Nutrition related non-communicable diseases and sugar sweetened beverage policies
A landscape analysis in Zambia
Bibliographic Data
| ID | 19529893 |
|---|---|
| Authors | Mulenga Mukanu (0000-0002-1207-0925, University of Zambia), Safura Abdool Karim (0000-0002-4843-9907, South African Medical Research Council, corresponding author), Karen Hofman (0000-0001-9512-7220, South African Medical Research Council), Agnes Erzse (0000-0001-9303-9323, South African Medical Research Council), Anne Marie Thow (0000-0002-6460-5864, The University of Sydney) |
| Year | 2021 |
| Volume | 14 |
| Issue | 1 |
| Pages | 1872172-1872172 |
| Publication date | 2021-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2021.1872172 |
| PMID | 33876714 |
| OpenAlex | W3154578648 |
| Language | EN |
| Citations received | 15 |
| References cited | 23 |
Background: Taxation on unhealthy products is recommended as a cost-effective intervention to address the global burden of non-communicable diseases. Taxation of sugar-sweetened beverages dis-incentivize consumption of unhealthy products. Implementation of such policies is difficult in Sub-Saharan African countries, which are targets for global corporate expansion by the sugar-sweetened beverages industry.Objective: To identify opportunities to strengthen policies relating to sugar-sweetened beverage taxation in Zambia, through: (1) understanding the policy landscape and political context in which policies for nutrition-related non-communicable diseases are being developed, particularly sugar-sweetened beverage taxation, and exploring the potential use of revenue arising from sugar-sweetened beverage taxation to support improved nutrition.Methods: We conducted a retrospective qualitative policy analysis with a review of nutrition-related non-communicable diseases policies and key informant interviews (n = 10) with policy actors. Data were coded and analyzed data using pre-constructed matrices based on the Kingdon’s Policy Agenda Framework.Results: Government responses to nutrition-related non-communicable diseases were developed in an incoherent policy environment. The health sector’s commitment to regulate sugar-sweetened beverages conflicted with the manufacturing sector’s priorities for economic growth. Increased regulation of sugar-sweetened beverages was a priority for the health sector. Economic interests sought to grow the manufacturing sector, including the food and beverage industries. Consequently, incoherent policy objectives might have contributed to the adoption of a weakened excise tax. The general public were poorly informed about nutrition-related non-communicable diseases.Conclusions: The tension between the Government’s economic and public health priorities is a barrier for strengthening fiscal measures to address nutrition-related non-communicable diseases. However, this did not prevent the introduction of a differential sugar tax on sugar-sweetened beverages. Opportunities exist to strengthen the existing taxation of sugar-sweetened beverages in Zambia. These include a more inclusive consultation process for policy formulation and comprehensive monitoring of risk factors
Economic growth · Economics · Environmental health · Geography · Non-communicable disease · Public health · Child Nutrition and Water Access · Global Public Health Policies and Epidemiology · Medicine · Obesity, Physical Activity, Diet
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| Unique citing works | 15 |
|---|---|
| Citations per year | 3 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 12 |