SHAKE the salt habit, 2nd ed.

Overview

The document outlines a structured approach to developing a comprehensive sodium reduction strategy, including preparatory steps such as establishing governance mechanisms, engaging stakeholders and investing in data systems. It presents a set of evidence-based policies and interventions, with an emphasis on mandatory approaches, including food reformulation, nutrition labelling, public procurement standards, marketing restrictions, fiscal measures and behaviour change communication. Supported by a logic model linking actions to health and economic outcomes, the guidance also covers implementation considerations, capacity-building, monitoring, enforcement and evaluation. Intended primarily for policy-makers and programme managers, it supports the development of effective, context-adapted interventions to reduce sodium intake, strengthen health systems and contribute to the prevention and control of noncommunicable diseases.

Related links: 

• Updated PAHO Regional Sodium Reduction Targets
• Guideline: sodium intake for adults and children 
• Global sodium benchmarks for different food categories 
• Use of lower-sodium salt substitutes: WHO guideline 

• Global report on sodium intake reduction