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Multi-stakeholder taskforces in Bangladesh--a distinctive approach to build sustainable tobacco control implementation.

Jackson-Morris AM, Chowdhury I, Warner V, Bleymann K - Int J Environ Res Public Health (2015)

Bottom Line: The MPOWER policy package enables countries to implement effective, evidence-based strategies to address the threat posed to their population by tobacco.Where taskforces were perceived to be functioning well, current positive impacts were perceived, including reduced smoking in public places and tobacco advertising, and increased public awareness and political profile.In districts with less well established taskforces, interviewees believed in their taskforce's 'potential' to deliver similar benefits once their functioning was improved.

View Article: PubMed Central - PubMed

Affiliation: Department of Tobacco Control, The International Union against Tuberculosis and Lung Disease, 8 Randolph Crescent, Edinburgh EH3 7TH, UK. ajackson-morris@theunion.org.

ABSTRACT
The MPOWER policy package enables countries to implement effective, evidence-based strategies to address the threat posed to their population by tobacco. All countries have challenges to overcome when implementing tobacco control policy. Some are generic such as tobacco industry efforts to undermine and circumvent legislation; others are specific to national or local context. Various factors influence how successfully challenges are addressed, including the legal-political framework for enforcement, public and administrative attitudes towards the law, and whether policy implementation measures are undertaken. This paper examines District Tobacco Control Taskforces, a flexible policy mechanism developed in Bangladesh to support the implementation of the Smoking and Tobacco Products Usage (Control) Act 2005 and its 2013 Amendment. At the time of this study published research and/or data was not available and understanding about these structures, their role, contribution, limitations and potential, was limited. We consider Taskforce characteristics and suggest that the "package" comprises a distinctive tobacco control implementation model. Qualitative data is presented from interviews with key informants in ten districts with activated taskforces (n = 70) to provide insight from the perspectives of taskforce members and non-members. In all ten districts taskforces were seen as a crucial tool for tobacco control implementation. Where taskforces were perceived to be functioning well, current positive impacts were perceived, including reduced smoking in public places and tobacco advertising, and increased public awareness and political profile. In districts with less well established taskforces, interviewees believed in their taskforce's 'potential' to deliver similar benefits once their functioning was improved. Recommendations to improve functioning and enhance impact were made. The distinctive taskforce concept and lessons from their development may provide other countries with a flexible local implementation model for tobacco control.

No MeSH data available.


Key features of local Tobacco Control Taskforces.
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ijerph-12-00474-f001: Key features of local Tobacco Control Taskforces.

Mentions: A number of characteristics of the Bangladesh taskforces are seen in the tobacco control implementation approaches of other countries; however, the combination of features of the Bangladesh taskforce model, described in Figure 1 below, appears to be unique. For example, Indonesia has mobile courts that conduct random inspections, but these do not operate within the context of a national or sub-national body. In Pakistan, there are Provincial and District Implementation Committees that include a wide range of stakeholders, yet these committees do not use mobile courts as a key enforcement tool. And in Russia, the national tobacco law (2013) empowers sub-national administrations and community-based organisations but there are no dedicated multi-stakeholder committees for implementation or mobile courts for on-the-spot enforcement.


Multi-stakeholder taskforces in Bangladesh--a distinctive approach to build sustainable tobacco control implementation.

Jackson-Morris AM, Chowdhury I, Warner V, Bleymann K - Int J Environ Res Public Health (2015)

Key features of local Tobacco Control Taskforces.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4306874&req=5

ijerph-12-00474-f001: Key features of local Tobacco Control Taskforces.
Mentions: A number of characteristics of the Bangladesh taskforces are seen in the tobacco control implementation approaches of other countries; however, the combination of features of the Bangladesh taskforce model, described in Figure 1 below, appears to be unique. For example, Indonesia has mobile courts that conduct random inspections, but these do not operate within the context of a national or sub-national body. In Pakistan, there are Provincial and District Implementation Committees that include a wide range of stakeholders, yet these committees do not use mobile courts as a key enforcement tool. And in Russia, the national tobacco law (2013) empowers sub-national administrations and community-based organisations but there are no dedicated multi-stakeholder committees for implementation or mobile courts for on-the-spot enforcement.

Bottom Line: The MPOWER policy package enables countries to implement effective, evidence-based strategies to address the threat posed to their population by tobacco.Where taskforces were perceived to be functioning well, current positive impacts were perceived, including reduced smoking in public places and tobacco advertising, and increased public awareness and political profile.In districts with less well established taskforces, interviewees believed in their taskforce's 'potential' to deliver similar benefits once their functioning was improved.

View Article: PubMed Central - PubMed

Affiliation: Department of Tobacco Control, The International Union against Tuberculosis and Lung Disease, 8 Randolph Crescent, Edinburgh EH3 7TH, UK. ajackson-morris@theunion.org.

ABSTRACT
The MPOWER policy package enables countries to implement effective, evidence-based strategies to address the threat posed to their population by tobacco. All countries have challenges to overcome when implementing tobacco control policy. Some are generic such as tobacco industry efforts to undermine and circumvent legislation; others are specific to national or local context. Various factors influence how successfully challenges are addressed, including the legal-political framework for enforcement, public and administrative attitudes towards the law, and whether policy implementation measures are undertaken. This paper examines District Tobacco Control Taskforces, a flexible policy mechanism developed in Bangladesh to support the implementation of the Smoking and Tobacco Products Usage (Control) Act 2005 and its 2013 Amendment. At the time of this study published research and/or data was not available and understanding about these structures, their role, contribution, limitations and potential, was limited. We consider Taskforce characteristics and suggest that the "package" comprises a distinctive tobacco control implementation model. Qualitative data is presented from interviews with key informants in ten districts with activated taskforces (n = 70) to provide insight from the perspectives of taskforce members and non-members. In all ten districts taskforces were seen as a crucial tool for tobacco control implementation. Where taskforces were perceived to be functioning well, current positive impacts were perceived, including reduced smoking in public places and tobacco advertising, and increased public awareness and political profile. In districts with less well established taskforces, interviewees believed in their taskforce's 'potential' to deliver similar benefits once their functioning was improved. Recommendations to improve functioning and enhance impact were made. The distinctive taskforce concept and lessons from their development may provide other countries with a flexible local implementation model for tobacco control.

No MeSH data available.