Tobacco control, global health policy and development: towards policy coherence in global governance
Open accessAbstract
The WHO Framework Convention on Tobacco Control (FCTC) demonstrates the international political will invested in combating the tobacco pandemic and a newfound prominence for tobacco control within the global health agenda. However, major difficulties exist in managing conflicts with foreign and trade policy priorities, and significant obstacles confront efforts to create synergies with development policy and avoid tensions with other health priorities. This paper uses the concept of policy coherence to explore congruence and inconsistencies in objectives, policy, and practice between tobacco control and trade, development and global health priorities. Following the inability of the FCTC negotiations to satisfactorily address the relationship between trade and health, several disputes highlight the challenges posed to tobacco control policies by multilateral and bilateral agreements. While the work of the World Bank has demonstrated the potential contribution of tobacco control to development, the absence of non-communicable diseases from the Millennium Development Goals has limited scope to offer developing countries support for FCTC implementation. Even within international health, tobacco control priorities may be hard to reconcile with other agendas. The paper concludes by discussing the extent to which tobacco control has been pursued via a model of governance very deliberately different from those used in other health issues, in what can be termed 'tobacco exceptionalism'. The analysis developed here suggests that non-communicable disease (NCD) policies, global health, development and tobacco control would have much to gain from re-examining this presumption of difference.
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The united front between local and international health organisations demonstrates the value of the transnational tobacco control network in combating tobacco industry interference and supporting FCTC implementation, especially in low-income and middle-income countries.
“The united front between local and international health organisations demonstrates the value of the transnational tobacco control network in combating tobacco industry interference and supporting FCTC implementation,139495 especially in low-income and middle-income countries.192057”
From Defending strong tobacco packaging and labelling regulations in Uruguay: transnational tobacco control network versus Philip Morris International (2018) · cites this paper as [95]
The Introduction describes the FCTC as a means of constraining tobacco corporations, and ‘Tobacco Control and Development: A Limited Impact on Priorities’ says WHO’s African and Southeast Asian regions helped shape its agenda and counter an industry argument. The paper does not establish that a united front of local and international health organisations, or a transnational tobacco control network, combated industry interference and supported FCTC implementation, particularly in low- and middle-income countries. The indexed passages have no page numbers. (LLM, conf=0.78)
Experimental — accuracy not yet measuredAdvocacy networks and epistemic communities have continuously improved the links between science and advocacy to advance tobacco control policy; the Uruguay case highlights how this network strengthened the links between trade and tobacco control to combat emerging pressures of trade on health.
“Advocacy networks and epistemic communities have continuously improved the links between science and advocacy to advance tobacco control policy13149496; the Uruguay case highlights how this network strengthened the links between trade and tobacco control to combat emerging pressures of trade on health.”
From Defending strong tobacco packaging and labelling regulations in Uruguay: transnational tobacco control network versus Philip Morris International (2018) · cites this paper as [95]
Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredConstitutional courts upheld strong tobacco control policies in fourteen countries.
“Constitutional courts upheld strong tobacco control policies in fourteen countries.17199399”
From Defending strong tobacco packaging and labelling regulations in Uruguay: transnational tobacco control network versus Philip Morris International (2018) · cites this paper as [95]
The “Tobacco Control and Governance of the Global Economy: Key Tensions” section discusses WTO disputes and proposed challenges to national tobacco policies, but does not report constitutional-court rulings. Searches for constitutional courts and fourteen countries found no passage supporting the claimed number or outcome; page numbers were unavailable in our copy. (LLM, conf=0.76)
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Crosbie, E., Sosa, P., & Glantz, S. A. (2018) · Tobacco control · doi:10.1136/tobaccocontrol-2017-053690 · Cited by 96 · see citing works
Alcohol and the sustainable development goals
Collin, J., & Casswell, S. (2016) · The Lancet · doi:10.1016/s0140-6736(16)30827-3 · Cited by 67 · see citing works
Self-citation
- Authors
- Collin, J.
- Affiliations
- University of Edinburgh (GB)
- Corresponding author
- Collin, Jeff
- ORCID
- Collin, Jeff
- Venue
- Tobacco Control
- Publisher
- BMJ
- Published
- 2012-02-16
- Volume
- 21
- Issue
- 2
- Pages
- 274-280
- ISSN
- 0964-4563 (ISSN-L)
- 1468-3318
- PMC
- PMC4474152
- OpenAlex
- W2156013778
- Cited by
- 103
- References
- 0
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 11 · 2022: 16 · 2021: 8 · 2020: 7 · 2019: 7 · 2018: 6 · 2017: 9 · 2016: 8 · 2015: 8 · 2014: 5 · 2013: 3 · 2012: 3
- FWCI
- 12.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Tobacco Control (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA160695)
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Political Science and International Relations › Public health and occupational medicine
- Keywords
- Framework Convention on Tobacco Control, policy coherence, global health governance, trade policy, development policy, Millennium Development Goals, non-communicable diseases, multilateral trade agreements, World Bank, global health policy
- MeSH terms
- Smoking Prevention, Commerce, Health Policy, Health Priorities, Health Promotion, Humans, International Cooperation, Global Health, Models, Organizational
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