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Exploring the implementation of the framework convention on tobacco control in four small island developing states of the Pacific: a qualitative study

Martin, Erik and de Leeuw, Evelyne 2013, Exploring the implementation of the framework convention on tobacco control in four small island developing states of the Pacific: a qualitative study, BMJ open, vol. 3, no. 12, pp. 1-8, doi: 10.1136/bmjopen-2013-003982.

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Title Exploring the implementation of the framework convention on tobacco control in four small island developing states of the Pacific: a qualitative study
Author(s) Martin, ErikORCID iD for Martin, Erik orcid.org/0000-0003-1350-3267
de Leeuw, Evelyne
Journal name BMJ open
Volume number 3
Issue number 12
Article ID e003982
Start page 1
End page 8
Total pages 8
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2013
ISSN 2044-6055
Keyword(s) Preventitive medicine
Public health
Qualitative research
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Summary OBJECTIVES: To determine what variables influence the implementation of the Framework Convention on Tobacco Control (FCTC) in small island developing states of the Pacific and how they affect its success or failure. To explore how barriers can be overcome and opportunities utilised to ensure an effective FCTC implementation in the Pacific Islands.
DESIGN: A mixed methods, multiple case study consisting of primarily qualitative data in the form of semistructured interviews, document analysis and opportunistic observation.
SETTING: Field visits were undertaken to collect data in the Cook Islands, Vanuatu, Palau and Nauru. The key informants were interviewed in the major cities or islands of each respective country: Rarotonga, Port Vila, Koror and Nauru.
PARTICIPANTS: Purposive sampling was used to select 39 informants, whose roles were associated with FCTC implementation. Most of the participants worked in health-oriented positions in the government and non-government organisations.
RESULTS: Each country made a significant progress towards FCTC implementation. Overall, strong policy content, public support and limited pro-tobacco coalition activity were conducive to FCTC implementation, but the challenges were evident in the form of limited capacity, limited antitobacco coalition activity and limited political commitment outside the ministries of health in each country.
CONCLUSIONS: Further efforts are needed for full FCTC implementation, through building capacity and using resources effectively, growing commitment to FCTC beyond the health sector, fostering growth in antitobacco coalition activity, exploiting the limited pro-tobacco activity that may be present and garnering public support for tobacco control. These lessons may be particularly important for other small island developing states in the Pacific and developing countries elsewhere.
Language eng
DOI 10.1136/bmjopen-2013-003982
Field of Research 160508 Health Policy
Socio Economic Objective 920208 Health Policy Evaluation
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30069285

Document type: Journal Article
Collections: School of Medicine
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.