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Dr. Mojca Gabrijelčič Blenkuš National Institute of Public Health Slovenia High Level Group on Nutrition and Physical Activity meeting Brussels, 8 th March 2017 ”Restrict Marketing and Advertising to Children” Action Area 4 of the EU AP on Childhood Obesity Update from Slovenia on process of adapting the WHO Europe nutrient profile model

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Page 1: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Dr. Mojca Gabrijelčič Blenkuš

National Institute of Public Health Slovenia

High Level Group on Nutrition and Physical Activity meeting Brussels, 8th March 2017

”Restrict Marketing and Advertising to Children” Action Area 4 of the EU AP on Childhood Obesity Update from Slovenia on process of adapting

the WHO Europe nutrient profile model

Page 2: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long preparatory process in Slovenia

Slovenia is the establishing member of the WHO Action Network on Reducing Marketing Pressure to Children, since 2008, and

has fully used the potential of the network, knowledge and experiences capacity building support

Page 3: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long preparatory process in Slovenia

Slovenia was a member of the WHO Action Network on Reducing Marketing Pressure to Children since 2008, and has fully used the potential of the network, knowledge and experiences capacity building support

WHO Set of Recommendations on the marketing of foods and non-alcoholic beverages to children in May 2010 – BAN ON VENDING MACHINES, 31st May 2010 in Slovenia

Page 4: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long preparatory process in Slovenia

Slovenia was a member of the WHO Action Network on Reducing Marketing Pressure to Children since 2008, and has fully used the potential of the network, knowledge and experiences capacity building support

WHO Set of Recommendations on the marketing of foods and non-alcoholic beverages to children – BAN ON VENDING MACHINES, 31st May 2010 in Slovenia

Directive 2010/13 EU – harmonization obligation

Page 5: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long preparatory process in Slovenia

Slovenia was a member of the WHO Action Network on Reducing Marketing Pressure to Children since 2008, and has fully used the potential of the network, knowledge and experiences capacity building support

WHO Set of Recommendations on the marketing of foods and non-alcoholic beverages to children – BAN ON VENDING MACHINES, 31st May 2010 in Slovenia

Directive 2010/13 EU

“Marketing” background document 2011, MoH – proposal for the implementation of activities, reducing marketing pressure to children (coregulative approach proposed, based on POLMARK results);

“Media law” (harmonized AVM directive), 2011 – introduction of the guideines for the rules of operation (Slovene harmonization of the EU directive)

Page 6: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Legislative context – Ministry of Culture responsible

“Media law”: 1) Media service providers have to develop and announce public available

codes of conduct regarding inappropriate audiovisual commercial communications, accompanying or included in children’s programmes, of foods and beverages containing nutrients and substances with a nutritional or physiological effect, in particular those such as fat, trans-fatty acids, salt/sodium and sugars, excessive intakes of which in the overall diet are not recommended.

(2) Codes of conduct have to be developed/formulated in a way which enables the evelopment of healthy nutrition habits in children and adolescent, in accordance with nutrition guidelines of MoH.

Directive 2010/13 EU (AVMD) harmonized Article 23

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Nutrition guidelines for AVMD Codes of Conduct - long process in Slovenia

Preparation of the nutrition guidelines

1. national NP - PHWG, first step in 2011: WE O NOT HAVE ENOUGH KNOWLEDGE TO DEVELOP NP

Page 8: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Healthier Less healthy

Do you want to discriminate between foods within categories or across all foods? Plus tresholds versus scoring

Source: Dr. Mike Rayner for WHO

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Do you want to identify foods with a favourable or unfavourable profile or both? (How strict does your model need to be?)

Healthy Unhealthy

FSA/Ofcom model

US Interagency model

Source: Dr. Mike Rayner for WHO

Page 10: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long process in Slovenia

Preparation of the nutrition guidelines

1. national NP - PHWG, first step in 2011: WE O NOT HAVE ENOUGH KNOWLEDGE TO DEVELOP NP

?

Page 11: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long process in Slovenia

Preparation of the nutrition guidelines

1. national NP - PHWG, first step in 2011; WE O NOT HAVE ENOUGH KNOWLEDGE

2. Slovenia became the WHO testing country for WHO NP manual in 2012 (Canada, South Africa, Emirates, Fillipines, Norway, Slovenia):

- 3 WHO meetings in Slovenia, developing methodology, testing methodology, discussing implementation – we have developed the capacities to produce a national NP

- BUT WE REALISED WE WOULD BE HARDLY ABLE TO DEFEND NATIONAL NP; (even WHO NP 2015 was heavily questioned by the EU FPI)

?

Page 12: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Nutrition guidelines for AVMD Codes of Conduct - long process in Slovenia Preparation of the nutrition guidelines 1. national NP - PHWG, first step in 2011; WE O NOT HAVE ENOUGH KNOWLEDGE

2. Slovenia became the WHO testing country for WHO NP manual in 2012 (Canada, South Africa, Emirates, Fillipines, Norway, Slovenia):

- 3 WHO meetings in Slovenia, developing methodology, testing methodology, discussing implementation – we have developed the capacities to produce a national NP

- BUT WE REALISED WE WOULD BE HARDLY ABLE TO DEFEND NATIONAL NP; (even WHO NP 2015 was heavily questioned by the EU FPI)

Decision, end 2013: we do support the preparation of the WHO NP and adapt it for national use if necessary

UK - Ofcom, Norway – tarif codes, (keyhole) exclusions

South Africa, Scandinavian countries – work with stakeholders

WHO NP was addopted in February 2015 (harmonization obligation!)

Page 13: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Developments since WHO NP was published 1. WHO NP is translated to Slovene, in agrement with WHO Euro office – Feb 2015

2. Meeting of the public health working group (PHWG, public health driven), FIRST adaptation of the profile and adoption of communication strategy – March 2015

3. Meeting of the working group with relevant sectors and institutions – April 2015

4. Meeting of the working group with the privat sector umbrela organization (Chamber of commerce of Slovenia, Food processing industry sector) – Maj 2015

5. Participation at the Scandinavian monitoring workshop – most welcomed share of experiences and approaches, very appreciated – September 2015

6. Gudelines, based on WHO NP, were prepared in September 2015

7. Meeting with Slovene chamber of advertisers (voluntiered to liase with TV operators) – October 2015

8. Meeting with Slovene Chamber of Advertizers and Slovene TV operators, December 2015 – HOT with number of comments

9. Two meetings of PHWG to debate and prepare respond – January and February 2016

10. Response of MoH sent to Chamber of aAdvertizers, Chamber of Commerce and Industries, Chamber of Trade – March 2016

11. Waiting for final responses of stakeholders – April 2016

12. Launch of the Slovene guidelines for AVM operators, based on the WHO NP – July 2016

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Slovene adaptatons of WHO NP model

- Category 4.a is changed: no limitations for 100 % fruit and vegetable juices;

- Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100 g (instead of 2,5 g); additional limitation for total sugars of 10 g/100 g is added;

- Category 4.c is added, vegetable drinks: treshold for total fats is the same, 2,5 g/100 g; additional limitations for total sugars of 10 g/ 100 g and for salt 0,2 g NaCl/100g are added and additional no sweeteners intake to be encouraged;

- Category 7a is changed, jogurt, sauer milk and similar foods: limitation for total fats is 3,2 g/100 g (instead of 2,5 g), limitation for saturated fats is 2,6 g/100 g (namesto 2,0 g); additional treshold for sweeteners is added: 0 g / 100 g;

- Category 7b is added: cream and butter (no intake to be encouraged);

- New category 18 is added, nutrition suplements: no intake to be encouraged.

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Communication strategy

Elements of the communication strategy were drafted:

1. Background (definition of problem, situation analysis)

2. Planning (a- scope; b- definition of target groups; c- communication goals; d – communication channels and tools)

3. Implementation of the communiccation campaign (definition and timing)

4. Finances

5. Evaluation

Page 16: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Developments since WHO NP was published 1. WHO NP is translated to Slovene, in agrement with WHO Euro office – Feb 2015

2. Meeting of the public health working group (PHWG, public health driven), FIRST adaptation of the profile and adoption of communication strategy – March 2015

3. Meeting of the working group with relevant public sectors and institutions – April 2015

4. Meeting of the working group with the privat sector umbrela organization (Chamber of commerce of Slovenia, Food processing industry sector) – Maj 2015

5. Participation at the Scandinavian monitoring workshop – most welcomed share of experiences and approaches, very appreciated – September 2015

6. Gudelines, based on WHO NP, were prepared in September 2015

7. Meeting with Slovene chamber of advertisers (voluntiered to liase with TV operators) – October 2015

8. Meeting with Slovene Chamber of Advertizers and Slovene TV operators, December 2015 – HOT with number of comments

9. Two meetings of PHWG to debate and prepare respond – January and February 2016

10. Response of MoH sent to Chamber of aAdvertizers, Chamber of Commerce and Industries, Chamber of Trade – March 2016

11. Waiting for final responses of stakeholders – April 2016

12. Launch of the Slovene guidelines for AVM operators, based on the WHO NP – July 2016

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CERF presentation, Ljubljana, Nov 2015 – impact in the Central and South-East European countries: Albania, Croatia, Czech Republic, Hungary, Poland, Romania, Serbia, Slovakia, Slovenia

Page 18: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Developments since WHO NP was published 1. WHO NP is translated to Slovene, in agrement with WHO Euro office – Feb 2015

2. Meeting of the public health working group (PHWG, public health driven), FIRST adaptation of the profile and adoption of communication strategy – March 2015

3. Meeting of the working group with relevant sectors and institutions – April 2015

4. Meeting of the working group with the privat sector umbrela organization (Chamber of commerce of Slovenia, Food processing industry sector) – Maj 2015

5. Participation at the Scandinavian monitoring workshop – most welcomed share of experiences and approaches, very appreciated – September 2015

6. Gudelines, based on WHO NP, were prepared in September 2015

7. Meeting with Slovene chamber of advertisers (voluntiered to liase with TV operators) – October 2015

8. Meeting with Slovene Chamber of Advertizers and Slovene TV operators, December 2015 – HOT with number of comments

9. Two meetings of PHWG to debate and prepare respond – January and February 2016

10. Response of MoH sent to Chamber of aAdvertizers, Chamber of Commerce and Industries, Chamber of Trade – March 2016

11. Waiting for final responses of stakeholders – April 2016

12. Launch of the Slovene guidelines for AVM operators, based on the WHO NP – July 2016

Page 20: ”Restrict Marketing and Advertising to Children”ec.europa.eu/health/sites/health/files/nutrition... · - Category 4.b is changed: milk drinks: total fats limited to 3,5 g/100

Dialog with private sector – FPI at national level Meeting of the PHWG with FPI

WHO NP adaptations for Slovenia and possible scenarios of implementation of WHO NP were discussed.

National FPI proactive in discussions on NP model; questionnaires results.

Present FPI activities linked to the new FNAP for Slovenia 2015-25; different commitments foreseen, in active dialog with MoH.

Food processing technology expertize (via academics, University of Ljubljana) – baseine for trust in cooperation with FPI

BUT

Working with food technologists in the enterprises, not the same as with the marketing sector within the same enterprises!

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Legislative frame - in the spirit of AVM directive MoH works together with Agency for communication networks and services of the R of

Slovenia (ACNS - agency of Ministry of culture), when operators or advertizers would propose codes of conduct (checking procedure for appropriate inclusion of MoH guidelines)

Transition period: 6 months, till 19th January 2017; on 2nd February 2017 the deadline for transfering the rules for codes of conduct to ACNS

Results: half of TV providers (bigger which also advertize) has sent in the rules; private TV operators would not stop marketing but would add special warning written health messages

On 6th February 2017 – very atractive press conference with high media coverage; ethical and moral considerations were raised by journalists and general public

National Consumers organisation is asked to monitor the developments (the only mechanism for improvement is “blame and shame”)

Punishment under the law (6000 – 60.000 Eur), Article 43, at the moment foreseen only for providers/advertizers who do not develop code of conduct (controled by ACNS) - limited scope of the EU AVM directive 2010, due to the spirit of the EU AVM directive 2010

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Legislative frame - in the spirit of AVM directive

Self regulation spirit of AVMD 2010:

- “no intake to be encouraged”

Amendment of Media law was under consideration in Slovenia in 2015, MoH proposed text change: “Media service providers has to develop, implement and announce public available codes of conduct ...” – was not acceptable

Agency for communication networks and services of the R of Slovenia

- interpretation of the legislation

- age limit (14/15) based in the Ministry of culture legislation (not mentioned in the guidelines)

To be repeated all the time: it is marketing not trade limitation

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Slovenia – reversing the trends in childhood obesity

Comprehensive and well framed policies are working, but need time. Slovenia still has problem of childhood obesity, not the same results in all sub-groups of children. If it works, don’t stop implementing. Let us all support the new AVMD.