Torres Irene, Villalba José Julio, López-Cevallos Daniel F, Galea Sandro
Fundacion Octaedro, El Zurriago E8-28 y Ave. De los Shyris, Quito, Ecuador.
School of Nursing, Pontifical Catholic University of Ecuador, Ave. 12 de Octubre 1076, Quito 170143, Ecuador.
Lancet Reg Health Am. 2023 Nov 29;29:100645. doi: 10.1016/j.lana.2023.100645. eCollection 2024 Jan.
Corporate influence in policy and decision-making is an important public health concern. This Health Policy paper reviews Ecuador's child malnutrition strategy instruments, approved between 2020 and 2023, to identify how private interests are becoming legally integrated into the public sector. Evidence indicates that recent changes are enabling corporations to promote their brands, gain tax deductions, oversee public policy and set priorities, allocate resources, and decide on implementation of the country's child malnutrition strategy. Further, corporate representatives are active members of an advisory council, free from scrutiny or accountability, while being privy to undisclosed government information. Moreover, a UN agency (the World Food Program) engaged in corporate promotion of highly processed foods, illustrating the breadth of Ecuador's corporate influence scheme. Improved regulations should set clear limits to the influence of food and beverage industries in national nutrition policy, while following transparency laws in the composition and operation of Ecuador's child malnutrition strategy and related efforts.
企业对政策和决策的影响是一个重要的公共卫生问题。本卫生政策文件回顾了2020年至2023年期间厄瓜多尔批准的儿童营养不良战略工具，以确定私人利益如何在法律上融入公共部门。有证据表明，最近的变化使企业能够推广其品牌、获得税收减免、监督公共政策并确定优先事项、分配资源以及决定该国儿童营养不良战略的实施。此外，企业代表是一个咨询委员会的活跃成员，不受审查或问责，同时可以接触到未公开的政府信息。此外，一个联合国机构（世界粮食计划署）参与了对高加工食品的企业推广，这说明了厄瓜多尔企业影响力计划的广度。完善的法规应明确限制食品和饮料行业对国家营养政策的影响，同时在厄瓜多尔儿童营养不良战略及相关工作的组成和运作中遵循透明度法律。
