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Strengthening implementation of diet-related non-communicable disease prevention strategies in Fiji: a qualitative policy landscape analysis
journal contribution
posted on 2023-02-10, 03:35 authored by S Mounsey, G Waqa, B McKenzie, Erica ReeveErica Reeve, J Webster, Colin BellColin Bell, AM ThowAbstract
Background
Noncommunicable diseases (NCDs) are the leading cause of death globally, and the World Health Organization (WHO) has recommended a comprehensive policy package for their prevention and control. However, implementing robust, best-practice policies remains a global challenge. In Fiji, despite political commitment to reducing the health and economic costs of NCDs, prevalence of diabetes and cardiovascular disease remain the highest in the region. The objective of this study was to describe the political and policy context for preventing diet-related NCDs in Fiji and policy alignment with WHO recommendations and global targets. We used a case study methodology and conducted (1) semi-structured key informant interviews with stakeholders relevant to diet-related NCD policy in Fiji (n = 18), (2) documentary policy analysis using policy theoretical frameworks (n = 11), (3) documentary stakeholder analysis (n = 7), and (4) corporate political activity analysis of Fiji’s food and beverage industry (n = 12). Data were sourced through publicly available documents on government websites, internet searches and via in-country colleagues and analysed thematically.
Results
Opportunities to strengthen and scale-up NCD policies in Fiji in line with WHO recommendations included (1) strengthening multisectoral policy engagement, (2) ensuring a nutrition- and health-in-all policy approach, (3) using a whole-of-society approach to tighten political action across sectors, and (4) identifying and countering food industry influence.
Conclusion
Diet-related NCD policy in Fiji will be strengthened with clearly defined partner roles, responsibilities and accountability mechanisms, clear budget allocation and strong institutional governance structures that can support and counter industry influence. Such initiatives will be needed to reduce the NCD burden in Fiji.
History
Journal
Globalization and HealthVolume
18Article number
ARTN 79Location
EnglandPublisher DOI
ISSN
1744-8603eISSN
1744-8603Language
EnglishPublication classification
C1 Refereed article in a scholarly journalIssue
1Publisher
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Keywords
Science & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthDiet-related non-communicable diseaseFiscal policySSB taxesPolicy analysisCorporate political activityPUBLIC-PRIVATE PARTNERSHIPSFISCAL-POLICYFOOD POLICYNUTRITIONHEALTHREDUCTIONFRAMEWORKIDENTIFYOBESITYTRADEDietFijiHealth PolicyHumansNoncommunicable DiseasesPolicyPolicy MakingPreventionNutrition3 Prevention of disease and conditions, and promotion of well-being8 Health and social care services research8.3 Policy, ethics, and research governance3.1 Primary prevention interventions to modify behaviours or promote wellbeingCardiovascularMetabolic and endocrine3 Good Health and Well BeingPublic Health and Health Services not elsewhere classified
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