Policy Analysis: NSW Healthy Eating and Active Living Strategy
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This policy analysis focuses on the NSW Healthy Eating and Active Living Strategy and its effectiveness in preventing overweight and obesity in New South Wales. The analysis covers problem analysis, goal analysis, target setting, policy implications, and alternate policies.
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Running head: POLICY ANALYSIS POLICY ANALYSIS Name of the student: Name of the university: Author note:
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1 POLICY ANALYSIS Introduction: Public policy may be defined as the broad area that mainly comprises of the different government laws, regulations, and local ordinances as well court decisions. It can be defined as the techniques that are used in the different types of public administration for enabling the activists, civil servants as well as others for effective examination as well as evaluation of the available options (Sanchez et al., 2015). This mainly helps in implementation of the goals of laws as well as that of the elected officials. Researchers like Ng et al. (2014) are of the opinion that a good public policy helps in solving different types of problems or threats that are faced by the public effectively and efficiently. It also helps in serving the justice as well as helps in democratic institutions and even processes. They are also seen to encourage an active well as empathetic citizenship. This assignment will mainly help in analyzing a public health policy. It willtherebyshowwhetherithadsuccessfullycapturedalltheimportantgoalsandset interventions accordingly or had failed in its attempt to develop a realistic policy that can be followed by public and help them to lead better quality livesthrough effective distribution and references to important resources. Policy that has been chosen for analysis: NSW Healthy Eating and Active Living Strategy: Preventing overweight and obesity in New South Wales 2013-2018 First step: problem analysis by the policy and the need or urgency of the policy The first step that needs to be addressed is whether the policy had been successful in defining the problem and its assessment successfully. The present day lifestyle had become quite fast and this had made the citizens of the nation to pick up many lifestyle habits and choices that
2 POLICY ANALYSIS have proved to be threatening and harmful for the citizens (Ng et al., 2014). One of the most important threatening issues that the nation is facing is its growing rate of obesity and overweight cases that are in turn associated with a number of negative aspects. Obesity is resulting in very poor quality of life as it always accompanies or results in development of other forms of disorders like high blood pressure as well as type2 diabetes. It also results in high LFL cholesterol, low HDL cholesterol as well as high levels of triglycerides (Olstad et al., 2016). Moreover, there are also increasing number of coronary heart diseases as well as stroke and even gall bladder cases are also reported.Olstad et al. (2016) had also stated that osteoarthritis is providing a very harsh time to a large number of women of the nation restricting their smooth flow of life activities and making them lead a poor quality of life due to loss of mobility and excessive pain. There are also various issues associated with obesity such as sleep apnea and breathing problems, certain times of cancer like the endometrial, breast, kidney, gall bladder as well as livers (Roberto et al., 2015). Many of the researcherslike Dahlgreen and Whitehead (2018) are also of the opinion that mental illness like depression, anxiety and other mental disorders. It also resultsin occurrence of body pain as well as difficultywith physical functioning. Therefore, it can be seen that the disorder of obesity brings a he burden of diseases on the nation exposing individuals to not only poor quality life but also threatens their existence. It is extremely important for the government to take initiative for the welfare of human mankind. The NSW government of Health had provided a government framework in the name of “The NSW Healthy Eating and Active Living Strategy: Preventing overweight and obesity in New South Wales 2013-2018” which had correctly targeted the most severe chronic disorder that is engulfing the nation with its co morbidities and extra associate expenditures of resources (Dahlgreen & Whitehead, 2018). In the section of the policy named “United for change A whole
3 POLICY ANALYSIS of government solution”, the authors of the policy had been seen to correctly depict the prevalence rate of the disorder. This had helped to define the epidemiology of how the disorder is affecting huge number of people of the land and hand correctly been able to establish this disorder as the most significant health issue in the present generation. They had further discussed about the problem in the same section where they have stated the cause of the occurrence of the diseases making knowledgeable about the contributors that are leading to the disorder. This is indeed important for developing the health literacy of the people helping them to understand what activities of them are creating such situations and hence they become more careful in their activities (Kristensen et al., 2014). Another interesting section can be found on page number 11 where the policy makers had described about the status of the nation in carrying the disease burden resulting from obesity. Under the subheadings of “healthy eating”, as well as “physical activity”, they have put forward more statistical data as to the recent condition of New South Wales. In the sections, they have provided detailed overview about how certain strategies like healthy eating, physical activities, correct lifestyle in the reproductive years can help in the development of a nation free from such ailments (Jia et al., 2017). All these information help in making the public educated developing their health literacy and thereby the policy had been successful in establishing problem and educating the citizens about the initiatives that can help them change the scenario. Another very interesting fact is that all the information that has been provided by the policy makers had been well supported by evidences of different eminent researchers who have worked on the disorder and had come out with valuable information for the welfare of the population (Garbarino, Henry & Kerfoot, 2018).
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4 POLICY ANALYSIS Such information are not only relevant and are of high importance but they are proved through different studies and have increased credibility. Second step: Analysis of the goals of the policy One of the most important aspects of policies is that the goals that would be set by the policy should be clear and should be well understood by the members who are targeted at. The second most important attribute of the goal setting of the policy is that all the goals should be based on SMART approach. This means that the goals would be such that it would be specific, measurable, attainable, relevant and fixed timeframe. Goals that follow these criteria have been seen to being success to the initiatives and result in completing of the vision and mission of the policies and the projects (Marteau et al., 2015). It is indeed interesting to see that the policy that had been developed by the NSW government had a detailed section developed under the heading of goals. Pereira et al. (2015) are of the opinion that target section can be seen to have specific goals that are targeted for specific cohort of the target population and contains the timeframe within which the outcomes need to be achieved. Stabilizing the rates of cases of overweight and obesity in adults by 2015, and then reducing the rate by 5% by the year within 2020 is one such a goal. This helps readers to understand what the main aims are set by the government and what specific activities they would need to take for effective reduction of the number of obese cases. The government had set eight important targets that would help the readers to gain a good understanding of them that the government wants to the public to achieve. Another interesting feature of the policy is that the objectives are set separately (Pereira et al., 2015). Researchers are of the opinion that objectives would be set in such a way by which the achieving them would
5 POLICY ANALYSIS ultimately help in the fulfillment of the goals. 6 important objectives are set which are not only easy to understand but is also easy to be achieved if compliance and self motivation and self- determination are developed. Therefore, the professionals are really experts in their field of policymaking and had rightly developed goals and objectives that align with the main aim of the policy. Researchers who have worked on the strategies for the reduction of the occurrence of obesity in vulnerable individuals have stated the importance of reduction in the intake of energy dense as well as nutrient poor food and drinks and increase in the consumption of the fruits and vegetable (Siddique & Donato, 2015). Moreover,vigorousphysicalactivities,reductionoftimespentinthesedentary behaviors, increase in the community awareness of healthy eating and physical activities, reduction of sugar sweetened foods and many others help in tackling of obesity. Accordingly, the government had selected four important strategic directions that had been further subdivided into clear strategic goals. Each of the strategic directions had been wonderfully represented along with the initiatives under each direction. These become easy for the readers to understand what the government is trying to achieve and how they should contribute to helping the government in becoming successful in achieving this. The policy makers have done a wonderful job by stating the important organizations with whom they would be entering in a collaborative partnership in order to achieve the initiatives that they have proposed. Third step: Target setting: The policy is targeted to all people of the nation so that they can go through the policy and develop health literacy. However, specific information is provided to the vulnerable groups and this is yet another interesting feature of the policy. They have thereby targeted the women of
6 POLICY ANALYSIS the reproductive years and have shared good amount of information for their betterment. Researchers are of the opinion that proper weight should be maintained by the women during their pregnancy to avoid any form of issues or threatening situation during the growth of the fetus or during parturition (Johnston et al., 2014). Therefore, such setting of target audience is appreciating as they have rightly prioritized the right set of target readers. Another very interesting factor that had hardly been stated in the previous policies of obesity and overweight issues is the children of the early years. Siddique and Donato (2015) have shown that breastfeeding is excessively important for infants for their not only cognitive and physical developments but also helps to ensure that the children do not put on extra weight. Therefore, the policy makers had also included breastfeeding as important initiatives for ensuring that children do not put on huge weight but maintains a healthy weight. Childhood obesity is another arena about which the healthcare nation is very concerned and the policy makers had also successfully targeted them with their strategic directions helping families and communities to develop resources and share them accordingly to ensure healthy lifestyle of the children (Sackner et al., 2015). Adults have also been targeted where they have represented statistical data about their fruit and vegetable consumption, take-away foods and others. Interestingly, they have also included aboriginal communities, socio-economically disadvantaged communities, culturally and Linguistically Diverse communities as well as the Regional and remote communities. Australia always had been a egalitarianism and its concern for all its citizens had been well represented by the NSW department of Health through their including of all the above mentioned priority population in the policy.
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7 POLICY ANALYSIS Step 4: policy implications like distribution of the resources, allocation of the services, rights, statuses as well as tangible benefits. Detailed discussion about the distribution of resources had been conducted under the different strategic directions with the most detailed one under the second strategic direction. The policy makers had very well discussed about the different resources in each of the separate categories targeting every audience and they have covered almost all form of resources and services that could have helped the targeted population. Three of the most important arenas where every individual are seen to spend most of the time are schools, workplaces and communities (Pearl et al., 2014). Therefore, policy makers have rightly targeted early childcare services, schools as well as community sports, workplaces as well as community where different types of programs, services and different initiatives were taken and resources were allocated (Brochu et al., 2014). The strategic direction 4 had been also seen to promote the different types of health promotion strategies that would help the citizens to be educated. It is indeed true that unless the citizens are well aware about the harmful aspects of the disorder, they would not be able to develop self-awareness and self-determined to lead healthy lives, no changes can be brought. Therefore, development of health literacy is indeed important for the targets and hence strategic actions for educating the targets (Frederick et al., 2016). This policy is indeed different in the aspect as the policy makers have provided detailed information about the Implementation, monitoring and evaluation and hence, they are seen to have developed a high quality policy paper covering all important arenas successfully.
8 POLICY ANALYSIS Step 5: alternate policies like existing policy models and others This policy namely the NSW Healthy Eating and Active Living Strategy has been seen to be informed by a set of other policies and projects. The four main key policies as well as strategic initiatives are the NSW Government Aboriginal Health Plan 2013- 2023, National Partnership Agreement for Closing the Gap in Indigenous Health Outcomes, NSW 2021: A plan to make NSW number one as well as the National Partnership Agreement on Preventive Health. On close analysis, it can be seen that this policy called the NSW Healthy Eating and Active Living Strategy aligns with the goal 11 of the NSW 2021: A plan to make NSW number one. Goal 11 in the later policy identified the need to keep people healthy and out of hospital and the present policy which is analyzed aligns with this goal (Schuman et al. 2014). NSW 2021: A plan to make NSW number one is the policy which is mainlydeveloped over a 10 year plan that introduces strategic plan which mainly contributed to the government’s commitment for the improvement of the opportunitiesas well as the quality of life for the population of the NSW. Again, the NSW Government has been seen to be the signatory of the National Partnership Agreement on Preventive Health. This plan aligns with the same goal of the currently discussed policy and this can be ensured by the proved where NSW has been seen to be $150 million over seven years up to 2018 for achieving a number of targets (Chawla et al., 2015).Thisincludeincreasingtheconsumptionofvegetablesandfruitsbychildren, development of physical activities among adults and children and also increasing the proportion of the population having wealthier weight. The third policy is called the National Partnership Agreement for Closing the Gap in Indigenous Health Outcomes and Aboriginal Health Plan 2013-2023 and The NSW Aboriginal Health Plan 2013-2023 are also aimed at addressing the
9 POLICY ANALYSIS common behavioral risk factors that include high body mass and supports the reduction of rates of overweight as well as obesity (McKinnor et al., 2016). Conclusion: From the entire discussion, it can be seen that the policy had talked about a very important disorder in the present generation that have affected more than half of the population of the nation. The policy is seen to be appreciable because it had rightly discussed the significance of the problem and had established SMART goals accordingly. It is also seen that that they have also set the correct targets and discussed in details about the resources that need to be allocated for addressing the issue. Moreover, it was also seen that the different associated policies that were aligned were also discussed in details and hence all-important arenas required in a policy paper had been covered. Moreover, it was also seen that the policy makers had also developed another segment discussing the Implementation, monitoring and evaluation of the entire programs and initiatives. Hence, the policy can be considered a successful one and citizens would be benefitted from this.
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10 POLICY ANALYSIS References: Brochu, P. M., Pearl, R. L., Puhl, R. M., & Brownell, K. D. (2014). Do media portrayals of obesity influence support for weight-related medical policy?.Health Psychology,33(2), 197. Chawla, A. S., Hsiao, C. W., Romney, M. C., Cohen, R., Rubino, F., Schauer, P., & Cremieux, P. (2015). Gap between evidence and patient access: policy implications for bariatric and metabolicsurgeryinthetreatmentofobesityandits complications.Pharmacoeconomics,33(7), 629-641. Dahlgren,D.,&Whitehead,M.(2018,April).EuropeanStrategiesfortacklingsocial inequalities in health: levelling up part 2. InSociety for Social Medicine Annual Scientific Meeting & European Congress of Epidemiology.
11 POLICY ANALYSIS Frederick, D. A., Saguy, A. C., Sandhu, G., & Mann, T. (2016). Effects of competing news media frames of weight on antifat stigma, beliefs about weight and support for obesity- related public policies.International Journal of Obesity,40(3), 543. Garbarino, E., Henry, P., & Kerfoot, S. (2018). Using attribution to foster public support for alternative policies to combat obesity.European Journal of Marketing,52(1/2), 418-438. Jia, P., Li, M., Xue, H., Lu, L., Xu, F., & Wang, Y. (2017). School environment and policies, child eating behavior and overweight/obesity in urban China: the childhood obesity study in China megacities.International journal of obesity,41(5), 813. Johnston, L. M., Matteson, C. L., & Finegood, D. T. (2014). Systems science and obesity policy: a novel framework for analyzing and rethinking population-level planning.American journal of public health,104(7), 1270-1278. Kristensen, A. H., Flottemesch, T. J., Maciosek, M. V., Jenson, J., Barclay, G., Ashe, M., ... & Brownson, R. C. (2014). Reducing childhood obesity through US federal policy: a microsimulation analysis.American journal of preventive medicine,47(5), 604-612. Marteau, T. M., Hollands, G. J., Shemilt, I., & Jebb, S. A. (2015). Downsizing: policy options to reduce portion sizes to help tackle obesity.Bmj,351, h5863. McKinnon, R. A., Siddiqi, S. M., Chaloupka, F. J., Mancino, L., & Prasad, K. (2016). Obesity- relatedpolicy/environmentalinterventions:Asystematicreviewofeconomic analyses.American journal of preventive medicine,50(4), 543-549.
12 POLICY ANALYSIS NSW Healthy Eating and Active Living Strategy: Preventing overweight and obesity in New SouthWales2013-2018,NSWMinistryofHealth(2013)retrievedfrom http://www.health.nsw.gov.au/heal/Publications/nsw-healthy-eating-strategy.pdf Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., ... & Abraham, J. P. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013.The lancet,384(9945), 766-781. Olstad, D. L., Teychenne, M., Minaker, L. M., Taber, D. R., Raine, K. D., Nykiforuk, C. I. J., & Ball, K. (2016). Can policy ameliorate socioeconomic inequities in obesity and obesity‐ related behaviours? A systematic review of the impact of universal policies on adults and children.Obesity Reviews,17(12), 1198-1217. Pearl, R. L., & Lebowitz, M. S. (2014). Beyond personal responsibility: effects of causal attributions for overweight and obesity on weight-related beliefs, stigma, and policy support.Psychology & health,29(10), 1176-1191. Pereira‐Santos, M., Costa, P. R. F., Assis, A. M. O., Santos, C. A. S. T., & Santos, D. B. (2015). Obesity and vitaminD deficiency:a systematic reviewand meta‐analysis.Obesity reviews,16(4), 341-349. Roberto, C. A., Swinburn, B., Hawkes, C., Huang, T. T., Costa, S. A., Ashe, M., ... & Brownell, K. D. (2015). Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking.The Lancet,385(9985), 2400-2409.
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13 POLICY ANALYSIS Sackner-Bernstein, J., Kanter, D., & Kaul, S. (2015). Dietary intervention for overweight and obese adults: comparison of low-carbohydrate and low-fat diets. A meta-analysis.PLoS One,10(10), e0139817. Sanchez-Vaznaugh, E. V., Sánchez, B. N., Crawford, P. B., & Egerter, S. (2015). Association between competitive food and beverage policies in elementary schools and childhood overweight/obesity trends: differences by neighborhood socioeconomic resources.JAMA pediatrics,169(5), e150781-e150781. Schumann, N. L., Brinsden, H., & Lobstein, T. (2014). A review of national health policies and professional guidelines on maternal obesity and weight gain in pregnancy.Clinical obesity,4(4), 197-208. Siddiqui, M. Z., & Donato, R. (2015). Overweight and obesity in India: policy issues from an exploratory multi-level analysis.Health policy and planning,31(5), 582-591.