A health policy analysis of the implementation of the National Tobacco Control Act in Nigeria

2021 ◽  
Author(s):  
Echezona Ejike Udokanma ◽  
Ikedinachi Ogamba ◽  
Cajetan Ilo
Keyword(s):  
Health Policy ◽  
Tobacco Control ◽  
Review Literature ◽  
Public Health Issue ◽  
Health Warnings ◽  
Multiple Streams ◽  
Governmental Organization ◽  
Health Policy Analysis ◽  
Tobacco Taxation ◽  
And Control

Abstract Non-communicable diseases (NCDs) have emerged as a public health issue of concern in Nigeria. The massive increase in tobacco use amongst different population groups is a common NCDs risk factor. To this effect, the National Tobacco Control Act (NTCA) was enacted following the WHO Framework Convention on Tobacco Control (FCTC). This article conducts a health policy agenda-setting analysis of the NTCA using the Kingdon’s multiple streams model and analyses its implementation using the Principal-Agent theory. The purposive and snowballing sampling methods were used to select and review relevant peer-review literature. Other data sources included gray literature, government reports, Non-Governmental Organization briefs and media resources. Though NTCA conforms to WHO FCTC, Nigeria only domesticated her obligation to this framework legislatively while the executive and administrative measures were found lacking. The challenges and gaps identified in the NTCA implementation include; revision of textual health warnings and lack of pictorial health warnings on cigarette packs, poor taxation, and the National Tobacco Control Commission’s (NTCC) lack of regulatory autonomy, hence, the poor policy implementation reported in this article. To effectively implement NTCA, a review of textual warnings, enforcement of pictorial warnings, regulatory autonomy of the NTCC and review of the tobacco taxation are suggested to help in the prevention and control of NCDs.

Multi-Sectoral Approach to Noncommunicable Disease Prevention Policy in Sub-Saharan Africa: A Conceptual Framework for Analysis

2018 ◽  
Vol 49 (2) ◽  
pp. 371-392 ◽  
Author(s):  
Saliyou Sanni ◽  
Jennifer P. Wisdom ◽  
Olalekan A. Ayo-Yusuf ◽  
Charles Hongoro
Keyword(s):  
South Africa ◽  
Health Policy ◽  
Policy Analysis ◽  
Tobacco Control ◽  
Control Policy ◽  
Noncommunicable Disease ◽  
Sub Saharan Africa ◽  
Tobacco Control Policy ◽  
Health Policy Analysis ◽  
Sectoral Approach

Conceptual frameworks for health policy analysis guide investigations into interactions between institutions, interests, and ideas to identify how to improve policy decisions and outcomes. This review assessed constructs from current frameworks and theories of health policy analysis to (1) develop a preliminary synthesis of findings from selected frameworks and theories; (2) analyze relationships between elements of those frameworks and theories to construct an overarching framework for health policy analysis; and then, (3) apply that overarching framework to analyze tobacco control policies in Togo and in South Africa. This Comprehensive Framework for Multi-Sectoral Approach to Health Policy Analysis has 4 main constructs: context, content, stakeholders, and strategies. When applied to analyze tobacco control policy processes in Togo and in South Africa, it identified a shared goal in both countries to have a policy content that is compliant with the provisions of international tobacco treaties and differences in strategic interactions between institutions (e.g., tobacco industry, government structures) and in the political context of tobacco control policy process. These findings highlight the need for context-specific political mapping identifying the interests of all stakeholders and strategies for interaction between health and other sectors when planning policy formulation or implementation.

scholarly journals Assessment of Tobacco Consumption and Control in India

2018 ◽  
Vol 9 ◽  
pp. 117991611875928 ◽  
Author(s):  
Priya Mohan ◽  
Harry A Lando ◽  
Sigamani Panneer
Keyword(s):  
Tobacco Control ◽  
Economic Status ◽  
Public Awareness ◽  
Control Policy ◽  
Tobacco Consumption ◽  
Cultural Practice ◽  
Health Issue ◽  
Public Health Issue ◽  
History Of ◽  
And Control

Tobacco consumption is a huge public health issue in India and its impact is especially devastating among the poor. Effective tobacco control should be a top priority, both as a health issue and as a method to reduce poverty. Tobacco use is deeply ingrained as a cultural practice and there are a myriad of tobacco types. We reviewed multiple determinants of tobacco consumption including socio-economic status, marriage, population growth, marketing strategies, and price. We also considered the tobacco burden including economic and social costs and adverse health impacts especially those resulting from oral cancer. We then addressed the history of tobacco control legislation in India and challenges in implementation. Tobacco consumption in India is continuing to increase despite tobacco control policy. Needed are more visible and aggressive anti-tobacco campaigns including increased public awareness of tobacco harms and active engagement of worksites and health professionals in promoting tobacco cessation.

Clinical, epidemiological and climatic factors related to the occurrence of cutaneous leishmaniasis in an endemic area in northeastern Brazil

2020 ◽  
Author(s):  
R. S. Oliveira ◽  
K. B. A. Pimentel ◽  
M. L. Moura ◽  
C. F. Aragão ◽  
A. S. Guimarães-e-Silva ◽  
...  
Keyword(s):  
Cutaneous Leishmaniasis ◽  
Climatic Factors ◽  
Wide Distribution ◽  
Northeastern Brazil ◽  
Public Health Issue ◽  
Air Humidity ◽  
Disease Occurrence ◽  
Relative Air Humidity ◽  
Age Range ◽  
And Control

Abstract Cutaneous leishmaniasis (CL) is a neglected tropical disease with a wide distribution in the Americas. Brazil is an endemic country and present cases in all states. This study aimed to describe the occurrence, the underlying clinical and epidemiological factors, and the correlation of climatic variables with the frequency of reported CL cases in the municipality of Caxias, state of Maranhão, Brazil. This is a retrospective and descriptive epidemiological study based on data extracted from the Brazilian Information System of Diseases Notification, from 2007 to 2017. Maximum and minimum temperature, precipitation, and relative air humidity data were provided by the Brazilian National Institute of Meteorology. A total of 201 reported autochthonous CL cases were analyzed. The predominance of cases was observed in males (70.1%). The age range between 31 and 60 years old was the most affected, with 96 cases (47.9%). Of the total number of registered cases, 38.8% of the affected individuals were engaged in agriculture-related activities. The georeferenced distribution revealed the heterogeneity of disease occurrence, with cases concentrated in the Western and Southern regions of the municipality. An association was detected between relative air humidity (monthly mean) and the number of CL cases per month (p = 0.04). CL continues to be a concerning public health issue in Caxias. In this context, there is a pressing need to strengthen measures of prevention and control of the disease through the network of health services of the municipality, considering local and regional particularities.

scholarly journals Conducting health policy analysis in primary care research: turning clinical ideas into action

2019 ◽  
Vol 7 (2) ◽  
pp. e000076 ◽  
Author(s):  
Alina Engelman ◽  
Ben Case ◽  
Lisa Meeks ◽  
Michael D Fetters
Keyword(s):  
Primary Care ◽  
Health Policy ◽  
Policy Analysis ◽  
Pap Smear ◽  
Policy Research ◽  
Primary Care Providers ◽  
Care Providers ◽  
Total Hysterectomy ◽  
Health Policy Analysis ◽  
Pap Smear Screening

Healthcare guidelines play a prominent role in the day-to-day practice of primary care providers, and health policy research leads to the formation of these guidelines. Health policy research is the multidisciplinary approach to public policy explaining the interaction between health institutions, special interests and theoretical constructs. In this article, we demonstrate how primary care providers can conduct high-impact health policy research using Eugene Bardach’s eightfold policy analysis framework in a primary care context. In a medical case, a woman with a history of total hysterectomy had scheduled a visit for a Papanicolaou (Pap) smear screening test as part of a well-woman health check-up with a family medicine resident. Conflicting recommendations on Pap smear screening after total hysterectomy sparked an investigation using the US Preventive Services Task Force criteria for conducting a health policy analysis. We illustrate broadly how clinical care dilemmas can be examined by using Bardach’s broadly applicable health policy framework in order to inform meaningful policy change. Bardach’s framework includes (1) defining the problem, (2) assembling evidence, (3) constructing alternatives, (4) selecting criteria, (5) projecting outcomes, (6) confronting trade-offs, (7) decision-making and (8) sharing the results of the process. The policy analysis demonstrated insufficient evidence to recommend Pap test screening after hysterectomy and the findings contributed to national recommendations. By following Bardach’s steps, primary care researchers have a feasible and powerful tool for conducting meaningful health policy research and analysis that can influence clinical practice.

Retrospective Analysis of Tobacco Control Measures and Policies in China

2021 ◽  
Vol 7 (4) ◽  
pp. 295-299
Author(s):  
Lian He ◽  
Xiaoxin Chen ◽  
Chunzi Shao
Keyword(s):  
Tobacco Control ◽  
Control Period ◽  
Control Measures ◽  
Chinese Government ◽  
Consumption Tax ◽  
Short Term ◽  
Tax Rate ◽  
Effective Role ◽  
Regulatory Measures ◽  
And Control

Objectives: Tobacco control measures can be divided into three types: regulatory, economic, and informational respectively. This paper focuses on the role and effect of different types of tobacco control measures during the epidemic prevention and control period in China. Conclusion: Firstly, as strong and powerful measures, economic measures can significantly reduce cigarette sales in the short term. However, the Chinese government did not adjust the cigarette consumption-tax rate during the period. Economic measures thus did not play an important role. Secondly, Due to few people in public places and workplaces, regulatory measures were "out of effect" in a short term. Therefore, there were insufficient evidence to find out whether regulatory measures are effective or not. Finally, China's tobacco production increased slightly during this period. This reflected that informational measures did not play an effective role.

Research on Urban Public Security Risk Management under the Background of Tobacco Control

2021 ◽  
Vol 7 (5) ◽  
pp. 911-920
Author(s):  
Suqin Chen
Keyword(s):  
Risk Management ◽  
Tobacco Control ◽  
Public Safety ◽  
Prevention And Control ◽  
Living Environment ◽  
Public Security ◽  
Security Risk ◽  
The Future ◽  
Security Risk Management ◽  
And Control

Objectives: Through the reflection on the city’s response to the crisis in the process of tobacco control, a comprehensive and systematic public safety prevention and control system will be built to help cities cope with future risks and challenges. Methods: By using the methodological principle of the unity of subject and object and systematic research, this paper analyzes the problems from the three aspects of subject, object and means, and puts forward three important links of prevention, response and guarantee to construct a large urban public security system, and these three links support each other form a closed loop of risk prevention and control urban public security. Results: Under the background of tobacco control, it is feasible to a reliable whole-cycle management system for urban emergency response and accident rescue, a sound basic public safety guarantee system and a whole-society participation system. Conclusions: Due to the change of global climate conditions and the increase of flow people in the social environment, human beings will face a more complex living environment in the future and may encounter more extreme problems. It can be said that at present and even in the future, global urban public security risk management work is facing a grim situation. WHO research shows that smoking will increase the risk of new crown virus infection among smokers and their surrounding population.China is a big smoking country and in the stage of rapid urbanization. Many citiesare densely populated. Once there is an epidemic infection, the cities will face a severe public security situation. Smoking will not only have an adverse impact on personal health, but also the fires in factories, homes and forests caused by smoking.Since the Chinese government’s tobacco control in 2014, various accidents caused by smoking have caused great adverse effects.Smoking in public places has great hidden dangers of public safety, which leads us to think about the risk management of urban public safety.In the context of tobacco control, we should use scientific thinking and methods to construct a new pattern of urban public security risk management. Another important concept is to implement the risk management concept and the value of prevention first in the management of public affairs, so as to create a situation of risk sharing and coordinated response of the whole society.

Health promotion through youth empowerment to prevent and control smoking behavior: a conceptual paper

2021 ◽  
Vol 121 (3) ◽  
pp. 275-294
Author(s):  
Heni Trisnowati ◽  
Djauhar Ismail ◽  
Retna Siwi Padmawati
Keyword(s):  
Health Promotion ◽  
Tobacco Control ◽  
Prevention And Control ◽  
Smoking Behavior ◽  
Community Empowerment ◽  
Smoking Prevention ◽  
Youth Empowerment ◽  
Content Type ◽  
Planning Implementation ◽  
And Control

PurposeThis paper aimed to review globally the empowerment programs for the prevention and control of smoking behavior among youths, to examine the role of empowerment in health promotion, to explore the stages of health promotion through community empowerment strategies including planning, implementation and evaluation. Finally, this paper will develop a model of youth empowerment to prevent and control smoking behavior that reflects theory and experience drawn from the literature.Design/methodology/approachThis review synthesized articles on community empowerment and health promotion, youth empowerment programs for tobacco prevention and control globally from books and electronic databases from the Universitas Gadjah Mada (UGM) library in the publication period 2000–2020. Relevant literature was selected and critically reviewed which reflected the role empowerment in health promotion, stage of community empowerment strategy as described by Laverack and youth empowerment concept in tobacco control as described by Holden.FindingsDocuments that specifically discuss empowerment programs for smoking prevention and control are still limited. The findings document that youth empowerment in tobacco control do not fully integrate the theory empowerment as described by Laverack and Holden. This paper provides information about the stages of youth empowerment, and a conceptual framework of youth empowerment for the prevention and control of smoking behavior. Youth empowerment is done through the direct involvement of youth in programs starting from program design, planning, implementation and evaluation. Indicators of the success of the empowerment process are reflected in the increase in the empowerment domain. Meanwhile, the output of empowerment can be seen from the individual- or group-level changes.Originality/valueThis paper proposes a model of youth empowerment for the prevention and control of smoking behavior among youths based on theory and experience in the field.

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