Evaluation of a Healthy Food Procurement Policy at Municipality-level in Nepal

NCT05664256 | Recruiting

• 1 other identifier: 628b9a3dcaeacc9d7bbc90f7
• Study Type: interventional
• Target: 402
• Locations: 1 country
• Sites: 1

Brief Summary

The rise in chronic diseases is attributed to unhealthy eating high in sugar, salt and saturated fats, which is facilitated by the availability and consumption of these unhealthy foods. The investigators will conduct the Randomized Controlled Trial to evaluate the effect of food procurement policy on the food environment in the public facilities like schools, worksites, hospitals, correctional facilities and care homes of four municipalities of Bagmati Province, Nepal. The investigators will develop food procurement policy and get endorsed from each municipality through their legislative process. In three months, the change in the food environment after implementing the policy in public facilities of the respective municipalities will be measured.

Conditions

Food Selection

Keywords

Food availability; Healthy Food; Food Procurement Policy

Outcome Measures

Primary Outcomes (1)

• Change in availability of healthy and unhealthy food options

  We will calculate the percentage change in both the availability and sales of the foods such as fruits, vegetables, whole grains, trans fats, high sodium and sugar containing foods.

  3 months

Study Arms (2)

policy intervention group

EXPERIMENTAL

The group will receive the policy intervention package.

Other: Build capacity of canteen; Other: Information, Education and Communication materials; Other: Monitoring visit

policy control group

NO INTERVENTION

The group will follow the usual guidelines for food procurement policy at the canteen. After three months, the group will receive the policy intervention package.

Interventions

Build capacity of canteen OTHER

The investigators will conduct 1 day orientation training to the school nurse, principal and canteen managers of the facilities. Different sessions on basic nutrition concept, healthy eating, healthy cooking practices including purchasing and serving will be conducted. The investigators will develop training manuals: training curriculum, facilitators guide, and participants guide, aligning with policy contents.

policy intervention group

Information, Education and Communication materials OTHER

Posters showing healthy plate model will be displayed on the canteen walls. The fact sheet on healthy eating will be distributed to all the public facilities and make it available at the entrance/ gate of the canteen.

policy intervention group

Monitoring visit OTHER

A monitoring team from each municipality will be formed. The monitoring plan will be prepared with the team. At least one monitoring visit from the municipality government with onsite feedback will be done.

policy intervention group

Eligibility Criteria

• Age: 15 Years - 59 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Canteen managers or staff who are directly involved in food procurement and service (purchasing, preparation, serve or sell) at the canteen and available at the time of interview; - Canteen managers or staff age between 15-59 year; and
• who can communicate verbally.
• facilities: government schools, private schools, government worksites, government hospitals, government care homes and government correctional facilities
• facilities within the surrounding of the selected municipality
• facilities who have their own canteen facilities

Sponsors & Collaborators

• Kathmandu University School of Medical Sciences: lead
• Resolve to Save Lives: collaborator

Study Sites (1)

Budhanilkantha

Hattigauda, Province, +977, Nepal

RECRUITING

Related Publications (13)

• Vandevijvere S, Chow CC, Hall KD, Umali E, Swinburn BA. Increased food energy supply as a major driver of the obesity epidemic: a global analysis. Bull World Health Organ. 2015 Jul 1;93(7):446-56. doi: 10.2471/BLT.14.150565.

  PMID: 26170502 BACKGROUND

• Influencing food environments for healthy diets. [cited 11 Oct 2022]. Available: https://www.fao.org/policy-support/tools-and-publications/resources-details/en/c/459821/

  BACKGROUND

• Towards Zero Hunger in Nepal - A Strategic Review of Food Security and Nutrition 2018. In: ReliefWeb [Internet]. [cited 11 Oct 2022]. Available: https://reliefweb.int/report/nepal/towards-zero-hunger-nepal-strategic-review-food-security-and-nutrition-2018

  BACKGROUND

• Tamrakar D, Shrestha A, Rai A, Karmacharya BM, Malik V, Mattei J, Spiegelman D. Drivers of healthy eating in a workplace in Nepal: a qualitative study. BMJ Open. 2020 Feb 25;10(2):e031404. doi: 10.1136/bmjopen-2019-031404.

  PMID: 32102804 BACKGROUND

• Transforming our world: the 2030 Agenda for Sustainable Development. In: UNDP [Internet]. [cited 11 Oct 2022]. Available: https://www.undp.org/ukraine/publications/transforming-our-world-2030-agenda-sustainable-development

  BACKGROUND

• Amoroso L. The Second International Conference on Nutrition: Implications for Hidden Hunger. World Rev Nutr Diet. 2016;115:142-52. doi: 10.1159/000442100. Epub 2016 May 19.

  PMID: 27197665 BACKGROUND

• Diseases N. Global Action Plan for the Prevention and Control of NCDs 2013-2020. World Health Organization; 14 Nov 2013 [cited 11 Oct 2022]. Available: https://www.who.int/publications/i/item/9789241506236

  BACKGROUND

• Winson A. School Food Environments and the Obesity Issue: Content, Structural Determinants, and Agency in Canadian High Schools. 2008 [cited 11 Oct 2022].

  BACKGROUND

• Gardner CD, Whitsel LP, Thorndike AN, Marrow MW, Otten JJ, Foster GD, Carson JA, Johnson RK. Food-and-beverage environment and procurement policies for healthier work environments. Nutr Rev. 2014 Jun;72(6):390-410. doi: 10.1111/nure.12116. Epub 2014 May 6.

  PMID: 24801009 BACKGROUND

• Dhungana RR, Thapa P, Devkota S, Banik PC, Gurung Y, Mumu SJ, Shayami A, Ali L. Prevalence of cardiovascular disease risk factors: A community-based cross-sectional study in a peri-urban community of Kathmandu, Nepal. Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S20-S27. doi: 10.1016/j.ihj.2018.03.003. Epub 2018 Mar 10.

  PMID: 30595258 BACKGROUND

• Healthy Food Systems - Access to Healthy Food and Water. [cited 11 Oct 2022]. Available: https://phasocal.org/alliance-legislative-platform/healthy-food-systems-access-to-healthy-food-and-water/

  BACKGROUND

• Raine KD, Atkey K, Olstad DL, Ferdinands AR, Beaulieu D, Buhler S, Campbell N, Cook B, L'Abbe M, Lederer A, Mowat D, Maharaj J, Nykiforuk C, Shelley J, Street J. Healthy food procurement and nutrition standards in public facilities: evidence synthesis and consensus policy recommendations. Health Promot Chronic Dis Prev Can. 2018 Jan;38(1):6-17. doi: 10.24095/hpcdp.38.1.03.

  PMID: 29323862 RESULT

• Slater J, Green CG, Sevenhuysen G, Edginton B, O'Neil J, Heasman M. The growing Canadian energy gap: more the can than the couch? Public Health Nutr. 2009 Nov;12(11):2216-24. doi: 10.1017/S1368980009990309. Epub 2009 Jun 17.

  PMID: 19531279 RESULT

Related Links

• Healthy food procurement and nutrition standards in public facilities: evidence synthesis and consensus policy recommendations.
• Influencing food environments for healthy diets
• Increased food energy supply as a major driver of the obesity epidemic: a global analysis.
• Towards Zero Hunger in Nepal - A Strategic Review of Food Security and Nutrition 2018.
• Drivers of healthy eating in a workplace in Nepal: a qualitative study.
• ransforming our world: the 2030 Agenda for Sustainable Development.
• The Second International Conference on Nutrition: Implications for Hidden Hunger.
• Global Action Plan for the Prevention and Control of NCDs 2013-2020.
• The growing Canadian energy gap: more the can than the couch?
• Winson A. School Food Environments and the Obesity Issue: Content, Structural Determinants, and Agency in Canadian High Schools. 2008 \[cited 11 Oct 2022\].
• Food-and-beverage environment and procurement policies for healthier work environments
• Prevalence of cardiovascular disease risk factors: A community-based cross-sectional study in a peri-urban community of Kathmandu, Nepal
• Healthy Food Systems - Access to Healthy Food and Water Healthy Food Systems

MeSH Terms

Conditions

Food Preferences

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Archana Shrestha, PHD

  Associate Professor

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Archana Shrestha, PHD

CONTACT

+977-9801002245; archana@kusms.edu.np

Namuna Shrestha, MPH

CONTACT

+977-9841418681; namuna@kusms.edu.np

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: November 1, 2022
• First Posted: December 23, 2022
• Study Start: May 27, 2023
• Primary Completion: December 30, 2023
• Study Completion: August 30, 2024
• Last Updated: March 4, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

NE (1)