Facilitators and barriers in the formulation and implementation of tobacco control policies in Kenya: a qualitative study.

Abstract:

BACKGROUND:Tobacco use has serious public health implications for both smokers and non-smokers and significant economic implications on health care spending for governments. Tobacco-related deaths are preventable through well-formulated and implemented tobacco control policies. Using tobacco policy as a case study, we aim to describe the tobacco control policy formulation and implementation and the associated facilitators and barriers in Kenya. METHOD:We used a case-study methodology to integrate two sources of data: a document review of relevant policy documents, published articles and reports between 2004 and 2015 (N = 24 documents) and in-depth interviews (N = 39). Participants were from sectors relevant to tobacco control: research and academia, government, private industry, civil society and non-governmental organizations. Thematic analysis was used to analyze all data. RESULTS:Kenya developed a comprehensive tobacco policy in 2007. The main facilitators to the policy formulation and implementation process were (1) political commitment and strong leadership, (2) the presence of a coordination mechanism, (3) stakeholder passion and commitment, (4) resources and (5) constitutional requirement for inclusion of stakeholders. The main barriers to policy formulation and implementation were (1) industry interference, (2) resources, (3) poor enforcement and (4) lack of clear roles. CONCLUSION:Although the process for formulating a tobacco control policy in Kenya was protracted, the current policy aligns well with current global efforts. The implementation is still weak and this can be enhanced by provision of necessary resources and continued engagement of all relevant stakeholders. There is a need for continued engagement with political leadership and continuous international information exchange on how policy-makers can address and counter industry interference in tobacco control efforts.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Mohamed SF,Juma P,Asiki G,Kyobutungi C

doi

10.1186/s12889-018-5830-x

subject

Has Abstract

pub_date

2018-08-15 00:00:00

pages

960

issue

Suppl 1

issn

1471-2458

pii

10.1186/s12889-018-5830-x

journal_volume

18

pub_type

杂志文章
  • Medical device assessment: scientific evidence examined by the French national agency for health - a descriptive study.

    abstract:BACKGROUND:Scientific evidence supports decision-making on the use of implantable medical devices (IMDs) in clinical practice, but IMDs are thought to be far less investigated than drugs. In the USA, studies have shown that approval process of high-risk medical devices was often based on insufficiently robust studies, ...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2458-12-585

    authors: Huot L,Decullier E,Maes-Beny K,Chapuis FR

    更新日期:2012-08-01 00:00:00

  • Mortality among pediatric patients on HIV treatment in sub-Saharan African countries: a systematic review and meta-analysis.

    abstract:BACKGROUND:Despite substantial improvements in accessibility of Anti-Retroviral Treatment (ART), death of children on ART remains a prevailing challenge in sub-Saharan African (SSA) countries. However, the pooled magnitude of mortality at different ART follow-up periods remains unknown for the region. We estimated the ...

    journal_title:BMC public health

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12889-019-6482-1

    authors: Ahmed I,Lemma S

    更新日期:2019-02-04 00:00:00

  • Psychological correlates of COVID-19 pandemic in the Austrian population.

    abstract:BACKGROUND:COVID-19 poses the greatest challenge for the entire world since the Second World War. Governments are forced to define strict measures to avoid the spreading of the virus, which may further impose psychological burden for the majority of the population. The aim of this study was to evaluate the psychologica...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09489-5

    authors: Traunmüller C,Stefitz R,Gaisbachgrabner K,Schwerdtfeger A

    更新日期:2020-09-14 00:00:00

  • The SHED-IT community trial study protocol: a randomised controlled trial of weight loss programs for overweight and obese men.

    abstract:BACKGROUND:Obesity is a major cause of preventable death in Australia with prevalence increasing at an alarming rate. Of particular concern is that approximately 68% of men are overweight/obese, yet are notoriously difficult to engage in weight loss programs, despite being more susceptible than women to adverse weight-...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2458-10-701

    authors: Morgan PJ,Collins CE,Plotnikoff RC,McElduff P,Burrows T,Warren JM,Young MD,Berry N,Saunders KL,Aguiar EJ,Callister R

    更新日期:2010-11-16 00:00:00

  • The development of an intervention programme to reduce whole-body vibration exposure at work induced by a change in behaviour: a study protocol.

    abstract:BACKGROUND:Whole body vibration (WBV) exposure at work is common and studies found evidence that this exposure might cause low back pain (LBP). A recent review concluded there is a lack of evidence of effective strategies to reduce WBV exposure. Most research in this field is focussed on the technical implications, alt...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-7-329

    authors: Tiemessen IJ,Hulshof CT,Frings-Dresen MH

    更新日期:2007-11-15 00:00:00

  • Effectiveness of an individual acceptance and commitment therapy for smoking cessation, delivered face-to-face and by telephone to adults recruited in primary health care settings: a randomized controlled trial.

    abstract:BACKGROUND:The aim of this study was to examine the effectiveness of delivering an individual Acceptance and Commitment Therapy (ACT) for smoking cessation among a Chinese population. METHODS:Participants were recruited from six primary health care centers. A total of 144 were eligible to take part in the study and ag...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09820-0

    authors: Mak YW,Leung DYP,Loke AY

    更新日期:2020-11-16 00:00:00

  • Parent supervision attributes profile questionnaire (PSAPQ) for young children: psychometric properties of the Chinese version.

    abstract:BACKGROUND:In China, thousands of children die from unintentional injury each year: the incidence rate of injury is from 19.4 to 64.3% which is the leading cause of mortality for children. An important factor to injury may be inadequate supervision. Thus, a linguistic and culturally appropriated, validated instrument t...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7362-4

    authors: Yang J,Lee SY,Zhou Y,Cui Y,Han Y,Song H,Zhang H

    更新日期:2019-09-02 00:00:00

  • Weight misperception and psychological symptoms from adolescence to young adulthood: longitudinal study of an ethnically diverse UK cohort.

    abstract:BACKGROUND:To evaluate the association between weight misperception and psychological symptoms in the Determinants of young Adults Social well-being and Health (DASH) longitudinal study. METHODS:A longitudinal sample of 3227 adolescents, in 49 secondary schools in London, aged 11-16 years participated in 2002/2003 and...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08823-1

    authors: Elia C,Karamanos A,Silva MJ,O'Connor M,Lu Y,Dregan A,Huang P,O'Keeffe M,Cruickshank JK,Enayat EZ,Cassidy A,Molaodi OR,Maynard M,Harding S

    更新日期:2020-05-18 00:00:00

  • A smartphone based attentive eating intervention for energy intake and weight loss: results from a randomised controlled trial.

    abstract:BACKGROUND:Laboratory studies suggest that eating more 'attentively' (e.g. attending to food being eaten and recalling eating episodes) can reduce food intake among participants with both healthy weight and overweight. The aim of this trial was to assess whether a smartphone application that encourages a more attentive...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-019-6923-x

    authors: Whitelock V,Kersbergen I,Higgs S,Aveyard P,Halford JCG,Robinson E

    更新日期:2019-05-21 00:00:00

  • Developing a coordinated Canadian post-secondary surveillance system: a Delphi survey to identify measurement priorities for the Canadian Campus Wellbeing Survey (CCWS).

    abstract:BACKGROUND:Interventions that promote health and wellbeing among young adults are needed. Such interventions, however, require measurement tools that support intervention planning, monitoring and evaluation. The primary purpose of this study is to describe the process in developing a framework for a Canadian post-secon...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7255-6

    authors: Faulkner G,Ramanathan S,Kwan M,CCWS Expert Panel Group.

    更新日期:2019-07-11 00:00:00

  • Population mortality during the outbreak of Severe Acute Respiratory Syndrome in Toronto.

    abstract:BACKGROUND:Extraordinary infection control measures limited access to medical care in the Greater Toronto Area during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak. The objective of this study was to determine if the period of these infection control measures was associated with changes in overall populati...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-7-93

    authors: Hwang SW,Cheung AM,Moineddin R,Bell CM

    更新日期:2007-05-29 00:00:00

  • Social inequalities in a population based colorectal cancer screening programme in the Basque Country.

    abstract:BACKGROUND:While it is known that a variety of factors (biological, behavioural and interventional) play a major role in the health of individuals and populations, the importance of the role of social determinants is less clear. The effect of social inequality on population-based screening for colorectal cancer (CRC) c...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2370-5

    authors: Hurtado JL,Bacigalupe A,Calvo M,Esnaola S,Mendizabal N,Portillo I,Idigoras I,Millán E,Arana-Arri E

    更新日期:2015-10-05 00:00:00

  • Individual social capital and survival: a population study with 5-year follow-up.

    abstract:BACKGROUND:The concept of social capital has received increasing attention as a determinant of population survival, but its significance is uncertain. We examined the importance of social capital on survival in a population study while focusing on gender differences. METHODS:We used data from a Danish regional health ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1025

    authors: Ejlskov L,Mortensen RN,Overgaard C,Christensen LR,Vardinghus-Nielsen H,Kræmer SR,Wissenberg M,Hansen SM,Torp-Pedersen C,Hansen CD

    更新日期:2014-10-02 00:00:00

  • Beyond cost-effectiveness, morbidity and mortality: a comprehensive evaluation of priority setting for HIV programming in Uganda.

    abstract:BACKGROUND:While there has been progress in controlling the HIV epidemic, HIV still remains a disease of global concern. Some of the progress has been attributed to increased public awareness and uptake of public health interventions, as well as increased access to anti- retroviral treatment and the prevention of verti...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6690-8

    authors: Kapiriri L,Lee NM,Wallace LJ,Kwesiga B

    更新日期:2019-04-01 00:00:00

  • Obesity and risk of respiratory tract infections: results of an infection-diary based cohort study.

    abstract:BACKGROUND:Respiratory tract infections (RTIs) are a major morbidity factor contributing largely to health care costs and individual quality of life. The aim of the study was to test whether obesity (BMI ≥ 30 kg/m2) is one of the risk factors underlying frequent RTIs in the German adult population. METHODS:We recruite...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-018-5172-8

    authors: Maccioni L,Weber S,Elgizouli M,Stoehlker AS,Geist I,Peter HH,Vach W,Nieters A

    更新日期:2018-02-20 00:00:00

  • Correlates of prior HIV testing among men who have sex with men in Cameroon: a cross-sectional analysis.

    abstract:BACKGROUND:Regular HIV testing is vital for timely linkage to the HIV care continuum and ensuring the success of behavioral and biomedical interventions to prevent HIV acquisition. Men who have sex with men (MSM) are a key population for HIV prevention, treatment, and care efforts globally. This study measures the fact...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1220

    authors: Park JN,Papworth E,Billong SC,Elat JB,Kassegne S,Grosso A,Moukam L,Macauley I,Yomb YR,Mondoleba V,Eloundou J,LeBreton M,Ketende SC,Baral S

    更新日期:2014-11-25 00:00:00

  • A review of injury epidemiology in the UK and Europe: some methodological considerations in constructing rates.

    abstract:BACKGROUND:Serious injuries have been stated as a public health priority in the UK. However, there appears to be a lack of information on population-based rates of serious injury (as defined by a recognised taxonomy of injury severity) at national level from either official statistics or research papers. We aim to addr...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2458-9-226

    authors: Alexandrescu R,O'Brien SJ,Lecky FE

    更新日期:2009-07-10 00:00:00

  • Paniya Voices: a Participatory Poverty and Health Assessment among a marginalized South Indian tribal population.

    abstract:BACKGROUND:In India, indigenous populations, known as Adivasi or Scheduled Tribes (STs), are among the poorest and most marginalized groups. 'Deprived' ST groups tend to display high levels of resignation and to lack the capacity to aspire; consequently their health perceptions often do not adequately correspond to the...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-149

    authors: Mohindra K,Narayana D,Harikrishnadas C,Anushreedha S,Haddad S

    更新日期:2010-03-22 00:00:00

  • Adapting a generic tuberculosis control operational guideline and scaling it up in China: a qualitative case study.

    abstract:BACKGROUND:The TB operational guideline (the deskguide) is a detailed action guide for county TB doctors aiming to improve the quality of DOTS, while the China national TB policy guide is a guide to TB control that is comprehensive but lacks operational usability for frontline TB doctors. This study reports the process...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-8-260

    authors: Wei X,Walley JD,Liang X,Liu F,Zhang X,Li R

    更新日期:2008-07-29 00:00:00

  • How organisations promoting vaccination respond to misinformation on social media: a qualitative investigation.

    abstract:BACKGROUND:Vaccination misinformation is associated with serious public health consequences, such as a decrease in vaccination rates and a risk of disease outbreaks. Although social media offers organisations promoting vaccination unparalleled opportunities to promote evidence and counterbalance misinformation, we know...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7659-3

    authors: Steffens MS,Dunn AG,Wiley KE,Leask J

    更新日期:2019-10-23 00:00:00

  • Child sex tourism - prevalence of and risk factors for its use in a German community sample.

    abstract:BACKGROUND:To investigate the prevalence of child sex tourism (CST) in a large German community sample, and to compare those who made use of CST with other child sexual abusers regarding established characteristics and risk factors for child sexual abuse. METHODS:Adult German men were recruited through a German market...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-017-4270-3

    authors: Koops T,Turner D,Neutze J,Briken P

    更新日期:2017-04-20 00:00:00

  • Evaluation of a social marketing intervention promoting oral rehydration salts in Burundi.

    abstract:BACKGROUND:Diarrhea is the second leading cause of death for children under five in Burundi; however, use of oral rehydration salts (ORS), the recommended first-line treatment, remains low. In 2004, PSI/Burundi launched a social marketing intervention to promote ORASEL among caregivers of children under five; the produ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-155

    authors: Kassegne S,Kays MB,Nzohabonayo J

    更新日期:2011-03-08 00:00:00

  • Social differences in smoking and snuff use among Norwegian adolescents: a population based survey.

    abstract:BACKGROUND:A change in pattern of tobacco use has been observed in the last decade in Norway. Snuff use and occasional smoking have to some degree replaced daily smoking among adolescents and young adults. Daily smoking is known to be negatively associated with social background factors, but little is known about these...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-8-322

    authors: Grotvedt L,Stigum H,Hovengen R,Graff-Iversen S

    更新日期:2008-09-22 00:00:00

  • Early sexual maturation, central adiposity and subsequent overweight in late adolescence. a four-year follow-up of 1605 adolescent Norwegian boys and girls: the Young HUNT study.

    abstract:BACKGROUND:Early sexual maturation has been associated with overweight that may persist after the completion of biological growth and development. We have prospectively examined the influence of early sexual maturation on subsequent overweight in late adolescence and assessed if this association was modified by central...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-7-54

    authors: Bratberg GH,Nilsen TI,Holmen TL,Vatten LJ

    更新日期:2007-04-12 00:00:00

  • The potential impact on obesity of a 10% tax on sugar-sweetened beverages in Ireland, an effect assessment modelling study.

    abstract:BACKGROUND:Some governments have recently shown a willingness to introduce taxes on unhealthy foods and drinks. In 2011, the Irish Minister for Health proposed a 10% tax on sugar sweetened beverages (SSBs) as a measure to combat childhood obesity. Whilst this proposed tax received considerable support, the Irish Depart...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-860

    authors: Briggs AD,Mytton OT,Madden D,O'Shea D,Rayner M,Scarborough P

    更新日期:2013-09-17 00:00:00

  • Forecasting Tunisian type 2 diabetes prevalence to 2027: validation of a simple model.

    abstract:BACKGROUND:Most projections of type 2 diabetes (T2D) prevalence are simply based on demographic change (i.e. ageing). We developed a model to predict future trends in T2D prevalence in Tunisia, explicitly taking into account trends in major risk factors (obesity and smoking). This could improve assessment of policy opt...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1416-z

    authors: Saidi O,O'Flaherty M,Mansour NB,Aissi W,Lassoued O,Capewell S,Critchley JA,Malouche D,Romdhane HB,EC FP7 funded MEDCHAMPS project.

    更新日期:2015-02-07 00:00:00

  • "Health divide" between indigenous and non-indigenous populations in Kerala, India: population based study.

    abstract:BACKGROUND:The objective of this study is to investigate the magnitude and nature of health inequalities between indigenous (Scheduled Tribes) and non-indigenous populations, as well as between different indigenous groups, in a rural district of Kerala State, India. METHODS:A health survey was carried out in a rural c...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-390

    authors: Haddad S,Mohindra KS,Siekmans K,Màk G,Narayana D

    更新日期:2012-05-29 00:00:00

  • Respiratory illness healthcare-seeking behavior assessment in the Lao People's Democratic Republic (Laos).

    abstract:BACKGROUND:Respiratory illness (RI) remains a public health problem in Laos, but little is known about the overall burden and people's healthcare-seeking behavior for RI. Understanding the burden of RI and community patterns of healthcare-seeking behavior would provide better guidance for Lao public health program and ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-444

    authors: Mayxay M,Hansana V,Sengphilom B,Oulay L,Thammavongsa V,Somphet V,Taykeophithoune C,Nathavong S,Phanthady J,Chareunvong K,Chanthavilay P,Sychareun V

    更新日期:2013-05-04 00:00:00

  • Cost utility analysis of HIV pre exposure prophylaxis among men who have sex with men in Israel.

    abstract:BACKGROUND:Between 2011 and 2015, Men who have sex with men (MSM) accounted for nearly half of new HIV cases among men in Israel. This study carries out a cost-utility analysis of PrEP (HIV Pre Exposure Prophylaxis), an antiretroviral medication that can protect against the acquisition of HIV infection, whose incidence...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-8334-4

    authors: Ginsberg GM,Chemtob D

    更新日期:2020-02-27 00:00:00

  • Level of mortality risk for babies born preterm or with a small weight for gestation in a tertiary hospital of Nepal.

    abstract:BACKGROUND:Globally, 15 million babies were born prematurely in 2012, with 37.6 % of them in South Asia. About 32.4 million infants were born small for gestational age (SGA) in 2010, with more than half of these births occurring in South Asia. In Nepal, 14 % of babies were born preterm and 39.3 % were born SGA in 2010....

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2232-1

    authors: Kc A,Wrammert J,Nelin V,Ewald U,Clark R,Målqvist M

    更新日期:2015-09-10 00:00:00