Evidence map›Paper›PMID 35101970›Full record

ArticleTobacco control2022

'They have a right to participate as a stakeholder': Article 5.3 implementation and government interactions with the tobacco industry in Ethiopia.

Selamawit Hirpa, Rob Ralston, Wakgari Deressa, Jeff Collin

Open access · hybridAbstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
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

13 citing papers in PubMed, 17 citations in OpenAlex.

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  7. Addressing tobacco industry influence in tobacco-growing countries.Bulletin of the World Health Organization · 2024
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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

4 authors at 2 institutions in 3 countries.

Selamawit HirpaDepartment of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia selamawit.hirpa@gmail.com.
Rob RalstonGlobal Health Policy Unit, Social Policy, School of Social and Political Science, University of Edinbrugh, Edinburgh, UK.ORCID 0000-0001-8664-3565
Wakgari DeressaDepartment of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Jeff CollinGlobal Health Policy Unit, Social Policy, School of Social and Political Science, University of Edinbrugh, Edinburgh, UK.
General Department of Preventive Medicine · VNGlobal Policy Institute · US

Funding

Medical Research Council MR/P027946/2
6 · The paper itself

Abstract

introductionThis paper explores implementation of Article 5.3 of the WHO Framework Convention on Tobacco Control in Ethiopia. The analysis highlights how operationalising key requirements of Article 5.3, such as minimising policy engagement with the tobacco industry, has been mediated by path-dependent processes of stakeholder consultation and collaboration that have persisted following privatisation of Ethiopia's state-owned tobacco monopoly.

methodsWe conducted semistructured interviews with key officials (n=21) working in tobacco control policy, with high levels of access secured across ministries and agencies beyond health.

resultsWe found contrasting levels of awareness of Article 5.3 across government sectors, with extremely limited awareness in departments beyond health. The data also highlight competing ideas about conflict of interest, in which recognition of a fundamental conflict of interest with the tobacco industry is largely confined to health actors. Beyond limited cross-sectoral awareness and understanding of Article 5.3, gaps in implementation are exacerbated by assumptions and practices around stakeholder consultation, in which attempts to minimise policy interactions with the tobacco industry are mediated by institutionally embedded processes that presume active engagement. The results also highlight a continuation of the close relationship between the Ethiopian government and tobacco monopoly following its privatisation.

conclusionThe Ethiopian government's recent achievements in tobacco control legislation require that policymakers are actively supported in reconciling perceived tensions and requirements for stakeholder consultation. Effective tobacco control governance would be further enhanced by enabling government agencies to more clearly identify which interactions with the tobacco industry are strictly necessary under Article 5.3 guideline recommendations.

Indexed as

Tobacco IndustryTobacco ProductsEthiopiaGovernmentHealth PolicyHumansglobal healthpublic policytobacco industry

Identifiers

PMID35101970
PMCPMC9125371
OpenAlexW4210362545

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.