7140SOH

MSc Global Healthcare Management 7140SOH
The number of people classified as being obese is increasing locally,

nationally, and globally. Critically analyse one key policy that has been
implemented within the last 10 years to reduce obesity in a country that is well
known to you. Critically discuss its policy drivers, economics, and
effectiveness with literature. Conclude with an evidence-based suggestion on
how this policy can be improved.
Coursework Number: One
Module Leader: Nigel Penny
Student Number: 13097176
Chosen Policy Title: Intersectoral Strategy for Prevention and Control of Obesity
in Brazil
Word count: 500
Date of submission: 10/11/2022
Declaration: In making this submission I declare that this coursework is my own

work and has not been submitted elsewhere either in whole or part. I have fully
acknowledged and referenced all sources of information used in this coursework,
and I am aware that failure to do so constitutes an academic misconduct offence.
The work contained within this document has been submitted by the student in partial
fulfilment of the requirement of their course and award.
Intersectoral Strategy for Prevention and Control of Obesity in Brazil:
I have chosen this policy because it focused on integrating family farming and public
systems by promoting sustainability and consumption. The biggest challenge is to
work on 5570 municipalities and they devised a plan accordingly to work upon.
Brazil is a middle income developing mixed economy. In 2014, the federal

government have implemented this project by mainly focusing on
 Standards of food production

 Consumption of regional food
 Replacing processed food with high consumptions of protein.
 Promote physical activity in workplaces
 Promote public nutrition in public facilities
 Organise care procedures
 Promote social spaces for sustainable living
The action plan devised to work on are:
1) availability and access to adequate and healthy foods
2) education, communication, and information
3) promotion of healthy lifestyles in specific environments/territories;
4) food and nutrition surveillance;
5) comprehensive care for individuals presenting obesity in the health care network;
and
6) regulation and control of the quality and harmlessness of food

Funding :
Even though it’s a middle-class economy, the funding is divided into multiple parts
and as discussed, they have taken account from different departments and they
have given funding accordingly.
Note: this image is taken from the world bank budet:
https://documents1.worldbank.org/curated/en/881491468020373837/pdf/
749570NWP0BRAZ00Box374316B00PUBLIC0.pdf
The funding is divided and each year the funding increases 0.5% from 2013 to 2022
in each department and overall, the budget taking from 0.9% of whole GDP of
national income.
Sustainability:
The effect of the policy is still effective and even now the plan is adaptable and going
through multiple improvements in each department after each year statistics.
The forecast plan for 2020-2030 given by Brazil government in new health policy
document, the evidence is showing as successful devised plan to work on the
challenges seen on the previous findings.
Outcomes:
To check the effectiveness the policy, they have been given semi-structured
questionnaires were submitted to representatives from the ministries of Education,
Health, Planning, Citizenship, and Agrarian Development.
Positive results were achieved through the shared management model adopted,
even though many challenges still remain.
The effectiveness that they have invested went well but the obesity rate on young
adults is difficult to remain and the sustainability is still keeping them on loop to
reduce obesity.
Weaknesses and gaps:
 The policy has not taken into consideration of young adults.

 They focused on nutrition in public areas but not specifically for children.
 There is also a lack in educational programmes for young adults because
these young adults going to be the old people. This information is taken
consideration from the data from 2020-22 where obesity has statistically more
in young adults.
Conclusion:
Overall, Brazil is a middle-income economy country, and as there is a rise in obesity

case, devised a intersectoral policy taking consideration of multiple sectors and be
able to work on the reduction of obesity by working on 570 municipalities ad able to
give positive results through shared management model with multiple challenges
and working on the challenges with a successful forecast model.
References:
 https://issuu.com/informecaisan/docs/estratprevcontobesidade_versaoingle
 https://pubmed.ncbi.nlm.nih.gov/31819745/
 Stephen Kunihiro,1,* Juliana Ribeiro da Silva Vernasque,2,3 Celso da Silva,1,4,5
Marcela Facina dos Santos,3 Camila Pires Cremasco,1 and Luís Roberto
Almeida Gabriel Filho1:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602621/
 Swinburn B. A. (2008). Obesity prevention: the role of policies, laws and
regulations. Australia and New Zealand health policy, 5, 12.
https://doi.org/10.1186/1743-8462-5-12
 Zhang, Q., Liu, S., Liu, R., Xue, H., & Wang, Y. (2014). Food Policy
Approaches to Obesity Prevention: An International Perspective. Current
obesity reports, 3(2), 171–182. https://doi.org/10.1007/s13679-014-0099-6
 Bhurosy, T., & Jeewon, R. (2014). Overweight and obesity epidemic in
developing countries: a problem with diet, physical activity, or socioeconomic
status?. TheScientificWorldJournal, 2014, 964236.
https://doi.org/10.1155/2014/964236
 https://www.fao.org/3/bl634e/bl634e.pdf

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MSc Global Healthcare Management 7140SOH

The number of people classified as being obese is increasing locally,

Coursework Number: One

Module Leader: Nigel Penny

Student Number: 13097176

Word count: 500

Date of submission: 10/11/2022

Declaration: In making this submission I declare that this coursework is my own

Brazil is a middle income developing mixed economy. In 2014, the federal

 Standards of food production

The action plan devised to work on are:

1) availability and access to adequate and healthy foods

2) education, communication, and information

3) promotion of healthy lifestyles in specific environments/territories;

4) food and nutrition surveillance;

6) regulation and control of the quality and harmlessness of food

Weaknesses and gaps:

 The policy has not taken into consideration of young adults.

Overall, Brazil is a middle-income economy country, and as there is a rise in obesity

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