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Health Promotion International Advance Access originally published online on September 16, 2008
Health Promotion International 2008 23(4):345-353; doi:10.1093/heapro/dan027
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© The Author (2008). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Problem and solution trees: a practical approach for identifying potential interventions to improve population nutrition

Wendy Snowdon1,*, Jimaima Schultz2 and Boyd Swinburn1

1 Deakin University, Melbourne, Victoria 3125, Australia 2Fiji School of Medicine, Suva, Fiji

* Corresponding author. E-mail: wds{at}deakin.edu.au


  Abstract

Population nutrition problems have a diversity of contributory factors and, ideally, multi-sectoral solutions should be developed by the relevant stakeholders, based on a common understanding of these factors. The problem and solution tree approach is a participatory process of working through the layers of determinants and then developing potential interventions for a specific issue, using the available data and expertise. We tailored this approach for non-communicable disease-related nutrition problems in Pacific Islands and applied it in several countries. The process led to the identification of a considerable range of determinants of unhealthy diets and potential interventions to improve the situation. This practical approach also offered the additional benefit of developing stakeholder awareness in the issues. Problem trees are a relatively simple tool to implement, easy to adapt to differing needs, can generate a wealth of information and can be more widely used.

Key words: interventions; diet; problem trees; participatory


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