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Global tobacco control and economic norms: an analysis of normative commitments in Kenya Malawi and Zambia

机译:全球烟草控制和经济规范:对肯尼亚马拉维和赞比亚的规范承诺的分析

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摘要

Tobacco control norms have gained momentum over the past decade. To date 43 of 47 Sub-Saharan African countries are party to the Framework Convention on Tobacco Control (FCTC). The near universal adoption of the FCTC illustrates the increasing strength of these norms, although the level of commitment to implement the provisions varies widely. However, tobacco control is enmeshed in a web of international norms that has bearing on how governments implement and strengthen tobacco control measures. Given that economic arguments in favor of tobacco production remain a prominent barrier to tobacco control efforts, there is a continued need to examine how economic sectors frame and mobilize their policy commitments to tobacco production. This study explores the proposition that divergence of international norms fosters policy divergence within governments. This study was conducted in three African countries: Kenya, Malawi, and Zambia. These countries represent a continuum of tobacco control policy, whereby Kenya is one of the most advanced countries in Africa in this respect, whereas Malawi is one of the few countries that is not a party to the FCTC and has implemented few measures. We conducted 55 key informant interviews (Zambia = 23; Kenya = 17; Malawi = 15). Data analysis involved deductive coding of interview transcripts and notes to identify reference to international norms (i.e. commitments, agreements, institutions), coupled with an inductive analysis that sought to interpret the meaning participants ascribe to these norms. Our analysis suggests that commitments to tobacco control have yet to penetrate non-health sectors, who perceive tobacco control as largely in conflict with international economic norms. The reasons for this perceived conflict seems to include: (1) an entrenched and narrow conceptualization of economic development norms, (2) the power of economic interests to shape policy discourses, and (3) a structural divide between sectors in the form of bureaucratic silos.
机译:过去十年来,烟草控制规范得到了发展。迄今为止,在47个撒哈拉以南非洲国家中,有43个国家加入了《烟草控制框架公约》(FCTC)。 《公约》的近乎普遍采用说明了这些规范的日益增强的力量,尽管执行这些规定的承诺水平差异很大。但是,烟草控制已融入国际规范网络中,这与政府如何实施和加强烟草控制措施有关。鉴于支持烟草生产的经济论据仍然是控烟工作的主要障碍,因此继续需要研究经济部门如何制定和动员其对烟草生产的政策承诺。这项研究探讨了国际规范的差异促进政府内部政策差异的主张。这项研究是在三个非洲国家/地区进行的:肯尼亚,马拉维和赞比亚。这些国家代表了连续的烟草控制政策,因此肯尼亚是非洲在这方面最先进的国家之一,而马拉维是为数不多的未加入《烟草控制框架公约》的国家之一。我们进行了55次关键线人访谈(赞比亚= 23,肯尼亚= 17;马拉维= 15)。数据分析包括访谈笔录和注释的演绎编码,以识别对国际规范(即承诺,协议,机构)的引用,再加上归纳分析,试图解释参与者归因于这些规范的含义。我们的分析表明,对烟草控制的承诺尚未渗透到非卫生部门,他们认为烟草控制在很大程度上与国际经济准则相抵触。引起这种冲突的原因似乎包括:(1)根深蒂固的经济发展准则概念化;(2)经济利益塑造政策话语的力量;(3)官僚主义形式的部门之间的结构性鸿沟筒仓。

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