Diagnose and Decide Scorecard
Food Environments
Affordability of a healthy diet: Ratio of cost to food expenditures
Cost of a healthy diet
Cost of an energy sufficient diet
Cost of legumes, nuts, and seeds relative to the starchy staples in a least-cost healthy diet
Dietary energy in food supply
Share of dietary energy from cereals, roots, and tubers
Supply of fruit
Supply of pulses
Supply of vegetables
Food Supply Chains
Cereal losses
Fruit losses
Pulse losses
Vegetable losses
Outcomes
Per capita biodiversity impact of food consumption
Per capita eutrophication of food consumption
Per capita greenhouse gas emissions of food consumption
Per capita water use linked to food consumption
Total ecological footprint of consumption per person
Total ecological footprint of production per person
Prevalence of moderate or severe food insecurity
Prevalence of undernourishment
Infants and children (6-23 months): Minimum diet diversity
Adult raised blood pressure (systolic and/or diastolic blood pressure >= 140/90 mmHg)
Anemia in women 15-49 years
Overweight in children under 5 years
Stunting in children under 5 years
Wasting in children under 5 years
Unlikely Challenge Area
Potential Challenge Area
Likely Challenge Area
Missing Data

Indicators

Annual population growth (%)

DriversPopulation growth and migration
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Percent urban population of total population (%)

DriversUrbanization
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Retail value of packaged food sales per capita

Food EnvironmentsProduct properties
1,008.8
USD/capita
2017

Retail value of ultra-processed food sales per capita

Food EnvironmentsProduct properties
608.9
USD/capita
2017

Recommended Policies and Actions

We’ve identified Retail value of ultra-processed food sales per capita as a likely challenge area for Puerto Rico. The following policies and actions are recommended to improve this outcome. Read about our methodology for identifying these action and policy suggestions.
Action
Implement taxes to decrease affordability and incentivise reformulation of sugary drinks and foods high in fats, sugars and salt food.
Impact
Decrease affordability of sugary drinks and foods high in fats, sugars and salt to all populations.
Action
Restrict all forms of marketing, advertising and in-store promotions of HFSS foods, particularly to children.
Impact
Reduce appeal foods high in fat, sugar and salt to children.

Modern grocery retailers per 100,000 population

Food EnvironmentsVendor properties
47.9
retailers per 100,000 population
2017

Supermarkets per 100,000 population

Food EnvironmentsVendor properties
23.6
per 100,000 population
2017

Average crop species richness

Food Supply ChainsProduction systems and input supply
4.2
crops per unit of land
2015

Cereal yield (kg/ha)

Food Supply ChainsProduction systems and input supply
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Share of employment in agriculture (%)

Food Supply ChainsProduction systems and input supply
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Vegetable yield (mt per ha)

Food Supply ChainsProduction systems and input supply
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Final consumption expenditure per capita (constant 2017 international dollars/capita)

Individual FactorsEconomic
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Agricultural land change during the last 10 years

OutcomesEnvironmental impacts
-2.4
1000 ha yr-1
2008–2018

Average proportion of natural vegetation embedded in agricultural lands

OutcomesEnvironmental impacts
30
%
2015

Average threats soil biodiversity

OutcomesEnvironmental impacts
1.8
1 = low risk, 8 = highest risk
2010

Adult diabetes prevalence (%)

OutcomesNoncommunicable diseases
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Recommended Policies and Actions

We’ve identified Adult diabetes prevalence as a likely challenge area for Puerto Rico. The following policies and actions are recommended to improve this outcome. Read about our methodology for identifying these action and policy suggestions.
Action
Reformulate processed food to reduce fats, sugars and salt.
Impact
Reduce availability of fats, sugars and salt in foods already available to all populations.
Action
Implement taxes to decrease affordability and incentivise reformulation of sugary drinks and foods high in fats, sugars and salt food.
Impact
Decrease affordability of sugary drinks and foods high in fats, sugars and salt to all populations.
Action
Set mandatory limits on trans fats, sugar, salt/sodium and/or saturated fat in packaged foods.
Impact
Reduce availability of foods high in fats, sugars and salt to all populations.
Action
Require nutrition labelling on packages/menus to indicate if foods are high in calories, fats, sugars and/or salt and/or in positive nutrients.
Impact
Reduce appeal and availability of foods high in fat, sugar and salt and increases appeal of nutritious foods to all populations.
Action
Restrict all forms of marketing, advertising and in-store promotions of HFSS foods, particularly to children.
Impact
Reduce appeal foods high in fat, sugar and salt to children.

Adult obesity (BMI >= 30) (%)

OutcomesNutritional status
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Recommended Policies and Actions

We’ve identified Adult obesity (BMI >= 30) as a likely challenge area for Puerto Rico. The following policies and actions are recommended to improve this outcome. Read about our methodology for identifying these action and policy suggestions.
Action
Reformulate processed food to reduce fats, sugars and salt.
Impact
Reduce availability of fats, sugars and salt in foods already available to all populations.
Action
Implement taxes to decrease affordability and incentivise reformulation of sugary drinks and foods high in fats, sugars and salt food.
Impact
Decrease affordability of sugary drinks and foods high in fats, sugars and salt to all populations.
Action
Set mandatory limits on trans fats, sugar, salt/sodium and/or saturated fat in packaged foods.
Impact
Reduce availability of foods high in fats, sugars and salt to all populations.
Action
Require nutrition labelling on packages/menus to indicate if foods are high in calories, fats, sugars and/or salt and/or in positive nutrients.
Impact
Reduce appeal and availability of foods high in fat, sugar and salt and increases appeal of nutritious foods to all populations.
Action
Restrict all forms of marketing, advertising and in-store promotions of HFSS foods, particularly to children.
Impact
Reduce appeal foods high in fat, sugar and salt to children.

All Suggested Policies and Actions

We’ve identified the following policies and actions that might address issues with the food system of Puerto Rico.

Action
Implement taxes to decrease affordability and incentivise reformulation of sugary drinks and foods high in fats, sugars and salt food.
Impact
Decrease affordability of sugary drinks and foods high in fats, sugars and salt to all populations.
Action
Restrict all forms of marketing, advertising and in-store promotions of HFSS foods, particularly to children.
Impact
Reduce appeal foods high in fat, sugar and salt to children.
Action
Reformulate processed food to reduce fats, sugars and salt.
Impact
Reduce availability of fats, sugars and salt in foods already available to all populations.
Action
Set mandatory limits on trans fats, sugar, salt/sodium and/or saturated fat in packaged foods.
Impact
Reduce availability of foods high in fats, sugars and salt to all populations.
Action
Require nutrition labelling on packages/menus to indicate if foods are high in calories, fats, sugars and/or salt and/or in positive nutrients.
Impact
Reduce appeal and availability of foods high in fat, sugar and salt and increases appeal of nutritious foods to all populations.