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Int. J. Environ. Res. Public Health 2015, 12(1), 474-487; doi:10.3390/ijerph120100474

Multi-Stakeholder Taskforces in Bangladesh — A Distinctive Approach to Build Sustainable Tobacco Control Implementation

Department of Tobacco Control, The International Union against Tuberculosis and Lung Disease, 8 Randolph Crescent, Edinburgh EH3 7TH, UK
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Author to whom correspondence should be addressed.
Academic Editor: Adriana Blanco Marquizo
Received: 15 October 2014 / Accepted: 23 December 2014 / Published: 7 January 2015
(This article belongs to the Special Issue Tobacco Control)
View Full-Text   |   Download PDF [665 KB, uploaded 7 January 2015]   |  

Abstract

The MPOWER policy package enables countries to implement effective, evidence-based strategies to address the threat posed to their population by tobacco. All countries have challenges to overcome when implementing tobacco control policy. Some are generic such as tobacco industry efforts to undermine and circumvent legislation; others are specific to national or local context. Various factors influence how successfully challenges are addressed, including the legal-political framework for enforcement, public and administrative attitudes towards the law, and whether policy implementation measures are undertaken. This paper examines District Tobacco Control Taskforces, a flexible policy mechanism developed in Bangladesh to support the implementation of the Smoking and Tobacco Products Usage (Control) Act 2005 and its 2013 Amendment. At the time of this study published research and/or data was not available and understanding about these structures, their role, contribution, limitations and potential, was limited. We consider Taskforce characteristics and suggest that the “package” comprises a distinctive tobacco control implementation model. Qualitative data is presented from interviews with key informants in ten districts with activated taskforces (n = 70) to provide insight from the perspectives of taskforce members and non-members. In all ten districts taskforces were seen as a crucial tool for tobacco control implementation. Where taskforces were perceived to be functioning well, current positive impacts were perceived, including reduced smoking in public places and tobacco advertising, and increased public awareness and political profile. In districts with less well established taskforces, interviewees believed in their taskforce’s ‘potential’ to deliver similar benefits once their functioning was improved. Recommendations to improve functioning and enhance impact were made. The distinctive taskforce concept and lessons from their development may provide other countries with a flexible local implementation model for tobacco control. View Full-Text
Keywords: Bangladesh; tobacco control; sustainability; LMIC Bangladesh; tobacco control; sustainability; LMIC
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Jackson-Morris, A.M.; Chowdhury, I.; Warner, V.; Bleymann, K. Multi-Stakeholder Taskforces in Bangladesh — A Distinctive Approach to Build Sustainable Tobacco Control Implementation. Int. J. Environ. Res. Public Health 2015, 12, 474-487.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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