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Annual Report
for
C-POND
2016
Pacific Research Centre for the Prevention of Obesity
and Non-communicable Diseases
(C-POND)
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Contents
Introduction .................................................................................................................................... 3
Vision ............................................................................................................................................... 4
Welcome ........................................................................................................................................ 5
Reference Group ............................................................................................................................. 6
Staffing and Students ...................................................................................................................... 7
Projects........................................................................................................................................... 8
Finance .......................................................................................................................................... 11
Other Activities ............................................................................................................................. 11
Photo Gallery ................................................................................................................................ 14
Acknowledgment…………………………...............................................................................................15
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Introduction
The Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases
(C-POND) was established in 2009. It is a collaborative Research Centre between the Fiji
School of Medicine (now the College of Medicine, Nursing & Health Sciences, Fiji National
University) and the WHO Collaborating Centre for Obesity at Deakin University.
C-POND is based at the Fiji National University’s Public Health Campus in Tamavua, Suva.
The Centre is led by Dr Ilisapeci Kubuabola (Director) and Dr Jillian Wate (Deputy Director –
Research). The Centre is guided by a Reference Advisory group who meets quarterly (via
teleconference) and face-to-face biennially. In this Annual Report, we will introduce new
members to our reference group and briefly summaries activities of C-POND in 2016.
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Vision
The vision for C-POND is “Creating the evidence, knowledge exchange and research capacity
needed to reverse the obesity and NCD crisis in the Pacific Islands.”
Currently, the areas of focus are in three (3) major categories. Its scope is depicted below
C-POND
Evidence Creation
Undertake and support
research
Data support and analysis
Research Communication and Utilisation
Support for increasing
accountability of research
Publications; scientific policy
briefs
Capacity Development for Research
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Welcome
It is now seven years since C-POND was established in August 2009. In that time, it has built
a solid reputation as the ‘go-to’ place for research around the prevention of non-
communicable diseases in the Pacific Region. Over time, C-POND has broadened its horizons
in a number of ways. It has moved beyond its original focus on obesity to conduct research
across the broader spectrum of NCDs and risk factors. Its research increasingly has been
more regionally focused; its portfolio of projects now spans a large number of Pacific Island
countries. There has also been a growing recognition that NCDs are not just a problem of
concern for the health sector; effective solutions to the NCD crisis must necessarily embrace
all sectors of society and most aspects of our daily lives. As a consequence, C-POND now
engages with areas such as agriculture, trade, transport and industry as well as its more
traditional partners of health and education.
2016 has been a challenging year for C-POND. It has been a year of considerable change and
restructuring at the University level. Some of C-POND’s key long-term projects are moving
towards completion at a time when funding for research is quite constrained. The C-POND
Reference Group is working with the team to ensure its future is secure. The campaign
against the high rates of NCDs in the Pacific Region requires a sustained commitment on
many fronts – strong government leadership, advocacy, appropriate investment in strategic
initiatives, regular monitoring and sound research. C-POND is integral to this campaign in its
fundamental ongoing role of producing the evidence to underpin actions designed to target
NCDs.
Prof. Marj Moodie, Executive Director, C-POND
Professor, Deakin Health Economics, Deakin University, Melbourne, Australia
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Reference Group
The reference group continues to provide extensive support and guidance in the current
operation and future planning for the Centre and we appreciate all their efforts. The Centre
farewelled Professor Ian Rouse who has been the executive director for the reference group
for the past 7 years. The Centre also acknowledges Prof Boyd Swinburn’s continuous
support for the group as the executive director while stepping down from this position and
congratulates Prof Marj Moodie as the new executive director along with Dr William May
this year. We also welcomed Associate Professor Collin Bell as a new member from Deakin
University.
Full membership of the group is tabulated below:
Members Organisations
Dr William May
(Executive Director)
Dean – College of Medicine, Nursing and Health
Sciences, Fiji National University
Prof. Marj Moodie
(Executive Director)
Professor & Co-Head at Deakin Health
Economics,Deakin University, Melbourne,
Australia
Prof. Boyd Swinburn Professor of Population Nutrition and Global
Health at the University of Auckland, Alfred
Deakin Professor; Co-Director, WHO Collaborating
Centre for Obesity Prevention at the Deakin
University, Melbourne, Australia
Prof. Satu Viali Cardiologist and Specialist Physician, Samoa
Dr. Viliami Puloka Health Promotion Forum of New Zealand
Dr. Wendy Snowdon Team Coordinator – Pacific NCD and Health
through the Life-Course, Division of Pacific
Technical Support, World Health Organization
(WHO),) South Pacific Office, Suva,Fiji
Dr. Isimeli Tukana National NCD Adviser, Ministry of Health, Fiji
A/Prof. Colin Bell Associate Professor of Public Health at Deakin
University's School of Medicine and Deputy
Director of the WHO Collaborating Centre for
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Obesity Prevention at Deakin University,
Melbourne, Australia
Dr. Tenneth Dalipanda Permanent Secretary, Ministry of Health, Solomon
Islands
Dr. Temo Waqanivalu NCD Program Officer, World Health Organization
(WHO), Geneva, Switzerland
Dr. Stevenson Kuartei Private General Practitioner, Palau
Dr. Gregory Dever Regional Human Resources for Health (HRH)
Coordinator, Pacific Islands Health Officer’s
Association (PIHOA)
Dr. Paula Vivili Director, Public Health Division
Noumea, Pacific Community (SPC)
Dr. Graham Roberts Director, Human Resources for Development
Alliance
Dr. Teuila Percival Director Pacific Health Unit, University of
Auckland
Mrs Jimaima Schultz Specialist Consultant in Nutrition
Mrs Gade Waqa Assistant Professor NCD, College of Medicine,
Nursing and Health Science,Fiji National Univerity;
PhD Student, C-POND
Dr. Ilisapeci Kubuabola C-POND Director
Dr. Jillian Wate C-POND Deputy Director
Susana Lolohea C-POND Adminstrative Officer (ex officio- Sec)
Staffing and Students
At the beginning of the year, the team expanded acquiring more short term personnel for
the sodium project till mid-year. This project ended on 31 December, 2016. Currently, the
Centre has 7 staff and a PhD student. By the last quarter of the year, our PhD student (Gade
Waqa) was appointed as the Assistant Professor in Primary Health Care (NCD) under the
School of Public Health & Primary Care. The Centre continues to support numerous Masters
and PhD students from collaborating Institutions.
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Team picture: from left to right: Back row: Jeremaia Coriakula, Nukuciri Lewabere, Susana Lolohea, Pauline Vosataki, Catherine Latu, Peni Dovi Front row: Roneta Ratumaitavuki, Arleen Sukhu, Astika Prasad, Ilisapeci Kubuabola, Jillian Wate, Gade Waqa, Michelle Fong
Projects
In 2016 a number of consultancies and research projects started or finished, while others
are still underway. The Centre continues to produce C-POND newsletters which contains
detailed reports of the research findings and project updates and should be referred to for
additional project-related information. A summary of project activities is provided below.
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Projects /Consultancies Overview Status
Underway
Cost Effectiveness of Sodium
Reduction Interventions in Pacific
Island Countries.
Fiji Component – Fiji Sodium
Intervention Assessment (FSIA)
This three year
NHMRC/GACD
research project led by
the George Institute
measured the impact
of interventions
through baseline and
follow-up assessment
of sodium intake. It
also assessed the costs
of salt reduction
interventions in Fiji
and Samoa.
The Fiji project is
managed by the
Centre.
The FSIA project has entered its
final phase. The project
commenced in 2013 with the
collection of the baseline data
followed by the intervention phase
in 2014, which was informed
through the findings of the baseline
phase. The project proceeded with
its final monitoring and follow-up
from July 2015 and was successfully
completed the project in 2016. A
summary report is planned to be
handover to the Ministry of Health
in early 2017.
Countries Involved: Fiji and Samoa
Centre of Research Excellence for
Obesity and food systems
This five year NHMRC
Centre of Research
Excellence for food
policy and Obesity
includes a Pacific
stream focusing on
food policy processes
and impacts.
CRE project is in progress. Data
collection and analysis is underway
for the policy impact study in Fiji
and in Tonga.
Countries Involved: Fiji and Tonga
Pacific Monitoring Alliance for
NCD Actions (MANA)
https://twitter.com/PacificMANA1
Funded by NZ grant
through University of
Auckland to develop
Pacific MANA including
the food and
environment
component.
Pacific MANA governance and
coordinating group were endorsed
at the Pacific Islands Heads of
Health (HOH) Meeting in February
2015. Terms of Reference were
developed for the coordinating
group. A Pacific NCD dashboard
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
was developed to cover monitoring
and surveillance in the Pacific
Island countries.
Work on the further development
of NCD Dashboard continues in
2016. The NCD dashboard was
presented again at the HOH
meeting in 2016 for their input. The
NCD dashboard has gone through a
technical input and revision phase
in 2016. Additionally, this year the
coordinating team started piloting
the dashboard in the Pacific Island
countries, with plans to present
update in the next HOH meeting.
Countries Involved: 22 Pacific Island
Countries
Short Term Projects
Food taxation in Pacific Small
Island Developing States
Funded by FAO, the
work was for 3 months
The countries involved are Tonga
and Palau. Proposal preparation
completed and contracts have been
finalized and work will progress
early next year.
Improving the evidence-based
policy for greater nutritional
security in Cook Islands
Funded by WHO This work was for Cook Islands.
Technical support has been
provided for the assessment of
school food provision but waiting
import and revenue data for
analysis.
Consultancies Completed
The Practical Salt Guideline for the
Pacific.
Funded by WHO Handbook completed and
submitted to WHO
May – July 2016
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Health Impact Assessment (HIA)
on the draft regulation
‘Advertising and Promotion of
Unhealthy Foods and Non-
Alcoholic Beverages to Children
Regulation’ in Fiji.
Collaborative work
with University of
Sydney, C-POND and
Australian National
University.
Haris P, Wate J, Friel J (2016). A
Health Impact Assessment on the
Draft Regulation “Advertising and
Promotion of Unhealthy Foods and
Non- Alcoholic Beverages to
Childern in Fiji. Available :
http://hdl.handle.net/2123/14998
August 2015 – January 2016
Institutional Context Assessment
(ICA) for NCD Prevention and
Control in Fiji
UNDP Funded Completed and report submitted
back to UNDP
8 April – 1 December 2016
Evaluation of diabetic-foot care
training program.
Funded by FHSSP Completed data collection and
analysis, report to be submitted in
2017
16 September 2016 – 31 March
2017
Finance
During the 2016 calendar year, C-POND brought in FJD 513,307 through research grants and
project income. (Note that for projects which span multiple years, the 2016 component was
calculated on a pro rata basis).
Other Activities
Staffs from C-POND are also members of the following:
College Health Research Ethics Committee (CHREC)
College Academic Board
College Occupational Health Safety Committee
Department of Research Committee (DRC)
Food Taskforce Technical Advisory Group (FT – TAG)
Pacific Island Public Health Association
NCD Specialist Interest Group (SIG)
Mental Specialist Interest Group
Pacific Health Information Network
Pacific Monitoring Alliance for NCD Action (MANA) – C-POND as a member of the
MANA Coordinating Team
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Health and Wellness Committee, CMNHS
External Advisory Committee for the Childrens’ Healthy Living Program (CHL)
College Academic Board (CAB)
The 6th issue of C-POND’s newsletter was produced this year and has been added to our
website. In addition, Centre staff has been involved in publication, conference
presentations, technical reports, and coordinating workshops. These are listed below:
Publications in Refereed Journals
Mialon M, Swinburn B, Wate J, Tukana I, Sack G. Analysis of the corporate political
activity of major food industry actors in Fiji. Globalization and Health. 2016; 12:18;
doi: 10.1186/s12992-016-0158-8.
Sinclair R, Millar L, Allender S, Snowdon W, Waqa G, Jacka F, Moodie M, Petersen S,
Swinburn B. (2016) The Cross-Sectional Association between Diet Quality and
Depressive Symptomology amongst Fijian Adolescents. PLoS ONE 11(8): e0161709.
doi:10.1371/journal. pone.0161709.
Technical Reports
Harris P, Wate J and Friel S. (April 2016). A Health Impact Assessment (HIA) on the
draft regulation ‘Advertising & Promotion of Unhealthy Foods and Non-Alcoholic
Beverages to Children in Fiji’. Menzies Centre for Health Policy: University of Sydney,
Australian National University, and Fiji National University.
Papers presented at conferences/symposia
Waqa G, Moodie M, Bell C, Snowdon W, Allender S, Latu C, Coriakula J. Applying
Systems Approaches in Low-Middle Income Countries. Invited speaker to the pre-
conference satellite on ‘Obesity Prevention: Advances in Systems Approaches’ on
30th April, 2016 at the Century-Plaza Hotel and Spa, Vancouver.
Waqa G, Bell C, Snowdon W, Allender S, Moodie M. A Systems Approach to Food-
related Policy Making and Implementation in Fiji – Poster presented at the
International Congress on Obesity on 1st – 4th May 2016, Vancouver Convention
Centre, Canada.
Latu C, Coriakula J, Snowdon W, Moodie M, Bell C. Barriers and Facilitators to Food
Policy Implementation in Fiji. – Poster presentation at International Congress on
Obesity on 1st – 4th May, 2016, Vancouver, Canada.
Coriakula J, Moodie M, Waqa G, Latu C, Snowdon W, Bell C. Import Duty of Palm Oil:
A case study of policy making in Fiji. Pacific Islands Health Research Symposium,
Holiday Inn, Suva, Fiji, 14th – 15th September, 2016.
Waqa G, Moodie M, Snowdon W, Bell C, Allender S, Latu C and Coriakula J. Adopting
Systems approach to support food-related policy-making in Fiji. Invited speaker at
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
the 48th Asia Pacific Academic Consortium for Public Health conference on Sep 16-
19, 2016 at Teikyo University, Tokyo, Japan.
Coriakula J, Moodie M, Waqa G, Latu C, Snowdon W, Bell C. Import Duty of Palm Oil:
A case study of policy making in Fiji. The Australian and New Zealand Obesity Society
(ANZOS), Brisbane Convention & Exhibition Centre, Brisbane, Australia, 19th – 21st
October, 2016.
Miscellaneous presentations at Workshops/Conference
Waqa G, Moodie M, Snowdon W, Allender S, Bell C. A Systems Approach to Food-
related Policy Making and Implementation in Fiji. Presented during the CMNHS
Deans Forum for Research Byte on 18th May 2016 at the Pasifika Campus, Suva, Fiji.
Kubuabola I. Pacific NCD Monitoring and Surveillance. Pacific Heads of Health
Meeting. Grand Pacific Hotel. Suva, Fiji, April 2016.
Kubuabola I. Confronting the NCD Crisis as an Alliance. MRL Reference Meeting.
Novotel, Suva. April 2016.
Pillay A. Fiji Sodium Intervention Assessment Project Overview. Presented to SPC,
Pacific Community Office, Suva, Fiji, May 2016.
Kubuabola I. A Pacific Monitoring Alliance of Non-communicable disease. Pacific NCD
Summit, Tonga, 20-22 June 2016.
Latu C, Coriakula J, Waqa G, Moodie M, Snowdon W, Bell C. Assessing food policies
for obesity and NCD prevention in Fiji: what are the barriers and facilitators to
developing policies?. Presented during the CMNHS Deans Forum for Research Byte
on the 20th July 2016 at the Pasifika Campus, Suva, Fiji.
Waqa G. Supporting food-related policymaking in Fiji. Invited speaker to the National
Nurse Practitioners workshop on 31st August 2016 at the Pearl Resort, Fiji
Coriakula J, Moodie M, Waqa G, Latu C, Snowdon W, Bell C. Import Duty of Palm Oil:
A case study of policy making in Fiji. Presented during the CMNHS Deans Forum for
Research Byte on 8th September 2016 at the Pasifika Campus, Suva, Fiji.
Waqa G. The processes of policymaking in Fijis Ministry of Health and Medical
Services. Invited speaker to the National Nursing Scientific Conference on 21st July
2016 at the Pearl Resort, Fiji.
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Photo Gallery
Some snapshots of activities during the year
Gade Waqa as an invited speaker together with experts and professors in System Thinking Dr Peter Hovman
and Prof Boyd Swinburn at the International Congress on Obesity Prevention (ICO) organized by the World
Obesity in Vancouver Canada
Jeremaia Coriakula presented his paper at the Pacific Islands Health Research Symposium (PIHRS) in Suva.
Pacific Research Centre for the Prevention of Obesity and Non-communicable Diseases C-POND
C-POND
Acknowledgements
We would like to acknowledge the support of our C-POND reference group throughout the year in providing their critical guidance. Additionally, we thank Fiji National University and Deakin University for their continuing support towards the Centre. We acknowledge all our collaborating partners and individuals. Finally, a big thank-you to the members of the C-POND team for their hard work, dedication and enthusiasm in the research work on obesity and non-communicable diseases in the region.
For any queries please email: [email protected] and for further information
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Twitter: https://twitter.com/cpondpacific1 & Website: http://www.fnu.ac.fj