scholarly journals Retrospective Policy Analysis of Tobacco Prevention and Control in Ethiopia

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Teshome Tesfaye Habebo ◽  
Amirhossein Takian
Keyword(s):  
Policy Analysis ◽  
Tobacco Control ◽  
Policy Process ◽  
Tobacco Consumption ◽  
Policy Formulation ◽  
Tobacco Prevention ◽  
Prevention Policy ◽  
Hand Search ◽  
Leading Role ◽  
And Control

BACKGROUND: The trend of non-communicable diseases is alarmingly increasing and tobacco consumption and exposure to its smoke have been playing the leading role. Thirty-seven Ethiopians deaths per day are attributable to tobacco. Unless appropriately mitigated, this has social, economic and political impacts. Implementation of the appropriate policy is a good remedy; however, the policy process has never been straight forward and always successful. The involvement of different actors makes policy process complex hence agenda setting, policy formulation, implementation, and evaluations have been full of chaos and even may fail at any of these levels. Thus the aim of this review was retrospectively analyzing tobacco-related policies in Ethiopia that are relevant to control tobacco use and mitigate its impacts.METHODS: Systematically, we searched in pub-med, Scopus, Web of Science and Embase. Additionally, we did hand search on Google scholar and national websites. The terms "tobacco","cigar", "cigarette", "control", "prevention", "policy" and"Ethiopia" were used. Eleven of 128 records met the inclusion criteria and then included. For data analysis, we applied the health policy analysis framework developed by Walt and Gilson.RESULT: Lately, Ethiopia enacted and started to implement tobacco control policies and programs, but its implementation is problematic and consumption rate is increasing.CONCLUSION: Despite the early involvement in tobacco control initiatives and enactment of legal frameworks, Ethiopia's journey and current stand to prevent and control the devastating consequences of tobacco is very limited and unsatisfactory. Therefore, we strongly call for further action, strong involvement of private sector and non-governmental organizations.

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.

Boosting the Tobacco Control Vaccine: recognizing the role of the retail environment in addressing tobacco use and disparities

2020 ◽  
pp. tobaccocontrol-2020-055722 ◽  
Author(s):  
Amanda Y. Kong ◽  
Brian A. King
Keyword(s):  
Tobacco Control ◽  
Population Level ◽  
Tobacco Prevention ◽  
Retail Environment ◽  
Demographic Groups ◽  
Innovative Strategies ◽  
And Control ◽  
Racial Ethnic ◽  
Tobacco Endgame

Much of the progress in reducing cigarette smoking and tobacco-related morbidity and mortality among youth and adults is attributable to population-level strategies previously described in the context of the Tobacco Control Vaccine. The retail environment is used heavily by the tobacco industry to promote and advertise its products, and variations in exposure to and characteristics of the retail environment exist across demographic groups. It is therefore also an essential environment for further reducing smoking, as well as ameliorating racial, ethnic and socioeconomic tobacco-related disparities. This commentary provides an overview of the importance of incorporating strategies focused on the tobacco retailer environment (availability; pricing and promotion; advertising and display; age of sale; and retail licensure) as part of a comprehensive approach to tobacco prevention and control. To reach tobacco endgame targets, such innovative strategies are a complement to, but not a replacement for, long-standing evidence-based components of the Tobacco Control Vaccine.

Projecting the future impact of past accomplishments in tobacco control

2020 ◽  
pp. tobaccocontrol-2019-055487
Author(s):  
Michael V Maciosek ◽  
Ann W St Claire ◽  
Paula A Keller ◽  
Amy B LaFrance ◽  
Zack Xu ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Smoking Prevalence ◽  
Control Measures ◽  
Tobacco Prevention ◽  
Quit Smoking ◽  
Control Programmes ◽  
And Control ◽  
Productivity Gains ◽  
Population Effects

BackgroundThe benefits to adults who quit smoking increase over time as former smokers live longer, healthier lives. Youth who never smoke will benefit for decades. Thus, the long-term population effects of tobacco prevention and control policies may be substantial. Yet they are rarely quantified in evaluations of state tobacco control programmes.MethodsUsing a microsimulation model, we predicted the benefits to Minnesotans from 2018 to 2037 of having reduced cigarette smoking prevalence from 1998 to 2017. We first simulated the health and economic harms of tobacco that would have occurred had smoking prevalence stayed at 1997 levels. The harms produced by that scenario were then compared with harms in scenarios with smoking declining at observed rates from 1998 to 2017 and either expected declines from 2018 to 2037 or a greater decline to 5% prevalence in 2037.ResultsWith expected smoking prevalence decreases from 2018 to 2037, Minnesotans will experience 12 298 fewer cancers, 72 208 fewer hospitalisations for cardiovascular disease and diabetes, 31 913 fewer respiratory disease hospitalisations, 14 063 fewer smoking-attributable deaths, $10.2 billion less in smoking-attributable medical expenditures and $9.4 billion in productivity gains than if prevalence had stayed at 1997 levels. These gains are two to four times greater than for the previous 20 years, and would be about 15% higher if Minnesota achieves a 5% adult prevalence rate by 2037.ConclusionsThe tobacco control measures implemented from 1998 to 2017 will produce accelerated benefits during 2018–2037 if modest progress in tobacco prevalence rates is maintained.

scholarly journals Utilizing a Global Cancer Center Network for Tobacco Control: Baseline Survey of MD Anderson´s Global Academic Program´s Sister Institution

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 138s-138s
Author(s):  
L. Foxhall ◽  
I. Tami-Maury ◽  
M. Galindez ◽  
R. Bello ◽  
K. Francis ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Tobacco Use ◽  
Prevention And Control ◽  
Academic Program ◽  
Cancer Center ◽  
Tobacco Prevention ◽  
University Of Texas ◽  
Tobacco Control Policies ◽  
Md Anderson ◽  
And Control

Background: Globally, tobacco can be attributed to more than 7 million deaths each year. To address this potentially avoidable mortality, The University of Texas MD Anderson Cancer Center has engaged its Global Academic Program´s (GAP) sister institutions (SI) by conducting an inaugural tobacco control assessment survey. A similar survey was done with our University of Texas academic and health science center affiliates that led to improved adoption of tobacco control policies as well as prevention and cessation services on all campuses. The baseline data collected will serve as a mechanism to develop a tobacco prevention and control strategy within a global cancer center network. Aim: To assess SI laws and policies regarding tobacco use, existing screening and cessation services. Strategy/Tactics: Qualtrics was used to administer a 27-item survey to our GAP SI from April-October 2017. Survey questions focused on key areas of tobacco prevention and control: policy, tobacco use screening, and cessation services. A survey link was emailed to 34 institutions in 23 countries. Program/Policy process: Survey GAP SI to determine current tobacco prevention and control measures being implemented. Convene GAP SI in May 2018 to share tobacco control best practices across the network and identify resources and supports to strengthen tobacco control efforts at each institution. Build collaborations aimed at progressive actions in tobacco control policies, educational programs and cessation services culturally appropriate to the needs and resources of the GAP network. Outcomes: Of the 34 GAP SI, 26 responded to the survey (76% response rate). Key findings among the 26 responding institutions: policy - 96% are located in cities with laws regulating the sale and/or use of tobacco products by minors and 77% of the cities have laws regulating the use of tobacco in the workplace; 42% of the campuses have designated smoking areas; tobacco use screening - 65% screen for and document patients´ tobacco status, however only 27% screen “all the time”; cessation services - 19% offer telephone counseling as a cessation service; 38% offer cessation services to the community; 46% offer cessation services to employees. What was learned: The baseline assessment identified areas of institutional needs: cessation services and campus policies. Further discussion with the SI will help engage them in further efforts to address gaps in tobacco control. Collectively, we aim to develop action steps to collaborate and enhance existing services by creating a global platform in which tobacco control best practices and resources can be shared.

scholarly journals Impact of the WHO FCTC over the first decade: a global evidence review prepared for the Impact Assessment Expert Group

2018 ◽  
Vol 28 (Suppl 2) ◽  
pp. s119-s128 ◽  
Author(s):  
Janet Chung-Hall ◽  
Lorraine Craig ◽  
Shannon Gravely ◽  
Natalie Sansone ◽  
Geoffrey T Fong
Keyword(s):  
Tobacco Control ◽  
Information Exchange ◽  
Data Extraction ◽  
Smoking Initiation ◽  
Tobacco Consumption ◽  
Tobacco Product ◽  
Health Warnings ◽  
Hand Search ◽  
Tobacco Epidemic ◽  
The Impact

ObjectiveTo present findings of a narrative review on the implementation and effectiveness of 17 Articles of the WHO Framework Convention on Tobacco Control (FCTC) during the Treaty’s first decade.Data sourcesPublished reports on global FCTC implementation; searches of four databases through June 2016; hand-search of publications/online resources; tobacco control experts.Study selectionWHO Convention Secretariat global progress reports (2010, 2012, 2014); 2015 WHO report on the global tobacco epidemic; studies of social, behavioural, health, economic and/or environmental impacts of FCTC policies.Data extractionProgress in the implementation of 17 FCTC Articles was categorised (higher/intermediate/lower) by consensus. 128 studies were independently selected by multiple authors in consultation with experts.Data synthesisImplementation was highest for smoke-free laws, health warnings and education campaigns, youth access laws, and reporting/information exchange, and lowest for measures to counter industry interference, regulate tobacco product contents, promote alternative livelihoods and protect health/environment. Price/tax increases, comprehensive smoking and marketing bans, health warnings, and cessation treatment are associated with decreased tobacco consumption/health risks and increased quitting. Mass media campaigns and youth access laws prevent smoking initiation, decrease prevalence and promote cessation. There were few studies on the effectiveness of policies in several domains, including measures to prevent industry interference and regulate tobacco product contents.ConclusionsThe FCTC has increased the implementation of measures across several policy domains, and these implementations have resulted in measurable impacts on tobacco consumption, prevalence and other outcomes. However, FCTC implementation must be accelerated, and Parties need to meet all their Treaty obligations and consider measures that exceed minimum requirements.

scholarly journals Burden, prevention and control of tobacco consumption in Nepal: a narrative review of existing evidence

2020 ◽  
Author(s):  
Geha Nath Khanal ◽  
Resham Bahadur Khatri
Keyword(s):  
Prevention And Control ◽  
Tobacco Cessation ◽  
Peer Pressure ◽  
Tobacco Consumption ◽  
High Risk Group ◽  
Tobacco Prevention ◽  
Contributing Factors ◽  
Policy Initiatives ◽  
Premature Deaths ◽  
And Control

Abstract Tobacco consumption is one of the major public health problems in the world. Annually, 27 100 premature deaths are attributed to tobacco-related diseases in Nepal. Despite enacting different policies and strategies, the prevalence of tobacco consumption is still high. This study aims to synthesize prevalence, factors associated with its consumption and the policy initiatives for prevention and control in Nepal. This review includes peer-reviewed studies retrieved from two databases (PubMed and EMBASE) and published from 2000 to 2018, and policy initiatives on tobacco prevention and regulations in Nepal. A total of 32 studies and 5 policy documents were reviewed. Findings suggest that tobacco consumption was higher among men, illiterates, older people, people living in rural and mountainous areas and those who initiated smoking as adolescents. Peer pressure and parental/family smoking were major contributing factors for tobacco initiation. Policy analysis showed that low excise tax, weak monitoring mechanisms, poor compliance to bans on the advertisement and promotion of tobacco, smoke-free zones and insufficient programs on tobacco cessation were the major factors behind weak implementation of tobacco-control policies. Hence, targeted and high-risk group tobacco-cessation interventions, increasing taxation and strict policy implementation are crucial for effective tobacco prevention and control in Nepal.

scholarly journals Tobacco Harm Reduction as a Path to Restore Trust in Tobacco Control

2021 ◽  
Vol 18 (11) ◽  
pp. 5560
Author(s):  
Tamar M. J. Antin ◽  
Geoffrey Hunt ◽  
Rachelle Annechino
Keyword(s):  
Harm Reduction ◽  
Tobacco Control ◽  
Significant Proportion ◽  
The United States ◽  
Tobacco Prevention ◽  
Tobacco Harm Reduction ◽  
The People ◽  
Reduction Strategies ◽  
Control And Prevention ◽  
And Control

The controversy of tobacco harm reduction in the United States persists despite evidence that an important audience of tobacco prevention and control, i.e., the people who use or are likely to use nicotine and tobacco products, are engaging in practices that may be considered harm reduction. Despite this, a significant proportion of the US tobacco control and prevention field continues to be guided by a precept that there is “no safe tobacco,” therefore failing to acknowledge practices that may be used to reduce the harms associated with consuming combustible forms of nicotine and tobacco. In this commentary, we argue that ignoring the potential benefits of harm reduction strategies may unintentionally lead to an erosion of trust in tobacco control among some members of the public. Trust in tobacco control as an institution is crucial for the success of tobacco control efforts. To ensure trust, we must return to our basic principles of doing no harm, developing programs that are responsive to people’s experiences, and providing resources in assisting people to reduce the harms that may be associated with practices, such as smoking, which adversely affect health. Only by respecting an individual’s priorities can we cultivate trust and develop tobacco prevention efforts that are grounded in the realities of people’s lives and responsive to their needs.

Assessment of Action Plans as a Guide for Equity-Focused Coalition Work

2021 ◽  
pp. 152483992110591
Author(s):  
Shelby C. Lautner ◽  
Kristen Garcia ◽  
Whitney R. Garney ◽  
Idethia Shevon Harvey
Keyword(s):  
Health Disparities ◽  
Tobacco Control ◽  
Action Plan ◽  
Action Planning ◽  
Lessons Learned ◽  
Assessment Tools ◽  
Tobacco Prevention ◽  
Action Plans ◽  
Systematic Analysis ◽  
And Control

Collaborative capacity within coalitions is required to promote healthy communities and create systemic change. The purpose of this study was to evaluate the quality of three Tobacco Prevention and Control Coalitions’ action plans for their likely ability to address health equity through tobacco cessation efforts. To do this, the Butterfoss State Plan Index was adapted for relevance to community-oriented coalitions, with a focus on health disparities and tobacco control. This study compares three tobacco control coalitions in Texas to quantify their efforts on addressing health disparities through a standardized measurement process. The results of this assessment indicate that there are gaps in existing coalition assessment tools, and action plan norms and requirements, specifically as it pertains to addressing health disparities in a systematic way. Through a systematic analysis of coalition action plans and supporting documents, it is clear that there is a need for more standard inclusion of disparities-focused work within action plans. Community health researchers, coalition members, and coalition funders should consider action plans to be living, iterative documents that are subject to adjustments. Systems-thinking perspective should be used to develop action plans adapted to environmental, community, policy, and other changes. Lessons learned from this study can provide an example of how to incorporate strategies for reducing health disparities within coalition action planning.

Central Agencies and Control in Public Administration

2019 ◽  
Author(s):  
Donald J. Savoie
Keyword(s):  
Human Resources ◽  
Public Administration ◽  
Policy Process ◽  
Political Systems ◽  
Regulatory Policies ◽  
Leading Role ◽  
Wide Perspective ◽  
And Control ◽  
Presidential Systems ◽  
Heads Of Government

The concentration of power at the center of government transcends both political systems and geography. Heads of government everywhere are dealing with powerful forces from permanent election campaigns, social media, 24-hour news channels, the requirement to provide a government-wide perspective on virtually all policy issues, and the need to manage the blame game at a time when transparency requirements are becoming more demanding. They need help to deal with these powerful forces, to manage the policy process, and to direct the work of their government. They can turn to both partisan political advisors and central agencies to assist them in governing from the center. Central agencies stand at the apex of power linking the political with the administrative. They have grown in size and influence in both parliamentary and presidential systems and, in the process, helped heads of government to concentrate more and more power in their own hands. They have grown in size and influence because heads of government have allowed it, if not encouraged it. Central agencies play a leading role in generating policy advice, in allocating financial and human resources, in shaping human resources policies, in monitoring the performance of line departments and agencies, and in establishing regulatory policies that apply both inside and outside government. They have proven to be helpful in helping heads of government to define new measures, to coordinate activities to pursue overarching goals and to make certain that line departments and agencies run on their tracks. It is necessary to explore the capacity of the center of government from several different national settings and from several perspectives to exercise direction on policy and control over the rest of government.

scholarly journals An Analysis of the Million Hearts Initiative utilizing the Centers for Disease Control and Prevention Policy Framework

2021 ◽  
Vol 04 (06) ◽  
Author(s):  
Christine Ku, MPH ◽  
Keyword(s):  
Policy Analysis ◽  
Disease Control ◽  
Policy Process ◽  
Policy Framework ◽  
Strategy Development ◽  
Prevention Policy ◽  
Heart Attacks ◽  
Policy And Strategy ◽  
Control And Prevention ◽  
Centers For Disease Control

This policy analysis of the Million Hearts Initiative (MHI) intended to examine the extent to which the initiative met the policy process guidelines set forth by the Centers for Disease Control and Prevention (CDC). The three objectives were to identify which CDC policy process domains were met; to identify any gaps in implementing the CDC Policy domains; and finally, to determine if the MHI was successful in preventing 1 million heart attacks and strokes within 5 years. The CDC policy process includes five domains: problem identification, policy analysis, policy and strategy development, policy enactment, and policy implementation (1). Data was collected through the use of key words that subject matter experts utilize when describing cardiovascular disease (CVD) risks and peer-reviewed journal articles. Results showed that not all CDC domains were met and there were also gaps when implementing the MHI.

Sign in / Sign up

Export Citation Format

Share Document