Analyse du niveau de mise en oeuvre des politiques publiques et des actions gouvernementales visant la création d'environnements alimentaires sains au Sénégal
Senegal is struggling with the double burden of malnutrition but the influence of public policies and of food environments in this crisis are poorly studied. However, the government is currently committed to develop its first National Food Based Dietary Guidelines (FBDG). In this context, the primary aim of this project is to evaluate public policies and government actions aimed at creating healthier food environments in Senegal using a methodology based on the Policy Index for a Healthy Food Environment (Food -EPI) of the INFORMAS network. This methodology allows to identify, evaluate and define an agenda of priorities for public policies using a comparative and participative approach. First, government actions and public policies set up by the government were identified and constituted a document of evidence based on 43 indicators that was validated by the Government's Malnutrition Cell (CLM).Then, a group of independent experts (n = 15) and government experts (n = 16) assessed the level of implementation of the 43 indicators against international best practices using a Likert scale. Implementation of most indicators aimed at creating healthy eating environments were rated as "low" (31 on 43, or 72%). The inter-rater reliability index was 0.75 (CI 0.70 - 0.80). In a prioritization workshop, the same experts identified forty-five priority actions to improve food environments in Senegal and reduce the double burden of malnutrition. In doing so, the project made it possible to conduct a review of government actions and to establish a priority action agenda supported by a group of national experts. It has brought together national stakeholders around critical issues of public nutrition and will provide important contextual information for the development of FBDG.
Public policy Government actions Policy index Healthy food environments