Using regulation to limit salt intake and prevent non-communicable diseases : lessons from South Africa's experience

Show simple item record Kaldor, Jenny Claire Thow, Anne Marie Schonfeldt, H.C. (Hettie Carina) 2020-08-25T10:48:44Z 2020-08-25T10:48:44Z 2019-05
dc.description.abstract OBJECTIVE: To analyse the policy process for the South African regulation setting upper limits for salt in thirteen commonly consumed food categories, to inform future policy action for prevention of non-communicable diseases. DESIGN: Semi-structured interviews (n 10) were conducted with key stakeholders from government, academia, non-governmental organisations and the food industry. Interviewees were asked about the content, context, process and actors involved in developing the regulation. Data were analysed according to Walt and Gilson’s health policy analysis triangle. SETTING: South Africa. PARTICIPANTS: Key actors and stakeholders in the policy process to develop the salt regulation. RESULTS: The regulation was a response to research establishing the effectiveness of food supply interventions and to a shared perception that government regulation was the quickest way to address the problem of salt overconsumption. While the regulations were developed through a consultative process, food industry stakeholders perceived the consultation as inadequate. Implementation is currently underway, supported by a health promotion programme. Monitoring and enforcement were identified as the most likely challenges due to capacity constraints. CONCLUSIONS: Comprehensive mandatory salt limits are an innovative approach to food reformulation. Factors that enabled regulation included robust scientific evidence, strong political and bureaucratic leadership, and the pragmatic use of existing regulatory instruments. The main challenges identified were disagreement over the appropriate nature and extent of food industry participation, and monitoring and enforcement challenges due to capacity constraints. en_ZA
dc.description.department Animal and Wildlife Sciences en_ZA
dc.description.librarian pm2020 en_ZA
dc.description.sponsorship Australian Postgraduate Award, Sydney Law School and the Charles Perkins Centre at the University of Sydney, Department of Science and Technology (DST), National Research Foundation (NRF) South African Research Chairs Initiative(SARChl). en_ZA
dc.description.uri en_ZA
dc.identifier.citation Kaldor, J.C., Thow, A-M. & Schönfeldt, H. 2019, 'Using regulation to limit salt intake and prevent non-communicable diseases: lessons from South Africa's experience', Public Health Nutrition, vol. 22, no. 7, pp. 1316-1325. en_ZA
dc.identifier.issn 1368-9800 (print)
dc.identifier.issn 1475-2727 (online)
dc.identifier.other 10.1017/S1368980018003166
dc.language.iso en en_ZA
dc.publisher Cambridge University Press en_ZA
dc.rights © The Authors 2018 en_ZA
dc.subject Salt en_ZA
dc.subject Policy en_ZA
dc.subject Regulation en_ZA
dc.subject Mandatory reformulation en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Non-communicable diseases (NCDs) en_ZA
dc.title Using regulation to limit salt intake and prevent non-communicable diseases : lessons from South Africa's experience en_ZA
dc.type Article en_ZA

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