The Global Alliance for Chronic Disease (GACD)

The George Institute for Global Health, Australia

The George Institute for Global Health, India

Public Health Foundation of India

Queen Mary University of London

Funding Partners

National Health and Medical Research Council (NHMRC)

Global Alliance for Chronic Disease (GACD)




This GACD 3-year project was undertaken to develop the evidence base required to formulate a national salt reduction program for India. This was done by conducting an integrated, multifaceted research program comprised of stakeholder assessments, population surveys and food supply evaluations. This research will provide the data required to formulate and implement a national salt reduction program for India.


To gather the evidence base for a salt reduction programme in India


The specific objectives for each research component were:

  • Stakeholder survey – to obtain a comprehensive understanding of consumer and other stakeholder opinions in relation to the most effective mechanisms for reducing salt intake: Face-to-face in-depth interviews with stakeholders from academia, industry, government, non-government and focus group discussions with consumers.
  • Population survey – to estimate the mean daily salt consumption of the Indian population, the main sources of salt in the diet, and population knowledge about the adverse effects of salt on health: 24hr urinary sodium excretion/spot urine samples; 24hr dietary recall survey; demography and anthropometry; knowledge, attitudes and behaviors on salt intake using a questionnaire.
  • Food survey – to estimate the mean and variation in the nutritional quality of common processed and restaurant foods: shop survey to capture nutrition information on packaged food available in Hyderabad and Delhi supermarkets.


  • By showing what can be achieved at a state level in India, The George Institute will be well-placed to support other countries around the world in achieving a reduction in salt intake