WHO EMRO | Nutrition and food security policy in the Islamic Republic of Iran: situation analysis and roadmap towards 2021 PDF version (original) (raw)
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Eastern Mediterranean Health Journal
Background: All government policies and programmes for food and nutrition security should include providing healthy food, as well as providing economic and social availability for all people. Aim: This study aimed to analyse the current situation of Iranian food and nutrition security and establish a road map towards 2021. Methods: The applied methods were situation analysis and a mixed qualitative-quantitative method. The conceptual method used for developing this national document encompassed three areas: sustainable food supply, food safety and nutrition. Results: The outcomes of the Iranian food and nutrition security system in the past three decades include development of management infrastructure and improvement in food and nutrition security status. However, analysis of current programmes showed that there were some overlapping, intertwining and parallel works in the responsibilities of related organizations in the field of supervision of food safety (from production to supply). The national document produced as the outcome of this paper was communicated by the Iranian Ministry of Health in 2012 and has been running for 2 years. Selected ministries are responsible for implementation of 20 national programmes by the end of the 5th Economic, Social and Cultural Development Programme (2016-2011). The consensus of stakeholders by the end of the 6th Development Programme (2021) is to put all of the provinces in a safe or very safe situation in terms of food and nutrition security. Conclusion: The most important challenge in establishing national documents is to make them operational. This aim was achieved by an intersectoral nutrition and food security working group, which produced a general memorandum of understanding with the main organizations, the media, universities and private sector.
2018
1 School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. 2 Secretariat for Supreme Council of Health and Food Security, Ministry of Health and Medical Education, Tehran, Iran. 3 Nutrition Department, Under-secretary for Health, Ministry of Health and Medical Education, Tehran, Iran. 4 Department of Social Determinants of Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Eastern Mediterranean Health Journal
Background: Diet plays an important role in the risk of noncommunicable diseases. In the Islamic Republic of Iran, national activities were started after release of the World Health Organization’s (WHO) action plan on prevention and control of noncommunicable diseases. Aims: This study describes national food policies implemented by the government in order to reduce noncommunicable diseases in the country in line with WHO action plan. Methods: Newly adopted food standards and regulations linked to noncommunicable diseases from 2013 to 2018 were reviewed and the maximum permitted levels of salt and trans and saturated fats were compared in the old and new standards. Nutritional traffic light labelling to raise public awareness of healthy diets was evaluated. Results: Fifteen food standards associated with eight food items that make up a large share of the daily Iranian food basket and three that make up a small share were evaluated. Policies on salt included reduction in maximum perm...
BMC Health Services Research
Background Non- communicable diseases (NCDs) are the main cause of death, which lead to over 73% of death and 62% of DALYs globally. As an unhealthy diet is the leading behavioral risk factor of NCDs, in line with the national action plan for the prevention and control of NCD, this study explored the nutrition-related stewardship problems to reduce the burden of NCDs in Iran. Methods This is a qualitative study. We interviewed 30 purposefully identified key informants, i.e., stakeholders, policymakers, and academics, from December 2018 to August 2019. All interviews were recorded and transcribed verbatim. We analyzed data using qualitative content analysis facilitated by MAXQDA 11 software. Results Ample policies and laws were identified, most of which were not or partially implemented. Despite some plausible efforts, NCDs do not seem to be a top priority for high-level managers and decision-makers. Besides, the role of non-state actors, i.e., the private sector, is marginal in NCD’...
Environment, Development and Sustainability, 2022
Integration between different components of the food system would foster achieving food and nutrition security as a key pillar of sustainable development. Significant improvement has been made in the field of food and nutrition security as well as in institutionalizing integration in food and agriculture, nutrition and health policymaking to achieve sustainable development in the Iranian context, however, the sectors are still operating somewhat in isolation from one another while this is in sharp contrast with the integrative nature of the Sustainable Development Goals (SDGs). The aim of this study was to draw a comprehensive picture of the journey from coordination to integration and in institutionalizing food and nutrition security and its policymaking within the framework of national development in Iran. In this study, 43 multi-lateral upstream documents in food and agriculture, nutrition and health sectors were analyzed using a deductive document analysis method. Three series of data coding were performed, including (a) exploring the direct and indirect components of agriculture, food, nutrition and health systems, (b) exploring the policy integration based on processual policy integration framework and (c) Exploring the alignment state of policy components with the SDGs. Our study showed that despite implementing several multi-lateral interventions, and in some cases integrated policies, food and nutrition insecurity are still critical concerns. The study affirms that although remarkable improvements in food and nutrition policy-making and institutional capacity development have been realized, the country’s journey from the “nutrition sciences” to “food and nutrition policy” has not ended yet and integration in food and nutrition policymaking is yet to be achieved in the country. To effectively address the issue, multi-sectoral representation in joint work should be transformed into inter-sectoral integration based on interdisciplinary and inter-sectoral research at policy and integrated operational agenda for all sectors involved. In this process, participation of civil society, women, the private sector and the industry should be well recognized and encouraged.
Dietary Risk Reduction Projects in Industrial Foods in Iran
2020
Non-communicable diseases (NCD) are the major cause of death worldwide. High intake of salt, sugar and fat are known as main risk factors for NCD. To address the issue some projects have been implemented in the country. This study aimed to seek for the initiatives targeting salt, sugar, and fat reduction in industrial foods and the status of implementation of food labeling. Meanwhile, we searched for studies which evaluated the above mentioned projects. Methods: We conducted an extensive review in domestic sources namely reports of national plans, protocols, dissertations, and progress reports of ongoing and terminated projects as well as rules and standards of Iran Food and Drug Administration (IFDA) and Institute of Standards and Industrial Research of Iran (ISIRI). Findings: There were several main projects in the country regarding reduction of dietary risk factors in industrial foods. Traffic light food labeling scheme and restrictions on imports of palm oil or food containing i...
Frontiers in Nutrition, 2021
The need for a shift in diet toward a more sustainable one has reached an urgency in certain regions, including Iran, due to more rapid climate change and a higher level of vulnerability. This study was undertaken to identify and summarize available data on changes required in the current Iranian diet to make it more sustainable and the extent to which current policies in the country have addressed such a shift. In this study, PubMed, Scopus, and Web of science, as well as Iranian scientific search engines, including Scientific Information Database and Magiran, were systematically searched from January 1990 to July 2021. A total of 11 studies and policy analyses were included in this study. Based on the findings, moving Iranian diet toward sustainability will require increase in consumption of dairy, fruits, vegetables, cereals, poultry, and legumes and decrease in consumption of bread, rice, pasta, red meat, eggs, fats, sugars, and sweets. There has been a great deal of effort and ...
Development of Food-Based Dietary Guidelines for Iran: A Preliminary Report
Annals of Nutrition and Metabolism, 2007
items). Three pictorial FBDGs were then designed: a plate, a pyramid, and a rectangle. Thus, three posters were prepared by the working teams and revised by a group of experts, followed by a preliminary evaluation. The final step will be field testing of the three revised, modified designs by the public and experts and their final evaluation.
The health system barriers to a healthy diet in Iran
PLOS ONE
BackgroundDecreasing calories, salt, sugar and fat intake is considered the golden solution to reduce obesity and cardiovascular diseases (CVDs) related to unhealthy diet. This study aimed to investigate the health system induced barriers to a healthy diet in Iran.MethodsThis is a qualitative health policy analysis. We collected data through 30 semi-structured, face-to-face interviews with purposefully identified experts, including policy-makers, top-level managers and related stakeholders. All interviews were transcribed verbatim, and analyzed with qualitative content analysis, facilitated by MAXQDA 11 software.ResultsWe identified six categories of barriers: structural problems within the Ministry of Health and Medical Education (MoHME), i.e. Supreme Council of Health and Food Security (SCHFS); the MoHME’s inadequate stewardship of public health, the short life of the deputy of social affairs within the MoHME and its possible impact on the National Health Assembly; inefficient tra...
Journal of Health Population and Nutrition, 2023
Background Non-communicable diseases (NCDs), also known as chronic diseases, specifically cardiovascular diseases (CVD), cancers, respiratory diseases, and diabetes are the main reason for more than two-thirds of global deaths, in which the unhealthy diet is one of the primary risk factors. The golden solution to reducing obesity and CVD linked to an unhealthy diet is to reduce calories, salt, sugar, and fat intake. Besides, activities highlighting lifestyles that contain healthy diets usually focus on reducing salt, sugar, and saturated fat consumption. As a result, the researchers aimed to study the gaps and economic barriers to recommended consumption of salt, sugar, and fat in Iran, based on WHO recommendations. Methods This is a qualitative study. We conducted semi-structured and in-depth interviews with 30 stakeholders, including academics, experts, and key informants in different sectors from December 2018 until August 2019 in Tehran, Iran. We used a purposeful and snowball sampling method to select participants. All interviews were transcribed verbatim and thematically analyzed using MAXQDA 11. Results Economic problems and inflation in Iran caused people to eat more unhealthy foods, while a healthy diet consumption was reduced due to higher prices. Unfair political sanctions imposed on the country caused economic pressure and adversely affected family nutrition. Worse still, despite legal bans, advertising unhealthy foods via media, mainly to generate revenue, encouraged more consumption of unhealthy food. The lack of targeted subsidies and failure in tax legislation and implementation related to the unhealthy products deteriorated the conditions. Conclusion Some economic barriers have hampered plans to reduce salt, fat, and sugar consumption in Iran. Fundamental reforms in the tax and subsidy system are required to improve people's eating habits. In particular, citizens' income that has been continuously shrinking due to economic conditions, imposed sanctions, and the inevitably high inflation needs to be addressed urgently. Unless the government of Iran deals with the economic barriers to healthy nutrition, the pathway for implementing the national action plan for prevention and control of NCDs toward a 30% mortality reduction due to NCDs by 2030 looks unlikely to reach.