Background: This study describes the rationale, adaptation, and final protocol of a project developed to address the increase in obesity and nutrition-related non-communicable diseases (NR-NCDs) in Ghana. Code-named the Measurement, Evaluation, Accountability, and Leadership Support for NCDs (MEALS4NCDs) project, it aims to measure and support public sector actions that create healthy food marketing, retail, and provisioning environments for Ghanaian children using adapted methods from the International Network for Food and Obesity/NCDs Research Monitoring and Action Support (INFORMAS). Methods: The protocol for this observational study draws substantially from the INFORMAS' Food Promotion and Food Provision Modules. However, to appraise the readiness of local communities to implement interventions with strong potential to improve food environments of Ghanaian children, the MEALS4NCDs protocol has innovatively integrated a local community participatory approach based on the commun
Globally, there is increasing interest in monitoring actions to create healthy, equitable and environmentally sustainable food environments. Currently, there is a lack of detailed tools for monitoring and benchmarking university food environments. This study aimed to develop the University Food Environment Assessment (Uni-Food) tool and process to benchmark the healthiness, equity, and environmental sustainability of food environments in tertiary education settings, and pilot test its implementation in three Australian universities in 2021. The Uni-Food tool development was informed by a review of the literature and input from an expert advisory panel. It comprises three components: 1) university systems and governance, 2) campus facilities and environments, and 3) food retail outlets. The process for implementing the tool is designed for universities to self-assess the extent to which they have implemented recommended practice in 68 indicators, across 16 domains, weighted based on the
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American Medical Association Faces Backlash for Calling to Remove Sex From Birth Certificates
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The American Medical Association (AMA), the largest organization of physicians and medical students in the United States, came under fire over the weekend for a recent proposal calling to end the designation of (sex) on birth certificates.
The proposal (pdf), which was adopted by the by the AMA’s board of trustees in June, states that recording the baby’s sex on the public portion of birth certificates, as has always been the case, has “potential for discrimination.”
“Our American Medical Association will advocate for the removal of sex as a legal designation on the public portion of the birth certificate,” the proposal reads, adding that information on a person’s sex designation at birth will still be submitted to the authority and only used for medical, public health, and statistical purposes.