Evaluating the Implementation and Scale-Up of Nigeria National Sodium Reduction Program

评估尼日利亚国家减钠计划的实施和扩大规模

• 批准号: 10260513
• 负责人: Mark D Huffman
• 金额: $ 57.51万
• 依托单位: UNIVERSITY OF ABUJA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-15 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10260513
• 关键词: Address; Adopted; Adoption; Adult; Advocacy; Age; China; Chronic; Collaborations; Communities; Complement; Consumption; Cross-Sectional Studies; Data; Data Collection; Developing Countries; Dietary Assessment; Dietary Sodium; Disease; Effectiveness; Environment; Excretory function; Exploration, Preparation, Implementation, and Sustainment; Failure; Food; Food Labeling; Food Supply; Funding; Hawks; Health; Healthy Eating; Hour; Hybrids; Hypertension; Industry; Institutes; Intake; International; International Agencies; Intervention; Interview; Knowledge; Label; Laws; Maintenance; Marketing; Mass Media; Measurement; Measures; Methods; Modeling; National Heart, Lung, and Blood Institute; Nature; Needs Assessment; Nigeria; Nigerian; Outcome; Phase; Policies; Population; Population Programs; Preparation; Prevention; Process; Program Development; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Research Design; Research Methodology; Research Training; Resources; Restaurants; Sodium; Source; Surveys; System; Training; Training Programs; United States Food and Drug Administration; Universities; Vision; base; contextual factors; cost; cost effectiveness; crowdsourcing; dietary; effectiveness measure; evidence based guidelines; follow up assessment; follow-up; global health; hypertension control; hypertension prevention; implementation barriers; implementation cost; implementation evaluation; implementation fidelity; implementation framework; implementation measures; implementation outcomes; implementation research; implementation strategy; insight; knowledge translation; meetings; member; multidisciplinary; novel; population survey; programs; public health relevance; rural area; rurality; salt intake; scale up; sex; sustainability framework; tool; urban area; urinary

PROJECT ABSTRACT The Nigerian Agency for Food and Drug Administration and Control (NAFDAC) is leading implementation and scale-up of a national sodium reduction program with other national, state, and international agencies using the WHO’s “Best Buy” SHAKE package (Surveillance of salt intake, Harness industry, Adopt standards for labelling and marketing, Knowledge to empower consumers, and Environments to promote healthy eating). SHAKE provides evidence-based recommendations for population-wide sodium reduction interventions for hypertension prevention and control. Our research will support and embed in this program’s implementation and scale-up for late-stage implementation research for hypertension prevention and control by evaluating the extent to which the program is implemented using a type III hybrid, mixed methods study design through repeated: 1) stakeholder interviews, 2) populations surveys, and 3) retail surveys. We will use implementation research methods during adaptation, planning, and initial implementation for baseline (Years 1- 2, UG3 phase) and of follow-up (Years 3-4 and Years 5-6, UH3 phase) assessments. A much-needed dietary sources of sodium study will also be performed at baseline and Years 5-6 follow-up to target/track sodium reduction efforts according to local context and culture. The retails surveys over the study period will capture novel data on packaged, unpackaged, and informal restaurant/hawker food through the international FoodSwitch program, which combines a consumer facing tool with crowdsourcing to better define Nigeria’s food supply. We will use the Exploration, Preparation, Implementation and Sustainment (EPIS) framework throughout both phases. The formative research period will include Exploration and Preparation, when we will perform quantitative and qualitative measures of key process indicators, relevant contextual factors informed by CFIR, and relevant Proctor implementation outcomes, acceptability, feasibility and appropriateness. As implementation is started, we will use the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework, including implementation outcomes (feasibility, fidelity, adoption, acceptability, and cost) and contextual factors associated with the Implementation and Sustainment phases. We will disseminate our finding via mass media advocacy campaigns and will extend our existing implementation research training program to stakeholders for knowledge translation through evidence-informed policymaking to optimize sustainability. We will host multisectoral stakeholder meetings to facilitate cross-sectoral collaboration, dissemination, and multi-level policy coherence among sectors include food, health, trade, and law, among others. The proposal builds on the team’s existing NHLBI-funded large-scale hypertension control program with team members from University of Abuja, Northwestern University, and The George Institute for Global Health, the latter which is performing a parallel, GACD-funded assessment in China with similar methods.

项目摘要 尼日利亚食品和药物管理与控制局（NAFDAC）领导实施 以及与其他国家，州和国际机构的国家减少钠计划的规模扩大 使用WHO的“百思买”奶昔套餐（对盐摄入量，线束行业的监视，采用标准 用于标签和营销，知识以增强消费者的能力以及促进健康饮食的环境）。 Shake为整个人口减少钠的干预提供了基于证据的建议 预防和控制高血压。我们的研究将支持并嵌入该计划的实施 并通过评估后期预防高血压预防和控制的后期实施研究 使用III型混合，混合方法研究设计的程序的范围 重复：1）利益相关者访谈，2）人口调查和3）零售调查。我们将使用 基线适应，计划和初始实施期间的实施研究方法（1-年 2，UG3阶段）和随访（3 - 4年和5 - 6年，UH3阶段）评估。急需的饮食 钠研究的来源也将在基线和目标/轨道钠的5 - 6年进行。 根据当地的背景和文化减少努力。研究期间的零售调查将捕获 通过国际 Foodwitch计划，结合了一种消费者面向的工具和众包，以更好地定义尼日利亚的 食物供应。我们将使用探索，准备，实施和维持（ESIP）框架 通过两个阶段。形成性研究期将包括探索和准备，何时我们 对关键过程指标进行定量和定性衡量标准，相关的上下文因素已通知 由CFIR以及相关的Proctor实施结果，可接受性，可行性和适当性。作为 开始实施，我们将利用覆盖范围，有效性，采用，实施和维护 （RE-AIM）框架，包括实施成果（可行性，忠诚，采用，可接受性和成本） 以及与实施和维持阶段相关的上下文因素。我们将传播我们的 通过大众媒体倡导活动查找，并将扩展我们现有的实施研究培训 通过证据信息的决策来对利益相关者进行知识翻译的计划以优化 可持续性。我们将举办多部门利益相关者会议，以促进跨部门合作， 传播和多层政策连贯性包括食品，卫生，贸易和法律 其他的。该提案建立在团队现有的NHLBI资助的大规模高血压控制计划的基础上 来自阿布贾大学，西北大学和乔治全球研究所的团队成员 健康，后者在中国进行了类似的方法，在中国进行了平行的，GACD资助的评估。