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Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study

BACKGROUND: The Framework Convention on Tobacco Control (FCTC), a World Health Organization treaty, has now been ratified by over 165 countries. However there are concerns that implementing the Articles of the treaty may prove difficult, particularly in the developing world. In this study we have us...

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Autores principales: Owusu-Dabo, Ellis, McNeill, Ann, Lewis, Sarah, Gilmore, Anna, Britton, John
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2822823/
https://www.ncbi.nlm.nih.gov/pubmed/20043862
http://dx.doi.org/10.1186/1471-2458-10-1
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author Owusu-Dabo, Ellis
McNeill, Ann
Lewis, Sarah
Gilmore, Anna
Britton, John
author_facet Owusu-Dabo, Ellis
McNeill, Ann
Lewis, Sarah
Gilmore, Anna
Britton, John
author_sort Owusu-Dabo, Ellis
collection PubMed
description BACKGROUND: The Framework Convention on Tobacco Control (FCTC), a World Health Organization treaty, has now been ratified by over 165 countries. However there are concerns that implementing the Articles of the treaty may prove difficult, particularly in the developing world. In this study we have used qualitative methods to explore the extent to which the FCTC has been implemented in Ghana, a developing country that was 39(th )to ratify the FCTC, and identify barriers to effective FCTC implementation in low income countries. METHODS: Semi-structured interviews with 20 members of the national steering committee for tobacco control in Ghana, the official multi-disciplinary team with responsibility for tobacco control advocacy and policy formulation, were conducted. The Framework method for analysis and NVivo software were used to identify key issues relating to the awareness of the FCTC and the key challenges and achievements in Ghana to date. RESULTS: Interviewees had good knowledge of the content of the FCTC, and reported that although Ghana had no explicitly written policy on tobacco control, the Ministry of Health had issued several tobacco control directives before and since ratification. A national tobacco control bill has been drafted but has not been implemented. Challenges identified included the absence of a legal framework for implementing the FCTC, and a lack of adequate resources and prioritisation of tobacco control efforts, leading to slow implementation of the treaty. CONCLUSION: Whilst Ghana has ratified the FCTC, there is an urgent need for action to pass a national tobacco control bill into law to enable it to implement the treaty, sustain tobacco control efforts and prevent Ghana's further involvement in the global tobacco epidemic.
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spelling pubmed-28228232010-02-17 Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study Owusu-Dabo, Ellis McNeill, Ann Lewis, Sarah Gilmore, Anna Britton, John BMC Public Health Research article BACKGROUND: The Framework Convention on Tobacco Control (FCTC), a World Health Organization treaty, has now been ratified by over 165 countries. However there are concerns that implementing the Articles of the treaty may prove difficult, particularly in the developing world. In this study we have used qualitative methods to explore the extent to which the FCTC has been implemented in Ghana, a developing country that was 39(th )to ratify the FCTC, and identify barriers to effective FCTC implementation in low income countries. METHODS: Semi-structured interviews with 20 members of the national steering committee for tobacco control in Ghana, the official multi-disciplinary team with responsibility for tobacco control advocacy and policy formulation, were conducted. The Framework method for analysis and NVivo software were used to identify key issues relating to the awareness of the FCTC and the key challenges and achievements in Ghana to date. RESULTS: Interviewees had good knowledge of the content of the FCTC, and reported that although Ghana had no explicitly written policy on tobacco control, the Ministry of Health had issued several tobacco control directives before and since ratification. A national tobacco control bill has been drafted but has not been implemented. Challenges identified included the absence of a legal framework for implementing the FCTC, and a lack of adequate resources and prioritisation of tobacco control efforts, leading to slow implementation of the treaty. CONCLUSION: Whilst Ghana has ratified the FCTC, there is an urgent need for action to pass a national tobacco control bill into law to enable it to implement the treaty, sustain tobacco control efforts and prevent Ghana's further involvement in the global tobacco epidemic. BioMed Central 2010-01-01 /pmc/articles/PMC2822823/ /pubmed/20043862 http://dx.doi.org/10.1186/1471-2458-10-1 Text en Copyright ©2010 Owusu-Dabo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Owusu-Dabo, Ellis
McNeill, Ann
Lewis, Sarah
Gilmore, Anna
Britton, John
Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study
title Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study
title_full Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study
title_fullStr Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study
title_full_unstemmed Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study
title_short Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana: a qualitative study
title_sort status of implementation of framework convention on tobacco control (fctc) in ghana: a qualitative study
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2822823/
https://www.ncbi.nlm.nih.gov/pubmed/20043862
http://dx.doi.org/10.1186/1471-2458-10-1
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