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Table 2 Summary of the characteristics of the governance structure theme of proposed monopoly-oriented endgame models (MOEM)

From: The Lebanese Regie state-owned tobacco monopoly: lessons to inform monopoly-focused endgame strategies

Sub-themes

Liberman [17]

Borland [8]

Callard [9]

Thomson et al. [18]

Thomson et al. [11]

Gray [19, 20]

Smith et al. [21]

Ownership of the MOEM

(1) Government

(2) Ministry of Health

The ownership was not specified but it need to be distant from executive governmental body

(1-Or equivalent that is different from the department that collects taxes that could be the department of finance or equivalent)

Ownership was not discussed. But it was stated it could be public or private. It could be similar to pre-existing models: water utilities, public broadcasting, hospital systems

(2)

(1)

(1)

(1)

Control—External

(1) Established by legislation to act under charter and certain criteria

(2) To have PH mandates/goals

(3) To ensure control of illicit trade

(4) To report on its work to an independent body

(5) To require the TTC to disclose information on its research and products

(6) To have the power to set differential tax in co-ordination with treasury

(1)(2)(3)

(4- To report to a federal/state body in the same field of work such as drugs, health.) (5- The MOEM will incentivise tobacco manufacturers towards developing less harmful/addictive products)

(1)(2)(3)

(4)

(5- The MOEM will incentivise them to disclose information to the TPA) (6)

(1) (2)

(1)(2)(4)

(5- Disclosure will be to the Tobacco Authority or Ministry of Health)

(1)(2)(4- Reporting will aim at evaluating the phasing out) (5-The MOEM will aim to implement Article 5.3)

(1)(2)

(1)(2)(3)

Control—Internal

(1) Establish a board of experts from different fields

(2) To have board members distant from executive government and political interference to ensure independence

(1)(2)

(1)(2)

Unspecified

(2- Just mentions independent)

Unspecified

Unspecified

Unspecified

Reporting mechanism

The MOEM transparently communicates information by making it publicly available 

This information includes:

(1) Meetings

(2) Decisions

(3) Operations

(4) Price changes

(5) About products

(6) Licensing (e.g., retailers or farmers)

(7) Deals/agreements with TTC

(1)(2)(3)(5)(6)(7) Reporting mechanism should be made possible

(a) By routine publication on the internet

(b) Given the freedom of information legislation

(2)(3)(4)(5)(7)

Unspecified

Unspecified

(4)

Unspecified

(4)(5)

Financing- Source to cover cost of operation

(1) Government budget

(2) Self-financed through business

(3) From tax revenue

Unspecified

(1)(2)

(2)(3)

(3)

(2- Revenue from quota bidding on residual tobacco) (3)

(3)

(2)

Financing- means to address financial interest / vested interest /corruption

(1) Earmark the profit for tobacco control and CSR activities to avoid reliance on tobacco sales

(2) Gradually drop tax revenue in line with decrease in tobacco consumption to avoid the government incentive to maintain sale

(3) Incentivising staff to maintain the agency integrity/involve them in cessation programmes

(4) Hold staff accountable for their work

(5) Benchmark the work of the agency toward another agency in jurisdiction

(6) Isolate the MOEM decision making regarding revenue

(7) Decrease dependence on revenue by setting a date to eliminate tobacco

(6)

(3)(6)

(2)

Unspecified

(1)

(1- Fund anti-smoking activities) (4)

(1- Provide retailors with one-time transition fund to shift to other business; for education; enforcement of the ban.) (7)