School of Public Health and Preventive Medicine, Monash University, Clayton, Australia.
Deakin University, Geelong, Global Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Geelong, Australia.
Public Health Nutr. 2021 Jun;24(9):2758-2770. doi: 10.1017/S1368980020002323. Epub 2020 Sep 8.
Local governments have integral roles in contributing to public health. One recent focus has been on how local governments can impact community nutrition by engaging food service outlets to improve their food offer. The Healthier Catering Commitment (HCC) is an initiative where London local governments support takeaways and restaurants to meet centrally defined nutrition criteria on their food options. Using the case of HCC, the current study aims to provide (1) practical learnings of how local governments could facilitate and overcome barriers associated with implementing healthy food service initiatives in general, and (2) specific recommendations for enhancements for HCC.
Key informant, semi-structured interviews were conducted with local government staff involved in HCC, exploring barriers and facilitators to HCC implementation in food businesses. A thematic analysis approach was used, with results presented according to a logic pathway of ideal implementation in order to provide practical, focused insights.
Local governments implementing HCC.
Twenty-two individuals supporting HCC implementation.
Facilitators to implementation included flexible approaches, shared resourcing and strategically engaging businesses with practical demonstrations. Barriers were limited resources, businesses fearing negative customer responses and low uptake in disadvantaged areas. Key suggestions to enhance implementation and impact included offering additional incentives, increasing HCC awareness and encouraging recruited businesses to make healthy changes beyond initiative requirements.
In order to facilitate the implementation of healthy food initiatives in food outlets, local governments would benefit from involving their environmental health team, employing community-tailored approaches and focusing on supporting businesses in disadvantaged areas.
地方政府在促进公共卫生方面发挥着重要作用。最近的一个重点是研究地方政府如何通过吸引餐饮服务企业来改善其食品供应，从而影响社区营养。健康餐饮承诺（HCC）是一项倡议，伦敦地方政府支持外卖和餐馆在其食品选择上符合中央规定的营养标准。本研究以 HCC 为例，旨在提供（1）地方政府在促进和克服与实施一般健康餐饮服务倡议相关的障碍方面的实际经验，以及（2）HCC 增强的具体建议。
对参与 HCC 的地方政府工作人员进行了关键知情人、半结构化访谈，探讨了在餐饮企业中实施 HCC 的障碍和促进因素。采用主题分析方法，根据理想实施的逻辑路径呈现结果，以提供实用、重点突出的见解。
实施 HCC 的地方政府。
支持 HCC 实施的 22 人。
实施的促进因素包括灵活的方法、共享资源以及通过实际演示策略性地吸引企业。障碍包括资源有限、企业担心负面客户反应以及弱势地区的参与度低。增强实施和影响的主要建议包括提供额外的激励措施、提高 HCC 的知名度以及鼓励招募的企业在倡议要求之外做出健康改变。
为了促进餐饮企业实施健康食品倡议，地方政府将受益于让其环境卫生团队参与、采用适合社区的方法，并专注于支持弱势地区的企业。
