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Abstract：
Local governments have integral roles in contributing to public health. One recent focus has been on how local governments can impact community nutrition by engaging food service outlets to improve their food offer. The Healthier Catering Commitment (HCC) is an initiative where London local governments support takeaways and restaurants to meet centrally defined nutrition criteria on their food options. Using the case of HCC, the current study aims to provide (1) practical learnings of how local governments could facilitate and overcome barriers associated with implementing healthy food service initiatives in general, and (2) specific recommendations for enhancements for HCC.
Key informant, semi-structured interviews were conducted with local government staff involved in HCC, exploring barriers and facilitators to HCC implementation in food businesses. A thematic analysis approach was used, with results presented according to a logic pathway of ideal implementation in order to provide practical, focused insights.
Local governments implementing HCC.
Twenty-two individuals supporting HCC implementation.
Facilitators to implementation included flexible approaches, shared resourcing and strategically engaging businesses with practical demonstrations. Barriers were limited resources, businesses fearing negative customer responses and low uptake in disadvantaged areas. Key suggestions to enhance implementation and impact included offering additional incentives, increasing HCC awareness and encouraging recruited businesses to make healthy changes beyond initiative requirements.
In order to facilitate the implementation of healthy food initiatives in food outlets, local governments would benefit from involving their environmental health team, employing community-tailored approaches and focusing on supporting businesses in disadvantaged areas.
Key informant, semi-structured interviews were conducted with local government staff involved in HCC, exploring barriers and facilitators to HCC implementation in food businesses. A thematic analysis approach was used, with results presented according to a logic pathway of ideal implementation in order to provide practical, focused insights.
Local governments implementing HCC.
Twenty-two individuals supporting HCC implementation.
Facilitators to implementation included flexible approaches, shared resourcing and strategically engaging businesses with practical demonstrations. Barriers were limited resources, businesses fearing negative customer responses and low uptake in disadvantaged areas. Key suggestions to enhance implementation and impact included offering additional incentives, increasing HCC awareness and encouraging recruited businesses to make healthy changes beyond initiative requirements.
In order to facilitate the implementation of healthy food initiatives in food outlets, local governments would benefit from involving their environmental health team, employing community-tailored approaches and focusing on supporting businesses in disadvantaged areas.
摘要：
地方政府在促进公共卫生方面发挥着不可或缺的作用。最近的一个重点是地方政府如何通过让食品服务网点改善其食品供应来影响社区营养。健康餐饮承诺（HCC）是伦敦地方政府支持外卖和餐馆满足中央定义的食物选择营养标准的一项举措。以肝癌为例，本研究旨在提供(1)关于地方政府如何促进和克服与实施健康食品服务计划相关的障碍的实际学习，(2)HCC增强的具体建议。
关键线人,半结构化访谈是对参与HCC的当地政府工作人员进行的，探索食品企业实施HCC的障碍和促进者。采用了专题分析方法，根据理想实施的逻辑路径给出结果，以便提供实用的，专注的见解。
地方政府实施HCC。
支持HCC实施的22个人。
实施的促进者包括灵活的方法，通过实际演示分享资源和战略参与企业。障碍是有限的资源，企业担心负面的客户反应和弱势群体的低吸收。加强实施和影响的主要建议包括提供额外的激励措施，提高HCC的意识，并鼓励招募的企业做出超出主动要求的健康变革。
为了促进食品店实施健康食品举措，地方政府将受益于他们的环境卫生团队，采用社区量身定制的方法，并专注于支持贫困地区的企业。
关键线人,半结构化访谈是对参与HCC的当地政府工作人员进行的，探索食品企业实施HCC的障碍和促进者。采用了专题分析方法，根据理想实施的逻辑路径给出结果，以便提供实用的，专注的见解。
地方政府实施HCC。
支持HCC实施的22个人。
实施的促进者包括灵活的方法，通过实际演示分享资源和战略参与企业。障碍是有限的资源，企业担心负面的客户反应和弱势群体的低吸收。加强实施和影响的主要建议包括提供额外的激励措施，提高HCC的意识，并鼓励招募的企业做出超出主动要求的健康变革。
为了促进食品店实施健康食品举措，地方政府将受益于他们的环境卫生团队，采用社区量身定制的方法，并专注于支持贫困地区的企业。
