenous students accessing local food environments. Research objectives included: 1) exploring undergraduate Indigenous students' experiences with institutional and community food systems in an urban setting; and 2) examining programs in place or in development on and off-campus that address circumstances of food insecurity and the needs of Indigenous students. Methods Data collection included face-to-face semi-structured interviews with eight students who self-identified as First Nations, Inuit or Métis. A focus group was conducted with four service providers, including stakeholders from institutional and local urban communities. Data was analyzed using thematic analysis. Results Participants identified several themes that were organized into individual, interpersonal organizational and community levels according to the socio-ecological model. Themes included: food and nutrition knowledge, financial capacity, convenience, social influences, campus food environment, cultural and institutional support. A model was also created to represent the results based on the themes from the focus group data. Focus group participants discussed linkages of social support and connectedness to increase Indigenous student access to food systems beyond the parameters of the university institution. Barriers to local food systems for students were lack of awareness of local resources and stigma associated with emergency food assistance. Conclusions Results suggest that Indigenous students are primarily focused on individual food and interpersonal social environments at the university and have limited awareness and exposure to the services available in the wider community and local food environment. Indigenous students and community members require an increased level of organizational and community awareness to support urban Indigenous food security programming across food environments to sustainably address circumstances of food insecurity experienced by Indigenous university students. Funding Sources The Department of Family Relations and Applied Nutrition, The University of Guelph, Ontario, Canada.

scholarly journals 22.D. Workshop: The Food Environment Policy Index for the EU, Germany, the Netherlands, Norway and Poland

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
The Netherlands ◽  
Food Environment ◽  
Food System ◽  
Healthy Food ◽  
Policy Implications ◽  
Global Network ◽  
Food Environments ◽  
Environment Policy ◽  
The Eu

Abstract Unhealthy diets are a key risk factor for disease and premature death in Europe and worldwide. Moreover, the food system is a key driver behind many processes of global environmental change, including climate change, biodiversity and habitat loss. Accordingly, calls have been made for a transformation of the global food system. This requires action in a variety of policy fields and on all political levels. The creation of healthy food environments through public sector action on a national and regional level is an essential aspect of this. The Food Environment Policy Index (Food-EPI) is an established methodological framework for the assessment, analysis and benchmarking of public policies influencing food environments, developed by INFORMAS, a global network of public-interest organizations. In this 90 min workshop, we will present the approach used by the Food-EPI and results from the implementation of the Food-EPI on the EU level and in Germany, the Netherlands, Norway and Poland, followed by a joint discussion of lessons learnt and key policy implications. The Food-EPI has two components (policy and infrastructure support domains) covering a total of 13 domains and 47 indicators. For each indicator, policies and actions are compiled and benchmarked against international best practice by independent experts and stakeholders. Based on this assessment, priority actions for reform are identified. Policy makers and independent public health and nutrition experts are involved in key steps of the process to ensure policy relevance and impact. Key messages The systematic assessment and benchmarking of nutrition policies helps to identify priority actions to improve food environments and enhances government accountability for public health. Both on the EU level and in EU member states, governments have taken action to support healthy food environments, but considerable room for improvement remains.

scholarly journals An assessment of implementation gaps and priority recommendations on food environment policies: the Healthy Food Environment Policy Index (Food-EPI) in Japan

2021 ◽  
pp. 1-36
Author(s):  
Miwa Yamaguchi ◽  
Marika Nomura ◽  
Yusuke Arai ◽  
Stefanie Vandevijvere ◽  
Boyd Swinburn ◽  
...  
Keyword(s):  
Best Practices ◽  
Food Environment ◽  
Food Composition ◽  
Food Prices ◽  
Healthy Food ◽  
Japanese Government ◽  
Alcoholic Beverages ◽  
Food Environments ◽  
Environment Policy ◽  
Implementation Gaps

Abstract Objective: This study aimed to evaluate policies and actions for food environments by the Japanese Government using the Healthy Food Environment Policy Index (Food-EPI). Design: Public health experts rated the extent of implementation of food environment-related the Policy and the Infrastructure-support components, compared to international best practices. Subsequently, the experts proposed and prioritized future actions to address implementation gaps in an online workshop. Setting: Japan Participants: A total of 66 experts rated policy implementation by the Japanese Government, and 23 participated in the workshop on future actions. Results: The implementations of regulations on unhealthy foods and non-alcoholic beverages were rated low in the domains of Food composition, Food labelling, Food promotion, Food prices, and Food retail in the Policy component. The implementations of several domains in the Infrastructure-support component were, overall, rated at a higher level, specifically for monitoring and intelligence systems. Based on the rating, reducing health inequalities by supporting people, both economically and physically, was the highest priority for future actions in both components. Conclusions: This study found that Japan has a robust system for long-term monitoring of population health but lacks regulations on unhealthy foods and non-alcoholic beverages compared to international best practices. This study confirmed the importance of continuous accumulation of evidence through national monitoring systems. Developing comprehensive regulations to restrict food marketing, sales, and accessibility of unhealthy foods and non-alcoholic beverages are needed to improve the health of food environments in Japan.

scholarly journals Benchmarking the implementation of recommended food environment policies in Norway using the Healthy Food Environment Policy Index (Food-EPI)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L E Torheim ◽  
A L Løvhaug ◽  
S Henjum ◽  
L Terragni ◽  
G Roos
Keyword(s):  
Public Health ◽  
Policy Implementation ◽  
Food Environment ◽  
Social Inequalities ◽  
Good Practice ◽  
Critical Role ◽  
Healthy Food ◽  
Food Environments ◽  
Policy Action ◽  
Environment Policy

Abstract Background Obesity prevalence in Norway has increased over the past decades despite political objectives and strategies for obesity prevention. Healthy food environments have the potential to improve the diet of the population and decrease the burden of disease. Governments play a critical role to form such environments. The aim of the study was to assess the efforts of the Norwegian Government towards creating healthier food environments and suggest actions using the Healthy Food Environment Policy Index (Food-EPI) methodology. Methods Evidence of policy implementation was assembled and verified by government stakeholders for 45 good practice indicators across 12 policy and infrastructure support domains. Independent public health nutrition experts from academia and civil society (n = 34) assessed the level of implementation of each indicator compared with international best practices, using an online tool. Results Most indicators were rated at “medium” level of implementation (51%). An almost equal number of indicators were rated at “high” and “low” level of implementation (21% and 28%, respectively). None of the indicators were rated as “very low, if any” level of implementation. More indicators under the infrastructure domain were rated at “high” or “medium” as compared with the policy domain. The expert panel developed a list of priority actions that should be implemented to improve the food environment, including actions regarded as most effective in decreasing social inequalities in diet. The top priority action was that the Government should to a larger extent use price and taxes to change food consumption. Conclusions The Food-EPI framework and process can be used to identify gaps in national policy implementation and to develop recommendations for strengthened policy action supported by a coalition of public health experts.

scholarly journals Perceptions of food environments and nutrition among residents of the Flathead Indian Reservation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Carmen Byker Shanks ◽  
Selena Ahmed ◽  
Virgil Dupuis ◽  
Bailey Houghtaling ◽  
Mary Ann Running Crane ◽  
...  
Keyword(s):  
Native American ◽  
Food Environment ◽  
Food Systems ◽  
Environmental Changes ◽  
Structured Interview ◽  
Dietary Quality ◽  
Household Food Security ◽  
Food Environments ◽  
Cultural Economic ◽  
Obesity And Diabetes

Abstract Background Indigenous food systems have been displaced with the emergence of colonization, industrialization, and cultural, economic, political, and environmental changes. This disruption can be seen in marked health and food environment disparities that contribute to high obesity and diabetes mellitus prevalence among Native American peoples. Methods A Community-Based Participatory Research (CBPR) approach was used to document food environment experiences among residents of the Flathead Reservation in rural Montana. Participants were identified using purposive sampling techniques to participate in a survey and a semi-structured interview. Descriptive statistics helped to describe participant demographics, food access variables, and household food security status. Food environment perceptions were analyzed using the constant comparison method among trained researchers. Results Participants completed surveys (n = 79) and interviews (n = 76). A large number participated in federal nutrition assistance programs. Many self-reported experiencing diet-related chronic diseases. Major themes included the community food environment, dietary norms, and food-health connections. Subthemes were represented by perceptions of food environment transitions and the important role of food in familial life. Further, opportunities and challenges were identified for improving community food environments. Conclusions Perceptions of the food environment were linked to strategies that could be targeted to improve dietary quality along a social-ecological model continuum. There is need for skill-based education that directly addresses the time and monetary constraints that were commonly experienced by residents. Coinciding food environment interventions to promote dietary quality that engage community members, store management, and government policy stakeholders are also needed to reestablish healthy Native American food systems and environments within this community.

scholarly journals Level of implementation of best practice policies for creating healthy food environments: assessment by state and non-state actors in Thailand

2016 ◽  
Vol 20 (3) ◽  
pp. 381-390 ◽  
Author(s):  
Sirinya Phulkerd ◽  
Stefanie Vandevijvere ◽  
Mark Lawrence ◽  
Viroj Tangcharoensathien ◽  
Gary Sacks
Keyword(s):  
Food Environment ◽  
Best Practice ◽  
Food Policy ◽  
Food Composition ◽  
Healthy Food ◽  
Food Environments ◽  
Policy Dialogue ◽  
Policy Coherence ◽  
Thai Government ◽  
State Actors

AbstractObjectiveTo determine and compare the level of implementation of policies for healthy food environments in Thailand with reference to international best practice by state and non-state actors.DesignData on the current level of implementation of food environment policies were assessed independently using the adapted Healthy Food Environment Policy Index (Food-EPI) by two groups of actors. Concrete actions were proposed for Thai Government. A joint meeting between both groups was subsequently held to reach consensus on priority actions.SettingThailand.SubjectsThirty state actors and twenty-seven non-state actors.ResultsLevel of policy implementation varied across different domains and actor groups. State actors rated implementation levels higher than non-state actors. Both state and non-state actors rated level of implementation of monitoring of BMI highest. Level of implementation of policies promoting in-store availability of healthy foods and policies increasing tax on unhealthy foods were rated lowest by state and non-state actors, respectively. Both groups reached consensus on eleven priority actions for implementation, focusing on food provision in public-sector settings, food composition, food promotion, leadership, monitoring and intelligence, and food trade.ConclusionsAlthough the implementation gaps identified and priority actions proposed varied between state and non-state actors, both groups achieved consensus on a comprehensive food policy package to be implemented by the Thai Government to improve the healthiness of food environments. This consensus is a platform for continued policy dialogue towards cross-sectoral policy coherence and effective actions to address the growing burden of non-communicable diseases and obesity in Thailand.

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