WHO/PAHO, CARPHA and the HCC recommend a comprehensive approach to childhood obesity prevention including the implementation of the following key policies: Taxation of SSBs; Regulation of Marketing to Children; Mandatory Front of Package Nutritional Labelling; and Healthy School Policies.

The HCC CSAP Childhood Obesity Prevention Scorecard (COPS) has 16 indicators to measure a country's policy and legislative response. Policy implementation is measured using a traffic light approach. Where a policy is 'partially implemented/under development' or 'fully implemented/present' we link to a source or supporting document which is ideally the official policy or legislative document . In some cases the supporting documents are in the form of official reports or articles in the media.
Childhood Obesity Prevention Scorecard (COPS) Regional Snapshot View online
or download 2 page printable version

Please select your country:

  Not Implemented/Absent
  Partially Implemented/Under Development
 1 National NCD Commission or Equivalent
 2 HCC COP Initiative
 3 National policy, strategic plan or action plan on obesity

 4 Mandatory front-of-package nutrition labelling regulation

 5 Nutrition policy or guidelines for all schools
 6 Regulation banning or restricting the sale and marketing of SSBs and or all EDNP foods in and around all schools and ensuring the provision of free drinking water

 7 Regulation banning the marketing of unhealthy foods to children

 8 Regulation banning trans fats (legislative limit on trans fat)
 9 Taxes on Sugary Drinks (SSBs)
 10 Taxes on EDNP foods / unhealthy foods.
 11 Subsidies on local fruits and vegetables

 12 Implementation of the Baby Friendly Hospital Initiative (BFHI) in at least one local health facility
 13 Legislation/regulations fully implementing the International Code of Marketing of Breast-milk substitutes

 14 Mandatory physical education in all government schools

 15 National program(s) contributing to childhood obesity prevention (COP) efforts

 16 Other national food systems policies that support the promotion and maintenance of healthy diets
CSAP: Civil Society Action Plan | COP: Childhood Obesity Prevention | SSBs: Sugar Sweetened Beverages | EDNP: Energy Dense Nutrient Poor

Last Updated January 2023.

The HCC developed the Childhood Obesity Prevention Scorecard or COPS to facilitate strengthened awareness of national policy responses to childhood obesity across the Caribbean Community as part of the monitoring and evaluation component of the HCC Civil Society Action Plan for Preventing Childhood Obesity in the Caribbean.
Please email us at with the subject 'COPS' if you have any data queries or updates.