Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors.
Tob Control
; 30(5): 548-552, 2021 09.
Article
in En
| MEDLINE
| ID: mdl-32817262
ABSTRACT
OBJECTIVE:
To obtain insights into the perceptions of barriers and facilitators to implementation of the WHO Framework Convention on Tobacco Control (FCTC) among smokeless tobacco (SLT) supply chain actors in the Khyber Pakhtunkhwa province of Pakistan.METHODS:
We conducted a qualitative study to investigate the perceptions about SLT control policy formulation and implementation among exclusive Naswar sellers and point of sale vendors. We conducted five focus group discussions in three districts of Khyber Pakhtunkhwa using combined deductive-inductive thematic analyses.RESULTS:
We identified three central themes that potentially impact policy formulation, its implementation and application. The first theme examines the role of children in the Naswar business as potential customers, and as potential heirs to a Naswar-selling business. A second theme targets the 'business of Naswar', which includes a specific identity of Naswar sellers, its potential to generate profits and the special case of Naswar regulation as a socially accepted and culturally rooted product. The third theme addresses the unusual ingredients of Naswar and its production process, making Naswar a health risk for consumers and producers. We also report conflicting views regarding SLT control among the supply chain actors.CONCLUSIONS:
This study provides insights into the perceptions of important SLT supply-side stakeholders regarding various SLT control policy options based on the FCTC. While there is some opposition to policy approaches like taxation and switching of business, implementing a ban on selling SLT to minors may be a viable option for policymakers in the short term.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tobacco, Smokeless
Type of study:
Qualitative_research
Limits:
Child
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Tob Control
Journal subject:
TRANSTORNOS RELACIONADOS COM SUBSTANCIAS
Year:
2021
Document type:
Article
Affiliation country: