Table 2 Scoring of policy options to combat childhood obesity in Iran by stakeholders
policy options | Round 2 | Round 3 | ||||||
|---|---|---|---|---|---|---|---|---|
med | IQR | med | IQR | Mean | SD | SD/mean | percent of respondents who scored > 3.5 | |
The healthy school (healthy nutrition, physical activity, and health education) | 4.05 | 0.67 | 4.48 | 0.65 | 4.36 | 0.55 | 0.13 | 94 |
Educating on appropriate supplementary feeding | 4.14 | 1 | 4.17 | 0.65 | 4.15 | 0.55 | 0.13 | 91 |
Creating a healthy environment in kindergartens and other child-caring centers | * | * | 4.14 | 0.68 | 4.17 | 0.6 | 0.14 | 91 |
Increasing access to physical activity facilities with a priority for deprived areas | * | * | 4.02 | 1.09 | 3.89 | 0.6 | 0.15 | 69 |
Educating on healthy lifestyles in mass media | 4 | 0.76 | 4.1 | 0.73 | 3.98 | 0.66 | 0.17 | 78 |
Developing a guideline on “nutrition, physical activity, and children’s lifestyle.” | 3.9 | 0.71 | 4 | 0.77 | 4 | 0.67 | 0.17 | 81 |
More support for breastfeeding | 4.19 | 0.95 | 3.98 | 0.77 | 3.98 | 0.57 | 0.14 | 84 |
Increasing the involvement of stakeholders in the policy-making process | 3.62 | 0.81 | 3.95 | 0.87 | 3.92 | 0.57 | 0.15 | 78 |
Enhancing advertising control | 3.67 | 0.67 | 3.95 | 0.88 | 3.89 | 0.66 | 0.17 | 72 |
Enhancing pregnancy cares | 4 | 0.67 | 3.95 | 0.94 | 3.99 | 0.66 | 0.17 | 75 |
Advocacy for childhood obesity control | 4.05 | 0.62 | 3.93 | 0.76 | 3.84 | 0.65 | 0.17 | 75 |
Increasing intersectional collaboration for better implementation of the policies | 4 | 0.86 | 3.9 | 0.51 | 3.89 | 0.56 | 0.14 | 81 |
Increasing consultation and collaboration with international organizations | * | * | 3.9 | 0.85 | 3.86 | 0.6 | 0.16 | 72 |
Modifying and better implementing the ratified policies | 3.8 | 1 | 3.89 | 0.67 | 3.76 | 0.57 | 0.15 | 75 |
Providing better health care in PHC with a priority given to prevention | 4.1 | 0.67 | 3.88 | 0.92 | 4.01 | 0.66 | 0.16 | 81 |
Enhancing academic education related to obesity in medical schools | 3.95 | 0.9 | 3.86 | 0.71 | 3.92 | 0.69 | 0.18 | 84 |
Social marketing to combat childhood obesity | 3.86 | 0.57 | 3.86 | 0.83 | 3.8 | 0.68 | 0.18 | 78 |
Developing, ratifying, and notifying the policy package “Enhancement of Nutrition and Physical Activity in Children.” | 3.76 | 0.9 | 3.86 | 0.93 | 3.8 | 0.67 | 0.18 | 69 |
Subsidizing healthy foods | 3.71 | 0.95 | 3.81 | 0.79 | 3.74 | 0.8 | 0.21 | 72 |
Improving food labeling | 3.81 | 1 | 3.81 | 0.98 | 3.74 | 0.67 | 0.18 | 59 |
Ensuring weight management cares | 3.81 | 0.71 | 3.79 | 0.77 | 3.78 | 0.58 | 0.15 | 75 |
Taxation on unhealthy foods | 3.57 | 1.09 | 3.76 | 1.07 | 3.79 | 0.75 | 0.29 | 72 |
Modifying food baskets of supporting institutions | 3.76 | 0.86 | 3.63 | 1.15 | 3.62 | 0.82 | 0.23 | 59 |
Food reformulation | 3.48 | 1.19 | 3.57 | 0.81 | 3.43 | 0.67 | 0.19 | 53 |
Modifying agricultural and commerce policies to provide nutrients rather than the sole energy | 3.61 | 0.81 | 3.57 | 1.1 | 3.61 | 0.75 | 0.21 | 56 |
A conditional cash transfer to families | 3.1 | 3.76 | 3.55 | 0.96 | 3.32 | 0.75 | 0.23 | 50 |
Environmental reengineering to increase the possibility of physical activity | * | * | 3.55 | 1.11 | 3.59 | 0.75 | 0.21 | 59 |