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How well do national and local policies in England relevant to maternal and child health meet the international standard for non-communicable disease prevention?: A policy analysis

How well do national and local policies in England relevant to maternal and child health meet the international standard for non-communicable disease prevention?: A policy analysis
How well do national and local policies in England relevant to maternal and child health meet the international standard for non-communicable disease prevention?: A policy analysis
Objectives: i) To identify national policies for England and local policies for Southampton City that are relevant to maternal and child health. ii) To quantify the extent to which these policies meet the international standards for nutrition and physical activity initiatives set out in the World Health Organisation Global Action Plan for the Prevention and Control of Non-Communicable Diseases (NCDs) (WHO Action Plan).

Design: the policy appraisal process involved three steps: i) identifying policy documents relevant to maternal and infant health from , ii) developing a policy appraisal framework from the WHO Action Plan, and iii) analysing the policies using the framework.

Setting: England and Southampton City

Participants: 57 national and 10 local policies

Results: across both national and local policies, priority areas supporting public health processes, such as evidence-based practice, were adopted more frequently than the action-orientated areas targeting maternal and child dietary and physical activity behaviours. However, the policy option managing conflicts of interest was rarely considered in the national policies (12%), particularly in white papers or evidence-based guidelines. For the action-orientated priority areas, maternal health policy options were more frequently considered than those related to child health or strengthening health systems. Complementary feeding guidance (9%) and workforce training in empowerment skills (14%) were the least frequently action-orientated policy options adopted among the national policies. The maternal nutrition-focused and workforce development policy options were least frequent among local policies adopted in 10% or fewer. Macro-environmental policy options tended to have a lower priority than organisational or individual options among national policies (p=0.1) but had higher priority among local policies (p=0.02).

Conclusions: further action is needed to manage conflicts of interest and adopt policy options that promote a system-wide approach to challenging NCDs caused by poor diet and physical inactivity.
2044-6055
1-11
Penn-newman, Daniel J
7be13c0e-0019-41c1-b2c9-c82a3b11cd48
Shaw, Sarah
9629b12a-8ee2-4483-a9ca-6efb4eef74c8
Congalton, Donna
3b89ff8f-defd-47f2-96f1-4ca4c69e53a4
Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Rose, Taylor
ad05dc29-02db-434e-8f06-e88bf09d5adb
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Chase, Debbie
6bdd8425-2c96-4230-88fc-7814c25a2f72
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Vogel, Christina
768f1dcd-2697-4aae-95cc-ee2f6d63dff5
Penn-newman, Daniel J
7be13c0e-0019-41c1-b2c9-c82a3b11cd48
Shaw, Sarah
9629b12a-8ee2-4483-a9ca-6efb4eef74c8
Congalton, Donna
3b89ff8f-defd-47f2-96f1-4ca4c69e53a4
Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Rose, Taylor
ad05dc29-02db-434e-8f06-e88bf09d5adb
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Chase, Debbie
6bdd8425-2c96-4230-88fc-7814c25a2f72
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Vogel, Christina
768f1dcd-2697-4aae-95cc-ee2f6d63dff5

Penn-newman, Daniel J, Shaw, Sarah, Congalton, Donna, Strommer, Sofia, Rose, Taylor, Lawrence, Wendy, Chase, Debbie, Cooper, Cyrus, Barker, Mary, Baird, Janis, Inskip, Hazel and Vogel, Christina (2018) How well do national and local policies in England relevant to maternal and child health meet the international standard for non-communicable disease prevention?: A policy analysis. BMJ Open, 1-11. (doi:10.1136/bmjopen-2018-022062).

Record type: Article

Abstract

Objectives: i) To identify national policies for England and local policies for Southampton City that are relevant to maternal and child health. ii) To quantify the extent to which these policies meet the international standards for nutrition and physical activity initiatives set out in the World Health Organisation Global Action Plan for the Prevention and Control of Non-Communicable Diseases (NCDs) (WHO Action Plan).

Design: the policy appraisal process involved three steps: i) identifying policy documents relevant to maternal and infant health from , ii) developing a policy appraisal framework from the WHO Action Plan, and iii) analysing the policies using the framework.

Setting: England and Southampton City

Participants: 57 national and 10 local policies

Results: across both national and local policies, priority areas supporting public health processes, such as evidence-based practice, were adopted more frequently than the action-orientated areas targeting maternal and child dietary and physical activity behaviours. However, the policy option managing conflicts of interest was rarely considered in the national policies (12%), particularly in white papers or evidence-based guidelines. For the action-orientated priority areas, maternal health policy options were more frequently considered than those related to child health or strengthening health systems. Complementary feeding guidance (9%) and workforce training in empowerment skills (14%) were the least frequently action-orientated policy options adopted among the national policies. The maternal nutrition-focused and workforce development policy options were least frequent among local policies adopted in 10% or fewer. Macro-environmental policy options tended to have a lower priority than organisational or individual options among national policies (p=0.1) but had higher priority among local policies (p=0.02).

Conclusions: further action is needed to manage conflicts of interest and adopt policy options that promote a system-wide approach to challenging NCDs caused by poor diet and physical inactivity.

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More information

Accepted/In Press date: 21 September 2018
e-pub ahead of print date: 12 November 2018

Identifiers

Local EPrints ID: 423551
URI: https://eprints.soton.ac.uk/id/eprint/423551
ISSN: 2044-6055
PURE UUID: 34e7bb35-475f-491f-aabc-d3e8181207db
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217
ORCID for Janis Baird: ORCID iD orcid.org/0000-0002-4039-4361
ORCID for Hazel Inskip: ORCID iD orcid.org/0000-0001-8897-1749

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Date deposited: 26 Sep 2018 16:30
Last modified: 10 Dec 2019 05:11

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