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Grant Details

Grant Number: 4R01DA035158-05 Interpret this number
Primary Investigator: Drope, Jeffrey
Organization: American Cancer Society, Inc.
Project Title: Building Research and Capacity on the Economic Policy-Tobacco Control Nexus in Af
Fiscal Year: 2016
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Abstract

DESCRIPTION (provided by applicant): The World Health Organization reports that more than 5.4 million people die each year from tobacco-related diseases. Moreover, evolving markets have generated a dramatic shift in consumption from developed to developing countries, and within a decade, more than 70% of the disease burden from tobacco will fall on developing countries. To facilitate this shift, opponents to tobacco control - led by the tobacco industry - have recently begun a widespread assault against tobacco control using international economic agreements, particularly trade and investment rules. This complex nexus of economic and public health policymaking may prove to be home to the largest threat facing tobacco control. The emerging battleground is particularly in countries with weaker capacity, more politically vulnerable governments and a greater economic reliance on tobacco, which includes particularly Sub-Saharan Africa. While there is a small literature documenting some of these recent efforts and another literature that clearly presents the competing legal arguments and some legal solutions, little is known about the political processes that frame these interactions. Understanding these processes is a crucial component to addressing this challenge: helping policymakers to develop strategies to integrate health and economic policies positively. This project aims to fill this gap by identifying rigorously how key actors are accessing the political processes domestically and internationally in order to utilize and/or change economic policies in an effort to influence tobacco control. To reach this aim, we will first collect and analyze existig data and scholarship relevant to the intersection of tobacco control and economic policies in Africa. Using expert consultation with our African partners, we will extensively interview key actors in the region, including relevant ministry officials, civil society advocates and industry representatives. We will complement these interviews with dynamic focus group sessions across the region involving key stakeholders in the processes around the public health-economic policy nexus. One of the project's principal aims is to improve capacity in these vital substantive areas in the region. Accordingly, there will be close coordination among the HIC and African co-investigators, not only for research collaboration, but also to train a select cohort of advanced graduate students in African and North American universities who focus specifically on the political economy of tobacco control in developing countries. As the final component of our capacity-building strategy, the multi-disciplinary team will present the key findings to major stakeholders - policymakers, advocates and scholars - in a series of workshops across the region that will offer specific recommendations for how to develop and implement effective public health and economic policies that co-exist positively. The workshops will be accompanied by a corresponding set of country-specific policy briefs that will also be distributed to key stakeholders unable to attend a workshop.

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Publications

Why Do Farmers Grow Tobacco? A Qualitative Exploration of Farmers Perspectives in Indonesia and Philippines.
Authors: Appau A. , Drope J. , Witoelar F. , Chavez J.J. , Lencucha R. .
Source: International journal of environmental research and public health, 2019-07-02; 16(13), .
EPub date: 2019-07-02.
PMID: 31269640
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Socio-economic and demographic determinants of tobacco use in Kenya: findings from the Kenya Demographic and Health Survey 2014.
Authors: Magati P. , Drope J. , Mureithi L. , Lencucha R. .
Source: The Pan African medical journal, 2018; 30, p. 166.
EPub date: 2018-06-25.
PMID: 30455795
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Costs, contracts and the narrative of prosperity: an economic analysis of smallholder tobacco farming livelihoods in Kenya.
Authors: Magati P. , Lencucha R. , Li Q. , Drope J. , Labonte R. , Appau A.B. , Makoka D. , Goma F. , Zulu R. .
Source: Tobacco control, 2019 05; 28(3), p. 268-273.
EPub date: 2018-07-02.
PMID: 29967193
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Global tobacco control and economic norms: an analysis of normative commitments in Kenya, Malawi and Zambia.
Authors: Lencucha R. , Reddy S.K. , Labonte R. , Drope J. , Magati P. , Goma F. , Zulu R. , Makoka D. .
Source: Health policy and planning, 2018-04-01; 33(3), p. 420-428.
PMID: 29401223
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The institutional context of tobacco production in Zambia.
Authors: Labonté R. , Lencucha R. , Drope J. , Packer C. , Goma F.M. , Zulu R. .
Source: Globalization and health, 2018-01-16; 14(1), p. 5.
EPub date: 2018-01-16.
PMID: 29338793
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Disentangling regional trade agreements, trade flows and tobacco affordability in sub-Saharan Africa.
Authors: Appau A. , Drope J. , Labonté R. , Stoklosa M. , Lencucha R. .
Source: Globalization and health, 2017-11-14; 13(1), p. 81.
EPub date: 2017-11-14.
PMID: 29137678
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Costs, revenues and profits: an economic analysis of smallholder tobacco farmer livelihoods in Malawi.
Authors: Makoka D. , Drope J. , Appau A. , Labonte R. , Li Q. , Goma F. , Zulu R. , Magati P. , Lencucha R. .
Source: Tobacco control, 2017 11; 26(6), p. 634-640.
EPub date: 2016-10-08.
PMID: 29066593
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Navigating institutional complexity in the health sector: lessons from tobacco control in Kenya.
Authors: Lencucha R. , Magati P. , Drope J. .
Source: Health policy and planning, 2016 Dec; 31(10), p. 1402-1410.
EPub date: 2016-07-14.
PMID: 27418654
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Rhetoric and the law, or the law of rhetoric: How countries oppose novel tobacco control measures at the World Trade Organization.
Authors: Lencucha R. , Drope J. , Labonte R. .
Source: Social science & medicine (1982), 2016 09; 164, p. 100-107.
EPub date: 2016-07-25.
PMID: 27475056
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Investment incentives and the implementation of the Framework Convention on Tobacco Control: evidence from Zambia.
Authors: Lencucha R. , Drope J. , Labonte R. , Zulu R. , Goma F. .
Source: Tobacco control, 2016 07; 25(4), p. 483-7.
EPub date: 2015-07-01.
PMID: 26135987
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Plain packaging: an opportunity for improved international policy coherence?
Authors: Lencucha R. , Drope J. .
Source: Health promotion international, 2015 Jun; 30(2), p. 281-90.
EPub date: 2013-05-30.
PMID: 23723441
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Tobacco plain packaging: too hot for regulatory chill.
Authors: Lencucha R. , Labonte R. , Drope J. .
Source: Lancet (London, England), 2015-05-02; 385(9979), p. 1723.
PMID: 25943931
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Exposing and addressing tobacco industry conduct in low-income and middle-income countries.
Authors: Gilmore A.B. , Fooks G. , Drope J. , Bialous S.A. , Jackson R.R. .
Source: Lancet (London, England), 2015-03-14; 385(9972), p. 1029-43.
PMID: 25784350
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Evolving norms at the intersection of health and trade.
Authors: Drope J. , Lencucha R. .
Source: Journal of health politics, policy and law, 2014 Jun; 39(3), p. 591-631.
EPub date: 2014-03-06.
PMID: 24603086
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