snowdon-processevaluation-2018.pdf (783.75 kB)
Process evaluation and costing of a multifaceted population-wide intervention to reduce salt consumption in Fiji
journal contribution
posted on 2018-01-30, 00:00 authored by Jacqui Webster, Arti Pillay, Arleen Suku, Paayal Gohil, Joseph Alvin Santos, Jimaima Schultz, Jillian Wate, Kathy Trieu, Silvia Hope, Wendy Snowdon, Marj MoodieMarj Moodie, Stephen Jan, Colin BellColin BellThis 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.
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NutrientsVolume
10Issue
2Publisher
MDPI AGLocation
Basel, SwitzerlandPublisher DOI
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2072-6643Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2018, The AuthorsUsage metrics
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