Level of implementation of best practice policies for creating healthy food environments: assessment by state and non-state actors in Thailand
Level of implementation of best practice policies for creating healthy food environments: assessment by state and non-state actors in Thailand
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DOI：
10.1017/s1368980016002391
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发表时间：
2017-02-01
影响因子：
3.2
通讯作者：
Sacks, Gary
中科院分区：
文献类型：
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作者：
Phulkerd, Sirinya;Vandevijvere, Stefanie;Sacks, Gary
目的：为了确定和比较健康的食品环境在泰国的政策的实施水平，参考国际最佳实践，由国家和非国家actors.Design：目前的食品环境政策的实施水平的数据进行了评估，独立使用适应健康的食品环境政策指数（食品EPI）由两组演员。建议泰国政府采取具体行动。随后，两个小组举行了一次联席会议，就优先行动达成共识。国家行为者对执行水平的评价高于非国家行为者。国家和非国家行为者对BMI监测的执行程度评价最高。国家和非国家行为者分别对促进健康食品店内供应的政策和增加不健康食品税收的政策的执行程度评价最低。这两个小组就11项优先执行行动达成了共识，重点是公共部门的粮食供应、粮食组成、粮食推广、领导、监测和情报以及粮食贸易。虽然国家和非国家行为体之间查明的执行差距和提出的优先行动各不相同，两个小组就泰国政府为改善食品环境的健康而实施的综合食品政策一揽子计划达成了共识。这一共识是一个持续政策对话的平台，以实现跨部门政策一致性和有效行动，解决泰国日益沉重的非传染性疾病和肥胖负担。
Objective: To 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.Design: Data 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.Setting: Thailand.Subjects: Thirty state actors and twenty-seven non-state actors.Results: Level 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.Conclusions: Although 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.