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Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study

BACKGROUND: In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps and tur...

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Autores principales: Bell, Colin, Latu, Catherine, Na’ati, Elisiva, Snowdon, Wendy, Moodie, Marj, Waqa, Gade
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8626938/
https://www.ncbi.nlm.nih.gov/pubmed/34838081
http://dx.doi.org/10.1186/s12992-021-00788-z
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author Bell, Colin
Latu, Catherine
Na’ati, Elisiva
Snowdon, Wendy
Moodie, Marj
Waqa, Gade
author_facet Bell, Colin
Latu, Catherine
Na’ati, Elisiva
Snowdon, Wendy
Moodie, Marj
Waqa, Gade
author_sort Bell, Colin
collection PubMed
description BACKGROUND: In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps and turkey tails. The objective of this study was to describe barriers to and facilitators of these import duties from a policy-maker perspective. METHODS: A case study was conducted to analyse implementation of policies originally modelled by the Pacific Obesity Prevention in Communities project to reduce mortality in the Kingdom of Tonga. Policymakers (n = 15) from the Ministries of Revenue, Health, Finance and Labour and Commerce involved in the development and implementation of Tonga’s food-related policies participated in key-informant interviews. RESULTS: The main facilitator of import duties were strong leadership and management, cross-sector collaboration, awareness raising and advocacy, nature of the policy, and the effective use of data to model policy impacts and inform the general public. The absence of clear lines of responsibility and a decline in collaboration over time were identified as barriers to implementation of the import duties. CONCLUSION: In a small Island state implementing import duties to prevent non-communicable disease can be straight forward providing policymakers and the community have a shared understanding of the health and economic costs of NCDs.
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spelling pubmed-86269382021-11-29 Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study Bell, Colin Latu, Catherine Na’ati, Elisiva Snowdon, Wendy Moodie, Marj Waqa, Gade Global Health Research BACKGROUND: In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps and turkey tails. The objective of this study was to describe barriers to and facilitators of these import duties from a policy-maker perspective. METHODS: A case study was conducted to analyse implementation of policies originally modelled by the Pacific Obesity Prevention in Communities project to reduce mortality in the Kingdom of Tonga. Policymakers (n = 15) from the Ministries of Revenue, Health, Finance and Labour and Commerce involved in the development and implementation of Tonga’s food-related policies participated in key-informant interviews. RESULTS: The main facilitator of import duties were strong leadership and management, cross-sector collaboration, awareness raising and advocacy, nature of the policy, and the effective use of data to model policy impacts and inform the general public. The absence of clear lines of responsibility and a decline in collaboration over time were identified as barriers to implementation of the import duties. CONCLUSION: In a small Island state implementing import duties to prevent non-communicable disease can be straight forward providing policymakers and the community have a shared understanding of the health and economic costs of NCDs. BioMed Central 2021-11-27 /pmc/articles/PMC8626938/ /pubmed/34838081 http://dx.doi.org/10.1186/s12992-021-00788-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bell, Colin
Latu, Catherine
Na’ati, Elisiva
Snowdon, Wendy
Moodie, Marj
Waqa, Gade
Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_full Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_fullStr Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_full_unstemmed Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_short Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_sort barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in tonga: a case study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8626938/
https://www.ncbi.nlm.nih.gov/pubmed/34838081
http://dx.doi.org/10.1186/s12992-021-00788-z
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