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Table 6 Facilitators and barriers to the use of MSA in tobacco control policies in South Africa and Togo, in decreasing order of importance

From: Assessment of the multi-sectoral approach to tobacco control policies in South Africa and Togo

Policy stages South Africa Togo
Facilitators Barriers Facilitators Barriers
Formulation • Local expertise: evidence from research that supports legislation
• Political will: public participation requirement in policy formulation
• Nucleus group -initiates and drives the policy formulation process- critical in ensuring that content and process issues are covered in policy drafting
• A central co-ordination point -workshops and drafting sessions are strategically convened to include most stakeholders
• Ratification of the WHO FCTC in April 2005
• Personal motivation of the stakeholders
• Donor catalytic funding
• The tobacco industry
• Weakness in coordination: patterns of interaction between health and other sectors limited to information sharing
• Different stakeholder expectations
• Inadequate funding and overdependence on donors
• Lack of participation of women groups
• Ratification of the WHO FCTC in November 2005
• Political will
• Availability of local expertise
• Donor catalytic funding
• Personal motivation of the stakeholders
• Weakness in coordination: patterns of interaction between health and other sectors limited to information sharing
• The tobacco industry
• Different expectations
• Inadequate funding and overdependence on donors
• Lack of participation of women groups
Implementation • Local expertise
• Political will
• Personal motivation of the stakeholders
• Ratification of the WHO FCTC in April 2005
• The tobacco industry
• Government management styles: more vertical than horizontal integration
• Public participation: MSA is a requirement in policy-making but not in policy implementation. Nothing compels stakeholders to collaborate in implementing the tobacco control policy and other NCD policies in general
• Different stakeholder expectations
• Inadequate funding and overdependence on donors
• Lack of participation of women groups
• Ratification of the WHO FCTC in November 2005
• Political will
• Local expertise
• donor catalytic funding
• Personal motivation of the stakeholders
• The tobacco industry
• Government management styles: more vertical than horizontal integration
• Different expectations
• Inadequate funding and overdependence on donors
• Lack of participation of women groups