Benchmarking Food and Beverage Companies on Obesity Prevention and Nutrition Policies: Evaluation of the BIA-Obesity Australia Initiative, 2017-2019

Document Type : Original Article

Authors

Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, Geelong, VIC, Australia

Abstract

Background
The potential role of the food and beverage industry in addressing diet-related disease is much debated, particularly amidst evidence of the targeted strategies, including voluntary self-regulation, used by the industry to influence policy in their favour. At the same time, the need for more comprehensive action to address unhealthy diets has led to a focus on increasing the accountability of different stakeholders. However, there has been limited evaluation of the impact of accountability initiatives on food and beverage company policies and practices. This study evaluated the impact of the BIA-Obesity (Business Impact Assessment – Obesity and population nutrition) Australia Initiative that benchmarked major Australian food and beverage companies on their nutrition-related policies.
 
Methods
Evaluation was conducted against the pre-specified logic model for BIA-Obesity and established frameworks for analysing organisational change and corporate political activity. Outcomes evaluated included company engagement with the Initiative, level of media coverage, and impact of the Initiative on company policies and practices based on the perspectives of company representatives. A mixed methods design was employed, including surveys and in-depth interviews with company representatives, and media reports.
 
Results
Approximately half of invited companies participated in the evaluation of the BIA-Obesity Australia Initiative. A number of company representatives indicated that the Initiative had influenced their company’s nutrition policies, strategies, and disclosure practices, and had raised their company’s awareness of the importance of addressing nutrition issues.
 
Conclusion
Company representatives perceive benchmarking and accountability initiatives as helpful for provoking improvements in nutrition-related policies and practices in their companies. However, the benefits of these initiatives need to be assessed in the context of the broader political and economic environment. Whilst the focus of accountability initiatives, such as BIA-Obesity, are on industry self-regulation efforts, they can also play an important role in drawing attention to the need for increased government regulation.

Keywords


 

"Watch the Special Issue Video Summary"

 

  Check the full list of "Political Economy of Healthy and Sustainable Food Systems" special issue here

 

  1. World Health Organization (WHO). Global Action Plan for the Prevention and Control of NCDs 2013-2020. Geneva: WHO; 2013.
  2. Swinburn BA, Kraak VI, Allender S, et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. Lancet. 2019;393(10173):791-846. doi:10.1016/s0140-6736(18)32822-8
  3. Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804-814. doi:10.1016/s0140-6736(11)60813-1
  4. Swinburn B, Dietz W, Kleinert S. A Lancet Commission on obesity. Lancet. 2015;386(10005):1716-1717. doi:10.1016/s0140-6736(15)00722-9
  5. Sacks G, for the Food-EPI Australia project team. Policies for Tackling Obesity and Creating Healthier Food Environments: Scorecard and Priority Recommendations for Australian Governments. Melbourne: Deakin University; 2017. https://6caf7727-1efc-419a-8b13-d58f79d7351f.filesusr.com/ugd/2e3337_e5e00a466691430488f99ed1f4a357af.pdf.  Accessed July 2019.
  6. United Nations Global Compact. Making Global Goals Local Business: A New Era for Responsible Business. United Nations; 2017. https://www.unglobalcompact.org/docs/publications/MGGLB-2017-UNGA.pdf.  Accessed March, 2018.
  7. World Health Organization (WHO). Global Strategy on Diet, Physical Activity and Health. Geneva: WHO; 2004.
  8. Moodie R, Stuckler D, Monteiro C, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013;381(9867):670-679. doi:10.1016/s0140-6736(12)62089-3
  9. Stuckler D, Nestle M. Big food, food systems, and global health. PLoS Med. 2012;9(6):e1001242. doi:10.1371/journal.pmed.1001242
  10. Mialon M, Swinburn B, Sacks G. A proposed approach to systematically identify and monitor the corporate political activity of the food industry with respect to public health using publicly available information. Obes Rev. 2015;16(7):519-530. doi:10.1111/obr.12289
  11. Brownell KD, Warner KE. The perils of ignoring history: Big Tobacco played dirty and millions died. How similar is Big Food? Milbank Q. 2009;87(1):259-294. doi:10.1111/j.1468-0009.2009.00555.x
  12. Mialon M, Swinburn B, Allender S, Sacks G. Systematic examination of publicly-available information reveals the diverse and extensive corporate political activity of the food industry in Australia. BMC Public Health. 2016;16:283. doi:10.1186/s12889-016-2955-7
  13. Mialon M, Swinburn B, Wate J, Tukana I, Sacks G. Analysis of the corporate political activity of major food industry actors in Fiji. Global Health. 2016;12(1):18. doi:10.1186/s12992-016-0158-8
  14. Development Initiatives. Global Nutrition Report 2017: Nourishing the SDG's. Development Initiatives; 2017. https://www.globalnutritionreport.org/files/2017/11/Report_2017.pdf.  Accessed January 2018.
  15. Access to Nutrition Initiative. Access to Nutrition Index: Global Index 2018. ATNI; 2018. https://www.accesstonutrition.org/sites/gl18.atnindex.org/files/resources/atni_report_global_index_2018.pdf.  Accessed October 2019.
  16. Access to Nutrition Initiative. Access to Nutrition Index: Global Index 2016. ATNI; 2016. http://www.accesstonutrition.org.  Accessed March, 2018.
  17. Access to Nutrition Initiative. U.S. Spotlight Index 2018. ATNI; 2018. https://accesstonutrition.org/app/uploads/2020/02/Spotlight_Index_US-Index_Full_Report_2018.pdf.  Accessed May 2020.
  18. Access to Nutrition Initiative. India Spotlight Index 2020. ATNI; 2020. https://accesstonutrition.org/index/india-spotlight-2020/.  Accessed May 2020.
  19. Swinburn B, Sacks G, Vandevijvere S, et al. INFORMAS (International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support): overview and key principles. Obes Rev. 2013;14 Suppl 1:1-12. doi:10.1111/obr.12087
  20. Sacks G, Swinburn B, Kraak V, et al. A proposed approach to monitor private-sector policies and practices related to food environments, obesity and non-communicable disease prevention. Obes Rev. 2013;14 Suppl 1:38-48. doi:10.1111/obr.12074
  21. Sacks G, Vanderlee L, Robinson E, et al. BIA-Obesity (Business Impact Assessment-Obesity and population-level nutrition): a tool and process to assess food company policies and commitments related to obesity prevention and population nutrition at the national level. Obes Rev. 2019;20 Suppl 2:78-89. doi:10.1111/obr.12878
  22. Kasture A, Vandevijvere S, Robinson E, Sacks G, Swinburn B. Benchmarking the commitments related to population nutrition and obesity prevention of major food companies in New Zealand. Int J Public Health. 2019;64(8):1147-1157. doi:10.1007/s00038-019-01272-7
  23. Vanderlee L, Vergeer L, Sacks G, Robinson E, L'Abbé M. Food and Beverage Manufacturers in Canada: Policies and Commitments to Improve the Food Environment - BIA-Obesity Canada 2019. Toronto: University of Toronto; 2019.
  24. Karupaiah T, Ng SH, Sacks G, et al. Benchmarking Food Industry Commitmentsto Create a Healthier Food Environment: Business Impact Assessment (BIA)-Obesity Malaysia 2019. Malaysia: Universiti Kebangsaan Malaysia; 2019.  doi:10.17608/k6.auckland.12084969
  25. World Benchmarking Alliance. Food and Agriculture Benchmark. https://www.worldbenchmarkingalliance.org/food-and-agriculture-benchmark/.  Accessed December 2019. Published 2019.
  26. Onwuegbuzie AJ, Leech NL. On becoming a pragmatic researcher: the importance of combining quantitative and qualitative research methodologies. Int J Soc Res Methodol. 2005;8(5):375-387. doi:10.1080/13645570500402447
  27. Pettigrew A, Whipp R. Managing Change for Competitive Success. Oxford: Blackwell; 1991.
  28. Pettigrew AM. Longitudinal field research on change: theory and practice. Organ Sci. 1990;1(3):267-292. 
  29. Neal B, Sacks G, Shahid M, Taylor F, Huffman M. FoodSwitch: State of the Food Supply. Sydney: The George Institute for Global Health; 2019.
  30. Isentia. https://www.isentia.com. Accessed October, 2019. Published 2018.
  31. Sacks G, Robinson E, for INFORMAS. Inside our Food and Beverage Manufacturers: Assessment of Company Policies and Commitments Related to Obesity Prevention and Population Nutrition. Melbourne:Deakin University; 2018.
  32. Sacks G, Robinson E, for INFORMAS. Inside our Supermarkets: Assessment of Company Policies and Commitments Related to Obesity Prevention and Population Nutrition. Melbourne: Deakin University; 2018
  33. Sacks G, Robinson E, for INFORMAS. Inside Our Quick Service Restaurants: Assessment of Company Policies and Commitments Related to Obesity Prevention and Population Nutrition. Melbourne:Deakin University; 2018.
  34. Inside our food companies. In the media. www.insideourfoodcompanies.com.au/media.  Updated May 2018. Accessed August 2018.
  35. Global Nutrition Report. Country Nutrition Profiles. https://globalnutritionreport.org/resources/nutrition-profiles/.  Accessed May 2020. Published 2020.
  36. The World Bank. Nutrition Country Profile. https://www.worldbank.org/en/topic/health/publication/nutrition-country-profiles.  Accessed May 20, 2020. Published 2011.
  37. Global Hunger Index. 2019 Global Hunger Index by Severity. https://www.globalhungerindex.org/results.html.  Accessed May 2020. Published 2019.
  38. Global Food Security Index. Country Rankings 2019. 2019. https://foodsecurityindex.eiu.com/Index. Accessed May 2020. Published 2019.
  39. Manorat R, Becker L, Flory A. DataDENT: A Landscaping of Global Data Visualization Tools for Nutrition. Results for Development; 2019. https://r4d.org/resources/a-landscaping-of-global-data-visualization-tools-for-nutrition/.  Accessed May, 2020.
  40. Brinsden H, Lobstein T, Landon J, et al. Monitoring policy and actions on food environments: rationale and outline of the INFORMAS policy engagement and communication strategies. Obes Rev. 2013;14 Suppl 1:13-23. doi:10.1111/obr.12072
  41. Know The Chain. Food and Beverage Benchmark Findings Report 2018. https://knowthechain.org/wp-content/plugins/ktc-benchmark/app/public/images/benchmark_reports/KTC_FB_2018.pdf.  Accessed November, 2019. Published 2018.
  42. Oxfam. Behind the Brands. 2013-2016. https://www.behindthebrands.org/.  Accessed June 14, 2018.
  43. FAIRR Initiative. Coller FAIRR Protein Producer Index. https://www.fairr.org/index/. Published 2019.
  44. Oxfam International. The Journey to Sustainable Food: A Three-Year Update on the Behind the Brands Campaign. Oxfam International; 2016. https://www-cdn.oxfam.org/s3fs-public/file_attachments/bp-journey-to-sustainable-food-btb-190416-en.pdf.  Accessed December 2019.
  45. KPMG International. The KPMG Survey of Corporate Responsibility Reporting 2013. KPMG International; 2013. https://assets.kpmg/content/dam/kpmg/pdf/2013/12/corporate-responsibility-reporting-survey-2013.pdf.  Accessed December 2019.
  46. KPMG International. The Road Ahead: The KPMG Survey of Corporate Responsibility Reporting 2017. KPMG International; 2017. https://assets.kpmg/content/dam/kpmg/xx/pdf/2017/10/kpmg-survey-of-corporate-responsibility-reporting-2017.pdf.  Accessed December, 2019.
  47. Sacks G, Robinson E. Investing for Health: Potential Mechanisms for the Investment Community to Contribute to Obesity Prevention and Improved Nutrition. Curr Obes Rep. 2018;7(3):211-219. doi:10.1007/s13679-018-0314-y
  48. Pettigrew AM, Ferlie E, McKee L. Shaping Strategic Change: Making Change in Large Organizations: The Case of the National Health Service. London: Sage; 1992.
  49. Australian Government. Health Star Rating System. http://www.healthstarrating.gov.au/internet/healthstarrating/publishing.nsf/content/home.  Accessed January 2020.
  50. Australian Government. Healthy Food Partnernship. https://www1.health.gov.au/internet/main/publishing.nsf/Content/Healthy-Food-Partnership-Home?Open=&utm_source=health.gov.au&utm_medium=redirect&utm_campaign=digital_transformation&utm_content=healthyfoodpartnership.  Accessed January 2020. Published 2019.
  51. Mozaffarian D, Angell SY, Lang T, Rivera JA. Role of government policy in nutrition-barriers to and opportunities for healthier eating. BMJ. 2018;361:k2426. doi:10.1136/bmj.k2426
  52. Mialon M, Swinburn B, Allender S, Sacks G. 'Maximising shareholder value': a detailed insight into the corporate political activity of the Australian food industry. Aust N Z J Public Health. 2017;41(2):165-171. doi:10.1111/1753-6405.12639
  53. Obesity Policy Coalition, Global Obesity Centre. Tipping the Scales: Australian Obesity Prevention Consensus. https://www.opc.org.au/downloads/tipping-the-scales/tipping-the-scales.pdf.  Accessed November 2019. Published 2017.
  54. Knai C, Petticrew M, Durand MA, et al. Has a public–private partnership resulted in action on healthier diets in England? an analysis of the Public Health Responsibility Deal food pledges. Food Policy. 2015;54:1-10. doi:10.1016/j.foodpol.2015.04.002
  55. Watson WL, Lau V, Wellard L, Hughes C, Chapman K. Advertising to children initiatives have not reduced unhealthy food advertising on Australian television. J Public Health (Oxf). 2017;39(4):787-792. doi:10.1093/pubmed/fdx004
  56. Jones A, Magnusson R, Swinburn B, et al. Designing a healthy food partnership: lessons from the Australian food and health dialogue. BMC Public Health. 2016;16:651. doi:10.1186/s12889-016-3302-8
  57. Barata Cavalcanti O, Costa SA, Ferris E, et al. Benchmarking food and beverage company investment in healthful eating and active living initiatives. Corp Soc Responsib Environ Manag. 2020;27(2):1051-1068. doi:10.1002/csr.1865
  58. Lunenburg FC. Managing change: the role of the change agent. International Journal of Management, Business, and Administration. 2010;13(1):1-6.
  59. Kraak VI, Swinburn B, Lawrence M, Harrison P. An accountability framework to promote healthy food environments. Public Health Nutr. 2014;17(11):2467-2483. doi:10.1017/s1368980014000093
  60. Elliott T, Trevena H, Sacks G, et al. A systematic interim assessment of the Australian Government's Food and Health Dialogue. Med J Aust. 2014;200(2):92-95. doi:10.5694/mja13.11240
  61. Panjwani C, Caraher M. The Public Health Responsibility Deal: brokering a deal for public health, but on whose terms? Health Policy. 2014;114(2-3):163-173. doi:10.1016/j.healthpol.2013.11.002
  62. Galbraith-Emami S, Lobstein T. The impact of initiatives to limit the advertising of food and beverage products to children: a systematic review. Obes Rev. 2013;14(12):960-974. doi:10.1111/obr.12060
  63. Swinburn B, Kraak V, Rutter H, et al. Strengthening of accountability systems to create healthy food environments and reduce global obesity. Lancet. 2015;385(9986):2534-2545. doi:10.1016/s0140-6736(14)61747-5