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Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study

Bell, Colin, Latu, C, Na’ati, E, Snowdon, W, Moodie, Marj and Waqa, G 2021, Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study, Globalization and Health, vol. 17, no. 1, pp. 1-10, doi: 10.1186/s12992-021-00788-z.

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Title Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
Author(s) Bell, ColinORCID iD for Bell, Colin orcid.org/0000-0003-2731-9858
Latu, C
Na’ati, E
Snowdon, W
Moodie, MarjORCID iD for Moodie, Marj orcid.org/0000-0001-6890-5250
Waqa, G
Journal name Globalization and Health
Volume number 17
Issue number 1
Article ID ARTN 136
Start page 1
End page 10
Total pages 10
Publisher BMC
Place of publication London, Eng
Publication date 2021
ISSN 1744-8603
1744-8603
Keyword(s) COUNTRIES
Food policy
HEALTH-POLICY ANALYSIS
Import duty
Life Sciences & Biomedicine
non-communicable disease
Nutrition
PACIFIC ISLANDS
Policy development
Public, Environmental & Occupational Health
Science & Technology
Tonga
Import duty, non-communicable disease
Summary Abstract Background In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps and turkey tails. The objective of this study was to describe barriers to and facilitators of these import duties from a policy-maker perspective. Methods A case study was conducted to analyse implementation of policies originally modelled by the Pacific Obesity Prevention in Communities project to reduce mortality in the Kingdom of Tonga. Policymakers (n = 15) from the Ministries of Revenue, Health, Finance and Labour and Commerce involved in the development and implementation of Tonga’s food-related policies participated in key-informant interviews. Results The main facilitator of import duties were strong leadership and management, cross-sector collaboration, awareness raising and advocacy, nature of the policy, and the effective use of data to model policy impacts and inform the general public. The absence of clear lines of responsibility and a decline in collaboration over time were identified as barriers to implementation of the import duties. Conclusion In a small Island state implementing import duties to prevent non-communicable disease can be straight forward providing policymakers and the community have a shared understanding of the health and economic costs of NCDs.
Language eng
DOI 10.1186/s12992-021-00788-z
Indigenous content off
Field of Research 1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30160146

Document type: Journal Article
Collections: Faculty of Health
Population Health
Open Access Collection
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Created: Thu, 09 Dec 2021, 20:32:10 EST

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.