Skip to main content

Table 5 Interview quotes of contextual barriers and facilitators

From: Process evaluation of Samoa’s national salt reduction strategy (MASIMA): what interventions can be successfully replicated in lower-income countries?

Theme Interview respondent Quote
Contextual factors affecting implementation Related health or government organization representative “…they spoke to the women committee members, and that’s how they got the discussion back to the village. …In Samoa it’s very appropriate to do it like that. You cannot do it otherwise. …the women committee members they are always the ones that, for instance, the president is the wife of the high chief of the mayor, the secretary of the committee is the wife of the church minister.”
Ministry of Health representative “For the Food Act, we were hoping for that to back us up so that we can integrate the salt targets… I think it’s just unfortunate now the project is towards its end and now we have the Food Act. …As I have said, we have been waiting for this Food Act because we are also looking at labelling, an area we really need to push.”
Contextual factors affecting the outcome of awareness campaigns Community leader “People love to eat here, and they love to eat salt.…Everything is about food here. … Everyone here lives for today. Yeah we want a good future but you are really living for the moment because not everyone has the food on their plate the next day. …So you are dealing with a huge cultural issue.”
Related health or government organization representative “It’s like the noodles. …Yeah because it’s affordable, it’s easy to get. …Even though you know the awareness says it’s not good for health, but what else are we supposed to eat if we do not have enough money.”
Community leader “…And it’s money in your pocket and that’s what people actually care about, not your health because you do not know what’s inside those packets, you do not know what those numbers [salt content on nutrition label] mean or anything. There’s a big lack of education about what’s right for you”
Related health or government organization representative “There’s a lot of fitness programs. A lot of people are conscious of what they eat now. … So I think there’s a change from ten years ago. We love to feast whenever we have a chance. But now even when we order our food for events, we are really conscious, we really want to have healthier options.”
Contextual factors affecting the outcome of community mobilization Related health or government organization representative “So part of the community awareness, the villagers were told to think of a project… And what do you know? Salt. …one of the villagers in Savaii said the reason why we want to do Masima is because we went to the community engagement that was done by the Ministry of Women. So I think for the PEN FA’A SAMOA there was seven sub-villages and I think you have four [doing salt reduction]… So that’s probably one of the things you can measure. Output of the MASIMA project. Also that it’s been continued by this PEN FA’A SAMOA.”
Food industry representative “They [Ministry of Health officers] came down and spoke with me and I said my problem right now is salt sells, so does sugar. I really prefer Samoans to eat natural foods and to always eat what they traditionally ate. But unfortunately I am competing against massive advertising campaign from the producers overseas here so I have to produce what the Samoans are eating. …If I do not react to the market demand and I try to dictate to the market, I will lose.”
Ministry of Health representative “… the salt progress report was presented and in this committee it’s all of the prime minister, cabinet, all ministries, their CEO and their management. …And the minister of finance said ‘you need to submit a paper and need to raise the taxes on salt’, which was a really good indication coming from the minister of finance”