Shifting from tobacco growing to alternatives in Malawi? A qualitative analysis of policy and perspectives

Author:

Lencucha Raphael1,Moyo Takondwa2,Labonte Ronald3,Drope Jeffrey4,Appau Adriana5,Makoka Donald2

Affiliation:

1. Faculty of Medicine, School of Physical and Occupational Therapy, Hosmer House, 3630 Promenade Sir William Osler, Montreal, QC H3G 1Y5, Canada

2. Center for Agricultural Research and Development, Lilongwe University of Agriculture and Natural Resources, Lilongwe, P.O. Box 219, Malawi

3. School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario K1G 5Z3, Canada

4. American Cancer Society, Economic and Health Policy Research, Atlanta, 250 Williams Street Atlanta, GA 30303, USA

5. PolicyWise for Children and Families, 609 14 St NW #402, Calgary, AB T2N 2A1, Canada

Abstract

Abstract Tobacco is the primary export commodity in Malawi and an important contributor to foreign earnings. The entrenchment of tobacco interests within government has partly explained why Malawi has lagged in its efforts to address the health consequences of tobacco and has been a vocal opponent of global tobacco control. Despite the extensive historical and entrenched relationship between the economy of Malawi and tobacco production, there have been important shifts at the highest policy levels towards the need to explore diversification in the agricultural sector. There is explicit recognition that alternatives to tobacco production must be pursued. This study provides an analysis of the policies and perspectives that characterize contemporary government approaches to tobacco and alternatives in Malawi by interviewing key government officials working on tobacco policy and reviewing recent policy documents. This research finds that there is openness and movement towards reducing tobacco growing in Malaw, including efforts to reduce tobacco dependency. Rather than a singular tobacco policy discourse in the country, there is a somewhat conflictual set of policies and perspectives on the future of tobacco in Malawi. Informing these policies and perspectives is the interplay between the economics of agricultural production (tobacco vs other crops), global markets (ranging from the ability to generate export earnings to the inability to compete with wealthier countries’ non-tobacco crop subsidies) and the lack of developed supply and value chains other than those created by the transnational tobacco industry. The implications for government policy supporting a move away from tobacco dependence are not straightforward: there is a need to fill the supply chain gap for alternative crops, which requires not only strong intersectoral support within the country (and some challenge to the residual pro-tobacco narratives) but also international support.

Funder

Office of the Director

National Institutes of Health

National Cancer Institute

National Institute on Drug Abuse

Fogarty International Center and National Cancer Institute

Publisher

Oxford University Press (OUP)

Subject

Health Policy

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