Innovative Healthy Lifestyles School-Based Public–Private Partnerships Designed to Curb the Childhood Obesity Epidemic Globally: Lessons Learned From the Mondelēz International Foundation

Pérez‐Escamilla, Rafael

doi:10.1177/0379572118767690

Cited by 8 publications

(14 citation statements)

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“…Some initiatives use traditional intervention platforms but combine them into multicomponent, community-family-school-based childhood obesity interventions [51,52,67]. Intervention components include attendance of individual nutrition and physical activity counselling sessions for children and parents, healthy cooking workshops, and school-based extracurricular sessions of nutrition education.…”

Section: Plos Onementioning

confidence: 99%

Integrating nutrition and physical activity promotion: A scoping review

2020

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Background This paper investigates actions that combine nutrition and physical activity which hold potential for 'double duty action' to tackle multiple forms of malnutrition simultaneously. Expanding on previous research on single component actions, we assessed the state of the literature to map integrated interventions across the life course to analyse potential double duty effects, and identify knowledge gaps and needs for future design, implementation, evaluation and research for effective double duty action. Methods A scoping review of peer-reviewed and grey literature was conducted to explore the pathways that extend from combined physical activity and nutrition promotion interventions, with potential synergistic effects on outcomes other than obesity. Electronic databases were searched for studies published between 1 January 2010 and 31 January 2020. Out of 359 articles retrieved, 31 peer-reviewed and 5 grey literature sources met inclusion criteria. Findings from 36 papers reporting on 34 interventions/initiatives were organised into 6 categories, based on implementation across multiple stages of the life course. Double-duty potential was assessed through a further stage of analysis. Findings This review has identified actions that hold potential for tackling not only obesity, but healthy diets, sedentary behaviour and quality of life more generally, as well as actions that explicitly tackle multiple forms of malnutrition. Importantly, it has identified crucial gaps in current methods and praxis that call for further practice-oriented research, in order to better understand and exploit the synergistic effects of integrated interventions on outcomes other than obesity. Conclusions Findings from across implementation settings suggest that even in situations where interventions are aimed at, or framed in terms of, obesity prevention and control, there are

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Section: Plos Onementioning

confidence: 99%

Integrating nutrition and physical activity promotion: A scoping review

2020

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“…Authorship lists were interdisciplinary in thirteen articles [ 29 , 34 , 35 , 37 , 39 , 42 – 49 ] and included Southern partners in sixteen articles [ 29 , 34 – 37 , 39 , 41 – 44 , 46 – 51 ]. Where all authors’ primary geographic affiliations could be identified ( n = 29 articles, 152 authors), 120 (79%) authors were affiliated with institutions located in the global North - Canada [ 32 , 35 , 37 , 39 , 41 , 44 , 48 , 52 ]; Europe (Switzerland, Ireland, the United Kingdom, Germany, the Netherlands) [ 30 , 31 , 38 , 40 , 45 , 50 , 53 , 54 ]; the United States [ 29 , 33 , 34 , 36 , 49 , 55 – 58 ]; Australia [ 51 ] - and 32 (21%) were located in the global South (Kenya [ 46 ], Nepal [ 47 ], Rwanda [ 43 ], and Uganda [ 42 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Thiessen et al [ 51 ], for example, justified corporate participation in a GHP by asserting that “the reason for partnering is because the private sector can achieve better efficiency through experience and innovative systems”. Problems with public-private partnerships (PPP), such as the potential for conflict-of-interest, were occasionally found [ 58 ], although without questioning the legitimacy of the PPP model. One particularly illustrative article highlights the extractive sector’s contributions to solving maternal health challenges in Papua New Guinea [ 51 ] without mentioning the same sector’s extraction of massive profits from the country and contributions to widespread environmental destruction, violence and sexual violence (c.f., [ 59 , 60 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Many authors highlighted the need for priority setting, emphasizing the importance of alignment between the priorities of each GHP partner and local (i.e. Southern) priorities [ 28 – 30 , 36 , 38 , 40 – 42 , 47 , 54 , 56 – 58 ]. In some cases, this alignment was specifically seen as between GHPs and the national health plans of global South partners [ 29 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

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Assessing how global health partnerships function: an equity-informed critical interpretive synthesis

et al. 2021

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Background Global health partnerships (GHPs) are situated in complex political and economic relationships and involve partners with different needs and interests (e.g., government agencies, non-governmental organizations, corporations, universities, professional associations, philanthropic organizations and communities). As part of a mixed methods study designed to develop an equity-sensitive tool to support more equity-centred North-South GHPs, this critical interpretive synthesis examined reported assessments of GHPs. Results We examined 30 peer-reviewed articles for power dynamics, equity and inequities, and contradictions or challenges encountered in North-South partnerships. Among articles reviewed, authors most often situated GHPs around a topical focus on research, capacity-building, clinical, or health services issues, with the ‘work’ of the partnership aiming to foster skills or respond to community needs. The specific features of GHPs that were assessed varied widely, with consistently-reported elements including the early phases of partnering; governance issues; the day-to-day work of partnerships; the performance, impacts and benefits of GHPs; and issues of inclusion. Articles shared a general interest in partnering processes and often touched briefly on issues of equity; but they rarely accounted for the complexity of sociopolitical and historical contexts shaping issues of equity in GHPs. Further, assessments of GHPs were often reported without inclusion of voices from all partners or named beneficiaries. GHPs were frequently portrayed as inherently beneficial for Southern partners, without attention to power dynamics and inequities (North-South, South-South). Though historical and political dynamics of the Global North and South were inconsistently examined as influential forces in GHPs, such dynamics were frequently portrayed as complex and characterized by asymmetries in power and resources. Generally, assessments of GHPs paid little attention to the macroeconomic forces in the power and resource dynamics of GHPs highlights the importance of considering the broader political. Our findings suggest that GHPs can serve to entrench both inequitable relationships and unfair distributions of power, resources, and wealth within and between countries (and partners) if inequitable power relationships are left unmitigated. Conclusions We argue that specific practices could enhance GHPs’ contributions to equity, both in their processes and outcomes. Enhancing partnering practices to focus on inclusion, responsiveness to North-South and South-South inequities, and recognition of GHPs as situated in a broader (and inequitable) political economy. A relational and equity-centred approach to assessing GHPs would place social justice, humility and mutual benefits as central practices—that is, regular, routine things that partners involved in partnering do intentionally to make GHPs function well. Practicing equity in GHPs requires continuous efforts to explicitly acknowledge and examine the equity implications of all aspects of partnering.

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“…The proportion of non-independent evaluations was high, and non-independent evaluations more frequently described success of the PPP under evaluation. For example, one paper that explicitly sought to document the effectiveness of PPPs in the area of childhood obesity was funded entirely by the Mondaléz foundation, which includes numerous chocolate and confectionary producers and which also made a payment directly to one of the senior authors for writing the paper [29]. We also classed evaluations written by individuals involved with the public partner as nonindependent under the assumption that authors who had invested time and resources in the PPP and would have interest in demonstrating the positive impact.…”

Section: Discussionmentioning

confidence: 99%

Promoting population health with public-private partnerships: Where’s the evidence?

Parker

Zaragoza²,

Hernández-Aguado

2019

BMC Public Health

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Background: Although public-private partnerships have become common in the health sector, the evidence supporting their effectiveness is limited, and when the products or services provided by the private partner are harmful to health inherent conflicts of interest may be difficult to overcome. The objective of this study is to appraise the evidence describing process or effectiveness of public-private partnerships (PPPs) that aim to promote population health, and analyse how characteristics such as independence or competing interests influence the results of their evaluation. Methods: We carried out a systematic search of Medline and Web of Science to identify scientific reports evaluating the process or effectiveness of PPPs that aim to promote population health. Two reviewers applied inclusion criteria, extracted and evaluated study quality. We classified PPPs according to the health problem tackled, the independence of the evaluation, and the potential for competition between business interests of the private partner and health promotion activity undertaken. We classified the conclusions of the evaluation as positive (supportive/tentatively supportive) or negative (semi-critical/critical). Results: We identified 36 studies evaluating 25 PPPs. Evaluations that were favourable to the use of PPPs in health promotion were more frequently classed as "not independent" and of poor quality. On the other hand, negative evaluations were more common when the PPP involved a private partner with a high potential for competition between the health promotion activity undertaken and their financial interests. PPPs that sought to prevent noncommunicable diseases were more frequently negatively evaluated compared to PPPs tackling infectious disease or other types of health problem. Almost all of the evaluations evaluated process, with only 2 papers reporting quantitative health related outcomes. Conclusions: There is still a lack of sound evidence supporting the effectiveness of public-private partnerships in health promotion, and the evidence base is skewed by non-independent evaluations. Public health actors should abstain from engaging in agreements with industries whose business interests have a high potential for competition with the health promotion activity undertaken.

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Innovative Healthy Lifestyles School-Based Public–Private Partnerships Designed to Curb the Childhood Obesity Epidemic Globally: Lessons Learned From the Mondelēz International Foundation

Cited by 8 publications

References 14 publications

Integrating nutrition and physical activity promotion: A scoping review

Integrating nutrition and physical activity promotion: A scoping review

Assessing how global health partnerships function: an equity-informed critical interpretive synthesis

Promoting population health with public-private partnerships: Where’s the evidence?

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