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The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa

Background: Non-communicable diseases are on the rise across sub-Saharan Africa. The region has become a targeted growth market for sugar-sweetened beverages, which are associated with weight gain, cardiovascular diseases and diabetes. Objective: To identify politico-economic factors relevant to nut...

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Autores principales: Thow, Anne Marie, Abdool Karim, Safura, Mukanu, Mulenga M., Ahaibwe, Gemma, Wanjohi, Milka, Gaogane, Lebogang, Amukugo, Hans Justus, Ruhara, Charles Mulindabigwi, Ngoma, Twalib, Asiki, Gershim, Erzse, Agnes, Hofman, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078959/
https://www.ncbi.nlm.nih.gov/pubmed/33877032
http://dx.doi.org/10.1080/16549716.2021.1909267
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author Thow, Anne Marie
Abdool Karim, Safura
Mukanu, Mulenga M.
Ahaibwe, Gemma
Wanjohi, Milka
Gaogane, Lebogang
Amukugo, Hans Justus
Ruhara, Charles Mulindabigwi
Ngoma, Twalib
Asiki, Gershim
Erzse, Agnes
Hofman, Karen
author_facet Thow, Anne Marie
Abdool Karim, Safura
Mukanu, Mulenga M.
Ahaibwe, Gemma
Wanjohi, Milka
Gaogane, Lebogang
Amukugo, Hans Justus
Ruhara, Charles Mulindabigwi
Ngoma, Twalib
Asiki, Gershim
Erzse, Agnes
Hofman, Karen
author_sort Thow, Anne Marie
collection PubMed
description Background: Non-communicable diseases are on the rise across sub-Saharan Africa. The region has become a targeted growth market for sugar-sweetened beverages, which are associated with weight gain, cardiovascular diseases and diabetes. Objective: To identify politico-economic factors relevant to nutrition-related fiscal policies, and to draw lessons regarding strategies to strengthen sugar-sweetened beverages taxation in the region and globally. Methods: We collected documentary data on policy content, stakeholders and corporate political activity from seven countries in east and southern Africa augmented by qualitative interviews in Botswana, Namibia, Kenya and Zambia, and stakeholder consultations in Rwanda, Tanzania and Uganda. Data were analysed using a political economy framework, focusing on ideas, institutions, interests and power, and a ‘bricolage’ approach was employed to identify strategies for future action. Results: Non-communicable diseases were recognised as a priority in all countries. Kenya, Zambia, Rwanda, Tanzania and Uganda had taxes on non-alcoholic beverages, which varied in rate and tax base, but appeared to be motivated by revenue rather than health concerns. Botswana and Namibia indicated intention to adopt sugar-sweetened beverage taxes. Health-oriented sugar-sweetened beverage taxation faced challenges from entrenched economic policy paradigms for industry-led economic growth and was actively opposed by sugar-sweetened beverage-related industries. Strategies identified to support stronger sugar-sweetened beverage taxation included shifting the economic discourse to strengthen health considerations, developing positive public opinion, forging links with the agriculture sector for shared benefit, and leadership by a central government agency. Conclusions: There are opportunities for more strategic public health engagement with the economic sector to foster strong nutrition-related fiscal policy for non-communicable disease prevention in the region.
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spelling pubmed-80789592021-05-06 The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa Thow, Anne Marie Abdool Karim, Safura Mukanu, Mulenga M. Ahaibwe, Gemma Wanjohi, Milka Gaogane, Lebogang Amukugo, Hans Justus Ruhara, Charles Mulindabigwi Ngoma, Twalib Asiki, Gershim Erzse, Agnes Hofman, Karen Glob Health Action Special issue: Readiness for Sugar Sweetened Beverage Taxation in Sub-Saharan Africa Background: Non-communicable diseases are on the rise across sub-Saharan Africa. The region has become a targeted growth market for sugar-sweetened beverages, which are associated with weight gain, cardiovascular diseases and diabetes. Objective: To identify politico-economic factors relevant to nutrition-related fiscal policies, and to draw lessons regarding strategies to strengthen sugar-sweetened beverages taxation in the region and globally. Methods: We collected documentary data on policy content, stakeholders and corporate political activity from seven countries in east and southern Africa augmented by qualitative interviews in Botswana, Namibia, Kenya and Zambia, and stakeholder consultations in Rwanda, Tanzania and Uganda. Data were analysed using a political economy framework, focusing on ideas, institutions, interests and power, and a ‘bricolage’ approach was employed to identify strategies for future action. Results: Non-communicable diseases were recognised as a priority in all countries. Kenya, Zambia, Rwanda, Tanzania and Uganda had taxes on non-alcoholic beverages, which varied in rate and tax base, but appeared to be motivated by revenue rather than health concerns. Botswana and Namibia indicated intention to adopt sugar-sweetened beverage taxes. Health-oriented sugar-sweetened beverage taxation faced challenges from entrenched economic policy paradigms for industry-led economic growth and was actively opposed by sugar-sweetened beverage-related industries. Strategies identified to support stronger sugar-sweetened beverage taxation included shifting the economic discourse to strengthen health considerations, developing positive public opinion, forging links with the agriculture sector for shared benefit, and leadership by a central government agency. Conclusions: There are opportunities for more strategic public health engagement with the economic sector to foster strong nutrition-related fiscal policy for non-communicable disease prevention in the region. Taylor & Francis 2021-04-20 /pmc/articles/PMC8078959/ /pubmed/33877032 http://dx.doi.org/10.1080/16549716.2021.1909267 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Special issue: Readiness for Sugar Sweetened Beverage Taxation in Sub-Saharan Africa
Thow, Anne Marie
Abdool Karim, Safura
Mukanu, Mulenga M.
Ahaibwe, Gemma
Wanjohi, Milka
Gaogane, Lebogang
Amukugo, Hans Justus
Ruhara, Charles Mulindabigwi
Ngoma, Twalib
Asiki, Gershim
Erzse, Agnes
Hofman, Karen
The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa
title The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa
title_full The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa
title_fullStr The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa
title_full_unstemmed The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa
title_short The political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-Saharan Africa
title_sort political economy of sugar-sweetened beverage taxation: an analysis from seven countries in sub-saharan africa
topic Special issue: Readiness for Sugar Sweetened Beverage Taxation in Sub-Saharan Africa
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078959/
https://www.ncbi.nlm.nih.gov/pubmed/33877032
http://dx.doi.org/10.1080/16549716.2021.1909267
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