Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned

Abstract Background Monitoring food marketing that reaches children is key to effective implementation of any regulation. The Best-ReMaP European Union Joint Action aimed to test the feasibility of using monitoring protocols (developed by the World Health Organization’s Regional Office for Europe [W...

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Main Authors: Jelena Niškanović, Dragana Stojisavljević, Magdalena Muc, Mimi Tatlow-Golden, Dijana Manigoda
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Health, Population and Nutrition
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Online Access:https://doi.org/10.1186/s41043-025-01009-8
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author Jelena Niškanović
Dragana Stojisavljević
Magdalena Muc
Mimi Tatlow-Golden
Dijana Manigoda
author_facet Jelena Niškanović
Dragana Stojisavljević
Magdalena Muc
Mimi Tatlow-Golden
Dijana Manigoda
author_sort Jelena Niškanović
collection DOAJ
description Abstract Background Monitoring food marketing that reaches children is key to effective implementation of any regulation. The Best-ReMaP European Union Joint Action aimed to test the feasibility of using monitoring protocols (developed by the World Health Organization’s Regional Office for Europe [WHO-Euro]) in the public health sector, to inform EU-wide monitoring plans. In Republic of Srpska, BiH, we piloted the WHO ‘CLICK’ Framework step, ‘L – Landscape of campaigns’, created to assess the nature of digital food and beverage marketing that children are potentially exposed to when using their preferred digital media. Methods This mixed methods pilot study analysed 235 Instagram and Facebook posts from 10 brands/products popular among children in Republic of Srpska, and 24 videos of two YouTube influencers, between January-April 2023. The WHO Nutrient Profile Model (1st edition, 2015) was used to assess ads’ eligibility to be marketed to children. With WHO-Euro monitoring Protocols we assessed the promotional techniques (ad’s creative power) used by brands and YouTube influencers. Finally, we assessed feasibility at every step of the process. Results Research capacity and coding were among the main identified challenges in the pilot. Our learnings contributed to updates of the WHO Protocols and the EU- framework guidance. Regarding the food marketing landscape, the most frequently advertised food categories on social media and in YouTube Influencers’ content were cakes, sweet biscuits and pastries (31% and 22.7% respectively) and chocolate and sugar confectionery (27.5% and 14.7% respectively). None of the social media ads were eligible to be marketed to children and only of 2 of the 24 YouTube influencers’ marketing instances were eligible. Most ads featured elements potentially appealing to teens, 88% on Facebook and 72% on Instagram. The most frequently used persuasive appeals on social media were reference to holidays, travel, or adventure (23%), followed by taste (12.5%) and premium/contest (11.5%). YouTube influencers predominantly presented branded foods (62.5%). Only one influencer video featured a marketing disclosure. Food cue contexts varied between the two influencers, depending on their target groups. One mostly posted videos filmed at home, with child appeals and referred positively to the food featured; the other presented food as a secondary object and in neutral rather than positive contexts. Conclusion The WHO-Euro ‘landscape’ Protocol is a feasible tool for Member States to evaluate digital food marketing. Facilitators were: capacity/resources, access to a knowledge/experience exchange, and regular protocol updates. The analysis shows that in Republic of Srpska, BiH, powerful marketing of unhealthy foods appealing to children takes place on children’s favoured social media platforms and via influencers with child-appealing content. Mandatory, government-led restrictions, accompanied by regular monitoring are needed to protect children’s health.
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spelling doaj-art-22c5e1dcbf69402fa258c15726ff4b8f2025-08-20T03:42:57ZengBMCJournal of Health, Population and Nutrition2072-13152025-07-0144111410.1186/s41043-025-01009-8Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learnedJelena Niškanović0Dragana Stojisavljević1Magdalena Muc2Mimi Tatlow-Golden3Dijana Manigoda4Public Health Institute of the Republic of SrpskaPublic Health Institute of the Republic of SrpskaFaculty of Wellbeing, Education and Language Studies, The Open UniversityFaculty of Wellbeing, Education and Language Studies, The Open UniversityPublic Health Institute of the Republic of SrpskaAbstract Background Monitoring food marketing that reaches children is key to effective implementation of any regulation. The Best-ReMaP European Union Joint Action aimed to test the feasibility of using monitoring protocols (developed by the World Health Organization’s Regional Office for Europe [WHO-Euro]) in the public health sector, to inform EU-wide monitoring plans. In Republic of Srpska, BiH, we piloted the WHO ‘CLICK’ Framework step, ‘L – Landscape of campaigns’, created to assess the nature of digital food and beverage marketing that children are potentially exposed to when using their preferred digital media. Methods This mixed methods pilot study analysed 235 Instagram and Facebook posts from 10 brands/products popular among children in Republic of Srpska, and 24 videos of two YouTube influencers, between January-April 2023. The WHO Nutrient Profile Model (1st edition, 2015) was used to assess ads’ eligibility to be marketed to children. With WHO-Euro monitoring Protocols we assessed the promotional techniques (ad’s creative power) used by brands and YouTube influencers. Finally, we assessed feasibility at every step of the process. Results Research capacity and coding were among the main identified challenges in the pilot. Our learnings contributed to updates of the WHO Protocols and the EU- framework guidance. Regarding the food marketing landscape, the most frequently advertised food categories on social media and in YouTube Influencers’ content were cakes, sweet biscuits and pastries (31% and 22.7% respectively) and chocolate and sugar confectionery (27.5% and 14.7% respectively). None of the social media ads were eligible to be marketed to children and only of 2 of the 24 YouTube influencers’ marketing instances were eligible. Most ads featured elements potentially appealing to teens, 88% on Facebook and 72% on Instagram. The most frequently used persuasive appeals on social media were reference to holidays, travel, or adventure (23%), followed by taste (12.5%) and premium/contest (11.5%). YouTube influencers predominantly presented branded foods (62.5%). Only one influencer video featured a marketing disclosure. Food cue contexts varied between the two influencers, depending on their target groups. One mostly posted videos filmed at home, with child appeals and referred positively to the food featured; the other presented food as a secondary object and in neutral rather than positive contexts. Conclusion The WHO-Euro ‘landscape’ Protocol is a feasible tool for Member States to evaluate digital food marketing. Facilitators were: capacity/resources, access to a knowledge/experience exchange, and regular protocol updates. The analysis shows that in Republic of Srpska, BiH, powerful marketing of unhealthy foods appealing to children takes place on children’s favoured social media platforms and via influencers with child-appealing content. Mandatory, government-led restrictions, accompanied by regular monitoring are needed to protect children’s health.https://doi.org/10.1186/s41043-025-01009-8Digital marketingUnhealthy foodMonitoringChildrenSocial media
spellingShingle Jelena Niškanović
Dragana Stojisavljević
Magdalena Muc
Mimi Tatlow-Golden
Dijana Manigoda
Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned
Journal of Health, Population and Nutrition
Digital marketing
Unhealthy food
Monitoring
Children
Social media
title Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned
title_full Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned
title_fullStr Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned
title_full_unstemmed Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned
title_short Social media food marketing landscape of children living in Republic of Srpska, Bosnia and Herzegovina: Piloting the WHO CLICK framework, results and lessons learned
title_sort social media food marketing landscape of children living in republic of srpska bosnia and herzegovina piloting the who click framework results and lessons learned
topic Digital marketing
Unhealthy food
Monitoring
Children
Social media
url https://doi.org/10.1186/s41043-025-01009-8
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