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 | 鈥� Local expertise: evidence from research that supports legislation 鈥� Political will: public participation requirement in policy formulation 鈥� Nucleus group -initiates and drives the policy formulation process- critical in ensuring that content and process issues are covered in policy drafting 鈥� A central co-ordination point -workshops and drafting sessions are strategically convened to include most stakeholders 鈥� Ratification of the WHO FCTC in April 2005 鈥� Personal motivation of the stakeholders 鈥� Donor catalytic funding | 鈥� The tobacco industry 鈥� Weakness in coordination: patterns of interaction between health and other sectors limited to information sharing 鈥� Different stakeholder expectations 鈥� Inadequate funding and overdependence on donors 鈥� Lack of participation of women groups | 鈥� Ratification of the WHO FCTC in November 2005 鈥� Political will 鈥� Availability of local expertise 鈥� Donor catalytic funding 鈥� Personal motivation of the stakeholders | 鈥� Weakness in coordination: patterns of interaction between health and other sectors limited to information sharing 鈥� The tobacco industry 鈥� Different expectations 鈥� Inadequate funding and overdependence on donors 鈥� Lack of participation of women groups |
Implementation | 鈥� Local expertise 鈥� Political will 鈥� Personal motivation of the stakeholders 鈥� Ratification of the WHO FCTC in April 2005 | 鈥� The tobacco industry 鈥� Government management styles: more vertical than horizontal integration 鈥� 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 鈥� Different stakeholder expectations 鈥� Inadequate funding and overdependence on donors 鈥� Lack of participation of women groups | 鈥� Ratification of the WHO FCTC in November 2005 鈥� Political will 鈥� Local expertise 鈥� donor catalytic funding 鈥� Personal motivation of the stakeholders | 鈥� The tobacco industry 鈥� Government management styles: more vertical than horizontal integration 鈥� Different expectations 鈥� Inadequate funding and overdependence on donors 鈥� Lack of participation of women groups |