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低收入和中等收入国家非传染性疾病议程设定中的政治治理现实:胡萝卜加大棒的案例?;对《主要不健康商品行业企业的国家公共卫生监测:范围审查与框架综合》的评论

Governing Political Realities in NCD Agenda Setting in LMICS: a Case of the Carrot and the Stick?; Comment on "National Public Health Surveillance of Corporations in Key Unhealthy Commodity Industries: a Scoping Review and Framework Synthesis".

作者信息

Delobelle Peter A

机构信息

Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Department of Public Health, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Int J Health Policy Manag. 2024 Nov 16;13. doi: 10.34172/ijhpm.8836.

Abstract

In their scoping review Bennett et al. present a summary framework for public health surveillance of unhealthy commodity industries (UCI) that impact human health, which is important in view of the rising burden of non-communicable diseases, especially in low- and middle-income countries (LMICs). The authors focus on the tobacco, alcohol and food and beverage industry and discuss who should 'own' the process; where in the public sector administration the responsibility should lie; and how and which practices or organizations to monitor. They also argue that the monitoring should transition from academia and civil society to (sub)-national governments because of their central role in the protection of public health. This commentary argues that the challenges related to NCD policymaking in LMICs should be viewed from within a political economy perspective and that support for UCI monitoring has to be bolstered by independent accountability mechanisms and rights-based advocacy at national and global level.

摘要

在他们的范围界定综述中,贝内特等人提出了一个针对影响人类健康的不健康商品行业(UCI)进行公共卫生监测的总结框架,鉴于非传染性疾病负担不断加重,这一点尤为重要,特别是在低收入和中等收入国家(LMICs)。作者聚焦于烟草、酒精以及食品和饮料行业,并讨论了谁应“主导”这一过程;公共部门行政管理中的责任应归属何处;以及如何监测和监测哪些做法或组织。他们还认为,由于(次)国家政府在保护公众健康方面的核心作用,监测工作应从学术界和民间社会转向(次)国家政府。本评论认为,应从政治经济视角看待低收入和中等收入国家与非传染性疾病政策制定相关的挑战,并且在国家和全球层面,对不健康商品行业监测的支持必须通过独立问责机制和基于权利的倡导来加强。

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