The George Institute for Global Health, University of New South Wales, Sydney 2006, Australia.
National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland 1023, New Zealand.
Nutrients. 2022 Jun 24;14(13):2628. doi: 10.3390/nu14132628.
Effective implementation of nutrition standards in publicly funded institutions can facilitate healthy food and beverage consumption by communities and populations, which can enable improvements in dietary intake and reduce disease burden. This study aimed to understand stakeholder perspectives on the implementation of government nutrition standards in publicly funded institutions in the Australian state of Victoria, as well as to determine enablers and barriers to successful implementation. Pre-interview questionnaires and semi-structured interviews were administered to stakeholders involved in the implementation of nutrition standards in publicly funded institutions in Victoria. The Interactive Systems Framework, which allows understanding of the infrastructure and systems needed to implement policies, was used to design the survey instruments and guide the data analysis. Forty-four stakeholders were interviewed, including program implementers, support personnel and food providers, across public sector hospitals and health services, workplaces, sport and recreation centres and schools. Though translated materials and resources have been developed for end-users to facilitate uptake and implementation, current nutrition standards were perceived to be long and complex, which hindered implementation. The existence of a government-funded implementation support service enabled action by providing technical support, troubleshooting and capacity-building. A specific pathway for successful guideline implementation was determined through the analysis. Opportunities to close the policy-implementation gap were identified. This will be crucial to maximising the impact of nutrition standards on population diets and reducing diet-related disease. Strengthening the guidelines and their governance, streamlining the support system and overcoming barriers within and outside of implementing organisations, are urgently required to propel statewide progress.
有效实施公共资助机构的营养标准可以促进社区和人群健康食品和饮料的消费，从而改善饮食摄入并减轻疾病负担。本研究旨在了解利益相关者对澳大利亚维多利亚州公共资助机构实施政府营养标准的看法，以及确定成功实施的促进因素和障碍。对参与维多利亚州公共资助机构营养标准实施的利益相关者进行了预访谈问卷和半结构化访谈。互动系统框架用于设计调查工具和指导数据分析，该框架允许理解实施政策所需的基础设施和系统。在公立医院和卫生服务、工作场所、体育和娱乐中心以及学校，共采访了 44 名利益相关者，包括项目实施者、支持人员和食品供应商。尽管已经为最终用户开发了翻译材料和资源，以促进采用和实施，但当前的营养标准被认为冗长而复杂，这阻碍了实施。政府资助的实施支持服务的存在通过提供技术支持、解决问题和能力建设来促进行动。通过分析确定了成功实施指南的具体途径。确定了缩小政策实施差距的机会。这对于最大限度地发挥营养标准对人群饮食的影响和减少与饮食相关的疾病至关重要。需要加强准则及其治理，简化支持系统，并克服实施组织内外的障碍，以推动全州的进展。
