ArticleTobacco control2022
Institutional tensions, corporate social responsibility and district-level governance of tobacco industry interference: analysing challenges in local implementation of Article 5.3 measures in Karnataka, India.
Article in Tobacco control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Maternal and Indoor Smoking Are Associated with Increased Risk of Acute Respiratory Infection in Under-Five Children: A Meta-Analysis of National Survey Data from Eight Asia-Pacific Countries.Healthcare (Basel, Switzerland) · 2026Article
- Implementing the World Health Organization - Framework Convention on Tobacco Control Article 5.3: A qualitative study in 17 Indian states.PLOS global public health · 2026Article
- Corporate political activity of the food industry in the development of food policies in Latin America and the Caribbean: a narrative review of the current literature.Globalization and health · 2025Review
- Bibliometric Analysis of Corporate Social Responsibility and Its Impact on Community Health.International journal of environmental research and public health · 2025Article
- Navigating Challenges in Tobacco Control: A Systematic Review of Barriers to Implementing Article 5.3 of the WHO Framework Convention on Tobacco Control (FCTC).Addiction & health · 2025Review
- Collaborative dynamics and shared motivation: exploring tobacco control policy development in Zambia.Health policy and planning · 2024Article
- State of the literature discussing smoke-free policies globally: A narrative review.Tobacco induced diseases · 2024Review
- The role of principled engagement in public health policymaking: the case of Zambia's prolonged efforts to develop a comprehensive tobacco control policy.Global health action · 2023Article
- Asian, regional, and national burdens of respiratory tract cancers and associated risk factors from 1990 to 2019: A systematic analysis for the global burden of disease study 2019.Chinese medical journal pulmonary and critical care medicine · 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
- 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
- Norms, rules and policy tools: understanding Article 5.3 as an instrument of tobacco control governance.Tobacco control · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
introductionAccelerating progress on tobacco control will require Article 5.3 of the WHO Framework Convention on Tobacco Control to be systematically integrated into policies and practices of sectors beyond health at diverse government levels. However, no study has explored implementation challenges of Article 5.3 within multilevel systems such as India, where political decisions on tobacco control occur at diverse government levels, which may constrain action at local level.
methodsBased on 33 semi-structured interviews with diverse government and civil society stakeholders across four districts in Karnataka, India (Mysore, Mangalore, Bengaluru (rural) and Udupi), this study examines challenges to implement Article 5.3 arising from competing agendas and policies of different actors at multiple levels.
resultsOur analysis reveals generally low levels of awareness of Article 5.3 and its guideline recommendations, even among those directly involved in tobacco control at district level. Efforts to implement Article 5.3 were also challenged by competing views on the appropriate terms of engagement with industry actors. Scope to reconcile tensions across competing health, agriculture and commercial agendas was further constrained by the policies and practices of the national Tobacco Board, thereby undermining local implementation of Article 5.3. The most challenging aspect of Article 5.3 implementation was the difficulties in restricting engagement by government officials and departments with tobacco industry corporate social responsibility initiatives given national requirements for such activities among major corporations.
conclusionsPromoting effective implementation of Article 5.3 in Karnataka will require policymakers to work across policy silos and reconcile tensions across India's national health and economic priorities.
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