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协商变革:毛里求斯烟草控制政策制定中的理念、制度和政治行为者。

Negotiating Change: Ideas, Institutions, and Political Actors in Tobacco Control Policy Making in Mauritius.

机构信息

University of Alberta.

出版信息

J Health Polit Policy Law. 2021 Jun 1;46(3):435-465. doi: 10.1215/03616878-8893543.

DOI:10.1215/03616878-8893543
PMID:33647948
Abstract

CONTEXT

This article explains the policy process that occasioned the development of comprehensive tobacco control policies in Mauritius from 1980 to 2019. It does so by drawing theoretical insights from John Kingdon's streams framework, historical institutionalism, and ideational perspectives to explicate how tobacco control rose to the status of government policy agenda.

METHODS

The main sources of data are government documents, media reports, archival studies, grey literature, and published books and articles. These sources were supplemented by key informant interviews with government officials, civil society groups, and other vested interest groups.

FINDINGS

This article finds that the prevalence of noncommunicable diseases in the late 1980s, the political commitment of Mauritius's Labour government to comprehensive tobacco control, the institutional legacies of Mauritius's Public Health Act of 1925, and the administrative capacity of Mauritius's Ministry of Health and Quality of Life are the primary factors that drove tobacco control policies in Mauritius.

CONCLUSION

The findings from this study will enrich our understanding of policy change and the politics of tobacco control in the global south. Future research should investigate why some countries in Africa have failed to adopt comprehensive tobacco control policies despite ratifying the Framework Convention on Tobacco Control.

摘要

背景

本文通过借鉴约翰·金登的流框架、历史制度主义和观念视角的理论观点,解释了毛里求斯从 1980 年到 2019 年期间全面控烟政策制定的政策过程。

方法

主要数据来源是政府文件、媒体报道、档案研究、灰色文献以及已出版的书籍和文章。这些资料通过对政府官员、民间社会团体和其他既得利益团体的主要知情人进行访谈得到了补充。

结果

本文发现,20 世纪 80 年代末非传染性疾病的流行、毛里求斯工党政府对全面控烟的政治承诺、1925 年毛里求斯《公共卫生法》的制度遗产以及毛里求斯卫生部和生活质量部的行政能力是推动毛里求斯控烟政策的主要因素。

结论

本研究的结果将丰富我们对全球南方政策变化和烟草控制政治的理解。未来的研究应该调查为什么尽管一些非洲国家批准了《烟草控制框架公约》,但仍未能采取全面的烟草控制政策。

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