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Process evaluation and costing of a multifaceted population-wide intervention to reduce salt consumption in Fiji

Webster, Jacqui, Pillay, Arti, Suku, Arleen, Gohil, Paayal, Santos, Joseph Alvin, Schultz, Jimaima, Wate, Jillian, Trieu, Kathy, Hope, Silvia, Snowdon, Wendy, Moodie, Marj, Jan, Stephen and Bell, Colin 2018, Process evaluation and costing of a multifaceted population-wide intervention to reduce salt consumption in Fiji, Nutrients, vol. 10, no. 2, doi: 10.3390/nu10020155.

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Title Process evaluation and costing of a multifaceted population-wide intervention to reduce salt consumption in Fiji
Author(s) Webster, Jacqui
Pillay, Arti
Suku, Arleen
Gohil, Paayal
Santos, Joseph Alvin
Schultz, Jimaima
Wate, Jillian
Trieu, Kathy
Hope, Silvia
Snowdon, WendyORCID iD for Snowdon, Wendy orcid.org/0000-0001-6890-5250
Moodie, MarjORCID iD for Moodie, Marj orcid.org/0000-0001-6890-5250
Jan, Stephen
Bell, ColinORCID iD for Bell, Colin orcid.org/0000-0003-2731-9858
Journal name Nutrients
Volume number 10
Issue number 2
Total pages 16
Publisher MDPI AG
Place of publication Basel, Switzerland
Publication date 2018-01-30
ISSN 2072-6643
Keyword(s) advocacy
behavior change
capacity building
costs
evaluation
food
hypertension prevention
nutrition
public health policy
salt reduction
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
PREVENTION
BEHAVIOR
PROGRAM
FOODS
Summary This paper reports the process evaluation and costing of a national salt reduction intervention in Fiji. The population-wide intervention included engaging food industry to reduce salt in foods, strategic health communication and a hospital program. The evaluation showed a 1.4 g/day drop in salt intake from the 11.7 g/day at baseline; however, this was not statistically significant. To better understand intervention implementation, we collated data to assess intervention fidelity, reach, context and costs. Government and management changes affected intervention implementation, meaning fidelity was relatively low. There was no active mechanism for ensuring food companies adhered to the voluntary salt reduction targets. Communication activities had wide reach but most activities were one-off, meaning the overall dose was low and impact on behavior limited. Intervention costs were moderate (FJD $277,410 or $0.31 per person) but the strategy relied on multi-sector action which was not fully operationalised. The cyclone also delayed monitoring and likely impacted the results. However, 73% of people surveyed had heard about the campaign and salt reduction policies have been mainstreamed into government programs. Longer-term monitoring of salt intake is planned through future surveys and lessons from this process evaluation will be used to inform future strategies in the Pacific Islands and globally.
Language eng
DOI 10.3390/nu10020155
Field of Research 111104 Public Nutrition Intervention
1111 Nutrition And Dietetics
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30106170

Document type: Journal Article
Collections: Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.