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 |