Publication: Towards a Political Economy of Tobacco Control in Low- and Middle-Income Countries
Date
2009-08
ISSN
Published
2009-08
Author(s)
Bump, J.B.
Reich, M.R.
Adeyi, O.
Khetrapal, S.
Abstract
This study provides the basis for
constructing a political economy of tobacco control in low-
and middle-income countries (LMICs). The authors first
undertook a literature review of tobacco control in LMICs to
explore the forces that oppose the adoption, implementation,
and enforcement of tobacco control strategies. The authors
then used the sources collected to conduct a stakeholder
analysis, as a first step in constructing a political
economy of tobacco control in LMICs. The authors focused
primarily at the international level because of the dominant
role of transnational tobacco companies (TTCs). The
author's review of the literature suggests four broad
conclusions. First, a political economy approach has been
applied only rarely as a formal analytical methodology in
the literature on the tobacco control in LMICs. Second, even
when the term "political economy" was used in a
document, the paper typically did not explicitly conduct
this kind of analysis and did not directly consider
political strategies for advancing tobacco control. Third,
translating the framework convention on tobacco control into
tobacco use reductions at the national level is likely to
require national-level political economy analyses to define
political strategies appropriate to the particular national
setting. Fourth, tobacco control's present and past is
well documented, but analyses of future scenarios have
focused on projections of health consequences and smoking
trends. How TTCs will try to grow in the future has not been
adequately addressed in the literature.
Citation
“Bump, J.B.; Reich, M.R.; Adeyi, O.; Khetrapal, S.. 2009. Towards a Political Economy of Tobacco Control in Low- and Middle-Income Countries. Health, Nutrition and Population (HNP)
discussion paper;. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/6de50ddd-2552-54e8-8d37-fc40581d4c4a License: CC BY 3.0 IGO.”