Cited by 31Global Public Health Policies and EpidemiologySmoking Behavior and CessationPublic Health Policies and Education

Role of stakeholders in Nigeria’s tobacco control journey after the FCTC: lessons for tobacco control advocacy in low-income and middle-income countries

Open access
Egbe, Catherine O, Bialous, Stella A, Glantz, Stanton·2019·Tobacco Control

Abstract

Introduction: Nigeria ratified the WHO Framework Convention on Tobacco Control (FCTC) in 2005. Tobacco control advocates in Nigeria achieved some success in countering tobacco industry interference to implement the FCTC. Methods: We triangulated interviews with key informants from local and international organisations who worked in Nigeria with documentation of the legislative process and Nigerian newspaper articles. Data were analysed and interpreted using the Policy Dystopia Model and WHO categories of tobacco industry interference that had been developed mostly based on experience in high-income countries. Results: As in high-income countries, the tobacco industry continued to oppose tobacco control policies after Nigeria ratified the FCTC, including weakening Nigeria’s 2015 National Tobacco Control Act. Both tobacco control advocates and industry used discursive (argument-based) and instrumental (activity-based) strategies. The industry argued self-regulation and the economic importance of tobacco. They exploited legislative procedures, used front groups and third parties to push for pro-industry changes. Advocates, with help from international organisations, mobilised prominent Nigerians and the public. Advocates pre-empted and countered the industry through traditional and social media, monitoring and exposing tobacco industry activities, and by actively engaging lawmakers and citizens during the legislative process. Conclusion: The Policy Dystopia Model and WHO categories of industry interference provide a helpful framework for understanding tobacco control debates in low/middle-income countries (LMICs) as in high-income countries. One difference in LMIC is the important role of international tobacco control advocates in supporting national tobacco control advocates. This partnership is important in pushing for FCTC-compliant legislation and countering industry activities in LMIC.

AI snapshot

Written from the paper’s full text.

TL;DR

Nigeria ratified the WHO FCTC in 2005 and enacted its National Tobacco Control Act in 2015, but the tobacco industry continued to oppose and weaken tobacco control policy. Using the Policy Dystopia Model and WHO categories of industry interference, the study shows how Nigerian advocates, supported by international partners, used discursive and instrumental strategies to counter industry tactics and push for FCTC-compliant legislation.

Key findings

  • The tobacco industry continued opposing tobacco control after FCTC ratification, including weakening Nigeria’s 2015 National Tobacco Control Act; it used discursive arguments such as self-regulation, economic importance, and threats to foreign direct investment, and instrumental strategies such as front groups, third-party allies, CSR, and exploitation of legislative procedures.
  • Tobacco control advocates, with international organisations including FCA, CAI, and CTFK, mobilised prominent Nigerians, the public, traditional and social media, monitored and exposed industry activities, and engaged lawmakers; they secured the NTCA 2015, which was more comprehensive than the previous Decree 20 of 1990.
  • BATN claimed it employed thousands, but information on its website showed only about 1000 employees; advocates used this to counter the claim, after which BATN removed its employment figures from the website.
  • Weak provisions entered the final NTCA 2015, including designated smoking areas in higher education, hospitality, and transportation venues, and a provision allowing manufacturers and retailers to communicate with “consenting adults”; as of May 2018, implementing regulations had not been approved, effectively blocking full implementation.

Methods

  • Qualitative triangulation of 12 key informants from five local and international organisations involved in tobacco control advocacy in Nigeria, interviewed between December 2015 and June 2017; each interview lasted approximately 45 min, was voice recorded, and transcribed. Attempts to interview government officials and legislators directly involved were unsuccessful.
  • Nigerian newspaper articles published between January 2008 and July 2017 were retrieved via Google searches of key Nigerian newspaper websites and snowball searches; public hearing proceedings were obtained from the Campaign for Tobacco-Free Kids and Environmental Rights Action/Friends of the Earth Nigeria.
  • Interviews, news articles, and written materials were triangulated and analysed with Dedoose using thematic analysis with a priori themes from the Policy Dystopia Model and WHO categories of tobacco industry interference; the first author conducted interviews and analysis, and the second and third authors independently verified results.

Limitations

  • Stated: the Policy Dystopia Model and WHO categories had blurred differentiating lines between some strategies, such as “manipulating public opinions” carried out under CSR; the study relied on advocate key informants because government officials from the National Assembly and Federal Ministry of Health did not respond, making some claims impossible to verify; some advocates were difficult to reach, causing delays; retired or no-longer-engaged advocates could not be reached; possible recall bias, socially desirable answers, and misrepresentations were addressed as much as possible through triangulation with newspaper reports and legislative documents.
  • Evident: the study lacks government and tobacco industry insider perspectives, so findings are shaped largely by the advocacy community’s accounts; the paper also states that as of May 2018 the authors were unaware of any plans to evaluate the effects of state-level tobacco control laws on overall FCTC national indicators.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1136/tobaccocontrol-2018-054344

Cites

32 of 32 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

39 of 130 cited sources checked · 18 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Low- and middle-income countries face extreme pressure from the tobacco industry to delay FCTC implementation.

    “Low and middle income countries (LMIC) face extreme pressure from the industry to delay FCTC implementation.13”
    Quote in the paperNot a substantial claim1 of 1 sources checked
  • Interpretationcitation

    The Policy Dystopia Model and WHO categories of industry interference provide a helpful framework for understanding tobacco control debates in low/middle-income countries as in high-income countries.

    “The Policy Dystopia Model and WHO categories of industry interference provide a helpful framework for understanding tobacco control debates in low/middle-income countries (LMICs) as in high-income countries.”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [22] Ulucanlar, 2016, The Policy Dystopia Model: An Interpretive Analysis of Tobacco Industry Political Activity, PLoS Med source

      The Discussion (page unavailable) says similar industry strategies are used in developed and developing economies, while cautioning that the studies underlying the model were dominated by high-income regions. The Conclusions (page unavailable) present the model and its taxonomies as useful at national, regional, and international levels. The paper discusses WHO FCTC guidance, but does not present WHO categories of industry interference as part of this framework. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [23] Organzation WH . Geneva, Switzerland Tobacco Industry Interference a Global Brief: WHO, 2012. http://apps.who.int/iris/bitstream/10665/70894/1/WHO_NMH_TFI_12.1_eng.pdf. (accessed 21 Jan 2017).

      Not checked in the free run.

    • Rests on an assumption: The Policy Dystopia Model and WHO categories of tobacco industry interference, developed largely from high-income country examples, are applicable to and adequate for analysing tobacco control debates and industry strategies in Nigeria and other LMICs.
  • Premisecitation

    Properly implemented FCTC policies significantly reduce tobacco consumption.

    “Properly implemented FCTC policies significantly reduce tobacco consumption.7–10”
    Quote in the paperNot a substantial claim4 of 4 sources checked
    • cites [7] source

      The Introduction describes health warning labels as an effective policy for decreasing tobacco consumption. But the Methods and Results assess whether countries implemented FCTC-compliant warning labels, not whether implementation significantly reduced consumption. The source therefore supports the claim for warning labels in general, but not its broader assertion about FCTC policies or a measured significant reduction. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [8] source

      The Introduction (page unavailable) states that comprehensive bans on tobacco advertising, promotion and sponsorship reduce tobacco use, especially among young people. But the paper's Conclusions (page unavailable) concern accelerated adoption of those bans, not a measured reduction in consumption. It does not establish a significant consumption reduction from properly implemented FCTC policies generally. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [9] source

      The Results and Discussion report that the FCTC accelerated passage of mandated cigarette health warning labels, not that its policies reduced tobacco consumption. Searches for tobacco consumption and smoking prevalence found no passage in our copy assessing that outcome; page numbers were not available. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
    • cites [10] source

      The Results report that FCTC ratification significantly increased the probability of adopting smoke-free laws, while the Abstract discusses reduced exposure to secondhand smoke. Neither passage establishes that implementing FCTC policies significantly reduces tobacco consumption; a search for consumption and smoking prevalence found no such finding in our copy. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • Premisecitation

    The increase in foreign investors included multinational tobacco companies, notably BATN.

    “This increase in foreign investors included multinational tobacco companies, notably BATN.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [18] Egbe, 2017, Avoiding "A Massive Spin-Off Effect in West Africa and Beyond": The Tobacco Industry Stymies Tobacco Control in Nigeria, Nicotine Tob Res source

      The Results (page unavailable) identify British American Tobacco as a major player in Nigeria, owning 60% of the Nigerian Tobacco Company, and note the presence of another multinational tobacco company. They do not establish that the number of foreign investors increased or that tobacco companies were part of such an increase. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Findingcitation

    Tobacco control advocacy in Africa was galvanised with the beginning of the FCTC negotiations in 2000.

    “Tobacco control advocacy in Africa was galvanised with the beginning of the FCTC negotiations in 2000.2930”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [29] source

      The FCTC negotiation process section describes African regional meetings in 1999 and 2000 and says the October 2000 hearings created an opportunity to galvanize tobacco-control civil society organisations. The paper also describes NGO lobbying of African delegates, but does not specifically say that advocacy in Africa was galvanised by the start of negotiations in 2000. Page numbers are unavailable in our copy. (LLM, conf=0.80)

      Experimental — accuracy not yet measured
    • cites [30] Lambert P . Interview Conducted on June 2, Egbe CO , ed. 2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim. 44
  • May combine two claims. 43
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The tobacco industry has had a strong presence in Nigeria.

    “This study explores the role of tobacco control advocates and civil society organisations, including international organisations, in working for comprehensive tobacco control legislation in Nigeria, where the tobacco industry has had a strong presence.1820”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [18] Egbe, 2017, Avoiding "A Massive Spin-Off Effect in West Africa and Beyond": The Tobacco Industry Stymies Tobacco Control in Nigeria, Nicotine Tob Res source
    • cites [20] Environmental Rights Action/Friends of the Earth Nigeria. Shadow Report on Implementation of the Framework Convention on Tobacco Control (FCTC) Articles 5.3, 6 & 13 in Nigeria http://www.fctc.org/images/stories/reports/Nigeria%20SR.pdf (accessed 17 Jan 2017).

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    The WHO FCTC establishes evidence-based standards for tobacco control that provide a framework in which tobacco control advocates can play significant roles in securing comprehensive national tobacco control policies.

    “WHO Framework Convention on Tobacco Control1 (FCTC) establishes evidence-based standards for tobacco control that provide a framework in which tobacco control advocates can play significant roles in securing comprehensive national tobacco control policies.2–6”
    Quote in the paperSubstantial claim2 of 5 sources checked
    • cites [2] Farquharson, 2003, Influencing Policy Transnationally: Pro‐and Anti‐Tobacco Global Advocacy Networks, Aust J Publ Admin source
    • cites [3] source

      Section 5.2 (Guidance for LMICs; no page provided) calls the FCTC an international framework for national action and urges advocates to strengthen political and legal systems so stronger tobacco-control laws can be enacted. Section 5.3 recommends advocacy to implement FCTC requirements and guidelines. Our copy does not establish the claim’s more specific characterization of those requirements as “evidence-based standards.” (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites [4] World Health Organization. Switzerland WHO Report on the Global Tobacco Epidemic: Monitoring Tobacco Use and Prevention Policies. Geneva, 2017. http://apps.who.int/iris/bitstream/10665/255874/1/9789241512824-eng.pdf?ua=1. (accessed 20 Sep 2017).

      Not checked in the free run.

    • cites [5] Asare, 2009, Tobacco Regulation in South Africa: Interest Groups and Public Policy, Afr J Polit Sci Int Relat

      Not checked in the free run.

    • cites [6] Crosbie E , Sosa P , Glantz SA . The Importance of Continued Engagement During the Implementation Phase of Tobacco Control Policies in a Middle-Income Country: The Case of Costa Rica. Tob Control . 2018;26:60–8. source

      The Introduction says the FCTC accelerated tobacco-control legislation and that Costa Rican advocates persuaded legislators to enact a comprehensive law implementing it. The Results (Tobacco taxes) also describes FCTC implementation guidelines and protocols. These passages support the framework and advocacy portions, but our copy does not characterize the FCTC’s standards as evidence-based. Page numbers are unavailable in our copy. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    The tobacco industry remains a serious threat to public health.

    “Notwithstanding the progress in implementing tobacco control regulations globally, the tobacco industry remains a serious threat to public health.11–15”
    Quote in the paperSubstantial claim2 of 5 sources checked
    • cites [11] Lee, 2012, The vector of the tobacco epidemic: tobacco industry practices in low and middle-income countries, Cancer Causes Control source
    • cites [12] Kalra A , Bansal P , Wilson D , et al . United States Exclusive: Documents Reveal Philip Morris' Campaign to Subvert the World’s Anti-Smoking Treaty. 2017 https://www.reuters.com/article/us-pmi-who-fctc-tobacco-exclusive/exclusive-documents-reveal-philip-morris-campaign-to-subvert-the-worlds-anti-smoking-treaty-idUSKBN19Y1DN (accessed September 18, 2017).

      Not checked in the free run.

    • cites [13] source
    • cites [14] Conference of the Parties to the WHO Framework Convention on Tobacco Control. Implementation of Article 5.3 of the WHO FCTC: Report by the Convention Secretariat. 2016 http://www.who.int/fctc/cop/cop7/FCTC_COP_7_7_EN.pdf?ua=1 (accessed 21 Sep 2017).

      Not checked in the free run.

    • cites [15] Conference of the Parties to the WHO Framework Convention on Tobacco Control. Global Progress in Implementation of the WHO FCTC: Report by the Convention Secretariat. 2016 http://www.who.int/fctc/cop/cop7/FCTC_COP_7_4_EN.pdf?ua=1 (accessed 21 Sep 2017).

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The tobacco industry was excluded from formal FCTC negotiations at the global level.

    “The tobacco industry was excluded from formal FCTC negotiations at the global level.35”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [35] Gonzalez M , Green LW , Glantz SA . Through Tobacco Industry Eyes: Civil Society and the FCTC Process from Philip Morris and British American Tobacco’s Perspectives. Tob Control 2011:tc. 2010.041657. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Both the tobacco industry and civil society organisations were able to make submissions on the proposed text of the FCTC at a 2-day public hearing in Geneva in 2000 organised by WHO's Tobacco Free Initiative.

    “Both the tobacco industry and civil society organisations were able to make submissions on the proposed text of the FCTC at a 2-day public hearing in Geneva in 2000 organised by WHO’s Tobacco Free Initiative.29”
    Quote in the paperNot a substantial claim1 of 1 sources checked
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Nigeria is particularly important to the tobacco industry due to its large population of 170 million and its role as a regional trendsetter.

    “Nigeria is particularly important to the tobacco industry due to its large population (170 million) and role as a regional trendsetter.18”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [18] Egbe, 2017, Avoiding "A Massive Spin-Off Effect in West Africa and Beyond": The Tobacco Industry Stymies Tobacco Control in Nigeria, Nicotine Tob Res source

      The Introduction (page unavailable) says Nigeria’s growing population and political influence in West Africa and beyond make it an important market for the tobacco industry. The section on anti-regulation strategies (page unavailable) also describes the industry’s concern that restrictions in Nigeria could have a regional ripple effect. Our copy does not give the claimed population figure of 170 million. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    With the return of democracy in the Third Republic in 1999, the Nigerian government sought foreign direct investment to grow the economy, which had suffered under previous military governments.

    “With the return of democracy in the Third Republic in 1999, the Nigerian government sought foreign direct investment (FDI) to grow the economy which had suffered under previous military governments.18”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [18] Egbe, 2017, Avoiding "A Massive Spin-Off Effect in West Africa and Beyond": The Tobacco Industry Stymies Tobacco Control in Nigeria, Nicotine Tob Res source

      The Discussion (page unavailable) describes military governments in Nigeria through 1998, supporting the sentence’s reference to preceding military rule. It does not say that a democratic government sought foreign direct investment in 1999, or that the economy had suffered under those governments. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationcitation

    Africa's pre-INB meetings helped its delegates, including Nigerian representatives, create a unified position and form the first regional voting block, providing strong regional support for the FCTC that set an example for other regions to follow.

    “Africa’s pre-INB meetings helped its delegates (including Nigerian representatives) create a unified position and form the first regional voting block, providing strong regional support for the FCTC29303336 that set an example for other regions to follow.29”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [29] source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites [30] Lambert P . Interview Conducted on June 2, Egbe CO , ed. 2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [33] Huber L . Interview Conducted on June 1, Egbe CO , ed. 2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    The Policy Dystopia Model broadly categorises tobacco industry strategies into discursive and instrumental strategies.

    “The Policy Dystopia Model22 broadly categorises tobacco industry’s strategies into discursive (argument-based) and instrumental (activity-based) strategies.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [22] Ulucanlar, 2016, The Policy Dystopia Model: An Interpretive Analysis of Tobacco Industry Political Activity, PLoS Med source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Civil society organisations with formal relations with WHO and other organisations participated in the FCTC INB sessions as observers.

    “Civil society organisations with formal relations with WHO and other organisations participated in the sessions as observers.29”
    Quote in the paperNot a substantial claim1 of 1 sources checked
  • May combine two claims.

    Premisecitation

    The Policy Dystopia Model and the six WHO categories of tobacco industry interference were developed using examples largely from high-income countries.

    “The Policy Dystopia Model22 and the six categories of tobacco industry interference identified by WHO23 were developed using examples largely from high-income countries.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [22] Ulucanlar, 2016, The Policy Dystopia Model: An Interpretive Analysis of Tobacco Industry Political Activity, PLoS Med source
    • cites [23] Organzation WH . Geneva, Switzerland Tobacco Industry Interference a Global Brief: WHO, 2012. http://apps.who.int/iris/bitstream/10665/70894/1/WHO_NMH_TFI_12.1_eng.pdf. (accessed 21 Jan 2017).

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Nigeria enacted its National Tobacco Control Act in 2015, 10 years after ratifying the FCTC and after several failed efforts to enact comprehensive tobacco control legislation.

    “Nigeria enacted its National Tobacco Control Act17 (NTCA) in 2015, 10 years after ratifying the FCTC and after several failed efforts to enact comprehensive tobacco control legislation.18,19”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [18] Egbe, 2017, Avoiding "A Massive Spin-Off Effect in West Africa and Beyond": The Tobacco Industry Stymies Tobacco Control in Nigeria, Nicotine Tob Res source

      The Abstract and Discussion state that Nigeria ratified the FCTC in 2005 and enacted the NTCA in 2015. The Results describe a bill defeated in 1982, and the Discussion describes an unsuccessful attempt to review Decree 20 in 1995. They do not establish several failed efforts to enact comprehensive legislation; the Discussion says it found no evidence of other attempts to replace Decree 20 with a stronger law. Page numbers are unavailable in our copy. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [19] Egbe CO , Bialous SA , Glantz S . FCTC Implementation in Nigeria: Lessons for Low and Middle-Income Countries. Nicotine Tob Res 2018:1–9.doi:10.1093/ntr/nty069 source
  • May combine two claims.

    Interpretationcitation

    Nigerian tobacco control advocates succeeded in securing the passage of the NTCA 2015, which is more comprehensive than the previous tobacco law, Decree 20 of 1990, through engagement with politicians and the media and by recruiting prominent Nigerians to campaign for a strong tobacco law.

    “Nigerian tobacco control advocates succeeded in securing the passage of the NCTA 2015 which is more comprehensive than the previous tobacco law, Decree 20 of 199019 through engagement with politicians and the media, as well as recruiting prominent Nigerians to campaign for a strong tobacco law.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [19] Egbe CO , Bialous SA , Glantz S . FCTC Implementation in Nigeria: Lessons for Low and Middle-Income Countries. Nicotine Tob Res 2018:1–9.doi:10.1093/ntr/nty069 source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationcitation

    The tobacco industry succeeded in weakening the bill, with the resulting law falling short of effective FCTC implementation.

    “However, the tobacco industry succeeded in weakening the bill, with the resulting law falling short of effective FCTC implementation.19”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [19] Egbe CO , Bialous SA , Glantz S . FCTC Implementation in Nigeria: Lessons for Low and Middle-Income Countries. Nicotine Tob Res 2018:1–9.doi:10.1093/ntr/nty069 source
  • May combine two claims.

    Premisecitation

    The tobacco industry uses CSR for image laundering, to gain political capital and to stymie regulatory processes.

    “The tobacco industry uses CSR for image laundering, to gain political capital and to stymie regulatory processes.41–43”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [41] Bossle, 2015, Contradictory perceptions on corporate social responsibility practices in the Brazilian tobacco industry, Latin American J. of Management for Sustainable Development source
    • cites [42] World Health Organization. Geneva, Switzerland Tobacco Industry Interference with Tobacco Control. World Health Organization 2008 www.who.int/tobacco/resources/publications/9789241597340.pdf (accessed 4 Mar 2016).

      Not checked in the free run.

    • cites [43] McDaniel, 2018, African media coverage of tobacco industry corporate social responsibility initiatives, Glob Public Health source
  • May combine two claims.

    Interpretationcitation

    The Nigerian experience confirms the importance of engaging celebrities, prominent citizens and the public to promote tobacco control, increase awareness about the law and support its implementation.

    “The Nigerian experience also confirms the importance of engaging celebrities, prominent citizens and the public to promote tobacco control, increase awareness about the law and support its implementation.19”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [19] Egbe CO , Bialous SA , Glantz S . FCTC Implementation in Nigeria: Lessons for Low and Middle-Income Countries. Nicotine Tob Res 2018:1–9.doi:10.1093/ntr/nty069 source

      The Implementation section reports that Nigeria recruited celebrities as antitobacco ambassadors for a campaign to raise awareness of the law, and the Discussion says public awareness is needed for successful implementation. But the paper does not establish the importance of engaging prominent citizens or the public as campaign participants; it also says the celebrity campaign’s effectiveness had not been evaluated. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationcitation

    There is a need to restrategise tobacco control efforts around the world.

    “and as of May 2018 were still being used successfully in other countries, suggesting a need to restrategise tobacco control efforts around the world.62”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [62] 2015, What will it take to create a tobacco-free world?, Lancet source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In 2017, Philip Morris International funded the Foundation for a smoke-free world, another CSR effort.

    “including new developments such as the 2017 funding by Philip Morris International of the Foundation for a smoke-free world, another CSR effort.66–69”
    Quote in the paperNot a substantial claim1 of 4 sources checked
    • cites [66] Boseley S . United Kingdom Tobacco Company Launches Foundation to Stub out Smoking. Guardian News and Media Limited 2017 https://www.theguardian.com/society/2017/sep/13/tobacco-company-launches-foundation-to-stub-out-smoking-philip-morris (accessed 13 Sep 2017).

      Not checked in the free run.

    • cites [67] Foundation of a Smoke-Free World. About Us. 2017. https://www.smokefreeworld.org/aboutus (accessed 29 Nov 2017)

      Not checked in the free run.

    • cites [68] source
    • cites [69] World Health Organization. WHO Statement on Philip Morris Funded Foundation for a Smoke-Free World. 2017 http://www.who.int/mediacentre/news/statements/2017/philip-morris-foundation/en/ (accessed 30 Sep 2017).

      Not checked in the free run.

  • May combine two claims.

    Findingcitation

    The tobacco control champions included a professor, Yemi Osibanjo, who became Nigeria's Vice President in May 2015; a former Minister of the Federal Capital Territory, Alhaji Aliu Moddibo; the wife of a former Chief Justice of Nigeria, Mariam Uwais; some members of the National Assembly; and celebrities from Nigeria's music and movie industry, including Stella Damascus, Fela Durotoye and Timi Dakò

    “These champions included a professor (Yemi Osibanjo) who became Nigeria’s Vice Ppresident in May 2015, a former Minister of the Federal Capital Territory (Alhaji Aliu Moddibo), the wife of a former Chief Justice of Nigeria (Mariam Uwais), some members of the National Assembly, celebrities from Nigeria’s music and movie industry (Nollywood), including Stella Damascus, Fela Durotoye and Timi Dakolo”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingcitation

    Tobacco control advocates argued that the Federal Government of Nigeria needed to implement a comprehensive tobacco law consistent with the international standards in the FCTC and to save lives.

    “Tobacco control advocates argued that the Federal Government of Nigeria needed to implement a comprehensive tobacco law consistent with the international standards in the FCTC and to save lives.363839”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [39] Isong E . Interview Conducted on June 2, Egbe CO , ed.2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingcitation

    Information on the BATN website obtained by tobacco control advocates showed BATN had only about 1000 employees, inconsistent with BATN's employment claim.

    “This claim was inconsistent with information on the BATN website obtained by tobacco control advocates, which showed BATN had only about 1000 employees.38”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingcitation

    BATN claimed that it employed thousands of people.

    “BATN claimed that it employed thousands of people.38”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Tobacco control advocates in Nigeria achieved some success in countering tobacco industry interference to implement the FCTC.

    “Tobacco control advocates in Nigeria achieved some success in countering tobacco industry interference to implement the FCTC.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Grassroots mobilisation included public awareness campaigns, including social media campaigns using Paradigm Initiative of Nigeria, and enlisting the support of prominent Nigerians called tobacco control cause champions.

    “Other grassroots mobilisation activities included public awareness campaigns (including social media campaigns using the agency Paradigm Initiative of Nigeria39) and enlisting the support of prominent Nigerians (politicians and celebrities) who advocates called ‘tobacco control cause champions’.3639”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [39] Isong E . Interview Conducted on June 2, Egbe CO , ed.2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingown data

    Tobacco control advocates preempted and countered the tobacco industry through traditional and social media, monitoring and exposing tobacco industry activities, and by actively engaging lawmakers and citizens during the legislative process.

    “Advocates preempted and countered the industry through traditional and social media, monitoring and exposing tobacco industry activities, and by actively engaging lawmakers and citizens during the legislative process.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingnone given

    The tobacco industry sought to make itself look like an indispensable collaborator in national development through CSR programmes, while tobacco control advocates sought to expose the business motive behind these CSR strategies.

    “For example, the tobacco industry sought to make itself look like indispensable collaborators in national development through their corporate social responsibility (CSR) programmes; tobacco control advocates sought to expose the business motive behind these CSR strategies.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The tobacco industry exploited legislative procedures and used front groups and third parties to push for pro-industry changes.

    “They exploited legislative procedures, used front groups and third parties to push for pro-industry changes.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    Tobacco control advocates in Africa were rarely dedicated solely to tobacco control efforts, and progress on tobacco control advocacy as a region has not been as fast as would be expected if a cadre of full-time advocates existed.

    “Tobacco control advocates in Africa were rarely dedicated to solely tobacco control efforts28 and progress on tobacco control advocacy as a region has not been as fast as would be expected if a cadre of full-time advocates existed.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [28] Chapman, 1994, All Africa conference on tobacco control, BMJ source
  • May combine two claims.

    Findingcitation

    Tobacco control advocates used BATN website information to counter BATN's employment claim, and BATN subsequently removed employment figures from its website.

    “Tobacco control advocates used the information on BATN’s website to counter their claim; BATN subsequently removed information about their employment figures from its website.38”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingcitation

    Tobacco control advocates responded that there was no provision in the new law that would shut down foreign-owned companies.

    “Tobacco control advocates responded that there was no provision in the new law that would shut down foreign-owned companies.38”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingcitation

    The African Liberty Organization for Development protested at the National Assembly during a public hearing on the tobacco bill and asked legislators to pass a balanced policy that would not only favour the majority, non-smokers.

    “For example, an organisation named African Liberty Organization for Development protested at the National Assembly during a public hearing on the tobacco bill and, among other things, asked legislators to pass a ‘balanced policy’ which would not only favour the majority (ie, non-smokers).40”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [40] Protesters at the Nigerian National Assembly During the Public Hearing on the Tobacco Bill. Audioage.com 2014 http://www.audioage.com/2014/10/17/batn-at-the-senates-public-hearing-on-the-tobacco-control-bill-in-abuja/pix-2-2/ (accessed 2 Mar 2017).

      Not checked in the free run.

  • May combine two claims.

    Findingcitation

    In 2005, Nigeria ratified the FCTC, the same year it entered into force, despite the tobacco industry's financial and organisational strength used to stall the process.

    “In 2005, Nigeria ratified the FCTC, the same year it entered into force, despite the tobacco industry’s financial and organisational strength used to stall the process.3637”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [37] Akinremi A . Interview Conducted on June 23, Egbe CO , ed. 2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingnone given

    The National Tobacco Control Alliance presented at public hearings, monitored tobacco industry activities, and built the capacity of journalists to report more accurately on tobacco control issues.

    “The Alliance presented at public hearings, monitored tobacco industry activities and built capacity of journalists to report more accurately on tobacco control issues.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    During the legislative process for Nigeria's tobacco control bills, BATN argued that a new tobacco control law would lead to the shutdown of foreign-owned companies and reduce FDI in Nigeria.

    “During the legislative process for Nigeria’s tobacco control bills, BATN argued that a new tobacco control law would lead to the shutdown of foreign-owned companies and reduce FDI in Nigeria.38”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    The Nigerian tobacco industry, dominated by British American Tobacco Nigeria, argued that it was already self-regulating, making new laws unnecessary.

    “The Nigerian tobacco industry (dominated by British American Tobacco Nigeria, BATN) argued that they were already ‘self-regulating’, making new laws unnecessary.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The tobacco industry argued for self-regulation and the economic importance of tobacco.

    “The industry argued self-regulation and the economic importance of tobacco.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    These arguments were presented through the media and at legislative public hearings on the FCTC implementation bill.

    “These arguments were presented through the media and at legislative public hearings on the FCTC implementation bill.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Findingcitation

    Key informants reported that the tobacco industry may have been working quietly to destabilise civil society groups through bills to regulate non-governmental organisations and may have promoted two weaker tobacco control bills in both houses of the National Assembly between 2011 and 2013.

    “Key informants reported that the industry may also have been working quietly to destabilise civil society groups through the introduction of bills to regulate the activities of non-governmental organisations and may have promoted two weaker tobacco control bills in both houses of the National Assembly between 2011 and 2013.36”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingcitation

    The tobacco industry lobbied government officials and got prominent politicians to speak in support of tobacco.

    “Lobbying government officials5455 and getting prominent politicians to speak in support of tobacco.56”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [54] Connett D . British American Tobacco ’Bribed' Kenyan Politician Martha Karua to Stop Action against Cigarette Smuggling. 2015 http://www.independent.co.uk/news/uk/crime/britishamericantobaccobribedkenyanpoliticianmarthakaruatostopactionagainstcigarettea6779236.html (accessed 18 Dec 2015).

      Not checked in the free run.

    • cites [55] Ministry of Public Health and Sanitation, International Institute for Legislative Affairs Kenya. Tobacco Industry Interference in Kenya: Exposing the Tactics. 2013 http://ilakenya.org/wp-content/uploads/2015/10/Ti_interference_in_Kenya.pdf (accessed 4Jan 2017).

      Not checked in the free run.

    • cites [56] Ailuorio PJ . News Agency of Nigeria. Nigeria Anti-Tobacco Bill Passes Second Reading at Nigeria’s House of Reps. 2013 http://www.premiumtimesng.com/news/126281-anti-tobacco-bill-passes-second-reading-at-nigerias-house-of-reps.html (accessed 21 Mar 2017).

      Not checked in the free run.

  • May combine two claims.

    Findingcitation

    The efforts of civil society groups were enhanced by the formation of the Nigeria Tobacco Control Alliance in 2005, an umbrella organisation dedicated to tobacco control that became the face of tobacco control in Nigeria.

    “The efforts of the civil society groups were enhanced by the formation of the Nigeria Tobacco Control Alliance (Alliance) in 2005, an umbrella organisation specifically dedicated to tobacco control that became the face of tobacco control in Nigeria.37”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [37] Akinremi A . Interview Conducted on June 23, Egbe CO , ed. 2017.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingcitation

    Although according to one key informant the Lagos experiment was not very successful, civil society groups believed this approach opened a door previously thought closed in tobacco control in Nigeria.

    “Although, according to one key informant, the Lagos experiment was not very successful, civil society groups believed this approach opened a door that was previously thought to be closed in tobacco control in Nigeria.36”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingreasoning

    Despite being signed into law in May 2015, the implementing regulations of the NTCA were yet to be approved by the National Assembly as of May 2018, effectively blocking full implementation.

    “Despite being signed into law in May 2015, the implementing regulations of the law were yet to be approved by the National Assembly as of May 2018, effectively blocking full implementation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    Advocates stopped many industry activities before they were executed but could not determine whether the industry abandoned these activities or later carried them out secretly to prevent public criticism.

    “Advocates stopped many industry activities before they were executed but could not determine whether the industry abandoned these activities or later carried them out secretly to prevent public criticism.36”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingcitation

    BATN donated to non-governmental organisations owned by politicians, especially those directly involved in the tobacco policy-making process, and created a Political Liaison Office to cater for the welfare of politicians.

    “BATN donated to non-governmental organisations owned by politicians, especially those directly involved in the tobacco policy-making process and created a ‘Political Liaison Office’ to cater for the welfare of politicians.36”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingreasoning

    The Alliance's formation was important to consolidate tobacco control efforts because many civil society groups had been working in isolation and were also involved in non-tobacco control-related causes.

    “The Alliance’s formation was important to consolidate efforts on tobacco control as many of the civil society groups had been working in isolation, and were also involved in non-tobacco control-related causes such as climate change, refugee care, environmental pollution and gender-related causes.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    BATN trained the Nigeria Police Force in Lagos state on enforcement of the statewide tobacco control legislation and donated vehicles to the Nigeria Customs Service.

    “Examples included BATN training the Nigeria Police Force in Lagos state on enforcement of the statewide tobacco control legislation and donating vehicles to the Nigeria Customs Service.3644”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [44] Ezeamalu B . Nigeria Civil Society Groups Commend Governor Fashola for Signing Tobacco Bill. 2014 http://www.premiumtimesng.com/news/155428-civil-society-groups-commend-governor-fashola-signing-tobacco-bill.html (accessed 19 Feb 2017).

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    As of May 2018, the authors are unaware of any plans to evaluate the effects of the state-level tobacco control laws on overall FCTC national indicators.

    “As of May 2018, however, the authors are unaware of any plans to evaluate the effects of these state laws on overall FCTC national indicators.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Findingnone given

    Despite enacting a more comprehensive law, the Nigerian government has not allocated local resources to engage in capacity building and to enrol more citizens and organisations in tobacco control advocacy efforts.

    “Despite enacting a more comprehensive law, the Nigerian government has not allocated local resources to engage in capacity building and to enrol more citizens and organisations in tobacco control advocacy efforts.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    When there were conflicts in the interpretation of the data, independent sources such as newspaper articles and legislative documents were sought to resolve them.

    “When there were conflicts in the interpretation of the data, independent sources (newspaper articles and legislative documents) were sought to resolve them.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    The study triangulated interviews with key informants, documentation of the legislative process, and Nigerian newspaper articles.

    “We triangulated interviews with key informants from local and international organisations who worked in Nigeria with documentation of the legislative process and Nigerian newspaper articles.”
    • Also stated in: § METHODS · plain
      “The interviews, news articles and written materials were triangulated to prepare this analysis of the development and passage of Nigeria’s law implementing the FCTC.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In contrast to the overall global reduction in smoking prevalence, smoking is increasing in WHO African and Eastern Mediterranean regions.

    “In contrast to the overall global reduction in smoking prevalence, smoking is increasing in WHO African and Eastern Mediterranean regions.21”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [21] U.S. National Cancer Institute and World Health Organization. The Economics of Tobacco and Tobacco Control. National Cancer Institute Tobacco Control Monograph 21. Nih Publication No. 16-Ca-8029a. Bethesda, MD: U.S: Department of Health and Human Services, National Institutes of Health, National Cancer Institute; and Geneva, CH: World Health Organization, 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The first of six FCTC Intergovernmental Negotiating Body sessions was in October 2000.

    “The first of six FCTC Intergovernmental Negotiating Body (INB) sessions was in October 200034 where WHO member states, regional economic integration organisations and observers started the development of the FCTC.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] World Health Organization. Intersessional Consultations. 2017 http://www.who.int/fctc/about/whofctc_inb/consultations/en/ (accessed 20 Nov 2017).

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    WHO member states, regional economic integration organisations and observers started the development of the FCTC.

    “WHO member states, regional economic integration organisations and observers started the development of the FCTC.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] World Health Organization. Intersessional Consultations. 2017 http://www.who.int/fctc/about/whofctc_inb/consultations/en/ (accessed 20 Nov 2017).

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The second and third authors independently verified the results of the analysis.

    “The second and third authors independently verified results of the analysis.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Both the Policy Dystopia Model and WHO categories can be used to understand industry tactics and to design and implement strategies to support FCTC-compliant legislation and counter industry interference, especially in LMICs.

    “This analysis reveals that both frameworks can be used to understand industry tactics, and to design and implement strategies to support FCTC-compliant legislation and counter industry interference especially in LMIC.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The Policy Dystopia Model and WHO categories of tobacco industry interference, developed largely from high-income country examples, are applicable to and adequate for analysing tobacco control debates and industry strategies in Nigeria and other LMICs.
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Partnership between international and national tobacco control advocates is important in pushing for FCTC-compliant legislation and countering industry activities in LMICs.

    “This partnership is important in pushing for FCTC-compliant legislation and countering industry activities in LMIC.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Attempts to contact government officials and legislators directly involved in the legislative process were unsuccessful; none responded to the request for participation.

    “We attempted to contact government officials and legislators directly involved in the legislative process but none responded to our request for participation.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The absence of government officials and legislators from the interviews does not materially bias the findings.
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    Nigeria ratified the WHO Framework Convention on Tobacco Control (FCTC) in 2005.

    “Nigeria ratified the WHO Framework Convention on Tobacco Control (FCTC) in 2005.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The Policy Dystopia Model and WHO categories of industry interference presented challenges relating to the categorisation of argument and activity-based strategies and within WHO strategies of interference due to blurred differentiating lines between some strategies.

    “While the Policy Dystopia Model and WHO categories of industry interference provided good frameworks for analysis of tobacco control activities in Nigeria, these models presented challenges relating to the categorisation of argument and activity-based strategies and within WHO strategies of interference due to blurred differentiating lines between some strategies, for example, ‘manipulating public”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The Policy Dystopia Model can be used in LMIC to map and perhaps predict the tobacco industry's tactics, allowing health advocates to develop strategies to preempt and counter tobacco industry interference.

    “This finding suggests that the model can be used in LMIC to map and perhaps predict the tobacco industry’s tactics, allowing health advocates to develop strategies to preempt and counter tobacco industry interference.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    This partnership between civil society groups and government mirrors international partnerships formed between health bodies like WHO and civil society groups including the FCA during FCTC negotiations.

    “This partnership mirrors international partnerships formed between health bodies like WHO and civil society groups including the FCA during FCTC negotiations.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Many of the advocates who previously worked for tobacco control in Nigeria have retired or are no longer engaged in tobacco control.

    “Many of the advocates who previously worked for tobacco control in Nigeria have retired or are no longer engaged in tobacco control.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    These advocates could not be reached to provide information about early tobacco control advocacy activities in Nigeria.

    “These advocates could not be reached to provide information about early tobacco control advocacy activities in Nigeria.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    NTCA 2015 stipulates that members of NATOCC not be affiliated with the tobacco industry and requires transparency of interactions between government and the industry.

    “NTCA 2015 stipulates that members of NATOCC not be affiliated with the tobacco industry and requires transparency of interactions between government and the industry.17”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [17] Federal Republic of Nigeria. Lagos National Tobacco Control Act. The Federal Government Printer, Nigeria 2015 http://www.tobaccocontrollaws.org/files/live/Nigeria/Nigeria%20-%20TCA%20-%20national.pdf (accessed 31 Mar 2016).

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Attempts to reach government officials from the National Assembly and the Federal Ministry of Health for interviews were unsuccessful, making it impossible to verify some claims by the key informants.

    “Attempts to reach government officials from the National Assembly and the Federal Ministry of Health for interviews were unsuccessful, making it impossible to verify some claims by the key informants.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationcitation

    Knowledge of the Policy Dystopia Model can guide governments and tobacco control advocates in designing effective measures like media campaigns targeting specific arguments and actions of the tobacco industry to protect tobacco policy from the industry.

    “This knowledge can also guide governments and tobacco control advocates in designing effective measures like media campaigns targeting specific arguments and actions of the tobacco industry to protect tobacco policy from the industry.57”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [57] World Health Organization. Switzerland WHO Framework Convention on Tobacco Control: Guidelines for Implementation World Health Organization. Geneva, 2013. http://apps.who.int/iris/bitstream/10665/80510/1/9789241505185_eng.pdf?ua=1. (accessed 15 Sep 2016).

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The NTCA provision requiring National Assembly approval of regulatory guidelines gives the tobacco industry another opportunity to delay or further weaken the NTCA, but also provides tobacco control advocates an opportunity to strengthen it.

    “While this provision gives the tobacco industry another opportunity to delay or further weaken the NTCA, it also provides tobacco control advocates an opportunity to strengthen it.36384553”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [36] Oluwafemi A . Interview Conducted on September 8, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [38] Japkor P . Interview Conducted on December 23, Egbe CO , ed. 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [45] Ochefu H . Interview Conducted on January 19, Egbe CO , ed. 2016.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Newspaper reports were used to triangulate the data collected from interviews as much as possible.

    “As much as it was possible, newspaper reports were used to triangulate the data collected from interviews.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The Policy Dystopia Model and WHO categories of industry interference provided good frameworks for analysis of tobacco control activities in Nigeria.

    “While the Policy Dystopia Model and WHO categories of industry interference provided good frameworks for analysis of tobacco control activities in Nigeria, these models presented challenges relating to the categorisation of argument and activity-based strategies and within WHO strategies of interference due to blurred differentiating lines between some strategies, for example, ‘manipulating public”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationreasoning

    Increased funding and better awareness of industry tactics at the grassroots will help consolidate the gains advocates have made at the national level and contribute towards effective implementation of the law.

    “Increased funding and better awareness of industry tactics at the grassroots will help consolidate the gains advocates have made at the national level and contribute towards effective implementation of the law.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Consistent with the Policy Dystopia Model, establishing a framework for ongoing industry monitoring keeps the tobacco control community informed of tobacco industry activities.

    “Consistent with the Policy Dystopia Model, establishing a framework for ongoing industry monitoring keeps the tobacco control community informed of tobacco industry activities and would likely be one of the best ways to counter industry interference in tobacco policy formulation and implementation.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Other limitations include the possibility of recall bias, giving socially desirable answers and misrepresentations by interviewees.

    “Other limitations include the possibility of, recall bias, giving socially desirable answers and misrepresentations by interviewees.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    The triangulation of interview data with those of newspaper reports and legislative documents helped to address these possible limitations.

    “The triangulation of interview data with those of newspaper reports and legislative documents helped to address these possible limitations.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Establishing a framework for ongoing industry monitoring would likely be one of the best ways to counter industry interference in tobacco policy formulation and implementation.

    “Consistent with the Policy Dystopia Model, establishing a framework for ongoing industry monitoring keeps the tobacco control community informed of tobacco industry activities and would likely be one of the best ways to counter industry interference in tobacco policy formulation and implementation.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    Interviews were conducted over a span of 3 years (2015-2017) in order to reach as many key informants as possible to participate in this study.

    “Interviews were conducted over a span of 3 years (2015–2017) in order to reach as many key informants as possible to participate in this study.”
    Quote in the paperNot a substantial claim
75 of 75
  • The paper relies on this without support.

    The Policy Dystopia Model and WHO categories of tobacco industry interference, developed largely from high-income country examples, are applicable to and adequate for analysing tobacco control debates and industry strategies in Nigeria and other LMICs.

    “The Policy Dystopia Model22 and the six categories of tobacco industry interference identified by WHO23 were developed using examples largely from high-income countries. We used these frameworks to assess the tobacco industry’s strategies to oppose tobacco control and strategies used by tobacco control advocates to push for FCTC-compliant legislation in Nigeria.”
  • The paper relies on this without support.

    The 12 key informants and the retrieved documents provide a sufficient and representative account of the tobacco control legislative process and stakeholder strategies in Nigeria.

    “We interviewed 12 key informants between December 2015 and June 2017 from five local and international organisations involved in tobacco control advocacy in Nigeria (online supplementary table S1) using the interview guide in the online supplementary file.”
  • The paper relies on this without support.

    The absence of government officials and legislators from the interviews does not materially bias the findings.

    “We attempted to contact government officials and legislators directly involved in the legislative process but none responded to our request for participation.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Conference of the Parties to the WHO Framework Convention on Tobacco Control. Implementation of Article 5.3 of the WHO FCTC: Report by the Convention Secretariat. 2016 http://www.who.int/fctc/cop/cop7/FCTC_COP_7_7_EN.pdf?ua=1 (accessed 21 Sep 2017).
  2. Conference of the Parties to the WHO Framework Convention on Tobacco Control. Global Progress in Implementation of the WHO FCTC: Report by the Convention Secretariat. 2016 http://www.who.int/fctc/cop/cop7/FCTC_COP_7_4_EN.pdf?ua=1 (accessed 21 Sep 2017).

Authors
Egbe, C. O., Bialous, S. A., & Glantz, S.
Affiliations
  • South African Medical Research Council (ZA)
  • University of California, San Francisco (US)
Corresponding author
Glantz, Stanton
Venue
Tobacco Control
Publisher
BMJ
Published
2018-07-25
Volume
28
Issue
4
Pages
386-393
ISSN
  • 0964-4563 (ISSN-L)
  • 1468-3318
OpenAlex
W2883497398
Cited by
31
References
32
Citations by year
2026: 3 · 2025: 5 · 2024: 6 · 2023: 8 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 1
FWCI
2.07
Type
journal article
Language
en
Open access
Locations
  • Tobacco Control (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
National Cancer Institute
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
  • Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Keywords
Framework Convention on Tobacco Control, tobacco industry interference, tobacco control advocacy, Nigeria, front groups, tobacco industry lobbying, legislative process, low- and middle-income countries
MeSH terms
Stakeholder Participation, Smoking Prevention, Consumer Advocacy, Developing Countries, Humans, Income, Newspapers as Topic, Nigeria, Public Policy, Tobacco Industry

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-30.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-30.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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