Analysis of the overweight and obesity prevention policy in Australia
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This report analyzes the overweight and obesity prevention policy in Australia, including guidelines and policies associated with healthy eating and obesity. It discusses the goal and objectives of the policy, decision making parameters, and issues faced in implementation.
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1HEALTHCARE Title: Analysis of the overweight and obesity prevention policy in Australia Introduction The term obesity can be defined as a medical condition which takes place when an individualpossessesthe potential to carry excess weight as well as body fat that has the potential to affect their health. Obesity increases the risk of developing a huge number of health conditions namely, arthritis, metabolic syndrome as well as some types of cancer. Metabolic syndrome isa cluster of conditions like high blood pressure, type 2 diabetes as well as cardiovascular disease. When it comes to children, approximately, 1 out of 4 children between the age ranges of 2 years to 17 years is found to be the sufferer of overweight or obese. According to researchers, maintaining a healthy diet as well as exercising on a regular basis is one of the chief ways to reduce obesity. However, in extreme cases, an individual may need to undergo surgery in order to get rid of obesity. When it comes to obesity in Australia, according to the 2018 statistics of the World Health Organization (WHO), Australia possesses the third highest prevalence of overweight adults amongst the developed countries across the world. Theissueof obesity in Australia has reached the level of the epidemic. It has been found that the chief cause of Obesity in the nation is due to poor eating habits in the country closely associated with the high availability of fast food since the 1980s(McCauley, 2018). Along with with this the sedentary lifestyle of the Australian residents along with decrement in the labour workforce can be considered as other chiefreasonsbehind the increased rate of obesity in the nation.About 29 to 30 percent oftheAustraliansareobesein 2017. In the year 2005, as per the data collected by the National Health Survey, 53.6 percent of theAustraliansare found to beoverweightwith 18 percent falling into the category of Obese. The numbers rose to 65
2HEALTHCARE percent when it comes to total percent of Australian Adults who areoverweightand 29 percent of the adults who areobesein 2016. When it comes to obesity in children, it has been evidenced that within the last 3 years, the number of overweight children in Australia has got increased by 43 percent (Cullerton et al., 2016). The chief causes of obesity in children in Australia include unhealthy choices of food, lack of physical activity as well as family eating habits along with lack of physical activities. The increment in the number of overweight is highly disturbing since it causes major health issues and has the potential to lead to social issues. Apart from health issues, overweight children are also found to be majorsufferers of psychological issues like depression and social isolation (Hawkes et al., 2015). Considering the fact that the disease has taken the form of epidemic in the nation, it is highly crucial to impose effective policies so that obesity can be prevented.In this report, the guidelines and policies associated with healthy eating and obesity in Australia will be analysed. A good number of guidelines that will be discussed in this report include the Australian Dietary Guidelines, Health star rating guidance, Healthy food partnership, Australia’s Physical Activity & Sedentary Behaviour Guidelines, Healthy Weight Guide and others. This report will incorporate the goal and objectives of the policy, the decision making parameters associated with the policy and the analysis of the issues that are being faced while implementing the policies. Along with this recommendation for successful implementation of the policies in order to eliminate obesity-related issues will also be discussed in this report, Reason for choosing policy The epidemic of obesity is increasing at an alarming rate in Australia. If this continues, it can devastate the working capability of the adults as well as the children and thus can be very
3HEALTHCARE harmful to the growth and progression of the country. The chief reason for selecting the obesity prevention policies for conducting analysis is to find out if the policy has the potential to effectively deal with the issue. Policy analysis can be defined as the systematic evaluation of both the technical as well as political implications of alternatives that have been proposed for solving issues. Thus policy analysis refers to the process of accessing the programs and procedures. Amongst a good number of policies associated with different healthcare issues in Australia, this policy has been chosen for analysis, keeping in mind the importance of obesity prevention in the nation. Summary of the policy document In Australia, the rate of overweight, as well as obesity, has got increased over time in all age groups. The increment of the issue of obesity has been chiefly seen in obese adults. Overweight as well as obesity amongst children as well as adult are related to significant health as well as economic burdens (McCauley, 2018).Vital as well as comprehensive action, including a range of regulatory reforms, policies, projects and programs are required to curb the issues of overweight and obesity in Australia. The obesity policy coalition in Australia has chiefly focused on the impact on the statistics of obesity in the nation, the effect of obesity on health, causes of overweight and obesity, impact of the issue on the economy of the nation as well as the action needed. Policy analysis Policy issues As discussed above the rates of overweights and obesity have increased significantly, even after implementation various national and state-level policies and procedures under the
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4HEALTHCARE regulatory guidelines of Australian Committee for Health and Aging (Hawkes et al., 2015). Several regulatory guidelines such as Australian Dietary Guidelines, Health star rating guidance, Healthy food partnership, Australia’s Physical Activity & Sedentary Behaviour Guidelines, Healthy Weight Guide and others. The Australian Dietary Guidelines are up-to-date advice about the amount and kinds of foods should be eaten for healthy wellbeing. The health Star Rating is a guideline for package leveling system for the manufacturers that suggests that a level should be attached with every package mentioning the neuration quality of the food (Newman et al., 2014). The rating ranged from half star to five stars. Healthy Food Partnership provides operational guidance for public health sectors in the food industry to cooperatively tackle obesity through encourage healthy eating. Healthy Weight Guide is another comprehensive recommendation available for people to achieve a healthy weight and maintain it (Hawkes et al., 2015). Australia’s Physical Activity & Sedentary Behaviour Guidelines are available for children, adults and older people that guide the regular excising techniques and lifestyle practice to have a healthy life(Baker et al., 2017). The problem is all these are just guidelines, not regulations or strict governance policies. As a result, even after the national level guidelines on food consumption, food production, child obesity control, and other strategies, current Australian Government don't have any specific healthcarepolicy on obesity and overweight issues in Australia. Recently the Australian government has realized the significance and emergency of addressing this issues and hence, on 12thOctober 2018 The Council of Australian Governments or COAG and health council (CHG) held a meeting, where the ministers agreed that a national level obesity policy should be developed.In this meeting, ministers committed to establishing the first pillar of the new
5HEALTHCARE National Obesity Strategy which is the Commonwealth funded National Obesity Summit (Newman et al., 2014). It can be clearly seen being one of the most advanced nations in the globe not having proper policies and procedures for healthcare could be considered a major fault in the national healthcare governance system. Australia is ranked fifth for obesity in the Organization for Economic Cooperation and Development or OECD. As discussed earlier, obesity in the younger generation is increasing rapidly from the past 5 years (Aph.gov.au, 2019). In the report of Senate committee inquiry for the obesity epidemic, Greens senator Richard Di Natale the former general president of Senate committee clearly mentioned that junk food advertisement and equal tax for carbonated and sugary drinks are the major influencers of the current "obesity epidemic" of Australia. Even after this strong and evident claim, two Liberals, two Labor members, and a One Nation senator opposed that point of view (McCauley, 2018). Surprisingly, only two of the seven committee members supported the fact that Australia now needs those strict actions including changing in taxation and governing the advertisement for resisting the obesity epidemic(Witten, 2016). Making obstacles against obesity policymaking is not a new thing in the history of Australian governance. A decade ago the prime minister Kevin Rudd tried to tackle the obesity crisis by setting up a preventive health taskforce. However, the plan failed and only one of the member respected diabetes expert Professor Paul Zimmet expressed his regret over the failure to implement the key recommendations. In this regards the statement rather whistleblowing of Jane Martin the executive manager of Obesity Policy Coalition is worth mentioning. Obesity Policy Coalition was established in 2006 aimed to influence the change in the policy and regulation to support obesity prevention (Health.nsw.gov.au., 2013). Currently, Obesity Policy Coalition is a
6HEALTHCARE collaborated operation of Cancer Council Victoria, Diabetes Victoria, VicHealth, and The Global Obesity Centre at Deakin University. Jane Martin the executive manager of Obesity Policy mentioned his statement that "There is a lot push back" in making the obesity and food control- related policies (McCauley, 2018). He also stated that the politicians are concerned and even scared of those pushback from higher austerity, government, banking, and business level. Therefore, it is clear that political corruption and the undercover obstacles are the major resistance against making new policies and strict regulation over food consumption, overweight, obesity, and taxation (McCauley, 2018). Delivering a bunch of healthy life guidance are all the people of Australia have against the “Obesity Epidemic”(Witten, 2016). Evidence of critical discussion and analysis Objectives and goals According to the 10 priority area and 37 strategic interventions declared by WHO in 2018, aimed to prevent the overweight and obesity the goals and objectives should be built (Alwan et al., 2017). According to WHO the elimination of national subsidies or all types of fats/oils and sugar, implementation of effective tax on sugar-based beverages, promoting healthy physical activities, limiting business operations regarding promotion and levelling products, enforcement of effective state and regional level regulation should be the major target areas or rather benchmarks for any country (Alwan et al., 2017). Considering the benchmarks provided by the WHO the new policy should focus on national partnership agreement policies on preventive health, business obligations for packaging and promotional operations, healthcare support with physical activity for all andHealth and wellbeing promotion. The goal of this policy should be influencing the food consumption
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7HEALTHCARE practice and regular activity of the people to prevent the overweight and tendency of obesity. The further breakdown of objectives from the major goal is required. Firstly, the health governance system in the local and state level should promote a healthy lifestyle and wellbeing through a promotional campaign (Witten, 2016).Secondly, the policy should enable the government to facilitate every region of the nation with free exercise and sports activity camp, where children, adults and older people can have healthy guidance for regular food intake and physical activities. Thirdly, the policy should prevent government subsidizing on sugar-based beverage and enforce a neuration rating leveling system. Fourthly, the new policy should also restrict the promotional activities of processed food companies, when it comes to promoting various junk foods (Backholer et al., 2014). Decision making parameters The major decision making parameters will be resource allocation, financial requirement, timeline and prioritizing activities. The resource allocation will consider the allocation of human resource for health promotional campaign, obesity treatments, exercise guidelines, and others. In order to implement the new policies and regulatory action, recruitment of the new workforce considering paid workers and voluntary workers will be required. Funding is another important factor to impose new policies, where governance, monitoring and controlling are major concerns. For a national level implementation estimated $48.3 billion direct investment and $48.3 billion, the indirect investment will be required (Lowe, 2014). In the long term, it is expected that the economic costs of obesity will increase significantly, and possibly double, due to the prevalence and incidence of diabetes. The majority of this investment could be accumulated by raising trade taxation for sugar-based beverage and junk processed food. With greater investment and
8HEALTHCARE effective allocation of the fund, the results could be found noticeably within the next 3 to 5 years (Alwan et al., 2017). Prioritizing the activity is another major decision making parameters. As mentioned earlier, the number of obese population at risk is much higher than the number of overweight population at risk. Therefore, the priority should be to reduce prevent the obese population to grow. Apart from that, legalization of trading limitations for processed food and sugar based beverage has to be the first priority when it comes to prioritizing the activities (Cullerton et al., 2016). After, limiting the accessibility of the obese and overweight population to high-quality food, further intervention could be made effectively. The second important factor in the priority list is enabling the obese and overweight population to get guidance appropriate nutrition and regular physical activity (Hayes et al., 2017). In the third priority, health proportioning against unhealthy food consumption will come. Health promotion will have a long term as well as short term outcome on the perception of the people and their lifestyle (Cullerton et al., 2016). Alternatives There are some other alternative objectives that can be effective as well. Some of these alternative objectives are promoting healthy physical activity through mass media, ensuring comprehensive delivery of physical education to all children, incorporating the physical activity facility in every workforce for mandatory (Cullerton et al., 2016). Changing the public transport system to age-friendly public transport, cycling and walking including provision for open and green public space where people can walk and exercise. Direct removal of agricultural subsidies for sugar and oils could be also very beneficial alternatives. With greater investment and effective allocation of the fund, the results could be found noticeably within the next 3 to 5 years.
9HEALTHCARE This time period could be also considered as the timeline of this policy development and imposition (Alwan et al., 2017). This is the timeline of developing appropriate obesity control, food practice, trading, and other related policies. Conclusion From the above discussion, it can be concluded that it is highly crucial for both the federal as well as the local government to implement a stern policy that would have the potential to reduce the consumption of unhealthy food items and thus diminish the rate of obesity in the nation. While a good number of guidelines have been there, no specific policies hindering the consumption of unhealthy fast food by the residents of Australia have been implanted (Cullerton et al., 2016). As a result of this, people are not opting for a reduction in the consumption of fast food. Even after the national level guidelines on food consumption, food production, child obesity control, and other strategies, the current Australian Government doesn't have any specific healthcare policy on obesity and overweight issues in Australia. It can be clearly seen that in spite of being one of the most advanced nations across the globe, Australia does not possess proper policies and procedures for healthcare could be considered a major fault in the national healthcare governance system. From the discussion, it has been found that making obstacles against obesity policymaking is not a new thing in the history of Australian governance. A decade ago Prime Minister Kevin Rudd tried to tackle the obesity crisis by setting up a preventive health taskforce.However, several factors are responsible for the lack of initiative from the government to implement the policies. Considering the fact that the fast food business is a highly flourishing one and a considerable amount of revenue comes from the mentioned sector, it can be understood that lack of initiative to implement healthy eating policy possess direct connection with the fact (Alwan et al., 2017) It is quite clear that political corruption and
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10HEALTHCARE undercover obstacles are the major resistance against making new policies and strict regulation over food consumption, overweight, obesity, and taxation. In order to deal with the issue of obesity, it is highly crucial for the government to implement effective and strict policy on an emergency basis. The goal of this policy should be influencing the food consumption practice and regular activity of the people to prevent the overweight and tendency of obesity. The further breakdown of objectives from the major goal is required. The health governance system in the local and state level should promote a healthy lifestyle and wellbeing through a promotional campaign. In the following section, some of the major recommendations have been discussed that has the potential to deal with the issue of consumption of unhealthy food items and obesity. 1.It is highly crucial for the government to introduce campaigns and other forms of online and offline media to promote the importance of physical exercise to fight obesity-related diseases. This can be done with the help of online promotional techniques like social media platforms. Considering the fact that the majority of the Australian population is available in popular social media platforms like Facebook, Instagram and others, their attention can be easily grabbed with the help of the same. Contracts with gym centers should be established so that people from all class of the society can opt for physical exercise within an affordable range of price (Aph.gov.au., 2019). Establishment of more and more gym centers should be encouraged through funding. 2.Considering the fact that the issue of obesity is most common within the aboriginal people, it is highly crucial for the government to invest in enhancing their awareness. As per the data obtained in the year 2011, 54 .1 percent of the total number of aboriginal people undergo physical exercise and 51.8 percent of the same consumes the necessary
11HEALTHCARE amount of fruits and vegetables that are crucial to lead a healthy lifestyle(Cullerton et al., 2016). In order to enhance the awareness of the community, community engagement plans should be incorporated where individuals will be reached the method of farming fruits and vegetables. Awareness of consumption o the same should also be a teacher to the community. 3.Changing the public transport system to age-friendly public transport, cycling and walking including provision for open and green public space where people can walk and exercise can be considered as other major recommendations that have the potential to deal with the increasing. Direct removal of agricultural subsidies for sugar and oils could be also very beneficial alternatives(Alwan et al., 2017).
12HEALTHCARE Reference list Alwan, A., McColl, K., Al-Jawaldeh, A., & World Health Organization. (2017). Proposed policy priorities for preventing obesity and diabetes in the Eastern Mediterranean Region. Aph.gov.au.(2019).ObesityinAustralia.Retrievedfrom http://www.aph.gov.au/Parliamentary_Business/Committees/House_of_Representatives_ Committees?url=haa/obesity/govtresp/gr01.pdf Backholer, K., Beauchamp, A., Ball, K., Turrell, G., Martin, J., Woods, J., & Peeters, A. (2014). A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight.American Journal of Public Health,104(10), e43-e50. Baker, P., Gill, T., Friel, S., Carey, G., & Kay, A. (2017). Generating political priority for regulatory interventions targeting obesity prevention: an Australian case study.Social science & medicine,177, 141-149. Cullerton, K., Donnet, T., Lee, A., & Gallegos, D. (2016). Exploring power and influence in nutrition policy in Australia.Obesity Reviews,17(12), 1218-1225. Cullerton, K., Donnet, T., Lee, A., & Gallegos, D. (2016). Playing the policy game: a review of the barriers to and enablers of nutrition policy change.Public Health Nutrition,19(14), 2643-2653. Hawkes, C., Smith, T. G., Jewell, J., Wardle, J., Hammond, R. A., Friel, S., ... & Kain, J. (2015). Smart food policies for obesity prevention.The Lancet,385(9985), 2410-2421.
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13HEALTHCARE Hayes, A. J., Lung, T. W. C., Bauman, A., & Howard, K. (2017). Modeling obesity trends in Australia:unravellingthepastandpredictingthefuture.InternationalJournalof Obesity,41(1), 178. Health.nsw.gov.au. (2013). NSW Healthy Eating and Active Living Strategy. Retrieved from https://www.health.nsw.gov.au/heal/Publications/nsw-healthy-eating-strategy.pdf Lowe, M. (2014). Obesity and climate change mitigation in Australia: overview and analysis of policies with co‐benefits.Australian and New Zealand journal of public health,38(1), 19-24. McCauley, D. (2018). While politicians refuse to act, Australians become more overweight. Retrieved from https://www.smh.com.au/politics/federal/while-politicians-refuse-to-act- australians-become-more-overweight-20181113-p50fu9.html Newman, L., Ludford, I., Williams, C., & Herriot, M. (2014). Applying health in all policies to obesity in South Australia.Health promotion international,31(1), 44-58. Witten,K.(2016).Geographiesofobesity:environmentalunderstandingsoftheobesity epidemic. Routledge.