Table 1. Mapping existing Australian activities against the framework (19).
Action | Government | Other |
---|---|---|
(I) Leadership and strategic approach | Government action but no co-ordinated national strategy | Non-government stakeholders co-ordinated nationally through the Australian Division of World Action on Salt and Health (AWASH) |
(II) Baseline assessment | No national representative government survey on salt intake, sources of salt in the diet | George Institute established national baseline on knowledge, attitudes and behaviour (KAB) and salt levels in foods Various estimations of salt intake based on regional sub-samples from research institute studies |
(III) Implementation strategies | ||
(i) Working with the food industry | Food and Health Dialogue (FHD) established in 2010 and has so far established targets for salt level in 9 categories of foods | AWASH launched food industry strategy in 2008 but has since been superseded by FHD Heart Foundation Tick scheme helps to drive industry reformulation |
(ii) Changing consumer behaviour | No co-ordinated communication campaign Dietary guidelines contain advice to limit consumption of salt |
AWASH media, website and leaflets Heart Foundation media and Halt the Salt Campaign |
(iii) Labelling | Health Star Rating system | Food industry % daily intake scheme Heart Foundation Tick scheme George Institute/Bupa FoodSwitch smartphone application |
(iv) Interventions in public institution settings | All eight state and territory governments have policies or voluntary guidelines for healthy foods in institutions. 6/8 states and territories have mandated healthy eating policies in schools | Healthy Schools Canteen Association has developed nutrition standards for school meals |
(v) Advocacy | AWASH Drop the Salt! Campaign and the Heart Foundation continue to provide sustained advocacy efforts on salt reduction, including through media initiatives, stakeholder events and consumer campaigns | |
(IV) Monitoring and evaluation | Commitment to monitoring progress against targets for the FHD but mechanism not clear No nationally representative mechanism for monitoring salt intake, or KAB planned Government currently tendering for organisations to evaluate the Health Star Rating system |
George Institute monitoring changes in salt levels in foods through its food composition database |