An accountability framework to promote healthy food environments

Kraak, Vivica I., Swinburn, Boyd, Lawrence, Mark and Harrison, Paul 2014, An accountability framework to promote healthy food environments, Public health nutrition, vol. 17, no. 11, pp. 2467-2483, doi: 10.1017/S1368980014000093.

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Title An accountability framework to promote healthy food environments
Author(s) Kraak, Vivica I.
Swinburn, Boyd
Lawrence, MarkORCID iD for Lawrence, Mark
Harrison, PaulORCID iD for Harrison, Paul
Journal name Public health nutrition
Volume number 17
Issue number 11
Start page 2467
End page 2483
Total pages 17
Publisher Cambridge University Press
Place of publication Cambridge, England
Publication date 2014-11
ISSN 1368-9800
Keyword(s) healthy food environments
voluntary partnerships
accountability structures
Summary Objective
To review the available literature on accountability frameworks to construct a framework that is relevant to voluntary partnerships between government and food industry stakeholders.

Between November 2012 and May 2013, a desk review of ten databases was conducted to identify principles, conceptual frameworks, underlying theories, and strengths and limitations of existing accountability frameworks for institutional performance to construct a new framework relevant to promoting healthy food environments.

Food policy contexts within high-income countries to address obesity and diet-related non-communicable diseases.

Subjects Eligible resources (n 26) were reviewed and the guiding principles of fifteen interdisciplinary frameworks were used to construct a new accountability framework.

Strengths included shared principles across existing frameworks, such as trust, inclusivity, transparency and verification; government leadership and good governance; public deliberations; independent bodies recognizing compliance and performance achievements; remedial actions to improve accountability systems; and capacity to manage conflicts of interest and settle disputes. Limitations of the three-step frameworks and ‘mutual accountability’ approach were an explicit absence of an empowered authority to hold all stakeholders to account for their performance.

We propose a four-step accountability framework to guide government and food industry engagement to address unhealthy food environments as part of a broader government-led strategy to address obesity and diet-related non-communicable diseases. An independent body develops clear objectives, a governance process and performance standards for all stakeholders to address unhealthy food environments. The empowered body takes account (assessment), shares the account (communication), holds to account (enforcement) and responds to the account (improvements).
Language eng
DOI 10.1017/S1368980014000093
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Cambridge University Press
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