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.
Check the full list of "Political Economy of Healthy and Sustainable Food Systems" special issue here.
World Health Organization (WHO). Global Action Plan for the Prevention and Control of NCDs 2013-2020. Geneva: WHO; 2013.
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
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
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
World Health Organization (WHO). Global Strategy on Diet, Physical Activity and Health. Geneva: WHO; 2004.
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
Stuckler D, Nestle M. Big food, food systems, and global health. PLoS Med. 2012;9(6):e1001242. doi:10.1371/journal.pmed.1001242
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
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
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
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
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
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
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
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
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.
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
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
Pettigrew A, Whipp R. Managing Change for Competitive Success. Oxford: Blackwell; 1991.
Pettigrew AM. Longitudinal field research on change: theory and practice. Organ Sci. 1990;1(3):267-292.
Neal B, Sacks G, Shahid M, Taylor F, Huffman M. FoodSwitch: State of the Food Supply. Sydney: The George Institute for Global Health; 2019.
Isentia. https://www.isentia.com. Accessed October, 2019. Published 2018.
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.
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
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.
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
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
Pettigrew AM, Ferlie E, McKee L. Shaping Strategic Change: Making Change in Large Organizations: The Case of the National Health Service. London: Sage; 1992.
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
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
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
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
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
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
Lunenburg FC. Managing change: the role of the change agent. International Journal of Management, Business, and Administration. 2010;13(1):1-6.
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
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
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
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
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
Robinson,E. , Blake,M. R. and Sacks,G. (2021). Benchmarking Food and Beverage Companies on Obesity Prevention and Nutrition Policies: Evaluation of the BIA-Obesity Australia Initiative, 2017-2019. International Journal of Health Policy and Management, 10(Special Issue on Political Economy of Food Systems), 857-870. doi: 10.34172/ijhpm.2020.147
MLA
Robinson,E. , , Blake,M. R. , and Sacks,G. . "Benchmarking Food and Beverage Companies on Obesity Prevention and Nutrition Policies: Evaluation of the BIA-Obesity Australia Initiative, 2017-2019", International Journal of Health Policy and Management, 10, Special Issue on Political Economy of Food Systems, 2021, 857-870. doi: 10.34172/ijhpm.2020.147
HARVARD
Robinson E., Blake M. R., Sacks G. (2021). 'Benchmarking Food and Beverage Companies on Obesity Prevention and Nutrition Policies: Evaluation of the BIA-Obesity Australia Initiative, 2017-2019', International Journal of Health Policy and Management, 10(Special Issue on Political Economy of Food Systems), pp. 857-870. doi: 10.34172/ijhpm.2020.147
CHICAGO
E. Robinson, M. R. Blake and G. Sacks, "Benchmarking Food and Beverage Companies on Obesity Prevention and Nutrition Policies: Evaluation of the BIA-Obesity Australia Initiative, 2017-2019," International Journal of Health Policy and Management, 10 Special Issue on Political Economy of Food Systems (2021): 857-870, doi: 10.34172/ijhpm.2020.147
VANCOUVER
Robinson E., Blake M. R., Sacks G. Benchmarking Food and Beverage Companies on Obesity Prevention and Nutrition Policies: Evaluation of the BIA-Obesity Australia Initiative, 2017-2019. IJHPM, 2021; 10(Special Issue on Political Economy of Food Systems): 857-870. doi: 10.34172/ijhpm.2020.147