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在撒哈拉以南非洲推行与食品相关的健康税:加纳的经验教训。

Making food-related health taxes palatable in sub-Saharan Africa: lessons from Ghana.

机构信息

Department of Population, Family & Reproductive Health, University of Ghana School of Public Health, Accra, Greater Accra, Ghana

Ghana Public Health Association, Accra, Ghana.

出版信息

BMJ Glob Health. 2023 Oct;8(Suppl 8). doi: 10.1136/bmjgh-2023-012154.

Abstract

Amidst high burden of infectious diseases, undernutrition and micronutrient deficiencies, non-communicable diseases (NCDs) are predicted to become the leading cause of death in Ghana by 2030. NCDs are driven, to a large extent, by unhealthy food environments. Concerned, the Ghana Ministry of Health (MOH) has since 2012 sought to garner the support of all to address this challenge. We aimed to support the MOH to address the challenge through public health policy measures, but would soon be reminded that longstanding challenges to policy development such as data poverty, and policy inertia needed to be addressed. To do this, the we generated the needed evidence, curated the evidence, and availed the evidence to Ghanaian policymakers, researchers and civil society actors. Thus, we addressed the problem of data poverty using context-relevant research, and policy inertia through advocacy and scholar activism. In this paper, we share how a public interest coalition used context-relevant research, evidence-informed advocacy and scholar activism to valorise and increase demand for healthy food policy (including food-related health taxes) in Ghana.

摘要

在传染病负担沉重、营养不足和微量营养素缺乏的情况下,预计到 2030 年,非传染性疾病(NCDs)将成为加纳的主要死因。在很大程度上,NCDs 是由不健康的食物环境驱动的。加纳卫生部(MOH)自 2012 年以来一直寻求获得各方的支持,以应对这一挑战。我们的目标是通过公共卫生政策措施来支持 MOH 应对这一挑战,但很快就会意识到,政策制定方面存在着长期的挑战,如数据匮乏和政策惰性,需要加以解决。为此,我们生成了所需的证据,对证据进行了整理,并向加纳政策制定者、研究人员和民间社会行为者提供了证据。因此,我们使用与背景相关的研究解决了数据匮乏的问题,并通过宣传和学者活动解决了政策惰性问题。在本文中,我们将分享一个公共利益联盟如何使用与背景相关的研究、基于证据的宣传和学者活动来重视和增加对加纳健康食品政策(包括与食品相关的健康税)的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a6/10565179/6afec005f029/bmjgh-2023-012154f01.jpg

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