Evidence map›Paper›PMID 41329162›Full record

ArticleHealth policy and planning2026

Public policies addressing unhealthy diets in the South-East Asia region: identifying and countering the arguments that undermine policy implementation.

Benjamin Wood, Katherine Sievert, Nisha Sharma, Padmini Angela de Silva, Gary Sacks, Rachita Gupta, Mélissa Mialon, Faria Shabnam, Erica Reeve

Abstract read
In one paragraph

Article in Health policy and planning, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Benjamin WoodGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, 3125, Victoria, Australia.ORCID 0000-0002-8072-9066
Katherine SievertGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, 3125, Victoria, Australia.ORCID 0000-0003-4617-8034
Nisha SharmaGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, 3125, Victoria, Australia.
Padmini Angela de SilvaWorld Health Organization Regional Office for South-East Asia, Mahatma Gandhi Marg, New Delhi, 110002, India.ORCID 0000-0002-4337-1026
Gary SacksGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, 3125, Victoria, Australia.ORCID 0000-0001-9736-1539
Rachita GuptaWorld Health Organization Country Office for India, 537, A Wing, Nirman Bhawan, Maulana Azad Road, New Delhi, 110011, India.
Mélissa MialonInserm, ECEVE UMR1123, Université Paris Cité, 10 avenue de Verdun, Paris, 75010, France.ORCID 0000-0002-9883-6441
Faria ShabnamWorld Health Organization Country Office for Bangladesh, 10 Gulshan Avenue, Gulshan-1, Dhaka-1212, Bangladesh.
Erica ReeveGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, 3125, Victoria, Australia.ORCID 0000-0002-9239-7732

Funding

Alfred Deakin Postdoctoral Research FellowshipsNational Health and Medical Research Council 2018/GNT1152968National Health and Medical Research Council 2021/GNT2006620National Health and Medical Research Council 2021/GNT2008535World Health Organization 001World Health Organization's Regional Office for South-East Asia
6 · The paper itself

Abstract

In South-East Asia, government implementation of policies recommended for addressing unhealthy diets has generally been slow and fragmented, largely due to food industry opposition and a lack of effective cross-sectoral policy action. To help government policy-makers and other interest-holders address these issues, this study aimed to identify key arguments that undermine implementation of policies for addressing unhealthy diets in the region, and to propose a set of counter-strategies. We conducted semi-structured interviews with 15 interest-holders based in India, Indonesia, Sri Lanka, and Thailand, and performed a scoping review of diverse literature. Data analysis was guided by the 'Policy Dystopia Model', initially used to study the corporate political activity of the tobacco industry. Identified arguments were categorized into six themes: (i) questioning the policy design and development process; (ii) misrepresenting or distorting the supporting evidence, and/or presenting counter evidence; (iii) exaggerating and/or fabricating unintended consequences for health and equity; (iv) raising concerns about effects on the economy; (v) querying the policy's compatibility with trade and investment agreements and national laws; and (vi) raising concerns about restrictions on personal 'freedom'. To help counter these arguments, along with key material and structural factors that may increase their salience, we proposed the following set of counter-strategies: (i) develop a communication strategy to counter opposing arguments; (ii) implement governance measures to mitigate corporate influence on public health policy, research, and practice; (iii) implement governance measures to enable effective health-promoting intersectoral and interdepartmental coordination; and (iv) strengthen research, advocacy, and capacity-building on the determinants of health. Successful implementation of these counter-strategies will require extensive organization and collaboration among diverse interest-holders in South-East Asia and beyond.

Indexed as

DietHealth PolicyNutrition PolicyPolicy MakingPublic PolicyAsia, SoutheasternFood IndustryHumansInterviews as Topiccommercial determinants of healthcorporate political activityhealth policymakingpolicy narrativesunhealthy diets

Identifiers

PMID41329162
PMCPMC12906771

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.