Evidence map›Paper›PMID 32760079›Full record

ArticlePloS one2020

Benchmarking food environment policies for the prevention of diet-related non-communicable diseases in Kenya: National expert panel's assessment and priority recommendations.

Gershim Asiki, Milkah N Wanjohi, Amy Barnes, Kristin Bash, Stella Muthuri, Dickson Amugsi, Danielle Doughman, Elizabeth Kimani, Stefanie Vandevijvere, Michelle Holdsworth

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gershim AsikiAfrican Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-9966-1153
Milkah N WanjohiAfrican Population and Health Research Center, Nairobi, Kenya.
Amy BarnesPublic Health, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom.
Kristin BashPublic Health, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom.
Stella MuthuriAfrican Population and Health Research Center, Nairobi, Kenya.
Dickson AmugsiAfrican Population and Health Research Center, Nairobi, Kenya.
Danielle DoughmanAfrican Population and Health Research Center, Nairobi, Kenya.
Elizabeth KimaniAfrican Population and Health Research Center, Nairobi, Kenya.
Stefanie VandevijvereSchool of Population Health, The University of Auckland, Auckland, New Zealand.
Michelle HoldsworthFrench National Research Institute for Sustainable Development (IRD), NUTRIPASS Unit: IRD-Univ Montpellier-SupAgro, Montpellier, France.

Funding

Medical Research Council 332:643
6 · The paper itself

Abstract

introductionUnhealthy food environments drive the increase of diet-related non-communicable diseases (NCDs).

objectiveWe aimed to examine healthy food environment policies in Kenya and identify priorities for future action.

methodsUsing the Healthy Food Environment Policy Index (Food-EPI) we collected evidence on the extent of government action to create healthy food environments across 13 policy and infrastructure support domains and 43 related good practice indicators between 2017 and 2018. A panel of 15 national experts rated the extent of government action on each indicator compared to the policy development cycle and international best practice respectively. Based on gaps found, actions to improve food environments in Kenya were identified and prioritized.

resultsIn the policy development cycle, 16/43 (37%) of good practice policy indicators were judged to be in 'implementation' phase, including: food composition targets, packaged foods' ingredient lists/nutrient declarations; systems regulating health claims; restrictions on marketing breast milk substitutes; and school nutrition policies. Infrastructure support actions in 'implementation' phase included: food-based dietary guidelines; strong political support to reduce NCDs; comprehensive NCD action plan; transparency in developing food policies; and surveys monitoring nutritional status. Half (22/43) of the indicators were judged to be 'in development'. Compared to international best practice, the Kenyan Government was judged to be performing relatively well ('medium' implementation) in one policy (restrictions on marketing breast milk substitutes) and three infrastructure support areas (political leadership; comprehensive implementation plan; and ensuring all food policies are sensitive to nutrition). Implementation for 36 (83.7%) indicators were rated as 'low' or 'very little'. Taking into account importance and feasibility, seven actions within the areas of leadership, food composition, labelling, promotion, prices and health-in-all-policies were prioritized.

conclusionThis baseline assessment is important in creating awareness to address gaps in food environment policy. Regular monitoring using Food-EPI may contribute to addressing the burden of diet-related NCDs in Kenya.

Indexed as

BenchmarkingHealth PromotionNutrition PolicyDiet, HealthyGovernmentHumansKenyaNoncommunicable DiseasesPolicy MakingPublic Health

Identifiers

PMID32760079
PMCPMC7410300

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.