Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study
Abstract Background Tobacco use has serious public health implications for both smokers and non-smokers and significant economic implications on health care spending for governments. Tobacco-related deaths are preventable through well-formulated and implemented tobacco control policies. Using tobacc...
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5830-x |
| _version_ | 1818529359024095232 |
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| author | Shukri F. Mohamed Pamela Juma Gershim Asiki Catherine Kyobutungi |
| author_facet | Shukri F. Mohamed Pamela Juma Gershim Asiki Catherine Kyobutungi |
| author_sort | Shukri F. Mohamed |
| collection | DOAJ |
| description | Abstract Background Tobacco use has serious public health implications for both smokers and non-smokers and significant economic implications on health care spending for governments. Tobacco-related deaths are preventable through well-formulated and implemented tobacco control policies. Using tobacco policy as a case study, we aim to describe the tobacco control policy formulation and implementation and the associated facilitators and barriers in Kenya. Method We used a case-study methodology to integrate two sources of data: a document review of relevant policy documents, published articles and reports between 2004 and 2015 (N = 24 documents) and in-depth interviews (N = 39). Participants were from sectors relevant to tobacco control: research and academia, government, private industry, civil society and non-governmental organizations. Thematic analysis was used to analyze all data. Results Kenya developed a comprehensive tobacco policy in 2007. The main facilitators to the policy formulation and implementation process were (1) political commitment and strong leadership, (2) the presence of a coordination mechanism, (3) stakeholder passion and commitment, (4) resources and (5) constitutional requirement for inclusion of stakeholders. The main barriers to policy formulation and implementation were (1) industry interference, (2) resources, (3) poor enforcement and (4) lack of clear roles. Conclusion Although the process for formulating a tobacco control policy in Kenya was protracted, the current policy aligns well with current global efforts. The implementation is still weak and this can be enhanced by provision of necessary resources and continued engagement of all relevant stakeholders. There is a need for continued engagement with political leadership and continuous international information exchange on how policy-makers can address and counter industry interference in tobacco control efforts. |
| first_indexed | 2024-12-11T17:05:52Z |
| format | Article |
| id | doaj.art-c54404b002904c429cf7be76de75fff8 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T17:05:52Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-c54404b002904c429cf7be76de75fff82022-12-22T00:57:41ZengBMCBMC Public Health1471-24582018-08-0118S111410.1186/s12889-018-5830-xFacilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative studyShukri F. Mohamed0Pamela Juma1Gershim Asiki2Catherine Kyobutungi3African Population and Health Research Center (APHRC)African Population and Health Research Center (APHRC)African Population and Health Research Center (APHRC)African Population and Health Research Center (APHRC)Abstract Background Tobacco use has serious public health implications for both smokers and non-smokers and significant economic implications on health care spending for governments. Tobacco-related deaths are preventable through well-formulated and implemented tobacco control policies. Using tobacco policy as a case study, we aim to describe the tobacco control policy formulation and implementation and the associated facilitators and barriers in Kenya. Method We used a case-study methodology to integrate two sources of data: a document review of relevant policy documents, published articles and reports between 2004 and 2015 (N = 24 documents) and in-depth interviews (N = 39). Participants were from sectors relevant to tobacco control: research and academia, government, private industry, civil society and non-governmental organizations. Thematic analysis was used to analyze all data. Results Kenya developed a comprehensive tobacco policy in 2007. The main facilitators to the policy formulation and implementation process were (1) political commitment and strong leadership, (2) the presence of a coordination mechanism, (3) stakeholder passion and commitment, (4) resources and (5) constitutional requirement for inclusion of stakeholders. The main barriers to policy formulation and implementation were (1) industry interference, (2) resources, (3) poor enforcement and (4) lack of clear roles. Conclusion Although the process for formulating a tobacco control policy in Kenya was protracted, the current policy aligns well with current global efforts. The implementation is still weak and this can be enhanced by provision of necessary resources and continued engagement of all relevant stakeholders. There is a need for continued engagement with political leadership and continuous international information exchange on how policy-makers can address and counter industry interference in tobacco control efforts.http://link.springer.com/article/10.1186/s12889-018-5830-xTobaccoControlPoliciesBarriersFacilitatorsFormulation |
| spellingShingle | Shukri F. Mohamed Pamela Juma Gershim Asiki Catherine Kyobutungi Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study BMC Public Health Tobacco Control Policies Barriers Facilitators Formulation |
| title | Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study |
| title_full | Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study |
| title_fullStr | Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study |
| title_full_unstemmed | Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study |
| title_short | Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study |
| title_sort | facilitators and barriers in the formulation and implementation of tobacco control policies in kenya a qualitative study |
| topic | Tobacco Control Policies Barriers Facilitators Formulation |
| url | http://link.springer.com/article/10.1186/s12889-018-5830-x |
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