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Balancing science and political economy: Tobacco control and global health
Background: Global tobacco control is a major public health issue, as smoking-related disease burden remains high worldwide. The World Bank and the World Health Organization (WHO) are the driving forces in global tobacco control. However, little research has focused on their development, financing,...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097416/ https://www.ncbi.nlm.nih.gov/pubmed/30191182 http://dx.doi.org/10.12688/wellcomeopenres.14362.1 |
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author | Mukaigawara, Mitsuru Winters, Janelle Fernandes, Genevie Sridhar, Devi |
author_facet | Mukaigawara, Mitsuru Winters, Janelle Fernandes, Genevie Sridhar, Devi |
author_sort | Mukaigawara, Mitsuru |
collection | PubMed |
description | Background: Global tobacco control is a major public health issue, as smoking-related disease burden remains high worldwide. The World Bank and the World Health Organization (WHO) are the driving forces in global tobacco control. However, little research has focused on their development, financing, decision-making, and accountability structures. Methods: We used two strategies to identify the development and structure of global tobacco control initiatives. First, we reviewed the published literature through electronic databases. Second, we conducted grey literature searching. Results: We identified four periods in the Bank’s involvement in global tobacco control, from creation of the evidence base in the 1990s to the implementation of tax reforms. We identified three phases in the WHO’s efforts, from its early recognition of the link between tobacco and health risks in the 1970s to its implementation of the Framework Convention on Tobacco Control. Both organisations are financed by a handful of private philanthropies, and face similar risks for effective tobacco control: reduced accountability and resource mobilisation, poor decision-making authority due to specific donor influence, and difficulty in monitoring and evaluation. Conclusions: Continued attention should be paid not only to the primary health-related outcomes of tobacco use, but also to the decision-making and financing structures to promote tobacco control activities. |
format | Online Article Text |
id | pubmed-6097416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-60974162018-09-05 Balancing science and political economy: Tobacco control and global health Mukaigawara, Mitsuru Winters, Janelle Fernandes, Genevie Sridhar, Devi Wellcome Open Res Research Article Background: Global tobacco control is a major public health issue, as smoking-related disease burden remains high worldwide. The World Bank and the World Health Organization (WHO) are the driving forces in global tobacco control. However, little research has focused on their development, financing, decision-making, and accountability structures. Methods: We used two strategies to identify the development and structure of global tobacco control initiatives. First, we reviewed the published literature through electronic databases. Second, we conducted grey literature searching. Results: We identified four periods in the Bank’s involvement in global tobacco control, from creation of the evidence base in the 1990s to the implementation of tax reforms. We identified three phases in the WHO’s efforts, from its early recognition of the link between tobacco and health risks in the 1970s to its implementation of the Framework Convention on Tobacco Control. Both organisations are financed by a handful of private philanthropies, and face similar risks for effective tobacco control: reduced accountability and resource mobilisation, poor decision-making authority due to specific donor influence, and difficulty in monitoring and evaluation. Conclusions: Continued attention should be paid not only to the primary health-related outcomes of tobacco use, but also to the decision-making and financing structures to promote tobacco control activities. F1000 Research Limited 2018-04-12 /pmc/articles/PMC6097416/ /pubmed/30191182 http://dx.doi.org/10.12688/wellcomeopenres.14362.1 Text en Copyright: © 2018 Mukaigawara M et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Mukaigawara, Mitsuru Winters, Janelle Fernandes, Genevie Sridhar, Devi Balancing science and political economy: Tobacco control and global health |
title | Balancing science and political economy: Tobacco control and global health |
title_full | Balancing science and political economy: Tobacco control and global health |
title_fullStr | Balancing science and political economy: Tobacco control and global health |
title_full_unstemmed | Balancing science and political economy: Tobacco control and global health |
title_short | Balancing science and political economy: Tobacco control and global health |
title_sort | balancing science and political economy: tobacco control and global health |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097416/ https://www.ncbi.nlm.nih.gov/pubmed/30191182 http://dx.doi.org/10.12688/wellcomeopenres.14362.1 |
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