Developing a Policy for Healthy Schools Food: A Plan of Action

Abstract

Background and Objectives: Childhood obesity is a pressing global health concern, particularly in low- and middle-income countries like Palestine. This study aims to address the prevalence of childhood obesity in Palestine and its association with the school food environment. The objective is to propose and advocate for the implementation of a "healthy schools' food policy" to promote the consumption of nutritious food while prohibiting the sale of unhealthy items. Methods: A comprehensive analysis of the sociocultural, economic, political, ethical, and legal contexts surrounding childhood obesity in Palestine was conducted. This included a review of existing studies, stakeholder analyses, and an evaluation of policy alternatives. A legislative strategy was developed to guide the implementation of the proposed policy. Results: The study identified the widespread prevalence of childhood obesity in Palestine, with contributing factors rooted in sociocultural, economic, and political contexts. The analysis of policy alternatives revealed that establishing and enforcing a written protocol for "Food and Beverage Services" in schools emerged as the most effective option. This policy approach received the highest score in terms of effectiveness, access and fairness, cost-effectiveness, and administrative and political feasibility. Conclusion: The findings highlight the urgent need for policy interventions to address childhood obesity in Palestine. The proposed "healthy schools' food policy" offers a promising avenue to promote nutritious food consumption while curbing the availability of unhealthy options. Collaborative efforts involving stakeholders, including schools, the Ministry of Education, healthcare professionals, parents, and the community, are crucial for successful policy implementation. Regular evaluations and community feedback will be essential to monitor the policy's impact and make necessary adjustments. This study underscores the significance of prioritizing children's health within the broader context of societal well-being.