title: The healthy food environment policy index: findings of an expert panel in New Zealand.
abstract: OBJECTIVE
  To assess government actions to improve the healthiness of food environments in New Zealand, based on the healthy food environment policy index.
  
  
  METHODS
  A panel of 52 public health experts rated the extent of government implementation against international best practice for 42 indicators of food environment policy and infrastructure support. Their ratings were informed by documented evidence, validated by government officials and international benchmarks.
  
  
  RESULTS
  There was a high level of implementation for some indicators: providing ingredient lists and nutrient declarations and regulating health claims on packaged foods; transparency in policy development; monitoring prevalence of noncommunicable diseases and monitoring risk factors for noncommunicable diseases. There was very little, if any implementation of the following indicators: restrictions on unhealthy food marketing to children; fiscal and food retail policies and protection of national food environments within trade agreements. Interrater reliability was 0.78 (95% confidence interval, CI: 0.76-0.79). Based on the implementation gaps, the experts recommended 34 actions, and prioritized seven of these.
  
  
  CONCLUSIONS
  The healthy food environment policy index provides a useful set of indicators that can focus attention on where government action is needed. It is anticipated that this policy index will increase accountability of governments, stimulate government action and support civil society advocacy efforts.
authors.affiliation: University of Auckland, School of Population Health, Private Bag 92019, Auckland Mail Centre, 1142 Auckland, New Zealand .
authors.forename: Stefanie
authors.initials: S
authors.lastname: Vandevijvere
authors.affiliation: University of Auckland, School of Population Health, Private Bag 92019, Auckland Mail Centre, 1142 Auckland, New Zealand .
authors.forename: Clare
authors.initials: C
authors.lastname: Dominick
authors.affiliation: University of Auckland, School of Population Health, Private Bag 92019, Auckland Mail Centre, 1142 Auckland, New Zealand .
authors.forename: Anandita
authors.initials: A
authors.lastname: Devi
authors.affiliation: University of Auckland, School of Population Health, Private Bag 92019, Auckland Mail Centre, 1142 Auckland, New Zealand .
authors.forename: Boyd
authors.initials: B
authors.lastname: Swinburn
mesh_terms: D016208:Databases, Factual; D005515:Food Labeling; D059022:Food Safety; D006292:Health Priorities; D006293:Health Promotion; D006801:Humans; D007400:Interprofessional Relations; D009520:New Zealand; D018673:Nutrition Policy; D011050:Policy Making; D011634:Public Health; D014944:World Health Organization