02083nas a2200253   4500000000100000008004100001100001600042700001600058700001500074700001800089700001600107700001800123700001600141700001700157700002000174700001700194700001600211700001900227700001600246245011800262490000700380520142800387022001401815       2018                            d1 aTrieu Kathy1 aPillay Arti1 aBell Colin1 aSnowdon Wendy1 aMoodie Marj1 aSantos Joseph1 aSuku Arleen1 aGohil Paayal1 aSchultz Jimaima1 aWate Jillian1 aHope Silvia1 aWebster Jacqui1 aJan Stephen00aProcess Evaluation and Costing of a Multifaceted Population-Wide Intervention to Reduce Salt Consumption in Fiji.0 v103 a<p>This paper reports the process evaluation and costing of a national salt reduction intervention in Fiji. The population-wide intervention included engaging food industry to reduce salt in foods, strategic health communication and a hospital program. The evaluation showed a 1.4 g/day drop in salt intake from the 11.7 g/day at baseline; however, this was not statistically significant. To better understand intervention implementation, we collated data to assess intervention fidelity, reach, context and costs. Government and management changes affected intervention implementation, meaning fidelity was relatively low. There was no active mechanism for ensuring food companies adhered to the voluntary salt reduction targets. Communication activities had wide reach but most activities were one-off, meaning the overall dose was low and impact on behavior limited. Intervention costs were moderate (FJD $277,410 or $0.31 per person) but the strategy relied on multi-sector action which was not fully operationalised. The cyclone also delayed monitoring and likely impacted the results. However, 73% of people surveyed had heard about the campaign and salt reduction policies have been mainstreamed into government programs. Longer-term monitoring of salt intake is planned through future surveys and lessons from this process evaluation will be used to inform future strategies in the Pacific Islands and globally.</p>  a2072-6643