Menzies Centre for Health Policy, School of Public Health, University of Sydney, Victor Coppleson Building D02, Sydney, NSW 2006, Australia.
Bull World Health Organ. 2013 Jan 1;91(1):57-63. doi: 10.2471/BLT.12.106955. Epub 2012 Nov 16.
Low fruit and vegetable consumption is an important contributor to the global burden of disease. In the wake of the United Nations High-level Meeting on Non-Communicable Diseases (NCDs), held in September 2011, a rise in the consumption of fruits and vegetables is foreseeable and this increased demand will have to be met through improved supply. The World Health Organization, the Food and Agriculture Organization and the World Bank have highlighted the potential for developing countries to benefit nutritionally and economically from the increased production and export of fruit and vegetables.Aid for Trade, launched in 2005 as an initiative designed to link development aid and trade holistically, offers an opportunity for the health and trade sectors to work jointly to enhance health and development. The Aid for Trade work programme stresses the importance of policy coherence across sectors, yet the commonality of purpose driving the Aid for Trade initiative and NCD prevention efforts has not been explored.In this paper food supply chain analysis was used to show health policy-makers that Aid for Trade can provide a mechanism for increasing the supply of fruits and vegetables in developing countries. Aid for Trade is an existing funding channel with clear accountability and reporting mechanisms, but its priorities are determined with little or no input from the health sector. The paper seeks to enable public health policy-makers, practitioners and advocates to improve coherence between trade and public health policies by highlighting Aid for Trade's potential role in this endeavour.
水果和蔬菜摄入量低是造成全球疾病负担的一个重要因素。继 2011 年 9 月联合国非传染性疾病问题高级别会议之后，人们可以预见水果和蔬菜的消费量将会增加，这就需要通过改善供应来满足这一增长的需求。世界卫生组织、联合国粮食及农业组织和世界银行强调，发展中国家有可能从增加水果和蔬菜的生产和出口中获得营养和经济上的好处。贸易援助倡议于 2005 年启动，旨在将发展援助和贸易全盘联系起来，为卫生和贸易部门共同努力增进健康和发展提供了一个机会。贸易援助工作方案强调各部门政策一致性的重要性，但贸易援助倡议和非传染性疾病预防工作的共同目标尚未得到探讨。本文利用食品供应链分析向卫生政策制定者表明，贸易援助可以为发展中国家增加水果和蔬菜供应提供一种机制。贸易援助是一个现有的供资渠道，有明确的问责和报告机制，但它的优先事项是在没有或很少有来自卫生部门投入的情况下确定的。本文旨在使公共卫生政策制定者、从业者和倡导者能够通过突出贸易援助在这方面的潜在作用，提高贸易和公共卫生政策之间的一致性。
