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HEALTHY PUBLIC FOOD PROCUREMENT AND SERVICE RESOURCE LIBRARY

Healthy public food procurement and service (PFPS) policies set healthy nutrition standards for food and beverages served and sold in public settings where people live, work, learn, and play. These public settings often provide food to a large portion of a country’s population, presenting an important opportunity to enable healthy diets and improve public health by making healthier foods more available.

In 2021, the World Health Organization published the Action framework for developing and implementing public food procurement and service policies for a healthy diet, which provides guidance on developing best practices policies for healthy public food environments. This resource, along with other resources developed by partners around the world, are provided in this library.

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Guide to Developing Nutrition Standards

Resolve to Save Lives

Nutrition standards guide developed by Resolve to Save Lives that governments can use to ensure food and beverages purchased, served and/or sold in government settings such as schools, public hospitals, childcare or child development facilities, correctional facilities and government workplaces are healthy and low in sodium.

Healthy Public Food Procurement and Service Policies Fact Sheet

RESOLVE TO SAVE LIVES

Core principles, benefits and resources for implementing healthy food procurement and service policies.

Monitoring foods and beverages provided and sold in public sector settings

Monitoring foods and beverages provided and sold in public sector settings

Step-wise framework for monitoring, includes: 1) previous monitoring activities of school food programs, and 2) survey questions for initial assessment.

INFORMAS Public Sector Policies and Actions – The Healthy Food Environment Policy Index (Food-EPI)

INFORMAS

The policy index measures the extent of implementation of health food environment policies by governments compared to international best practice and includes a module on Food Provision. Scientific article describes in detail: L’Abbe M, Schermel A, Minaker L, Kelly B, Lee A, Vandevijvere S, Twohig P, Sarquera S, Friel S, Hawkes C, et al. Monitoring foods and beverages provided and sold in public sector settings. Obesity Reviews. 2013;14(Suppl. 1):96–107l.

Healthy food procurement policies and their impact

NIEBYLSKI ML ET AL. INT J ENVIRON RES PUBLIC HEALTH. 2014.

Systematic review of the evidence base for healthy food procurement policies

WHO 5 keys to a healthy diet

World Health Organization

Describes five key elements of a healthy diet.

A framework to monitor and evaluate implementation of the WHO global strategy on diet, physical activity and health (2008)

WHO

This paper sets out an approach to measure the implementation of the WHO Global Strategy on Diet, Physical Activity and Health (DPAS) at country level and proposes a framework and indicators for this purpose. The indicators provided in this document should be seen as examples to be used, as appropriate, after adjusting to the country reality. The proposed framework and indicators are intended to provide a simple and reliable tool for Member States. The indicators are also intended to be flexible and adaptable to national circumstances and to take into account existing as well as planned activities in surveillance and monitoring.

Nutrition guidelines and standards for school meals: A report from 33 low and middle-income countries (2019)

Food and Agriculture Organization, United Nations

Results of global survey on school meals; report identifies key aspects to consider when developing or updating school meal program standards.

NOURISHING Framework

World Cancer Research Fund International

Searchable database of implemented policies to promote healthy diets and reduce obesity. Use Section O (Offer healthy food and set standards in public institutions and other specific settings) to search for public food procurement examples.

Food Service Guidelines Organizational Policy Template

Adapted from the Centers for Disease Control & Prevention

A template for organizational food policy guidelines adapted from the CDC

Eating Well in Government Venues website

ChangeLab Solutions, United States

Model policies for policymakers. Website links to resources on creating healthy food service on government property and an infographic on buying food for health and equity.

Action framework for developing and implementing public food procurement and service policies for a healthy diet

WORLD HEALTH ORGANIZATION

Provides an overview of how to develop, implement, assess compliance with, and evaluate the effectiveness of a healthy public food procurement and service policy. It is intended for government policy makers or program managers working on public food procurement or service, at either a national or a subnational level, including at regional, provincial and city levels.

Tools for the Assessment of the Public Food Procurement and Policy Landscape

Resolve to Save Lives

This tool provides example surveys for capturing key aspects of the food procurement and policy landscape. Example surveys include: 1) Overview of Government Institutions’ Food Procurement Processes; 2) Key Informant Interview Tool; 3) Detailed Assessment of the Food Environment in Government Settings

Addressing Unhealthy Diets in India

Learn more about Resolve to Save Lives’ comprehensive, cost-effective interventions to promote healthier diets and save lives in India.

Resolve to Save Lives: India Country Profile

Resolve to Save Lives

Learn more about how Resolve to Save Lives is working to end preventable deaths from cardiovascular disease in India.

Healthy School Canteen

NEW SOUTH WALES DEPARTMENT OF EDUCATION, AUSTRALIA

Includes resources to support transitioning to healthier school canteens for school leaders, canteen managers, parents, and communities.

Healthy Food and Drink in NSW Health Facilities for Staff and Visitors Framework (2017)

NEW SOUTH WALES GOVERNMENT HEALTH, AUSTRALIA

Best practice guidelines for health facilities to use for cafes/cafeterias, vending machines, convenience stores/newsagents, retail premises, and catering.

ACT Healthy Food and Drink Choices

AUSTRALIAN CAPITAL TERRITORY (ACT) GOVERNMENT

Standards for food and drinks available to staff, volunteers, and visitors for ACT Health premises; links to Healthy Food and Drink Choices and Vending Machine Management Policies.

Resources for Victoria School Operations: Canteens, Healthy Eating and Other Food Services

VICTORIA STATE GOVERNMENT, DEPARTMENT OF EDUCATION AND TRAINING, AUSTRALIA

Resources to assist schools develop healthy canteens. The website includes links to the policy, evaluating changes, food planners, and educational materials.

Kaiser Permanente Healthy Picks website

KAISER PERMANENTE, HEALTHY PICKS COMMITTEE, UNITED STATES

Describes healthy food guidelines and implementation resources for hospital food venues, including patient menus, cafeterias, coffee carts, kiosks, vending and gift shops.

Healthy Workplace Food & Beverage Toolkit website

AMERICAN HEART ASSOCIATION, UNITED STATES

Includes links to vending machine data collection tools and checklist for meetings and catered meals.

Healthy State Act (2012)

CENTER FOR THE SCIENCE IN THE PUBLIC INTEREST, UNITED STATES

Model bill to expand healthy choices for government employees and in government institutions.

Healthy food procurement and nutrition standards in public facilities: evidence synthesis and consensus policy recommendations

RAINE KD ET AL. HEALTH PROMOT CHRONIC DIS PREV CAN. 2018

Synthesis of evidence and consensus conference to inform further policy action on healthy food procurement in Canada.

Learning from Sustainable School Feeding in Brazil

FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS, REGIONAL OFFICE FOR LATIN AMERICA AND THE CARIBBEAN

Describes school feeding programs in Brazil. Scientific article on school nutrition programs: Sidaner E, Balaban D, et al. The Brazilian school feeding programme: an example of an integrated programme in support of food and nutrition security. Pub Health Nutr. 2013;16(6):989-94.

Impact of the Food-Labeling and Advertising Law Banning Competitive Food and Beverages in Chilean Public Schools, 2014–2016

MASSRI, ET AL. AM JOUR PUB HEALTH. 2019.

Reviews the impact of the national law banning sales of competitive food and beverages in schools, based on Chile’s Law of Food Labeling and Advertising. Results show that availability of foods exceeding cutoffs decreased from 90.4% in 2014 to 15.0% in 2016 after policy implementation.

Guía Para Tiendas y Cafetines Escolares (Guide for school stores and cafeterias)

EL SALVADOR MINISTRY OF EDUCATION

Guide for administrators of school stores and cafeterias to implement the criteria laid out in the national policy for schools. View the technical standards, Implementation Guide (all in Spanish) and summary of the policy on GINA (English).

School nutrition guidelines: overview of the implementation and evaluation

GREGORIC M ET AL. PUBLIC HEALTH NUTR. 2015.

Describes three methods of evaluating the implementation of dietary guidelines in schools in Slovenia: (i) a cross-sectional survey, (ii) an indicator-based evaluation of menu quality; and (iii) a five day weighted food record of school lunches (output evaluation). The multi-level evaluation suggests that some differences in implementation are attributed to school characteristics; system changes may improve implementation.

Healthier and more sustainable catering website

PUBLIC HEALTH ENGLAND, UNITED KINGDOM

Resources include a description of nutrition principles of healthier catering and a toolkit for serving older people in residential care

Healthy Choices website

VICTORIA STATE GOVERNMENT, DEPARTMENT OF HEALTH AND HUMAN SERVICES, AUSTRALIA

Guidelines to help workplaces, hospitals and health services, parks, and sporting centers provide healthy foods and drinks.

Malaysia Guide for Healthy School Canteen Management

WORLD HEALTH ORGANIZATION GLOBAL NUTRITION POLICY REVIEW 2016-2017

Standards for foods and beverages served and sold in Malaysian schools. News article on implementation of nutrition standards: Rajaendram R. Ensuring children chomp on healthy treats. The Star Malaysia. 2018 Jan 21. Education.

India’s School Children Regulation

MINISTRY OF HEALTH AND FAMILY WELFARE, FOOD SAFETY AND STANDARDS AUTHORITY OF INDIA

India’s regulation including restrictions on the advertising, marketing, or selling of food products high in saturated fat or trans-fat or added sugar or sodium on school campuses or to school children in an area within fifty meters from the school gate in any direction.

Healthy Meals in School Programme

SINGAPORE GOVERNMENT HEALTH PROMOTION BOARD

Describes program criteria and support available for schools.

Home Grown School Feeding Initiative

WORLD FOOD PROGRAMME

Website describes Initiative, which links school feeding programs with local smallholder farms to provide food for schoolchildren.

A Global Review of Food-Based Dietary Guidelines

HERFORTH A, ET AL. ADV NUTR. 2019

Review of current food-based dietary guidelines (FBDG), assessing the similarities and differences in key elements across countries

Agenda In the Philippines, non-communicable diseases (NCDs) account for 69% of all deaths, with cardiovascular diseases (CVDs) being the leading cause of death for Filipinos, resulting in more than 200,000 deaths every year. About 81,000 of these deaths are attributed to dietary risk factors. With 2.9 million people, Quezon City (QC) is the most populous city in the Philippines. It is committed to combatting NCDs, as part of the C40 Cities Climate Leadership Group and Partnership for Healthy Cities. To promote a healthy and sustainable diet, the city initiated the development of a healthy food procurement policy in 2020, with two aims: First, to develop and pilot a model healthy public food procurement policy for QC; and second, to secure a national endorsement of the policy that prompts local government units (LGUs) to implement it nationwide and use the model policy as the basis of a national policy.

Healthy Public Food Procurement in Quezon City, Philippines

Resolve to Save Lives

Case study on the development and implementation of a healthy public food procurement policy

Healthy public food procurement and service policies

Healthy public food procurement and service policies

Resolve to Save Lives

Resource on the benefits of healthy public food procurement and service policies.

WHO Nutrition-Friendly Schools Initiative

World Health Organization

This initiative created a framework for addressing the double burden of student ill-health and aims to improve coordination among agencies. Refer to ‘NFSI Component 4: Creating a supportive environment’ in the evidence review.

WHO Regional Office for Europe Nutrient Profile Model (2015)

World Health Organization Regional Office for Europe

Describes regional nutrient profile model for use and adaptation when developing policies to restrict food marketing to children.

Whole-of-Government (WOG) Healthy Food and Beverage Policy

Singapore Government Health Promotion Board

Singapore government whole-of-government policy introduced in April 2017; the site provides links to the Whole-of-Government (WOG) Healthier Catering Policy and WOG Drinks Policy

WHO Nutrient requirements and dietary guidelines website

WORLD HEALTH ORGANIZATION

Site includes links to WHO nutrition documents, including Healthy Diet factsheet and guidance on sugars, fats, and sodium.

WHO Nutrient Profile Model for the Western Pacific Region (2016)

​World Health Organization Regional office for the Western Pacific

Nutrient thresholds used to implement the set of recommendations on the marketing of foods and non-alcoholic beverages to children.

WHO Nutrient Profile Model for South-East Asia Region (2017)

​World Health Organization Regional Office for South-East Asia

Nutrient thresholds used to implement the set of recommendations on the marketing of foods and non-alcoholic beverages to children.

Global Strategy on Diet, Physical Activity and Health: A Framework to Monitor and Evaluate Implementation

WORLD HEALTH ORGANIZATION

Describes how to measure the implementation of the WHO Global Strategy on Diet, Physical Activity, and Health at the country level and proposes a framework and indicators (Logic model, page 5).

WHO Nutrient Profile Model for the African Region (2019)

​World Health Organization Regional Office for Africa

Nutrient thresholds used to implement the set of recommendations on the marketing of foods and non-alcoholic beverages to children.

Healthy School Toolkit (2008)

The Food Trust, United States

Describes how healthier changes were successfully made in a group of Philadelphia schools and includes specific nutrition standards.

The Hospital Food Standards Panel’s report on standards for food and drink in NHS hospitals (2014)

Independent group established by the United Kingdom (UK) Department of Health and led by chairman of Age UK

Report on existing hospital food standards, with recommendations on monitoring and further action.

What Works Well Recipe Hub website

United Kingdom Department of Education

Collection of over 100 recipes that meet the UK’s Government Buying Standards and are suitable for children.

Sustainable Healthy Diets – Guiding Principles (2019)

Food and Agriculture Organization of the United Nations and the World Health Organization

Guidance on what constitutes sustainable healthy diets.

Sustainable procurement: the Official Government Buying Standards (GBS) for food and catering services

United Kingdom Department for Environment, Food and Rural Affairs

Mandatory product specifications for government agencies; also see: A Plan for Public Procurement: Food & Catering Balanced scorecard (nutrition criteria, page 17).

Strengthening sector policies for better food security and nutrition results: Public food procurement (2018)

Food and Agriculture Organization of the United Nations and the European Union

Part of a series to help policy makers address national food security and nutrition issues; guidance is focused on developing initiatives that support food purchases from small farms.

South Korea Special Act on the Safety Management of Children’s Dietary Life

Government of the Republic of Korea

Describes nutrition standards for schools. Scientific article on implementation of nutrition standards: Lee SK, Park HK, et al. Nutritional standards for energy-dense low-nutrient density foods for children in Korea. Asia Pac J Clin Nutr 2014;23(1):27-33.

Strengthening School Feeding Programmes (2019)

Food and Agriculture Organization of the United Nations and World Food Programme

Describes joint work to support school feeding programs in Latin America and the Caribbean. Available in Spanish.

SNAP Ed Toolkit – Healthy Nutrition Guidelines for LA County website

County of Los Angeles Public Health, Division of Chronic Disease & Injury Prevention, United States

Resources to support implementation of healthy food guidelines for county agencies, including evaluation tools, model policies, a vending case study, and guidance for hospitals.

Sodium Reduction in Communities Program (SRCP) Implementation Guide

US CDC

Guide to for food service staff and public health organizations to reduce sodium in food service organizations by drawing upon the experiences gained during the Sodium Reduction in Communities Program (SRCP).

Sodium Reduction in Health-Care Facilities: B.C.’s Experience (2016)

British Columbia (B.C.) Ministry of Health, Canada

Describes reducing sodium in food service operations in health care facilities owned and operated by B.C. health authorities and lessons learned.

Israel Bans Sugary Drinks, Snacks from School Cafeterias

Skop Y. Haaretz; 2019 Apr 5.

Describes standards to limit sugar, salt, and fat in Israel’s schools and kindergartens.

Smart School Meals: Nutrition Sensitive National Programmes in Latin America and the Caribbean A Review of 16 Countries (2017)

WORLD FOOD PROGRAMME AND THE LATIN AMERICAN NETWORK FOR SCHOOL MEALS

Study of school meals programs in 16 countries, identifying six areas where there are opportunities for improvement. Logic model on page 23.

Seychelles National School Nutrition Policy (2008)

Ministry of Health and Social Development and Ministry of Education

Describes the Seychelles’ efforts to utilize schools as sites for improving the nutritional well-being of all school children. Includes an evaluation tool for schools (page 32).

The Brazilian school feeding programme: an example of an integrated programme in support of food and nutrition security

Sidaner E et al. Pub Health Nutr. 2013.

Describes the successes and challenges of the Brazil school feeding program from 2003-2011, finding that local food production, school meals, and nutrition education can be linked and result in improved access to healthier foods.

Set of Recommendations on the Marketing of Food and Non-Alcoholic Beverages to Children (2010)

World Health Organization

Describes recommendations for marketing food to children, a complementary action to include in food procurement standards.

School Food Plan What Works Well website

United Kingdom Department of Education

Resources for schools to implement healthier food guidance, including a link to the What Works Well RecipeHub.

School food standards: resources for schools

United Kingdom Department of Education

School food standards, with guidance for administrators, a poster example, and a healthy eating checklist.

School policy framework: implementation of the WHO global strategy on diet, physical activity and health (2008)

World Health Organization

Guide for policy makers at national and sub-national level to promote healthy eating and physical activity in schools settings.

Comparison of Nutrition Standards and Other Recommended Procurement Practices for Improving Institutional Food Offerings in Los Angeles County, 2010–2012.

Robles B et al. Adv Nutr. 2013.

Reviews and compares nutrition standards and other best practices implemented recently in a large school district, in a large county government, and across 10 municipalities in Los Angeles County. Includes a framework for creating healthier food environments and steps to adopting and implementing nutrition standards.

Developing and Applying a Mixed-Methods Evaluation Framework to Build the Business Case for Healthy Food Procurement at the Local Level

Robles B et al. SAGE Research Methods Cases. 2020.

Describes an evaluation by the Los Angeles Department of Health conducted with the goal to help institutional foodservice operators grow their business while also improving the nutritional quality of foods served and sold.

Scaling-up purchase from Africans for Africa (2014)

Food and Agriculture Organization of the United Nations

Multi-stakeholder initiative by the FAO, World Food Programme, Brazil and the UK, and the governments of each pilot country: Ethiopia, Malawi, Mozambique, Niger and Senegal, to procure food from small farms for schools.

Implementation lessons for school food policies and marketing restrictions in the Philippines: a qualitative policy analysis.

Reeve E et al. Glob Health. 2018.

Description of challenges/barriers to consider when implementing procurement policies, particularly within a school setting.

Report of the Commission on Ending Childhood Obesity. Implementation plan: executive summary (2017)

World Health Organization

Includes standards (page 18) for food standards for healthy school environments for children and adolescents.

Public Procurement of Food for Health: Technical report on the school setting (2017)

Joint Publication of the Maltese Presidency and the European Union

Support for translating national school food standards into food procurement specifications. Includes contract evaluation guidance, scoring grid, and logic model.

Public Food Procurement for Sustainable Food Systems and Healthy Diets (Volumes 1 & 2)

FAO

This document serves as a discussion of Public Food Procurement as a viable policy for improving national and regional food systems and overall population nutrition.

Volume 1: https://www.fao.org/documents/card/en/c/cb7960en

Volume 2: https://www.fao.org/documents/card/en/c/cb7969en

Policy and Guidelines on Healthy Food and Beverage Choices in Schools and in DepEd Offices

Republic of the Philippines, Department of Education

Describes the policy and guidelines on healthy food and beverage choices in schools and in Department of Education offices.

Pilas con Vitaminas (campaign to support healthier school canteens)

QUITO MINISTRY OF HEALTH

Initiative to improve the healthfulness of food sold at school canteens, consistent with national policy; includes marketing and branding materials; website in Spanish.

Plan of Action for the Prevention of Obesity in Children and Adolescents (2014)

Pan American Health Organization and World Health Organization

Pan American Health Organization Nutrient Profile Model

Pan American Health Organization and World Health Organization Regional Office for the Americas

Nutrient thresholds designed for multiple applications, including regulation of marketing, front-of-package labelling, and fiscal policies related to food and beverages.

Implementation Guide for School Food Standards in Uruguay

Uruguay Ministry of Public Health

Implementation guide for implementing school nutrition standards. Training materials, for food handlers are also available. (Spanish)

NSW Healthy School Canteen Strategy

NEW SOUTH WALES GOVERNMENT HEALTH, AUSTRALIA

This website contains a variety of
resources for schools implementing the strategy, including webinars, guidance
on how to develop menus, sample recipes, portion size guides, etc., as well as
a link to the
Food and Drink Criteria booklet summarizing the criteria and providing implementation guidance.

Nutrient profile model for the marketing of food and non-alcoholic beverages to children in the WHO Eastern Mediterranean Region (2017)

World Health Organization Regional Office for the Eastern Mediterranean

Nutrient thresholds for the marketing of food and non-alcoholic beverages to children.

New York City Food Standards website

New York City Department of Health and Mental Hygiene, United States

Describes comprehensive standards that apply to all food purchased and served by city agencies, including specific standards and implementation guides, along with communications materials.

The School Food Trust: transforming school lunches in England

Nelson M. Nutrition Bulletin. 2011.

Reports evidence of the improvements in provision, choice and consumption of food in schools following the introduction of legislation and a national programme of work to change catering practices and the attitudes of pupils, parents and others to healthier food provision in schools. It also provides objective evidence of the impact of healthier food on children’s learning behaviour in the classroom, and overall costs and benefits.

National Healthy Schools Canteen Evaluation Toolkit (2010)

VICTORIA STATE GOVERNMENT, DEPARTMENT OF EDUCATION AND TRAINING, AUSTRALIA

Toolkit includes logic model, research framework, and focus group questions to guide process evaluation and short-term impact evaluation.

National Healthy School Canteens Guidelines

Australian Government, Department of Health

Website describes guidelines and resources to help canteen managers across Australia offer healthier food and drink options.

Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis

MICHA R ET AL. PLOS ONE. 2018.

Systematic review includes 12 studies evaluating school meal standards implemented in the US, Canada, or UK, which were found to: increase fruit intake, reduce total fat, saturated fat, and sodium (but not total calories), and decrease BMI (although other adiposity measures evaluated were unchanged).

Toward a Healthier City Nutrition Standards for New York City Government

Lederer A et al. Am Jour Prev Med. 2014.

Describes the development and implementation of required nutrition standards across all New York City agencies that purchase, prepare and/or serve food.

Legal guide on school food and nutrition: ​Guide on legislating for a healthy school food environment​

Food and Agriculture Organization of the United Nations (FAO)

Provides practical information and guidance for developing or revising national legal frameworks related to school food and nutrition.

Global database on the Implementation of Nutrition Action (GINA)

World Health Organization

Searchable database of nutrition programs, country adaptations and lessons learnt.

Estimating the Potential Health Impact and Costs of Implementing a Local Policy for Food Procurement to Reduce the Consumption of Sodium in the County of Los Angeles

Gase LN et al. Am Jour Pub Health. 2011.

Uses health impact assessment methods to simulate levels of reduction in the sodium content of food served by Los Angeles County. Analysis predicts that adults would consume, on average, 233 fewer milligrams of sodium each day, if specific food procurement sodium strategies were implemented and models impact on blood pressure, cases of uncontrolled hypertension, and decrease in health costs.

Public procurement as a policy tool to promote healthier food environments and choices

GENANNT BONSMANN SS ET AL. PUB HEALTH PAN. 2017.

Proposes that the public procurement of food can incentivize food reformulation; urges consideration of economic, social, and environmental aspects of procurement. Includes examples of EU procurement directives.

Food Service Guidelines Resources website

Association of State Public Health Nutritionists, United States

Links to U.S. city and state initiatives, including for worksites, cafeterias, vending, meetings, hospitals, faith-based organizations, and community organizations. Includes resources to train vendors

Food Service Guidelines Collaborative website

FOOD SERVICE GUIDELINES COLLABORATIVE, UNITED STATES

Resources that support implementation of the US federal nutrition standards in public places.

Food Service Guidelines for Federal Facilities (2017)

US Department of Health and Human Services

Standards for food, nutrition, facility efficiency, environmental support, community development, food safety and behavioral design for use in food service concession and vending operations.

Food-based Dietary Guidelines

Food and Agriculture Organization of the United Nations

Database of food-based dietary guidelines for over 100 countries and regions.

Effect of changes to the school food environment on eating behaviours and/or body weight in children: a systematic review

Driessen CE, et al. Obes Rev. 2014

Reviews the evidence for the effect of isolated food environment interventions on both eating behaviors (including food purchasing) and/or body weight (all examples from US/UK). Seventeen of 18 papers reported a positive outcome on either BMI (or change in BMI) or the healthfulness of food sold or consumed.

Eating well for under-5s in child care: Practical and nutritional guidelines

The Caroline Walker Trust, United Kingdom

Guide on nutrient-based standards and menu plans for children under 5, with implementation guidance.

Enablers and barriers to implementation of and compliance with school-based healthy food and beverage policies: a systematic literature review and meta-synthesis

Ronto et al. Public Health Nutr. 2020

This study explores the enablers and barriers to effective implementation of and compliance with school-based food and beverage policies from countries around the world.

Food and Nutrition Policy for Schools: A Tool for the Development of School Nutrition Programmes in the European Region (2006)

World Health Organization Regional Office for Europe

Recommendations on how schools can best promote health through offering education and practice of good nutrition.

Healthier Food Choices for Public Places website

Center for Science in the Public Interest, United States

Resources for improving food and beverage options for vending machines, cafeterias, concession stands, meetings, and events; includes messaging tips, model policies, and implementation resources.

The Power of Procurement

de Schutter O. United Nations Special Rapporteur on the Right to Food, Briefing Note. 2014.

Provides an argument for: sourcing preferentially from small-scale food producers, guaranteeing fair wages and prices along the food supply chain, nutrition standards, sourcing locally whenever possible and expecting suppliers to produce food sustainably, increasing participation and accountability in the food system.

CDC’s Sodium Reduction in Communities Program: Evaluating Differential Effects in Food Service Settings, 2013–2016

Jordan et al. Prv Chronic Dis. 2020.

Evaluation results on sodium reduction of CDC-funded state and local health departments implementing policies including food standards among institutional food settings.

CDC Sodium Reduction Tools and Training for Health Professionals website

US Centers for Disease Prevention and Control

Includes links to implementation and training guidance for implementing sodium reduction in foodservice settings.

City of Philadelphia Nutrition Standards website

Philadelphia Department of Health, United States

Includes links to the city’s Executive Order, nutrition standards, and implementation resources, such as a menu planning toolkit.

Cardiovascular Health

Hypertension Control

Sodium Reduction

Trans Fat Elimination

Cardiovascular Health Resource Library
Find guidance, case studies, advocacy tools and more for large-scale heart health programs