Teixeira Luiz Antônio da Silva, Paiva Carlos Henrique Assunção, Ferreira Vanessa Nolasco
Casa de Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Sep 21;33Suppl 3(Suppl 3):e00121016. doi: 10.1590/0102-311X00121016.
This study analyses the development of a tobacco-control agenda in Brazil following the country's participation in the World Health Organization Framework Convention on Tobacco Control (WHO-FCTC). This process started with the diplomatic negotiations for the participation of Brazil in the treaty, in 2003, and its ratification by the National Congress, in 2005, and was marked by substantial controversies between public health players, who are accountable for tobacco-control actions, and the high echelon of Brazilian diplomacy, emissaries of the tobacco industry, representatives of small tobacco farmers from the Southern region of the country, congress representatives, senators and ministers. The study is based on the contributions of John W. Kingdon on the development of an agenda for the formulation of public policies. It took into account secondary references, legislative and institutional sources from the 1995 to 2005 period. It concluded that the association of tobacco-related healthcare actions by technically skilled officials, the involvement of the high echelon of the Ministry of Foreign Affairs (policy flow), the initiative for the establishment of the WHO-FCTC (problem flow), and the existence of a favorable environment in both, executive and legislative (political flow), opened a window of opportunity for WHO-FCTC ratification and its inclusion in the government decision agenda.
本研究分析了巴西在参与世界卫生组织《烟草控制框架公约》（WHO-FCTC）之后烟草控制议程的发展情况。这一进程始于2003年巴西参与该条约的外交谈判，以及2005年国民议会对其的批准，其特点是负责烟草控制行动的公共卫生参与者与巴西外交高层、烟草行业的使者、该国南部地区小烟农的代表、国会代表、参议员和部长之间存在重大争议。该研究基于约翰·W·金登对公共政策制定议程发展的贡献。它考虑了1995年至2005年期间的二手参考文献、立法和机构资料。研究得出结论，技术熟练的官员将与烟草相关的医疗保健行动联系起来、外交部高层的参与（政策流）、建立WHO-FCTC的倡议（问题流）以及行政和立法部门都存在有利环境（政治流），为批准WHO-FCTC并将其纳入政府决策议程打开了机会之窗。
