Table 1

Roles of government in obesity prevention

Action area
Description
Rationale
Examples

Leadership
∘ Providing a visible lead
∘ Reinforcing the seriousness of the problem
∘ Demonstrating a readiness to take serious action
∘ All societal change needs strong leadership
∘ The role of governments is central, powerful and carries sufficient authority to stimulate a sustained multi-sector response
∘ Government voices speak loudly about problems
∘ Government actions speak louder about solutions
∘ Being visible in the media
∘ Role modelling healthy behaviours (at an individual level)
∘ Role modelling healthy environments (at a government agency level)
∘ Creating mechanisms for a whole-of-government response to obesity
∘ Lifting the priority for health (versus commercial) outcomes




Advocacy
∘ Advocating for a multi-sector response across all societal sectors (governments, the private sector, civil society, and the public)
∘ Solutions will need to involve many sectors within governments and all sectors outside government
∘ Authoritative mechanisms will be needed to achieve cross-sectoral collaboration and coordination
∘ Advocating to the private sector for corporate responsibility around marketing to children
∘ Creating a high-level taskforce to oversee and monitor multi-sector actions
∘ Encouraging healthy lifestyles for individual and families




Funding
∘ Securing increased and continuing funding to create healthy environments and encourage healthy eating and physical activity
∘ Changing environments requires funding
∘ Social marketing and programs require funding
∘ Supporting actions (eg training, research, evaluation, monitoring) require funding
∘ Public good funding comes mainly from government sources
∘ Establishing a health promotion foundation (eg using an hypothecated tobacco tax) to fund programs and research
∘ Moving from project funding to program and service funding for obesity prevention
∘ Creating centres of excellence for research, evaluation and monitoring




Policy
∘ Developing, implementing, and monitoring a set of policies, regulations, taxes, and subsidies that make environments less obesogenic and more health promoting
∘ Most behaviours are heavily influenced by environmental factors (physical, economic, policy, socio-cultural)
∘ Changing environments often requires policy drivers
∘ Education-based approaches are weak without supportive environments
∘ Banning the marketing of unhealthy foods to children
∘ Subsidising public transport and active transport more than car transport
∘ Requiring 'traffic light' front of pack labelling of food nutrient profiles
∘ Restricting the sale of unhealthy foods in schools

Swinburn Australia and New Zealand Health Policy 2008 5:12   doi:10.1186/1743-8462-5-12