Evidence map›Paper›PMID 26135987›Full record

ArticleTobacco control2016

Investment incentives and the implementation of the Framework Convention on Tobacco Control: evidence from Zambia.

Raphael Lencucha, Jeffrey Drope, Ronald Labonte, Richard Zulu, Fastone Goma

Abstract read
In one paragraph

Article in Tobacco control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Implications for farmers of measures to reduce sugars consumption.Bulletin of the World Health Organization · 2021
    Article
  15. Explaining Why Farmers Grow Tobacco: Evidence From Malawi, Kenya, and Zambia.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  16. Article
  17. Review
  18. The Political Economy of Tobacco in Mozambique and Zimbabwe: A Triangulation Mixed Methods Protocol.International journal of environmental research and public health · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Raphael LencuchaFaculty of Medicine, McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada.
Jeffrey DropeEconomic and Health Policy Research, American Cancer Society, Atlanta, Georgia, USA Department of Political Science, Marquette University, Milwaukee, Wisconsin, USA.
Ronald LabonteInstitute of Population Health, University of Ottawa, Ottawa, Ontario, Canada.
Richard ZuluFaculty of Medicine, University of Zambia, Lusaka, Zambia.
Fastone GomaFaculty of Medicine, University of Zambia, Lusaka, Zambia.

Funding

Building Research and Capacity on the Economic Policy-Tobacco Control Nexus in AfR01DA035158 · NIDA · AMERICAN CANCER SOCIETY, INC. · PI DROPE, JEFFREY · 2012 to 2016
$1.3M
NIDA NIH HHS R01 DA035158
6 · The paper itself

Abstract

purposePolicy misalignment across different sectors of government serves as one of the pivotal barriers to WHO Framework Convention on Tobacco Control (FCTC) implementation. This paper examines the logic used by government officials to justify investment incentives to increase tobacco processing and manufacturing in the context of FCTC implementation in Zambia.

methodsWe conducted qualitative semistructured interviews with key informants from government, civil society and intergovernmental economic organisations (n=23). We supplemented the interview data with an analysis of public documents pertaining to the policy of economic development in Zambia.

resultsWe found gross misalignments between the policies of the economic sector and efforts to implement the provisions of the FCTC. Our interviews uncovered the rationale used by officials in the economic sector to justify providing economic incentives to bolster tobacco processing and manufacturing in Zambia: (1) tobacco is not consumed by Zambians/tobacco is an export commodity, (2) economic benefits outweigh health costs and (3) tobacco consumption is a personal choice.

conclusionsMuch of the struggle Zambia has experienced in implementing the FCTC can be attributed to misalignments between the economic and health sectors. Zambia's development agenda seeks to bolster agricultural processing and manufacturing. Tobacco control proponents must recognise and work within this context in order to foster productive strategies with those working on tobacco supply issues. These findings are broadly applicable to the global context. It is important that the Ministry of Health monitors the tobacco policy of and engages with these sectors to find ways of harmonising FCTC implementation.

Indexed as

CommerceHealth PolicyHumansInterviews as TopicInvestmentsMotivationSmokingSmoking PreventionTobacco IndustryTobacco ProductsWorld Health OrganizationZambiaGlobal healthLow/Middle income countryPublic policy

Identifiers

PMID26135987
PMCPMC4887414

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.