Maternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Menzies Centre for Health Policy and Director of Academic Titles, School of Public Health, The University of Sydney, Sydney, Australia.
Glob Health Action. 2021 Jan 1;14(1):1902659. doi: 10.1080/16549716.2021.1902659.
: The burden of undernutrition is significant in Kenya. Obesity and related non-communicable diseases are also on the increase. Government action to prevent non-communicable diseases is critical. Taxation of sugar-sweetened beverages has been identified as an effective mechanism to address nutrition-related non-communicable diseases, although Kenya is not yet committed to this.: To assess the policy and stakeholder landscape relevant to nutrition related non -communicable diseases and sugar-sweetened beverage taxation in Kenya.: A desk review of evidence and policies related to nutrition related non-communicable diseases and sugar-sweetened beverages was conducted. Data extraction matrices were used for analysis. Key informant interviews were conducted with 10 policy actors. Interviews were thematically analysed to identify enablers of, and barriers to, policy change towards nutrition-sweetened beverage taxation.: Although nutrition related non-communicable diseases are recognised as a growing problem in Kenya most food-related policies focus on undernutrition and food security, while underplaying the role of nutrition related non-communicable diseases. Policy development on communicable diseases is multi-sectoral, but implementation is biased towards curative rather than preventive services. An excise tax is charged on soft drinks, but is not specific to sugar-sweetened beverages. Government has competing roles: advocating for industrial growth, such as sugar and food processing industries to foster economic development, yet wanting to control nutrition related non-communicable diseases. There is no national consensus about the dangers posed by sugar-sweetened beverages.: Nutrition related non-communicable diseases policies should reflect a continuum of issues, from undernutrition to food security, nutrition transition, and the escalation of nutrition related non-communicable diseases. A local advocacy case for sugar-sweetened beverage taxation has not been made. Public and policy maker education is critical to challenge the prevailing attitudes towards sugar-sweetened beverages and the western diet.
: 营养不良在肯尼亚造成了沉重负担。肥胖症和相关非传染性疾病的发病率也在上升。政府采取行动预防非传染性疾病至关重要。对含糖饮料征税已被确定为解决与营养相关的非传染性疾病的有效机制，尽管肯尼亚尚未承诺采取这一措施。
: 评估与肯尼亚营养相关的非传染性疾病和含糖饮料征税相关的政策和利益攸关方情况。
: 对与营养相关的非传染性疾病和含糖饮料相关的政策和证据进行了桌面审查。使用数据提取矩阵进行分析。对 10 名政策行为体进行了重点知情者访谈。对访谈进行了主题分析，以确定促进和阻碍营养-含糖饮料征税政策变革的因素。
: 尽管营养相关的非传染性疾病在肯尼亚被认为是一个日益严重的问题，但大多数与食品相关的政策都侧重于营养不良和粮食安全，而对营养相关的非传染性疾病的作用重视不够。传染病政策的制定是多部门的，但实施偏向于治疗性服务而非预防性服务。对软饮料征收消费税，但不针对含糖饮料。政府有相互竞争的角色：一方面倡导工业增长，如糖和食品加工业，以促进经济发展，另一方面又希望控制营养相关的非传染性疾病。对于含糖饮料带来的危险，政府内部没有达成共识。
: 营养相关的非传染性疾病政策应反映一系列问题，从营养不良和粮食安全到营养转型以及营养相关的非传染性疾病的加剧。尚未提出对含糖饮料征税的地方宣传案例。公众和政策制定者的教育对于挑战对含糖饮料和西方饮食的普遍态度至关重要。
