Abstract
IntroductionWhile Uganda has made legislative progress towards implementing Article 5.3 of the WHO Framework Convention on Tobacco Control (FCTC), ongoing challenges in minimising tobacco industry interference have not been adequately explored. This analysis focuses on understanding difficulties in managing industry engagement across government ministries and in developing effective whole-of-government accountability for tobacco control.MethodsInterviews with Uganda government officials within the health sector and beyond, including in Ministries of Trade, Agriculture and Revenue.ResultsThe findings indicate substantial variations in awareness of Article 5.3, its norm and practices across government sectors. The data suggest ambiguity and uncertainty about accountability for Article 5.3 implementation, with policy makers in departments beyond health often uncertain about obligations under the FCTC. Second, we highlight how responsibility for Article 5.3 implementation and the obligations incurred are widely seen as restricted to the Ministry of Health. Third, competing mandates and perceived difficulties in reconciling health goals with economic growth are shown to impact on accountability for tobacco control. Yet, importantly, the data also demonstrate enthusiasm in some unexpected parts of government for actively engaging with Article 5.3 and for promoting greater intersectoral coordination.ConclusionThis paper demonstrates the intrinsic challenges of developing whole-of-government approaches, highlighting considerable uncertainty and ambiguity among decision makers in Uganda about tobacco control governance. The analysis points to the potential for Uganda’s national coordinating mechanism to help reconcile competing expectations and demonstrate the importance of Article 5.3 beyond health actors.
Funder
UKRI Global Challenges Research Fund
Subject
Public Health, Environmental and Occupational Health,Health (social science)
Reference33 articles.
1. WHO . WHO framework convention on tobacco control, 2003. Available: https://apps.who.int/iris/bitstream/handle/10665/42811/9241591013.pdf?sequence=1
2. Assunta M . Global tobacco industry interference index. global center for good governance in tobacco control (GGTC), 2019. Available: https://exposetobacco.org/wp-content/uploads/2019/10/GlobalTIIIndex_Report_2019.pdf
3. Impact assessment of the WHO Framework Convention on Tobacco Control: introduction, general findings and discussion
4. Controlling corporate influence in health policy making? an assessment of the implementation of article 5.3 of the world Health organization framework convention on tobacco control;Fooks;Global Health,2017
5. Exposing and addressing tobacco industry conduct in low-income and middle-income countries
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献