ArticleBMC public health2018
Implementation of 100% smoke-free law in Uganda: a qualitative study exploring civil society's perspective.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence, trends and distribution of lifestyle cancer risk factors in Uganda: a 20-year systematic review.BMC cancer · 2023Pooled it
- Assessing Compliance and Challenges in Implementing Smoke-Free Zone Regulations in Indonesia.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Second-Hand Tobacco Smoke Exposure: Results of Particulate Matter (PMInternational journal of environmental research and public health · 2024Article
- State of the literature discussing smoke-free policies globally: A narrative review.Tobacco induced diseases · 2024Review
- How do tobacco control policies work in low-income and middle-income countries? A realist synthesis.BMJ global health · 2022Article
- Non-compliance to the Tobacco Control and Regulatory Act among Vendors in the Vicinities of Schools of a Metropolitan City: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2022Article
- Second-Hand Tobacco Smoke Exposure and Smoke-Free Environments in Ethiopia: A Scoping Review and Narrative Synthesis.International journal of environmental research and public health · 2022Article
- Compliance with the smoke-free public places legislation in Nepal: A cross-sectional study from Biratnagar Metropolitan City.PloS one · 2022Article
- Assessment of Tobacco Control Policy Instruments, Status and Effectiveness in Africa: A Systematic Literature Review.Risk management and healthcare policy · 2021Review
- Adherence to smoke-free policies in Ghana: Findings from a cross-sectional survey of hospitality venue owners and staff.Tobacco prevention & cessation · 2021Article
- Support for smoke-free public places among adults in four countries in sub-Saharan Africa.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Implementation of smoke-free law in Denpasar Bali: Between compliance and social norms of smoking.Journal of public health research · 2020Article
- Systemic Solutions for Addressing Non-Communicable Diseases in Low- and Middle-Income Countries.Journal of multidisciplinary healthcare · 2020Review
- Factors influencing cigarette smoking among police and costs of an officer smoking in the workplace at Nsambya Barracks, Uganda.Tobacco prevention & cessation · 2020Article
- Exposure to secondhand smoke in hospitality settings in Ghana: Evidence of changes since implementation of smoke-free legislation.Tobacco induced diseases · 2020Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2016, Uganda became one of few sub-Saharan African countries to implement comprehensive national smoke-free legislation. Since the World Health Organisation recommends Civil Society Organisation's (CSO) involvement to support compliance with smoke-free laws, we explored CSOs' perceptions of law implementation in Kampala, Uganda, and the challenges and opportunities for achieving compliance. Since hospitality workers tend to have the greatest level of exposure to second-hand smoke, we focussed on implementation in respect to hospitality venues (bars/pubs and restaurants).
methodsIn August 2016, three months after law implementation, we invited key Kampala-based CSOs to participate in face-to-face semi-structured interviews. Interviews probed participants' perceptions about law implementation, barriers impeding compliance, opportunities to enhance compliance, and the role of CSOs in supporting law implementation. Interviews were recorded and transcribed. Qualitative content analysis was conducted using the interview transcripts.
resultsFourteen individuals, comprising mainly senior managers from CSOs, participated and reported poor compliance with the smoke-free law in hospitality venues. Respondents noted that contributing factors included low awareness of the law amongst the general public and hospitality staff, limited implementation activities due to scarce resources and lack of coordinated enforcement. Opportunities for improving compliance included capacity building for enforcement agency staff, routine monitoring, rigorous enactment of penalties, and education about the smoke-free law aimed at hospitality venue staff and the general public. Allegations of tobacco industry misinformation were said to have undermined compliance. Civil Society Organisations saw their role as supporting law implementation through education, stakeholder engagement, and evidence-based advocacy.
conclusionsThis study suggests that the process of smoke-free law implementation in Uganda has not aligned with World Health Organisation (WHO) guidelines for implementing smoke-free laws, and highlights that low-income countries may need additional support to enable them to effectively plan for policy implementation and resist industry interference.
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