Cargando…

Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya

Background: 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...

Descripción completa

Detalles Bibliográficos
Autores principales: Wanjohi, Milkah N, Thow, Ann Marie, Abdool Karim, Safura, Asiki, Gershim, Erzse, Agnes, Mohamed, Shukri F, Pierre Donfouet, Hermann Pythagore, Juma, Pamela A, Hofman, Karen J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079030/
https://www.ncbi.nlm.nih.gov/pubmed/33874855
http://dx.doi.org/10.1080/16549716.2021.1902659
_version_ 1783685144917311488
author Wanjohi, Milkah N
Thow, Ann Marie
Abdool Karim, Safura
Asiki, Gershim
Erzse, Agnes
Mohamed, Shukri F
Pierre Donfouet, Hermann Pythagore
Juma, Pamela A
Hofman, Karen J
author_facet Wanjohi, Milkah N
Thow, Ann Marie
Abdool Karim, Safura
Asiki, Gershim
Erzse, Agnes
Mohamed, Shukri F
Pierre Donfouet, Hermann Pythagore
Juma, Pamela A
Hofman, Karen J
author_sort Wanjohi, Milkah N
collection PubMed
description Background: 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. Objective: To assess the policy and stakeholder landscape relevant to nutrition related non -communicable diseases and sugar-sweetened beverage taxation in Kenya. Methods: 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. Results: 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. Conclusion: 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.
format Online
Article
Text
id pubmed-8079030
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Taylor & Francis
record_format MEDLINE/PubMed
spelling pubmed-80790302021-05-06 Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya Wanjohi, Milkah N Thow, Ann Marie Abdool Karim, Safura Asiki, Gershim Erzse, Agnes Mohamed, Shukri F Pierre Donfouet, Hermann Pythagore Juma, Pamela A Hofman, Karen J Glob Health Action Special issue: Readiness for Sugar Sweetened Beverage Taxation in Sub-Saharan Africa Background: 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. Objective: To assess the policy and stakeholder landscape relevant to nutrition related non -communicable diseases and sugar-sweetened beverage taxation in Kenya. Methods: 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. Results: 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. Conclusion: 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. Taylor & Francis 2021-04-20 /pmc/articles/PMC8079030/ /pubmed/33874855 http://dx.doi.org/10.1080/16549716.2021.1902659 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Special issue: Readiness for Sugar Sweetened Beverage Taxation in Sub-Saharan Africa
Wanjohi, Milkah N
Thow, Ann Marie
Abdool Karim, Safura
Asiki, Gershim
Erzse, Agnes
Mohamed, Shukri F
Pierre Donfouet, Hermann Pythagore
Juma, Pamela A
Hofman, Karen J
Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya
title Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya
title_full Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya
title_fullStr Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya
title_full_unstemmed Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya
title_short Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya
title_sort nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in kenya
topic Special issue: Readiness for Sugar Sweetened Beverage Taxation in Sub-Saharan Africa
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079030/
https://www.ncbi.nlm.nih.gov/pubmed/33874855
http://dx.doi.org/10.1080/16549716.2021.1902659
work_keys_str_mv AT wanjohimilkahn nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT thowannmarie nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT abdoolkarimsafura nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT asikigershim nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT erzseagnes nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT mohamedshukrif nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT pierredonfouethermannpythagore nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT jumapamelaa nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya
AT hofmankarenj nutritionrelatednoncommunicablediseaseandsugarsweetenedbeveragepoliciesalandscapeanalysisinkenya