Factors influencing the Implementation of Eat Right Campus Policy in a Tertiary Health Care setting in Chandigarh: A Scoping Review

Abstract

Background: Institutional healthy eating policies are essential to improve student nutrition and promote long-term health. However, their implementation and sustainability remain difficult due to systemic and contextual challenges. Aim & Objectives: This scoping review examines how broad and local system-level factors influence the implementation of healthy eating policies in institutional settings globally. Methods: A structured search of peer-reviewed and grey literature identified 3,111 records, out of which 54 studies met the eligibility criteria. Thematic analysis was used to synthesise findings. Results: Five recurring themes were identified: (1) macro-level governance support; (2) financial constraints and procurement systems; (3) integration with institutional goals; (4) shared responsibility among stakeholders; and (5) context-specific adaptations. Conclusion: Sustained implementation requires cross-sectoral coordination, financial commitment, and inclusive engagement. Institutions that embed nutrition within their structure and culture are more likely to succeed.