Exploring the dynamics of food-related policymaking processes and evidence use in Fiji using systems thinking

BACKGROUND: Obesity and non-communicable diseases are significant public health issues globally and particularly in the Pacific. Poor diet is a major contributor to this issue and policy change is a powerful lever to improve food security and diet quality. This study aims to apply systems thinking to identify the causes and consequences of poor evidence use in food-related policymaking in selected government ministries in Fiji and to illicit strategies to strengthen the use of evidence in policymaking. METHODS: The Ministry of Health and Medical Services and the Ministry of Agriculture in Fiji were invited through their respective Permanent Secretaries to participate in the study. Three 180-minute group model building (GMB) workshops were conducted separately in each ministry over three consecutive days with selected policymakers who were instrumental in developing food-related policies designed to prevent non-communicable diseases. The GMB workshops mapped the process of food-related policymaking and the contribution of scientific and local evidence to the process, and identified actions to enhance the use of evidence in policymaking. RESULTS: An average of 10 policymakers participated from each ministry. The causal loop diagrams produced by each ministry illustrated the causes and consequences of insufficient evidence use in developing food policies or precursors of the specific actions. These included (1) consultation, (2) engagement with stakeholders, (3) access and use of evidence, and (4) delays in policy processes. Participants agreed to potential leverage points on the themes above, addressing pertinent policymaker challenges in precursor control, including political influence, understanding of trade policies, competing government priorities and level of awareness on the problem. Specific actions for strengthening evidence use included training in policy development and research skills, and strengthening of coordination between ministries. CONCLUSIONS: The GMB workshops improved participants\u27 understanding of how different parts of the policy system interact. The causal loop diagrams and subsequent action plans enabled the identification of systems-level interventions in both ministries to improve evidence-informed policy development. A guide for integrating multi-sectoral consultation and stakeholder engagement in developing cross-cutting policies is currently being developed

The development and implementation of a new import duty on palm oil to reduce non-communicable disease in Fiji

BACKGROUND: Non communicable diseases (NCD) place a significant health burden on Pacific Island countries including Fiji. Policy interventions to curb NCDs have been implemented in Fiji including a 32% increase in the import duty on palm oil. This study aims to analyse the development and implementation of the increase in palm oil import duty in Fiji. Also, to document the policy process, identify barriers and facilitators during implementation and to examine the impact of the new import duty on import volumes. METHODS: Data were collected through key informant interviews with private stakeholders, government officials and supermarket managers. Transcripts were analysed thematically. Import volumes were analysed for the 2010-2015 period. RESULTS: Facilitators of policy development and implementation included stakeholder awareness of the health implications of palm oil, preparation of a comprehensive policy briefing paper, and inter-sectoral support and leadership. This decrease in the availability of palm oil was encouraging however, it may have been counteracted to some extent by industry relabelling the product as vegetable oil. CONCLUSIONS: Barriers to policy changes need to be anticipated during the policy development process. Whilst the decline in imports probably reduced population consumption, further research is needed to determine if this translated to a population wide reduction in saturated fat

Complete Genome Sequences of Cluster A Mycobacteriophages BobSwaget, Fred313, KADY, Lokk, MyraDee, Stagni, and StepMih

Seven mycobacteriophages from distinct geographical locations were isolated, using Mycobacterium smegmatis mc2155 as the host, and then purified and sequenced. All of the genomes are related to cluster A mycobacteriophages, BobSwaget and Lokk in subcluster A2; Fred313, KADY, Stagni, and StepMih in subcluster A3; and MyraDee in subcluster A18, the first phage to be assigned to that subcluster

Implementation of the mental health Gap Action Programme (mhGAP) within the Fijian Healthcare System: a mixed-methods evaluation

To facilitate decentralisation and scale-up of mental health services, Fiji's Ministry of Health and Medical Services committed to implementing the World Health Organization's mental health Gap Action Programme (mhGAP). mhGAP training has been prolific; however, it remains unclear, beyond this, how successfully Fiji's national mental health program has been implemented. We aim to evaluate Fiji's mental health program to inform Fiji's national mental health program and to develop an evidence-base for best practice.The study design was guided by the National Implementation Research Network and adhered to the Consolidated Framework for Implementation Research. CFIR constructs were selected to reflect the objectives of this study and were adapted where contextually necessary. A mixed-methods design utilised a series of instruments designed to collect data from healthworkers who had undertaken mhGAP training, senior management staff, health facilities and administrative data.A total of 66 participants were included in this study. Positive findings include that mhGAP was considered valuable and easy to use, and that health workers who deliver mental health services had a reasonable level of knowledge and willingness to change. Identified weaknesses and opportunities for implementation and system strengthening included the need for improved planning and leadership.This evaluation has unpacked the various implementation processes associated with mhGAP and has simultaneously identified targets for change within the broader mental health system. Notably, the creation of an enabling context is crucial. If Fiji acts upon the findings of this evaluation, it has the opportunity to not only develop effective mental health services in Fiji but to be a role model for other countries in how to successfully implement mhGAP

Contribution of Tore Supra in preparation of ITER

Tore Supra routinely addresses the physics and technology of very long-duration plasma discharges, thus bringing precious information on critical issues of long pulse operation of ITER. A new ITER relevant lower hybrid current drive (LHCD) launcher has allowed coupling to the plasma a power level of 2.7 MW for 78 s, corresponding to a power density close to the design value foreseen for an ITER LHCD system. In accordance with the expectations, long distance (10 cm) power coupling has been obtained. Successive stationary states of the plasma current profile have been controlled in real-time featuring (i) control of sawteeth with varying plasma parameters, (ii) obtaining and sustaining a 'hot core' plasma regime, (iii) recovery from a voluntarily triggered deleterious magnetohydrodynamic regime. The scrape-off layer (SOL) parameters and power deposition have been documented during L-mode ramp-up phase, a crucial point for ITER before the X-point formation. Disruption mitigation studies have been conducted with massive gas injection, evidencing the difference between He and Ar and the possible role of the q = 2 surface in limiting the gas penetration. ICRF assisted wall conditioning in the presence of magnetic field has been investigated, culminating in the demonstration that this conditioning scheme allows one to recover normal operation after disruptions. The effect of the magnetic field ripple on the intrinsic plasma rotation has been studied, showing the competition between turbulent transport processes and ripple toroidal friction. During dedicated dimensionless experiments, the effect of varying the collisionality on turbulence wavenumber spectra has been documented, giving new insight into the turbulence mechanism. Turbulence measurements have also allowed quantitatively comparing experimental results with predictions by 5D gyrokinetic codes: numerical results simultaneously match the magnitude of effective heat diffusivity, rms values of density fluctuations and wavenumber spectra. A clear correlation between electron temperature gradient and impurity transport in the very core of the plasma has been observed, strongly suggesting the existence of a threshold above which transport is dominated by turbulent electron modes. Dynamics of edge turbulent fluctuations has been studied by correlating data from fast imaging cameras and Langmuir probes, yielding a coherent picture of transport processes involved in the SOL. Corrections were made to this article on 6 January 2012. Some of the letters in the text were missing

Contribution of Tore Supra in preparation of ITER

Tore Supra routinely addresses the physics and technology of very long-duration plasma discharges, thus bringing precious information on critical issues of long pulse operation of ITER. A new ITER relevant lower hybrid current drive (LHCD) launcher has allowed coupling to the plasma a power level of 2.7 MW for 78 s, corresponding to a power density close to the design value foreseen for an ITER LHCD system. In accordance with the expectations, long distance (10 cm) power coupling has been obtained. Successive stationary states of the plasma current profile have been controlled in real-time featuring (i) control of sawteeth with varying plasma parameters, (ii) obtaining and sustaining a 'hot core' plasma regime, (iii) recovery from a voluntarily triggered deleterious magnetohydrodynamic regime. The scrape-off layer (SOL) parameters and power deposition have been documented during L-mode ramp-up phase, a crucial point for ITER before the X-point formation. Disruption mitigation studies have been conducted with massive gas injection, evidencing the difference between He and Ar and the possible role of the q = 2 surface in limiting the gas penetration. ICRF assisted wall conditioning in the presence of magnetic field has been investigated, culminating in the demonstration that this conditioning scheme allows one to recover normal operation after disruptions. The effect of the magnetic field ripple on the intrinsic plasma rotation has been studied, showing the competition between turbulent transport processes and ripple toroidal friction. During dedicated dimensionless experiments, the effect of varying the collisionality on turbulence wavenumber spectra has been documented, giving new insight into the turbulence mechanism. Turbulence measurements have also allowed quantitatively comparing experimental results with predictions by 5D gyrokinetic codes: numerical results simultaneously match the magnitude of effective heat diffusivity, rms values of density fluctuations and wavenumber spectra. A clear correlation between electron temperature gradient and impurity transport in the very core of the plasma has been observed, strongly suggesting the existence of a threshold above which transport is dominated by turbulent electron modes. Dynamics of edge turbulent fluctuations has been studied by correlating data from fast imaging cameras and Langmuir probes, yielding a coherent picture of transport processes involved in the SOL. © 2011 IAEA, Vienna

Science and technology research and development in support to ITER and the Broader Approach at CEA

In parallel to the direct contribution to the procurement phase of ITER and Broader Approach, CEA has initiated research & development programmes, accompanied by experiments together with a significant modelling effort, aimed at ensuring robust operation, plasma performance, as well as mitigating the risks of the procurement phase. This overview reports the latest progress in both fusion science and technology including many areas, namely the mitigation of superconducting magnet quenches, disruption-generated runaway electrons, edge-localized modes (ELMs), the development of imaging surveillance, and heating and current drive systems for steady-state operation. The WEST (W Environment for Steady-state Tokamaks) project, turning Tore Supra into an actively cooled W-divertor platform open to the ITER partners and industries, is presented

Science and technology research and development in support to ITER and the Broader Approach at CEA

Équipe 107 : Physique des plasmas chaudsInternational audienceIn parallel to the direct contribution to the procurement phase of ITER and Broader Approach, CEA has initiated research & development programmes, accompanied by experiments together with a significant modelling effort, aimed at ensuring robust operation, plasma performance, as well as mitigating the risks of the procurement phase. This overview reports the latest progress in both fusion science and technology including many areas, namely the mitigation of superconducting magnet quenches, disruption-generated runaway electrons, edge-localized modes (ELMs), the development of imaging surveillance, and heating and current drive systems for steady-state operation. The WEST (W Environment for Steady-state Tokamaks) project, turning Tore Supra into an actively cooled W-divertor platform open to the ITER partners and industries, is presented