Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention

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dc.contributor.authorMcCreedy, Nicole
dc.contributor.authorShung-King, Maylene
dc.contributor.authorWeimann, Amy
dc.contributor.authorTatah, Lambed
dc.contributor.authorMapa-Tassou, Clarisse
dc.contributor.authorMuzenda, Trish
dc.contributor.authorGovia, Ishtar
dc.contributor.authorWere, Vincent
dc.contributor.authorOni, Tolu
dc.date.accessioned2023-09-18T09:19:37Z
dc.date.available2023-09-18T09:19:37Z
dc.date.issued2022-09-19
dc.date.updated2022-09-22T12:02:36Z
dc.description.abstractHigh sugar intake contributes to diet-related excess weight and obesity and is a key determinant for noncommunicable diseases (NCDs) in low- and middle-income countries (LMICs). The World Health Organization (WHO) gives specific advice on limiting sugar intake in adults and children. Yet, to what extent have policy ideas on sugar intake reduction originating at the global level found expression at lower levels of policymaking? A systematic policy document analysis identified policies issued at the African regional, South African national and Western Cape provincial levels between 2000 and 2020 using search terms related to sugar, sugar-sweetened beverages (SSBs), and NCDs. Forty-eight policy documents were included in the review, most were global and national policies and thus the focus of analysis. A policy transfer conceptual framework was applied. Global recommendations for effectively tackling unhealthy diets and NCDs advise implementing a mix of cost-effective policy options that employ a multisectoral approach. South African country-level policy action has followed the explicit global guidance, and ideas on reducing sugar intake have found expression in sectors outside of health, to a limited extent. As proposed in this paper, with the adoption of the SSB health tax and other policy measures, South Africa’s experience offers several learnings for other LMICs.
dc.identifierdoi: 10.3390/ijerph191811828
dc.identifier.apacitationMcCreedy, N., Shung-King, M., Weimann, A., Tatah, L., Mapa-Tassou, C., Muzenda, T., ... Oni, T. (2022). Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention. <i>International Journal of Environmental Research and Public Health</i>, 19(18), 11828. http://hdl.handle.net/11427/38718en_ZA
dc.identifier.chicagocitationMcCreedy, Nicole, Maylene Shung-King, Amy Weimann, Lambed Tatah, Clarisse Mapa-Tassou, Trish Muzenda, Ishtar Govia, Vincent Were, and Tolu Oni "Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention." <i>International Journal of Environmental Research and Public Health</i> 19, 18. (2022): 11828. http://hdl.handle.net/11427/38718en_ZA
dc.identifier.citationMcCreedy, N., Shung-King, M., Weimann, A., Tatah, L., Mapa-Tassou, C., Muzenda, T., Govia, I. & Were, V. et al. 2022. Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention. <i>International Journal of Environmental Research and Public Health.</i> 19(18):11828. http://hdl.handle.net/11427/38718en_ZA
dc.identifier.risTY - Journal Article AU - McCreedy, Nicole AU - Shung-King, Maylene AU - Weimann, Amy AU - Tatah, Lambed AU - Mapa-Tassou, Clarisse AU - Muzenda, Trish AU - Govia, Ishtar AU - Were, Vincent AU - Oni, Tolu AB - High sugar intake contributes to diet-related excess weight and obesity and is a key determinant for noncommunicable diseases (NCDs) in low- and middle-income countries (LMICs). The World Health Organization (WHO) gives specific advice on limiting sugar intake in adults and children. Yet, to what extent have policy ideas on sugar intake reduction originating at the global level found expression at lower levels of policymaking? A systematic policy document analysis identified policies issued at the African regional, South African national and Western Cape provincial levels between 2000 and 2020 using search terms related to sugar, sugar-sweetened beverages (SSBs), and NCDs. Forty-eight policy documents were included in the review, most were global and national policies and thus the focus of analysis. A policy transfer conceptual framework was applied. Global recommendations for effectively tackling unhealthy diets and NCDs advise implementing a mix of cost-effective policy options that employ a multisectoral approach. South African country-level policy action has followed the explicit global guidance, and ideas on reducing sugar intake have found expression in sectors outside of health, to a limited extent. As proposed in this paper, with the adoption of the SSB health tax and other policy measures, South Africa&rsquo;s experience offers several learnings for other LMICs. DA - 2022-09-19 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PY - 2022 T1 - Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention TI - Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention UR - http://hdl.handle.net/11427/38718 ER -en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/38718
dc.identifier.vancouvercitationMcCreedy N, Shung-King M, Weimann A, Tatah L, Mapa-Tassou C, Muzenda T, et al. Reducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention. 2022; http://hdl.handle.net/11427/38718.en_ZA
dc.publisherMultidisciplinary Digital Publishing Institute
dc.publisher.departmentFamily Medicine
dc.publisher.facultyHealth Sciences
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceInternational Journal of Environmental Research and Public Health
dc.source.journalissue18
dc.source.journalvolume19
dc.source.pagination11828
dc.source.urihttps://www.mdpi.com/journal/ijerph
dc.titleReducing Sugar Intake in South Africa: Learnings from a Multilevel Policy Analysis on Diet and Noncommunicable Disease Prevention
dc.typeJournal Article
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