ArticleHealth policy and planning2016
Navigating institutional complexity in the health sector: lessons from tobacco control in Kenya.
Article in Health policy and planning, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Contextual factors impacting WHO Framework Convention on Tobacco Control implementation in Africa-a scoping review.Health promotion international · 2024Article
- Challenges achieving horizontal coherence across health and public security policies in formulating Uruguay's cannabis regulation.Health promotion international · 2024Article
- Exploring the Political Economy Nexus of Tobacco Production and Control: A Case Study from Zambia.Critical public health · 2023Article
- How do tobacco control policies work in low-income and middle-income countries? A realist synthesis.BMJ global health · 2022Article
- Firm foundation or neglected cornerstone? The paradox of Article 5.3 implementation and the challenge of strengthening tobacco control governance.Tobacco control · 2022Article
- 'That is a Ministry of Health thing': Article 5.3 implementation in Uganda and the challenge of whole-of-government accountability.Tobacco control · 2022Article
- Understanding the dynamics of notification and implementation of Article 5.3 across India's states and union territories.Tobacco control · 2022Article
- Advancing whole-of-government approaches to tobacco control: Article 5.3 and the challenge of policy coordination in Bangladesh, Ethiopia, India and Uganda.Tobacco control · 2022Article
- The Political Economy of Tobacco in Mozambique and Zimbabwe: A Triangulation Mixed Methods Protocol.International journal of environmental research and public health · 2020Article
- Global tobacco control and economic norms: an analysis of normative commitments in Kenya, Malawi and Zambia.Health policy and planning · 2018Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
introductionThis research examines the institutional dynamics of tobacco control following the establishment of Kenya's 2007 landmark tobacco control legislation. Our analysis focuses specifically on coordination challenges within the health sector.
methodsWe conducted semi-structured interviews with key informants (n = 17) involved in tobacco regulation and control in Kenya. We recruited participants from different offices and sectors of government and non-governmental organizations.
resultsWe find that the main challenges toward successful implementation of tobacco control are a lack of coordination and clarity of mandate of the principal institutions involved in tobacco control efforts. In a related development, the passage of a new constitution in 2010 created structural changes that have affected the successful implementation of the country's tobacco control legislation. DISCUSSION: We discuss how proponents of tobacco control navigated these two overarching institutional challenges. These findings point to the institutional factors that influence policy implementation extending beyond the traditional focus on the dynamic between government and the tobacco industry. These findings specifically point to the intragovernmental challenges that bear on policy implementation. The findings suggest that for effective implementation of tobacco control legislation and regulation, there is need for increased cooperation among institutions charged with tobacco control, particularly within or involving the Ministry of Health. Decisive leadership was also widely presented as a component of successful institutional reform.
conclusionThis study points to the importance of coordinating policy development and implementation across levels of government and the need for leadership and clear mandates to guide cooperation within the health sector. The Kenyan experience offers useful lessons in the pitfalls of institutional incoherence, but more importantly, the value of investing in and then promoting well-functioning institutions.
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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.