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Child obesity, a time bomb neglected in South-East Asia: a Framework Analysis of school policies and programmes
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2016 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background: In the South-East Asian Region of the World Health Organization (WHO), development is hindered by the double burden of malnutrition. While still hosting 70% of the world’s undernourished children, rates of overweight and obesity are rapidly increasing. School-based interventions are a promising solution, and WHO produced a School Policy Framework that encourages schoolchildren to eat healthy and be physically active. The aim of this study is to inform on how these recommendations are adopted in the WHO South-East Asia Region and what the key gaps in policy development are.

Method: Out of 11 Member States, 7 were purposively selected: Bangladesh, Bhutan, India, Indonesia, Maldives, Sri Lanka, and Thailand. The primary data sources were policy and programme documents, which were triangulated with data obtained from informal discussions with policymakers of each Member State and published reports. The data were analysed according to the Framework Analysis, a method designed for policy analysis.

Findings: The seven Member States were at varying levels of recognition of the problem. Of the four who took action, the efforts against overweight and obesity were most often integrated into school health policies/programmes that tended to be geared towards curative services. The deficient monitoring and evaluation systems made it difficult for the Member States to identify priorities for action and set clear goals, which in turn hindered the collaboration between sectors and with non-governmental entities.

Conclusion: This qualitative study showed that the recommendations of the School Policy Framework were unmet and that the guideline itself has never been mentioned.

Place, publisher, year, edition, pages
2016. , 54 p.
Keyword [en]
South-East Asia, school, overweight, obesity, children, policy, programme, framework analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:uu:diva-302614OAI: oai:DiVA.org:uu-302614DiVA: diva2:959347
External cooperation
World Health Organization, South-East Asia Regional Office (WHO SEARO)
Educational program
Master Programme in International Health
2016-05-30, Aula Gunnesalen, Akademiska Sjukhuset, entrance 10, Uppsala, 08:30 (English)
Available from: 2016-09-07 Created: 2016-09-07 Last updated: 2016-09-07Bibliographically approved

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