Barriers to the implementation, uptake and scaling up of the healthy plate model among regular street food consumers: a qualitative inquiry in Dar-es-Salaam city, Tanzania
- PMID: 36203200
- PMCID: PMC9541087
- DOI: 10.1186/s40795-022-00589-6
Barriers to the implementation, uptake and scaling up of the healthy plate model among regular street food consumers: a qualitative inquiry in Dar-es-Salaam city, Tanzania
Abstract
Introduction: The healthy plate model is considered one of the practical approaches to reduce the average portion of staple food in main meals, consequently reducing the risks associated with diabetes and other Non-communicable Diseases (NCDs). Despite its potential benefits, studies on the implementation of the healthy plate model are limited in Africa. An inquiry explored barriers to implementation, uptake, and scaling up of the healthy plate model among street food vendors and consumers in three districts of Dar-es-Salaam city in Tanzania.
Methods: A qualitative research design was adopted. Qualitative data collection techniques were employed including; Key Informant Interviews (KIIs) with purposefully selected food and nutrition stakeholders at the National, Regional, District and Ward levels. Focus Group Discussions (FGDs) were conducted with purposefully selected street food consumers and vendors. A total of (13) KIIs were conducted as well as (6) FGDs with street food vendors (2 FGDs) and consumers (4 FGDs). Interview data was managed using Nvivo 12 Software and analyzed thematically.
Results: Three key themes emerged from participants' accounts: (i) strategic policy barriers, (ii) food production and preparation environment barriers (producers and vendors), and (iii) individual barriers (consumers and vendors). The strategic policy barriers included absence of guidelines and regulations that focus on NCDs linked to nutrition and lack of education guidance for vendors and consumers. The food production and preparation environment barriers included safety and risks concerns regarding the quality of water used for irrigation and washing fruits and vegetables and the areas where vegetables and fruits are grown and prepared. Individual barriers included low consumer income, knowledge on nutrition, unhealthy eating practices and; low vendors' knowledge as well as low investment capital.
Conclusion: Implementation, uptake and scaling up of the healthy plate model for street food consumers in Dar es Salaam City continues to be constrained by barriers in policy, food production and preparation environment, and individual obstacles. Strengthening of food and nutrition policies, ensuring safety of the food production and preparation environment and, consumer and vendor awareness creation and income generation efforts, provide useful entry points for the successful scaling up of a healthy plate model. This could consequently contribute towards prevention of diet related NCDs, including diabetes.
Keywords: Healthy plate model; NCDs/diabetes; Street food; Street food consumers; Street food vendors.
© 2022. The Author(s).
Conflict of interest statement
The authors declare that they have no competing conflict of interests.
Similar articles
-
The effectiveness of interventions to reduce cardio-metabolic risk factors among regular street food consumers in Dar es Salaam, Tanzania: The pre-post findings from a cluster randomized trial (Registered by Pan African clinical trial registry with trial # PACTR202208642850935).PLoS One. 2023 Nov 15;18(11):e0289289. doi: 10.1371/journal.pone.0289289. eCollection 2023. PLoS One. 2023. PMID: 37967111 Free PMC article. Clinical Trial.
-
Prevalence and Correlates of Cardio-Metabolic Risk Factors Among Regular Street Food Consumers in Dar es Salaam, Tanzania.Diabetes Metab Syndr Obes. 2021 Mar 5;14:1011-1024. doi: 10.2147/DMSO.S287999. eCollection 2021. Diabetes Metab Syndr Obes. 2021. PMID: 33707960 Free PMC article.
-
Food safety knowledge, attitudes, and behavior of street food vendors and consumers in Handan, a third tier city in China.BMC Public Health. 2019 Aug 16;19(1):1128. doi: 10.1186/s12889-019-7475-9. BMC Public Health. 2019. PMID: 31419983 Free PMC article.
-
Vendor Knowledge, Attitudes, and Practices Related to Food Safety in Low- and Middle-Income Countries: A Scoping Review.J Food Prot. 2022 Jul 1;85(7):1069-1078. doi: 10.4315/JFP-21-439. J Food Prot. 2022. PMID: 35435977 Review.
-
Food safety-related perspectives and practices of consumers and vendors in Ethiopia: A scoping review.Food Res Int. 2022 Jul;157:111376. doi: 10.1016/j.foodres.2022.111376. Epub 2022 May 14. Food Res Int. 2022. PMID: 35761632 Review.
References
-
- Roth GA, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2018;392:1736–1788. doi: 10.1016/S0140-6736(18)32203-7. - DOI - PMC - PubMed
-
- Teufel F, Seiglie JA, Geldsetzer P, Theilmann M, Marcus ME, Ebert C, et al. Body-mass index and diabetes risk in 57 low-income and middle-income countries: a cross-sectional study of nationally representative, individual-level data in 685 616 adults. Lancet. 2021;398:238–248. doi: 10.1016/S0140-6736(21)00844-8. - DOI - PMC - PubMed
LinkOut - more resources
Full Text Sources