Strengthening of accountability systems to create healthy food environments and reduce global obesity

摘要: To achieve WHO's target to halt the rise in obesity and diabetes, dramatic actions are needed improve healthiness of food environments. Substantial debate surrounds who is responsible for delivering effective what, specifically, these should entail. Arguments often reduced a between individual collective responsibilities, hard regulatory or fiscal interventions soft voluntary, education-based approaches. Genuine progress lies beyond impasse entrenched dichotomies. We argue strengthening accountability systems across all actors substantially performance on reduction. In view industry opposition government reluctance regulate healthier environments, quasiregulatory approaches might progress. A four step framework (take account, share hold respond account) proposed. The identifies multiple levers change, including other that involve government-specified government-monitored private sector performance, procurement mechanisms, improved transparency, monitoring actions, management conflicts interest. Strengthened would support leadership stewardship, constrain influence with major interest public policy development, reinforce engagement civil society creating demand healthy environments towards action objectives.