Harmonizing And Mainstreaming The Measurement Of Healthy Diets

With rapidly changing diets, the burden of disease due to the consumption of unhealthy diets is a worldwide concern. Assessment and monitoring of diets across countries and population groups is critical. However, there are no harmonized metrics for tracking how the healthfulness of diets around the world is evolving. Recognizing the need for consensus and action, and to chart a way forward, FAO, UNICEF, and WHO established the Healthy Diets Monitoring Initiative (HDMI) in 2022. The joint mission of this Initiative was articulated through discussions at a technical expert meeting in Bellagio, Italy, in late 2022. This meeting report includes the discussions and conclusions made on the suitability of existing metrics for assessment and monitoring of healthy diets nationally and globally. It also includes a workplan roadmap for the HDMI for the next two years towards the development of a global guidance on healthy diets metrics.

Unhealthy diets are recognized globally as key contributors to morbidity and mortality. As food systems and diets evolve globally, the importance of monitoring what people eat has never been more critical. Yet, there is a lack of consensus on what constitutes healthy diets and how to measure them. In collective recognition of this challenge, the Healthy Diets Monitoring Initiative (HDMI), a partnership among FAO, UNICEF and WHO was established in 2022 with the mission of enabling national and global decision-makers and stakeholders to monitor and achieve healthy diets for people and the planet. We invite all national governments, United Nations agencies and international organizations, implementing partners, donors, civil society organizations, researchers and other key stakeholders (such as those concerned about climate change and food systems) to read our Call to Action and join the Healthy Diets Monitoring Initiative.

Monitoring of dietary intake at national and global levels is becoming increasingly important with the changing food systems and diets. Better measurement and monitoring are needed to support governments in establishing policies and programmes to promote healthy diets and assess the effectiveness of these actions. However, there is lack of consensus on the indicators that best capture the properties of healthy diets. Recognizing the need for consensus and action, the Food and Agriculture Organization of the United Nations (FAO), the United Nations Children’s Fund (UNICEF), and the World Health Organization (WHO), have joined forces to chart a way forward via Healthy Diets Monitoring Initiative (HDMI). This is the first version of the guidance for monitoring healthy diets globally, which provides an overview of healthy diets measurement purposes, types of surveys suitable for the monitoring purpose, appropriate dietary assessment methods, relevant dietary data types and potential healthy diet metrics for national and global monitoring purposes. The guidance will be enhanced in the coming years to reflect the most up to date technical and operational recommendations, after rounds of consultations with countries and experts actively engaged in the implementation of surveys and data collection processes.

This report scientifically assesses the validity, usefulness, and fitness-for-purpose of existing healthy diet metrics for population assessment for global and national monitoring. Existing healthy diet metrics were identified and critically assessed through a set of criteria for their use as global and national monitoring indicators. After comparative evaluation, three healthy diet metrics were identified as the most suitable for global and national monitoring. The report highlights strengths and weaknesses for the existing healthy diet indicators. Some may be suitable for simple data collection tools and short data collection time while other indicators may require complex quantitative dietary information, lengthy data collection time, and might need to confirm the validity in various contexts. Some of them may only capture a limited number of the sub-constructs of the construct of healthy diets. The report underlines main knowledge gap regarding the population groups for which the metrics could be used – whether these indicators were developed for a particular demographic and/or socioeconomic groups and their ability to be used for other population groups. The report also identifies key priority areas to further explore how these indicators could be used for more population groups and settings.

This title was first published in 2003. This insightful work examines institutional formation and change as evidence of the major re-shaping of government internationally over the last two decades. It is based on a series of case studies of institutional reform and ranges across institutions in countries including the UK, China, Australia and the USA. Each case study considers questions concerning the establishment of institutions, such as: what have been the objectives of institutional changes? What are the principles and values on which new institutions are founded? In addition to looking at broad hypotheses regarding the state and new institutions, the book also draws together practical lessons regarding institutional reform. Thus the cases are analysed as a group to throw light on a number of issues: are there patterns discernible in the formation of new political institutions? What do the cases reveal about what works, and what does not work, in forming new institutions? What predictions can be made about the relationship between values and governance structures?

How the European Union could and should regulate lifestyle risks of non-communicable diseases through regulation of individual choices.

The third edition of the WHO Guidelines for the Safe Use of Wastewater, Excreta and Greywater has been extensively updated to take account of new scientific evidence and contemporary approaches to risk management. The revised Guidelines reflect a strong focus on disease prevention and public health principles. This new edition responds to a growing demand from WHO Member States for guidance on the safe use of wastewater, excreta, and greywater in agriculture and aquaculture. Its target audience includes environmental and public health scientists, researchers, engineers, policy-makers and those responsible for developing standards and regulations. The Guidelines are presented in four separate volumes: Volume 1: Policy and regulatory aspects Volume 2:Wastewater use in agriculture Volume 3: Wastewater and excreta use in aquaculture Volume 4: Excreta and greywater use in agriculture. Volume 1 of the Guidelines presents policy issues and regulatory measures distilled from the technical detail found in volumes 2, 3, and 4. Those faced with the need to expedite the development of policies, procedures, and regulatory frameworks, at national and local government levels, will find the essential information in this volume. It also includes summaries of the other volumes in the series. Volume 2 of the Guidelines explains requirements to promote safe use concepts and practices including health-based targets and minimum procedures. It also covers a substantive revision of approaches to ensuring the microbial safety of wastewater used in agriculture. It introduces health impact assessment of new wastewater projects. Volume 3 of the Guidelines informs readers on the assessment of microbial hazards and toxic chemicals and the management of the associated risks when using wastewater and excreta in aquaculture. It explains requirements to promote safe use practices, including minimum procedures and specific health-based targets. It puts trade-offs between potential risks and nutritional benefits in a wider development context. Volume 4 of the Guidelines focuses exclusively on the safe use f excreta and greywater in agriculture. Recent trends in sanitation, including ecological sanitation, are driven by rapid urbanization. The momentum created by the Millennium Development Goals is resulting in dramatic changes in human waste handling and processing. New opportunities enable the use of human waste as a resource for pro-poor agricultural development, particularly in periurban areas. Best practice to minimize associated health risks is at the heart of this volume.