Gaps in Nutrition Policy Implementation in Childcare Centres in The Edmonton Metropolitan Region: A Cross-Sectional Survey

Can J Diet Pract Res. 2022 Mar 1;83(1):17-24. doi: 10.3148/cjdpr-2021-021. Epub 2021 Sep 28.

Abstract

Purpose: To describe (i) nutrition policies in childcare centres, (ii) the resources and processes used to enable policy implementation, and (iii) the association between policy implementation and childcare centres' or administrators' characteristics.Methods: Between October 2018 and June 2019 a web-based survey that addressed nutrition policy, policy implementation, and sociodemographic characteristics was sent to eligible childcare programs (centre-based and provided meals) in the Edmonton (Alberta) metropolitan region. The survey was pretested and pilot tested. Statistical tests examined the relationship between policy implementation with centres' and administrators' characteristics.Results: Of 312 childcare centres that received the survey invitation, 43 completed it. The majority of centres had a nutrition policy in place (94%). On average, centres had about 9 of the 17 implementation resources and processes assessed. Most often administrators reported actively encouraging the implementation of the nutrition policy (n = 35; 87%) and least often writing evaluation reports of the implementation of the nutrition policy (n = 9; 22%). Administrator's education level was associated with implementation total score (p = 0.009; Kruskal-Wallis).Conclusion: Most childcare centres had a nutrition policy in place, but many lacked resources and processes to enable policy implementation. Additional support is required to improve nutrition policy development and implementation.

Keywords: Implementation science; centres de la petite enfance; child daycare centers; childcare; garde d’enfants; nutrition policy; politique de nutrition; science de la mise en œuvre.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child Care*
  • Child Day Care Centers*
  • Cross-Sectional Studies
  • Health Promotion
  • Humans
  • Meals
  • Nutrition Policy