Table 1.

Development of front-of-pack nutrition labeling in the Americas using the policy cycle model.

Stage 1 (Agenda Setting)	Stage 2 (Policy Formulation)	Stage 3 (Policy Adoption)	Stage 4 (Implementation)	Stage 5 (Evaluation)
Identification of a societal problem based on social, economic, cultural, or ideological factors and selected by decision makers to create an agenda.	Exploration and discussion of multiple alternative paths of action to address identified issues where objectives are defined, and policy settings and instruments are determined.	Government institutions determining whether a policy is adopted or not.	Transformation of laws into action and application.	Knowledgeable experts evaluate processes and policy objectives creating a feedback loop which helps identify problems which then restarts the process of policy development.
Cuba Dominican Republic Honduras Nicaragua United States of America	Costa Rica El Salvador Guatemala Panama Paraguay CARICOM	Canada Colombia Brazil Bolivia	Argentina Mexico Venezuela	Chile Ecuador Peru Uruguay

CARICOM: Antigua and Barbuda, Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Suriname, and Trinidad and Tobago.