Food sys ems ha suppo
ansi ions o hEal hy And
Sus ainable dieTs
OUTCOMES AND INSIGHTS
FROM CO-DESIGN WORKSHOPS IN
FEAST LIVING LABS
FEAST 3.3. Communi y in ol emen
Ve sion: Ma ch 2025
Au ho s: Leonie Ba elds-C ame
1
, Annema ie Kap eijns1, Ma ieke Ba jes-F ies1
Acknowledgemen s o acili a o s and pa icipan s in Li ing Labs Leu en, Ox o dshi e, Ghen and
Tuscany
1
Louis Bolk Ins i u e
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FEAST is co- unded by he Eu opean Union’s Ho izon Eu ope esea ch and inno a ion
p og amme unde g an ag eemen numbe 101060536. Views and opinions
exp essed a e hose o he au ho (s) only and do no necessa ily e lec hose o he
Eu opean Union. Nei he he Eu opean Union no he g an ing au ho i y can be held
esponsible o hem.
UK pa icipan in FEAST (Good Food Ox o dshi e) is suppo ed by Inno a e UK g an
numbe 10041509 and he Swiss pa icipan in FEAST (FiBL) is suppo ed by he Swiss
S a e Sec e a ia o Educa ion, Resea ch and Inno a ion (SERI) unde con ac
numbe 22.00156.
S a Da e 01/07/2022, End Da e 30/06/2027
Ci e as: Ba elds-C ame , L., Kap eijns, A., & Ba jes-F ies, M. (2025). FEAST -
Communi y in ol emen - OUTCOMES AND INSIGHTS FROM CO-DESIGN
WORKSHOPS IN FEAST LIVING LABS. Zenodo. FEAST p ojec - Food sys ems
ha suppo ansi ions o hEal hy And Sus ainable dieTs.
DOI: h ps://doi.o g/10.5281/zenodo.15730630
This documen is sha ed unde C ea i e Commons A ibu ion
4.0 In e na ional License (CC BY 4.0).
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TABLE OF CONTENTS
BACKGROUND .......................................................................................................................................... 4
WORKSHOP .............................................................................................................................................. 5
OUTCOMES .............................................................................................................................................. 7
A. LEUVEN………………………………………………………………………………………………………………………………7
B. OXFORDSHIRE………………………………………………………………………………………………………………….12
C. GHENT……………………………………………………………………………………………………………………………..16
D. TUSCANY………………………………………………………………………………………………………………………….20
CONCLUSIONS AND REFLECTIONS ......................................................................................................... 26
Annex ..................................................................................................................................................... 31
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BACKGROUND
One o he main goals o he FEAST p ojec is o co-c ea e inno a i e and e ec i e ools, p og ams
and s a egies wi h key s akeholde s in Eu ope ha suppo consume s in adop ing heal hy and
sus ainable die s and li es yles. To each his objec i e, i is impo an ha we ac i ely in ol e he
communi ies o which we de elop hese solu ions. Wo king wi h li ing labs is one o he co e
elemen s o he Feas p og am because hey p omo e co-c ea ion while le e aging he pa icipa ion
o end-use s (ci izens, including ulne able g oups) by ga he ing hei eal-wo ld insigh s and local
knowledge. To suppo his wo k, we c ea ed a guideline o conduc wo kshops in which li ing labs
can co-design solu ions o add ess ood- ela ed challenges in hei communi ies ha help ( ulne able)
ci izen g oups o make heal hie and mo e sus ainable ood choices.
Co-design me hods ha e hei oo s in pa icipa o y designs and a e a p omising app oach o engaging
ci izens and s akeholde s in in e en ion and policy-making p ocesses. I empowe s pa icipan s o
exp ess hei unde s anding and needs conce ning an issue and c ea es oppo uni ies o gene a e new
pe spec i es, sha ed insigh s, and a i udinal o beha iou al change. The s akeholde s in ol ed in his
co-design p ocess can be mul iple: i is possible ha he pa icipan s a e he a ge g oup o he
solu ion, bu hey can also be ele an s akeholde s ha play an essen ial ole in shaping he die s o
he a ge g oup (e.g. i he ulne able g oup a e child en, his can be pa en s, eache s, school boa ds,
e c.). Co-design wo kshops ha e p o en o be an e ec i e me hodology in iden i ying he needs o a
communi y and co-c ea ing (policy-based) solu ions and in e en ions (Bason, 2016
2
Kim Nam,
2022
3
Kimbell, 2017
4
).
This documen can be used as addendum o inspi a ional guide o he co-design wo kshop handbook
(h ps://doi.o g/10.5281/zenodo.15730598). The handbook is de eloped o guide acili a o s h ough
he p ocess o o ganizing a co-c ea ion wo kshop. This epo compiles and analyzes he ou comes o
se e al wo kshops conduc ed ac oss ou di e en li ing labs wi hin he FEAST p ojec , o e ing
aluable insigh s and inspi a ion o o he li ing labs.
Li ing labs in e es ed in unning a co-design wo kshop can use his s uc u ed p ocess o os e heal hy,
sus ainable ea ing wi hin hei communi ies. FEAST p o ides esou ces, including acili a o guidelines,
empla es, and ools, ensu ing ha he wo kshop is easy o implemen . Fo mo e in o ma ion, see he
handbook o he wo kshop as well as he e lec ions on applying he me hod in his epo .
2
Bason, C. 2016. Design o Policy. Abingdon: Rou ledge.
3
Kim, C., & Nam, K. Y. (2022). Policy Puzzle Game: Making policy ideas easible and accep able in policy co-
design. CoDesign, 18(4), 448–465. h ps://doi.o g/10.1080/15710882.2021.1995440
4
Kimbell, L. (2017). Design in he Time o Policy P oblems. Annual Re iew o Policy Design, 5(1), 1–14.
h ps://doi.o g/10.21606/d s.2016.498
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WORKSHOP
Communi y wo kshop o co-design solu ions o be e access o heal hy sus ainable ood
Wo kshop o e iew:
The wo kshop enables pa icipan s o collabo a i ely
iden i y ba ie s o heal hy and sus ainable ea ing and
design solu ions ha ca e o hei speci ic communi y
needs and quali ies. I is based on pa icipa o y
me hods, emphasizing he co-c ea ion o in e en ions
ha encou age be e die a y beha iou .
Key componen s in h ee ounds:
• G aph o e ime and d eam: Pa icipan s isualize how ood-
ela ed challenges ha e e ol ed in hei communi y and
en ision u u e scena ios.
• Mapping ba ie s and quali ies: Using a cogni i e mapping
app oach, pa icipan s collabo a i ely iden i y ba ie s o
heal hy ood consump ion and exis ing s eng hs wi hin he
communi y.
• Solu ion pa hways: G oups b ains o m and de elop po en ial
in e en ions, make he connec ion wi h he bo lenecks and
quali ies and iden i y key s akeholde s o implemen a ion.
Ou comes and bene i s o li ing labs:
• Iden i y challenges and oppo uni ies: Th ough s uc u ed exe cises, pa icipan s map
bo lenecks and quali ies ha migh be suppo i e in sol ing he p oblem and ocus on poin s
o imp o emen .
• Tailo ed app oach: In he wo kshop he pa icipan s c ea e common unde s anding o he
challenge he li ing lab is acing. The wo kshop can be adap ed o ocus on speci ic communi y
needs, such as child nu i ion o local ood en i onmen s.
• Co-c ea e solu ions: The wo kshop encou ages pa icipan s o design p ac ical solu ions ha
a e easible and impac ul o he communi y.
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• Ac ionable ou comes: The solu ion a e connec ed wi h he bo lenecks and quali ies. The
solu ions gene a ed ha e a s ong suppo base, wi h a ocus on in e en ions ha can be
implemen ed wi hin he communi y. The wo kshop acili a es an holis ic app oach o ood
sys ems. The le el o esponsibili y (mic o, meso o mac o) is clea .
• Empowe local people: The wo kshop can in ol e only ci izens, bu can also include a mix o
inhabi an s (including ulne able g oups) and key s akeholde s (e.g., policymake s, school
o icials) o solely s akeholde s. I os e s coope a ion among di e se g oups, ensu ing ha all
oices a e hea d.
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OUTCOMES
Th ee li ing labs om he FEAST conso ium we e in e es ed o conduc he wo kshop in hei
communi y o co-c ea e solu ions which suppo hei ci izens in making heal hie and mo e
sus ainable ood choices. The pa icipa ing li ing labs we e Ox o dshi e, Ghen and Tuscany. A e
de eloping he wo kshop we i s pilo ed he se up in a li ing lab in Leu en o es whe he he
design deli e ed on he in ended ou comes and could be op imized whe e needed. The pa icipan s
in Leu en we e no di ec ly linked o he FEAST li ing labs, bu also in e es ed in de eloping solu ions
o a speci ic ood challenge in hei neighbou hood.
Fo bo h Leu en and Ox o dshi e wo kshops we e conduc ed wi h ele an s akeholde s om he
ulne able g oups. In Ghen and Tuscany pa icipan s we e p o essional s akeholde s p o iding
oppo uni ies o ci izens o de elop heal hie and mo e sus ainable ood choices.
1. G aph o e ime and d eam
In he imeline exe cise – g aph o e ime - pa icipan s e lec ed on he e olu ion o heal hy and
sus ainable ea ing beha iou s. They discussed he ea ing beha iou and ood en i onmen o e he
pas and sha ed hei pe spec i es on how he consump ion o heal hy and sus ainable oods migh
de elop in he u u e.
Pilo o he wo kshop. The pilo was no conduc ed wi h pa icipan s o he FEAST li ing lab in
Leu en. Howe e , he pa icipan s we e ec ui ed h ough he ne wo k o FEAST pa ne s in
Leu en, speci ically h ough schools as heal hy ood o young child en is a challenge in he ci y.
The main objec i e o he wo kshop in Leu en was cen ed a ound suppo ing heal hy ood
choices o young child en, o example h ough nu i ion in schools. Pa icipan s we e moms
wi h child en in p ima y school age.
The wo kshop's a ge audience was mo he s wi h child en o p ima y school age
A
LEUVEN
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Thei d eam is:
Elemen s o he d eam we e:
• "Tha I can se e some hing ha e e yone enjoys ea ing. No jus child en's
meals.
• How do you ge child en amilia wi h un amilia la ou s (an i- adi ional
Flemish ood)?
• Only ea ing mea once a week (e e ywhe e).
• The p inciple o inishing you pla e = good, and no inishing = bad - is a
biza e pa en ing ule.
• We need less old- ashioned iews ega ding po ion sizes.
• Tas y, heal hy ood o e e yone + i should be un.
• "Two-sided: many people ha e s a ed ea ing
be e , bu he a ailabili y o unheal hy ood
has inc eased signi ican ly.
• Ma ke ing a ound unheal hy ood has g own
eno mously.
• The di e ences ha e become g ea e . The
common g ound is no like i used o be.
• The op ions we e much mo e limi ed in he
pas .
• Now he e is a e y wide ange, bu wi h mo e
ex emes.
• Food is e e ywhe e nowadays, so child en a e
cons an ly exposed o i .
• A o dabili y: people buy acco ding o hei
budge , and heal hy op ions a e o en oo
expensi e."
Heal hy and sus ainable ea ing
Tas y, heal hy and sus ainable ood as
a common good (s anda d) and a un
and social expe ience, especially in
schools
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• Ea ing = a cosy, social momen , o e ing a di e en way o ea ing.
• Mo e knowledge needed among people abou sus ainable, heal hy ood.
• Schools should do mo e o educa e abou ood: hi d g ade and up."
2. Bo lenecks and quali ies
In he i s ound, pa icipan s iden i ied exis ing bo lenecks by w i ing hem on pos -i s, which hey
hen placed on a pos e displayed on he wall. The pos e included h ee dimensions—mic o, meso,
and mac o le els—bu did no ye ca ego ize he bo lenecks in e ms o ' ood li e acy,' ' ood
p e e ences,' ' ood a ailabili y,' o ' ood a o dabili y.' These ca ego ies we e la e mapped by he
esea che s.
Mos o he bo lenecks expe ienced by pa icipan s we e a he meso le el, speci ically wi hin hei
immedia e ood en i onmen (Figu e 1). They no ed he low a ailabili y o heal hy and sus ainable
ood op ions in supe ma ke s, ake-away ou le s, and schools, combined wi h he high a ailabili y and
p omo ion o as ood. The lack o sales es ic ions and he high cos o heal hie al e na i es we e
also men ioned as bo lenecks.
Despi e hese challenges, pa icipan s also ecognized se e al posi i e de elopmen s a he meso le el,
pa icula ly in he school (Figu e 2). Wa m meals a e a ailable, unheal hy snacks as ea men s ha e
been phased ou , and he e is inc eased a ailabili y o egan and ege a ian op ions in he communi y.
Addi ionally, he e is mo e ocus on p o iding smalle po ions and heal hie op ions ailo ed o
child en. Se e al ini ia i es a e con ibu ing o he a ailabili y o heal hie and mo e sus ainable ood,
se ing posi i e examples o he communi y.
Figu e 1 - Bo lenecks mapped in Li ing Lab Leu en
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Ghen has been a pionee in he ield o sus ainable ood and sus ainable ood policy o yea s. In
2013, he Ci y launched he Ghen and Ga de ood s a egy in collabo a ion wi h many
s akeholde s. Sho ly a e wa ds, he Food Council was es ablished, he pa icipa o y policy body
o Ghen and Ga de. In he yea s ha ollowed, he ood policy was u he shaped and Ghen
de e mined h ee s a egic objec i es which a e used as a amewo k o de e mine Ghen 's ood
policy and o e alua e esul s:
- a sho and sus ainable ood chain
- e e yone ea s sus ainable
- no hing is was ed
The Ci y o Ghen was one o he i s ci ies o de elop a local ood policy. In 2020, hey assessed
he ood en i onmen s in he Wa e spo s and Heilig Ha neighbo hoods. The Heilig Ha wijk
was hen de ined as a ood swamp (lo s o junk ood o e ), he Wa e spo swijk as a ood dese
(ha dly any ood o e ).
The main objec i e o he li ing lab in Ghen is o imp o e access o heal hy and sus ainable ood
o indi iduals in ulne able si ua ions. A su ey among use s o a ious ood ini ia i es showed
ha people in po e y ha e li le o no knowledge o he supply o heal hy and sus ainable ood
in he neighbou hood. Fo a ious ood supplie s who a e ac i e in he neighbou hood, i also
appea ed ha hey hemsel es know li le o no hing abou he o e o ano he supplie . The
aim o his wo kshop is he e o e o ge o know each o he and o come up wi h new ac ions
whe eby he a ge g oup inds i s way o he a ious ini ia i es.
The pa icipan s in he wo kshop a e all p o essionally o olun a ily ac i e in ood supply o
consume s in he neighbou hood. The e backg ound di e en ia ed om a social es au an
whe e cus ome s ea a di e en ia ed (lowe ) a es, non-p o i o ganiza ions o p o essionals and
olun ee s which collec and edis ibu e ood su pluses o p epa ed meals, suppo people in
po e y in a ious a eas o li e, communi y (s ee ) wo ke s, heal h p omo o s o dis ic
di ec o s who know wha is u gen in a neighbou hood, and ind solu ions o imp o e he quali y
o li e o people in po e y and connec wi h ci y policy, dis ic heal h cen es wi h die icians,
physio he apis s and nu ses collabo a ing o an o ganisa ion uni ing a me s and o ganising
weekly ma ke s.
C
GHENT
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1. G aph o e ime and d eam
Fo he d eam he g oup discussed wha he di e en pa icipa ing o ganisa ions see o hei u u e,
bu also came up wi h a join d eam:
Elemen s o he indi idual d eams we e (also see Figu e 7):
• A sha ed he b ga den
• Wo kshops on p ese ing echniques and ha es su pluses
• U ban ag icul u e o people who use he ood suppo
• Tas y hal -hal meals o cus ome s
• New loca ions o ood was e edis ibu ion and cen al ki chen
• Scaling up he cooking eam: inding new cus ome s
• Consolida e collabo a ions
E e yone ea s o a ai p ice.
We a e a communi y in which ood
connec s us.
Figu e 7 -Timeline wi h d eams in li ing lab Lab Ghen (in Du ch)
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2. Solu ions pa hway
As pa icipan s enjoyed o ge o know he o he o ganiza ions and we e e y imp essed o hea each
o he s e o o each hei d eam in p o iding oppo uni ies o all o ea a ai p ice, he acili a o s
chose o combine he discussion on oppo uni ies and bo lenecks in he nex exe cise.
Unde lying bo lenecks and quali ies
- Fai ness o all, sell a a easonable p ice, bu also being compensa ed o possible loss.
- No need o e e als, good ood should be as accessible as possible o all in need.
- Ha e oe has acili ies, bu no oppo uni ies o di e en ia e in p icing. Also an ID is needed
o be able o pay a lowe p ice and no all isi o s ha e an ID. And he di e ence be ween
he lowes and highes p ice le el is oo la ge, consume s wi h low incomes who no mee
he c i e ia, o example because hey don’ li e in Ghen , can’ a o d o pay 20€ o a daily
special.
Solu ions
Oppo uni ies we e discussed based on he bo lenecks and quali ies and pe d eam de ined. All
ca ego ized a mic o, meso and mac o le el.
1. E e yone ea s o a ai p ice.
Mic o
a) Sha e conc e e in o ma ion on a lye : p ices o he p oduc s on he ma ke , p ices o
he daily specials.
b) Apply Enchan é o he ma ke ? “Delayed s eak, bu e , cele iac”: pay o an ex a
meal o ano he consume when you buy one o you sel .
Meso
a) E ening expe ience in Ha e oe whe e he e is no ixed social a e, bu a ee
con ibu ion o solida i y a e -> Discussion wi h he ci y o Ghen abou he “g ey
zone” solida i y a es.
b) In es iga e how a solida i y a e can wo k on a ma ke o es au an : e.g. a ma ble
sys em on a ma ke (somewhe e in he sou h o F ance) -> Discussion wi h cus ome s
(e.g. a me s ma ke ): wha is hei opinion on solida i y a es.
c) Mo e p ese ing and e men ing o su plus ege ables om LSF, ma ke ->
Wo kshops on p ese ing and in di e en languages, by and wi h di e en
communi ies (Tu kish & Bulga ian).
Mac o
a) Ci y o Ghen : Re iewing social a es in social es au an s: wha abou he g ey zone?
A e he e oppo uni ies ha jus slip h ough he ne ?
b) Local land o local sales ma ke .
c) Mo e CSA a ms on clean land.
d) Mo e owne ship.
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2. We a e a communi y in which ood connec s us
Mic o
a) Make he o e o each p o ide known by c ea ing a calenda (pe week / mon h),
dis ic ood guide (whe e can who go?) -> Ci y can acili a e e.g. Google Maps a
dis ic le el.
b) Boa d / li ing wall in he chu ch wi h pho os o people and ood om he dis ic .
Wo k e y isually, esiden s a e co-owne s, hang hings up hemsel es. Mus be a
kind o pho o o he dis ic "mee ing and ood".
Meso
a) (Ge ing o) know each o he . Who wha when how: o e e e s and o people
hemsel es.
b) De eloping 2 ins umen s? he e used o be padle , bu i is no longe used. I should
no be an ex a app, bu some hing di ec ly usable.
c) Si oge he wi h he ood p o ide s a egula imes. Can also be be ween po and
pi and does no ha e o be a eal mee ing.
d) Use he chu ch space o mee ing.
Mac o:
a) Ci y o Ghen : Facili a e and suppo in: space, s o age, inancial suppo , hinking
abou o he possibili ies and e e al.
3. O he ac ions
a) C ea e a communica ion pla o m o e e e s: Map, calenda , ood guide (o
some hing else ha wo ks o e e yone). Ci y o Ghen will wo k ou a conc e e
p oposal and es i wi h e e yone.
b) b) Social a es / g ey zone / e ening ac i i ies in he chu ch: Ci y o Ghen will es he
possibili ies wi h local social policy and local social economy.
c) c) Solida i y a es on he ma ke : Find o he examples (F ance) and see wha is
usable.
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To in oduce he wo kshop and pa icipan s, he acili a o s de eloped a quiz in which bo h un ac s
abou ood and mo e “se ious” ques ions we e included o in oduce some impo an issues o ake
in o accoun such as he epidemic sp ead o o e weigh and obesi y, heal h cos s, and he associa ed
s igma ha has implica ions o bo h psychological and social well-being. Fo some ques ions such as
s igma an image (example below) was used o ask pa icipan s o s uc u e hei hough s a ound he
opic.
Na ional documen s and se e al esea ches indica e ha he I alian popula ion o en exhibi s
unheal hy die a y beha iou s ha do no align wi h he medi e anean die , leading o an
inc eased isk o o e weigh , obesi y, he de elopmen o ch onic noncommunicable diseases
(NCD) and ea ing diso de s. Mo eo e , om a social pe spec i e, nega i e consequences on he
quali y o li e and high p essu e on he heal h and social sys em can be ound. In o de o ackle
his issue, indings emphasize how c ucial i is o de elop li e-cou se in e en ions ha can
change and imp o e ood habi s and choices owa ds a heal hy app oach, especially conside ing
and mi iga ing he ba ie s ha may hinde his change. Tuscany li ing lab Lab aims o p omo e a
heal hy and conscious app oach owa ds ood and nu i ion in middle and high school s uden s,
hei amilies and he elde ly a ending senio cen es.
The speci ic challenge o his wo kshop was on how o sus ainably con inue he de eloped
solu ion o in e en ions by nu i ionis s a e he FEAST p ojec .
Pu pose: how o s uc u e ou pa ien pedia ic nu i ion clinic
Pa icipan s: Di ec o o Piana di Lucca Dis ic Zone, Coo dina o o he Lucca P ima y Ca e
Uni , Adminis a i e con ac pe son o he Piana di Lucca Dis ic Zone, Tuscany LL Nu i ionis
Facili a o : Tuscany LL Psychologis
D
TUSCANY
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To u he in oduce he opic, which was help ul because o he di e en backg ounds o he
p o essionals in ol ed, a pos e was c ea ed o highligh he main poin s abou o e weigh and
obesi y and he use ulness o suppo ing ini ia i es ha can coun e and manage he phenomenon.
Speci ic a en ion was gi en o:
a) esul s o na ional su eillance on he Tuscan e i o y conce ning o e weigh and obesi y
b) social, psychological, heal h and economic impac
c) ac ions and s a egies unde aken a he Eu opean and Na ional le el o coun e he
phenomenon o o e weigh and obesi y
d) p esen a ion o he pedia ic nu i ion ou pa ien clinic as a conc e e “answe ” o he
eme ged needs
e) desc ip ion o he cha ac e is ics o he ou pa ien clinic
Pho o o he (handmade) pos e boa d used:
1. G aph o e ime and d eam
The idea o conduc he wo kshop in li ing lab Tuscany was c ea ed om he wish o sus ain he
p esence and wo k o he die icians wi hin he communi y a e he end o p ojec FEAST. This was
se as d eam o he session. The wo kshop ime was used o u he look in o bo lenecks and
quali ies and de elop solu ions.
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2. Bo lenecks and quali ies
Fo he g oup i was ui ul o hink o bo lenecks in hei cu en wo k wi h pa ien s, howe e i
was ound oo complex o iden i y he espec i e le el: mic o, meso o mac o.
The ollowing bo lenecks we e iden i ied by he g oup o p o essionals:
a) Excessi e bu eauc acy.
b) Lack o su icien communica ion om he ou pa ien pedia ic nu i ion clinic.
c) Lack o a psychologis o wo k alongside he nu i ionis (managemen o a po en ial d op
ou ).
d) Lack o ci izen cul u e on he issue.
e) Lack o widesp ead Au ho i y’s cul u e on he
impo ance o he issue.
) Lack o a b oade Au ho i y’s cul u e on he
opic o p e en ion (only sc eening sys em is
s uc u ed).
g) Lack o pe sonnel.
h) Lack o inancial esou ces and speci ic unds.
i) Na u e o pilo p ojec s: di icul o ex end
wi hou sus ained moni o ing.
Fo he quali ies, he ollowing elemen s we e iden i ied:
a) P esence o he No h Wes Local Heal h Au ho i y’s anking lis (biologis s) o ou pa ien
special y ca e.
b) Dis ic mo i a ion o s uc u e he ou pa ien pedia ic nu i ion clinic.
c) Possibili y o in ol e o he Uni s (e.g., pedia ics, ea ing diso de s uni , diabe es, spo s
medicine, psychology).
d) Exis ence o he Au ho i y Nu i ion Su eillance Boa d.
e) Good demand om ci izens.
) Exis ence o heal h plans such as he Na ional
Ch onic Disease Plan (obesi y ecognized as a
ch onic disease) and he Guidelines o
P e en ing and Comba ing O e weigh and
Obesi y.
g) P esence o communica ion o ice o inc ease
communica ion.
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3. Solu ions pa hway
The ollowing use ul ac ions we e iden i ied:
a) S eng hening he communica ion line h ough: w i ing a icles, o ganizing local e en s and
publicizing he se ice h ough social channels, newspape s and TV (connec ion wi h
communica ion o ice).
b) C ea ing a communica ion channel wi h he Region o iden i y he p esence o Region wide
ac ions/goals in line wi h he ou pa ien clinic.
c) Delinea ing a S a egic Plan P ojec wi h he app op ia e Au ho i y’s Uni s. Consequen ly,
p esen ing he p ojec o he Uni s o in e es and c ea ing a wo king g oup o collabo a e on
he d a ing o he p ojec .
d) In ol ing a Regional con ac pe son in he wo king g oup and p ojec d a ing.
e) Imp o ing he managemen o ollow-up: eques o manage he scheduling o ollow-up
appoin men s di ec ly om he specialis .
) Connec ing he ou pa ien clinic o a sc eening p og am and including his p oposal wi hin
he p ojec .
g) Including he opic o coun e ac ing physical inac i i y o g ea e sus ainabili y o he
p ojec : in ol ing spo s associa ions and municipal bodies since he mo i a ions o
inac i i y a e also social → ans o ma ion o he ou pa ien clinic in o a social-heal h se ice.
h) P epa ing a eques o he Au ho i y Managemen o p esen he se ice.
The g oup used a pos e boa d o epo he pos -i s wi h he solu ions and hen linked he pos -i s
o bo lenecks and quali ies. Then o each solu ion, he main ac o s o execu ion and imelines
we e gi en.
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Connec ion be ween Main Ac ions-S akeholde -Timeline
A. S eng hening he communica ion line h ough: w i ing a icles, o ganizing local e en s and
publicizing he se ice h ough social channels, newspape s and TV (connec ion wi h communica ion
o ice)
• Main s akeholde : con ac pe son wi hin he communica ion o ice
• Timeline: once he s uc u ing p ocess has begun
• Quali ies ha acili a e his ac ion: P esence o communica ion o ice o inc ease
communica ion
• Ba ie s ha a e mi iga ed/ educed h ough his ac ion: Lack o su icien
communica ion om he ou pa ien pedia ic nu i ion clinic, Lack o ci izen cul u e on
he issue, Lack o widesp ead Au ho i y’s cul u e on he impo ance o he issue
B. C ea ing a communica ion channel wi h he Region o iden i y he p esence o Regional wide
ac ions/goals in line wi h he ou pa ien clinic.
D. In ol ing a Regional con ac pe son in he wo king g oup and p ojec d a ing.
• Main s akeholde : con ac pe son wi hin he egional depa men o p e en ion
• Timeline: immedia ely, i s hing o do
• Quali ies ha acili a e his ac ion: Exis ence o he Au ho i y Nu i ion Su eillance
Boa d, Exis ence o heal h plans such as he Na ional Ch onic Disease Plan (obesi y
ecognized as a ch onic disease) and he Guidelines o P e en ing and Comba ing
O e weigh and Obesi y, Good demand om ci izen
• Ba ie s ha a e mi iga ed/ educed h ough his ac ion: Lack o inancial esou ces
and speci ic unds
C. Delinea ing a S a egic Plan P ojec wi h he app op ia e Au ho i y’s Uni s. Consequen ly,
p esen ing he p ojec o he Uni s o in e es and c ea ing a wo king g oup o collabo a e on he
d a ing o he p ojec .
F. Connec ing he ou pa ien clinic o a sc eening p og am and including his p oposal wi hin he
p ojec
G. Including he opic o coun e ac ing physical inac i i y o g ea e sus ainabili y o he p ojec :
in ol ing spo s associa ions and municipal bodies since he mo i a ions o inac i i y a e also social
ans o ma ion o he ou pa ien clinic in o a social-heal h se ice
• Main s akeholde : con ac pe sons/coo dina o s o he Au ho i y’s Uni s.
• Timeline: a e he con ac wi h he egional pa
• Quali ies ha acili a e his ac ion: Possibili y o in ol e o he Uni s (e.g., pedia ics,
ea ing diso de s uni , diabe es, spo s medicine, psychology)
• Ba ie s ha a e mi iga ed/ educed h ough his ac ion: Lack o a psychologis o wo k
alongside he nu i ionis (managemen o a po en ial d op ou ), Lack o widesp ead
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Au ho i y’s cul u e on he impo ance o he issue, Lack o a b oade Au ho i y’s
cul u e on he opic o p e en ion (only sc eening sys em is s uc u ed), Lack o
pe sonnel
E. Imp o ing he managemen o ollow-up: eques o manage he scheduling o ollow-up
appoin men s di ec ly om he specialis
• Main s akeholde : con ac pe son wi hin he adminis a i e se ice
• Timeline: possibili y o send an email wi h he eques immedia ely
• Quali ies ha acili a e his ac ion: Good demand om Ci izen
• Ba ie s ha a e mi iga ed/ educed h ough his ac ion: Excessi e bu eauc acy
H. P epa ing a eques o he Au ho i y Managemen o p esen he se ice
• Main s akeholde : Au ho i y Managemen
• Timeline: as a las hing, bu by he end o Ma ch
• Quali ies ha acili a e his ac ion: P esence o he No h Wes Local Heal h
Au ho i y’s anking lis (biologis s) o ou pa ien special y ca e
• Ba ie s ha a e mi iga ed/ educed h ough his ac ion: Na u e o pilo p ojec s:
di icul o ex end wi hou sus ained moni o ing
“Dis ic mo i a ion o s uc u e he ou pa ien pedia ic nu i ion clinic” is a quali y ha
cu s ac oss all ac ions
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Communi y cooking and ea ing ini ia i es
Ini ia i es p omo ing heal hy ea ing, Tou nee
Mine ale, Veggie Challenge (+)
Mac o
Food policy and egula ions
Nu i ional educa ion p og ams
Fa m educa ion p og ams/
Fa me & companies (+)
Campaings
Sus ainabili y s a egies
Ma ke ing/ p omo ion
B anded p omo ions like McDonald’s (-)
Posi i e p omo ion o plan -based die s (+)
Celeb i ies who cook heal hy (+)
Social and cul u al no ms
Food p e e ences
Leu en
Ox o dshi e
D i e s and ba ie s scien i ic li e a u e
Quali ies (+) Bo lenecks (-)
Quali ies (+) Bo lenecks (-)
Tas e
Appeal and senso y p e e ences
Heal h s a us, pe cep ions and beha iou s
Modelling good beha iou / ea ing wi h he kids (+)
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Mic o
Con enience
Con enience wi h ( as ) ood (-)
Expe iences, habi s and ou ines
Kids wan o ea ‘now’ (-)
Backg ound and expe ience (+)
A i udes
Values and social iden i y
Family in luence
Limi ed p e e ences child (-)
Die o pa ne s (-)
Limi ed p e e ences child en/ ussy oddle s (-)
Meso
Cul u al ood p ac ices
Social in luences
In luence social en i onmen (-)
Social suppo / ne wo ks
Mac o
Social, cul u al no ms
The ‘mo e is be e ’ a i ude (-)
Ea ing cul u e
T adi ion and ea ing cul u e (like mea )(-)
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En i onmen al and e hical ends
Food ma ke ing and (social) media
Food a ailabili y
Leu en
Ox o dshi e
D i e s and ba ie s scien i ic li e a u e
Quali ies (+)
Bo lenecks (-)
Quali ies (+) Bo lenecks (-)
Mic o
Pe sonal esou ces ( ime and anspo
op ions)
Time a ailabili y daily li e (shopping/ cooking) (-)
Limi ed ime o cooking (-)
A ailabili y o H&S ood
household
Wa e as s anda d d ink (+)
Meso
A ailabili y o H&S ood schools,
wo kplaces, hospi als and o he
ins i u ions
Low a ailabili y H&S ood school (-)
Wa m meals a school (+)
School ea s abolished (+)
Mo e a en ion o ege a ian and egan op ions
(+)
Mo e a ailabili y o ozen ege ables and ui s
(+)
Heal hy d inks a school (+)
A ailabili y o ui and eg all yea ound (no
seasonal/local) (-)
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F ee ui a school (+)
A ailabili y o H&S ood (supe ma ke s,
a me s' ma ke s, g oce y s o es,
es au an s) close o home
Rise o as ood chains (-)
No speci ic shop o speci ic ood (-)
Low a ailabili y H&S ood supe ma ke and
budge - iendly supe ma ke s (-)
Low a ailabili y H&S ood ake-away
In luence daily physical en i onmen (-)
Heal hie as ood chains, ege a ian snack ba s
(+)
Mo e ege a ian op ions in es au an s (+)
Heal hy child en’s menu (+)
Rec ea ional acili ies o e ing heal hy meals o
child en (+)
Lack o choice o shops (-)
Supe ma ke s
open and nea by (+)
A ailabili y o cul u ally app op ia e oods
o oods ha mee speci ic die a y needs
Food dis ibu ion sys ems wi hin he
communi y
A ailabili y social p og ams like ood banks
U ban ag icul u e like communi y ga dens
No allo men /space o g owing own ood (-)
Access o a g owing space (+)
A ailabili y o H&S ood online
Se ices like 'Hello F esh' (+)
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Mac o
Food policy and egula ion (in luence ood
a ailabili y, impo /expo egula ions,
ood secu i y policies)
Almos no es ic ions sale unheal hy ood (-)
Ag icul u al sys ems
En i onmen al policies
Food p oduc ion
Food a o dabili y
Leu en
Ox o dshi e
D i e s and ba ie s scien i ic li e a u e
Quali ies (+) Bo lenecks (-)
Quali ies (+) Bo lenecks (-)
Mic o
Financial capaci y
Income (-)
Food p ices
Food p ices (-)
P ice o F&V/ ecipe boxes (-)
Financial suppo
No F&V ewa ds (in apps) (-)
Meso
Local communi y access like ood banks,
ood p og ams and communi y ga dens
Accessibili y unheal hy ood (-)
Rela i e cos s: H&S oods (-)
No unding o high quali y o school ood (-)
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F ee ui a school (+)
Discoun s on heal hy ood i ems (+)
Ini ia i es like sel -ha es / ege able ga dens (+)
F ee school meals (+)
Food bank, ouche s,
Communi y la de (+)
Mac o
Na ional policies on subsidies, ood aid,
ood p ice egula ion e c.
Value o F&V ( ue cos o p oduc ion)(-)
