Master´s and Doctorate Program in Medical and Health Sciences, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Menzies Centre for Health Policy, School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Int J Health Policy Manag. 2022 Dec 6;11(11):2451-2463. doi: 10.34172/ijhpm.2021.164. Epub 2021 Nov 28.
As part of a global policy response for addressing malnutrition, food system actions have been proposed. Within food system interventions, policies directed to supply chains have the potential to increase the availability and affordability of a healthy diet. This qualitative study aimed to identify opportunities to integrate nutrition as a priority into the food supply policy space in Mexico.
Data were collected through analysis of 19 policy documents and 20 semi-structured stakeholder interviews. As an analytical framework, we used policy space analysis and embedded the Advocacy Coalition Framework (ACF) and the steps of the food chain of the conceptual framework of food systems for diets and nutrition.
Policy issues relevant to nutrition were viewed differently in the economic and agricultural sectors versus the health sector. Overall, the main policy objective related to nutrition within the economic and agricultural sectors was to contribute to food security in terms of food quantity. Nutrition was an objective in itself only in the health sector, with a focus on food quality. Our policy space analysis reveals an opportunity to promote a new integrated vision with the recent creation of an intersectoral group working on the public agenda for a food system transformation. This newer integrative narrative on food systems presents an opportunity to shift the existing food security narrative from quantity towards considerations of diet quality.
The political context and public agenda are favorable to pursue a food system transformation to deliver sustainable healthy diets. Mexico can provide a case study for other low- and middle-income countries (LMICs) for putting nutrition at the center of food policy, despite the ongoing constraints on achieving this.
作为应对营养不良的全球政策措施的一部分，提出了食品系统行动。在食品系统干预措施中，针对供应链的政策有可能增加健康饮食的供应和可负担性。本定性研究旨在确定将营养作为优先事项纳入墨西哥食品供应政策领域的机会。
通过分析 19 份政策文件和 20 次半结构化利益攸关方访谈收集数据。作为分析框架，我们使用政策空间分析，并嵌入倡导联盟框架 (ACF) 和食品系统用于饮食和营养的概念框架的食物链步骤。
经济和农业部门与卫生部门对与营养相关的政策问题的看法不同。总体而言，经济和农业部门内与营养有关的主要政策目标是从数量上促进粮食安全。营养本身只是卫生部门的一个目标，重点是食品质量。我们的政策空间分析显示，有机会通过最近成立的一个跨部门小组来推动新的综合愿景，该小组致力于公共议程，以实现食品系统转型。关于食品系统的这种新的综合叙述为从数量上转向考虑饮食质量来转变现有的粮食安全叙述提供了机会。
政治背景和公共议程有利于推动食品系统转型，以提供可持续的健康饮食。尽管存在实现这一目标的持续限制，但墨西哥可以为其他低收入和中等收入国家 (LMIC) 提供一个将营养置于食品政策中心的案例研究。
