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Table 2 Cafeteria Intervention in the Nepal pioneer worksite intervention study

From: Nepal Pioneer Worksite Intervention Study to lower cardio-metabolic risk factors: design and protocol

Components Activities
Strengthen management of cafeteria • A cafeteria improvement team will be created representing hospital management, cafeteria operation, research team, finance department, hygiene monitoring, non-communicable disease prevention, nutritionist, and human resource department
• We will conduct a 2-h workshop with the team on the prevention of diabetes, hypertension, and other cardiovascular diseases via healthy eating.
• The team will meet monthly to monitor the intervention; discuss and find solutions for barriers to implementation
Build capacity of cafeteria staff • We will conduct a 2-h workshop with the cafeteria staff on the prevention of diabetes, hypertension, and other cardiovascular diseases via healthy eating
• We will conduct two sessions of two-hour workshops on healthy cooking practices with the cafeteria staff
Replace healthy options for unhealthy foods • Whole grain bread instead of white bread will be used in cooking bread omelets, or fried bread
• Peanut butter will be replaced for jam
• White rice will be mixed with 50% brown rice in plain rice, fried rice, and rice pudding recipes
• Whole wheat flour will be mixed with all-purpose flour in 1:4 ratio in dumpling recipes
• Additional vegetables and lentils will be added in chowmein, thukpa, fried rice
• Lentils (black beans) will be used with beaten rice instead of potato
Remove unhealthy foods from the cafeteria • Soda drinks (Coke, Fanta, Sprite, Pepsi, Mountain Dew) will be removed
• High sugar confectioneries (cake, donut, puff, cream-donut, biscuits) will be removed
Add healthy food options • Fresh fruits in the form of whole fruit and mixed fruit salad
• Flavored water free of cost
• Salad (cucumber, radish, carrots)
• Whole grains (oats, whole wheat bread, popcorn)
Enhance visibility of healthy foods • Healthy food options will appear in the front page of the electronic menu
• Fruits, salads and whole grains will be organized on the front desk counter
Information, Education, Communication • A formal launch program will be organized; all the department heads of the hospital will be invited to attend
• A kickoff event will be organized in each cafeteria, with a kiosk providing information on eating healthy in the cafeteria
• Posters showing the healthy eating plate and whole grain consumption will be displayed on the cafeteria walls
• All employees in all of the departments of the hospital will be invited to attend a 20 min session on making healthy choices in the cafeteria