Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors

Ahmad F, Böckmann M, Khan Z, Zeeb H, Khan MN, Ullah S, Dreger S, Ul Haq Z, Forberger S (2021)
TOBACCO CONTROL 30(5): 548-552.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Ahmad, Fayaz; Böckmann, MelanieUniBi ; Khan, Zohaib; Zeeb, Hajo; Khan, Muhammad Naseem; Ullah, Safat; Dreger, Steffen; Ul Haq, Zia; Forberger, Sarah
Abstract / Bemerkung
Objective To obtain insights into the perceptions of barriers and facilitators to implementation of the WHO Framework Convention on Tobacco Control (FCTC) among smokeless tobacco (SLT) supply chain actors in the Khyber Pakhtunkhwa province of Pakistan. Methods We conducted a qualitative study to investigate the perceptions about SLT control policy formulation and implementation among exclusive Naswar sellers and point of sale vendors. We conducted five focus group discussions in three districts of Khyber Pakhtunkhwa using combined deductive-inductive thematic analyses. Results We identified three central themes that potentially impact policy formulation, its implementation and application. The first theme examines the role of children in the Naswar business: as potential customers, and as potential heirs to a Naswar-selling business. A second theme targets the 'business of Naswar', which includes a specific identity of Naswar sellers, its potential to generate profits and the special case of Naswar regulation as a socially accepted and culturally rooted product. The third theme addresses the unusual ingredients of Naswar and its production process, making Naswar a health risk for consumers and producers. We also report conflicting views regarding SLT control among the supply chain actors. Conclusions This study provides insights into the perceptions of important SLT supply-side stakeholders regarding various SLT control policy options based on the FCTC. While there is some opposition to policy approaches like taxation and switching of business, implementing a ban on selling SLT to minors may be a viable option for policymakers in the short term.
Stichworte
public policy; non-cigarette tobacco products; advertising and; promotion; packaging and labelling; low; middle income country
Erscheinungsjahr
2021
Zeitschriftentitel
TOBACCO CONTROL
Band
30
Ausgabe
5
Seite(n)
548-552
ISSN
0964-4563
eISSN
1468-3318
Page URI
https://pub.uni-bielefeld.de/record/2958146

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Ahmad F, Böckmann M, Khan Z, et al. Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors. TOBACCO CONTROL. 2021;30(5):548-552.
Ahmad, F., Böckmann, M., Khan, Z., Zeeb, H., Khan, M. N., Ullah, S., Dreger, S., et al. (2021). Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors. TOBACCO CONTROL, 30(5), 548-552. https://doi.org/10.1136/tobaccocontrol-2020-055748
Ahmad, F., Böckmann, M., Khan, Z., Zeeb, H., Khan, M. N., Ullah, S., Dreger, S., Ul Haq, Z., and Forberger, S. (2021). Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors. TOBACCO CONTROL 30, 548-552.
Ahmad, F., et al., 2021. Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors. TOBACCO CONTROL, 30(5), p 548-552.
F. Ahmad, et al., “Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors”, TOBACCO CONTROL, vol. 30, 2021, pp. 548-552.
Ahmad, F., Böckmann, M., Khan, Z., Zeeb, H., Khan, M.N., Ullah, S., Dreger, S., Ul Haq, Z., Forberger, S.: Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors. TOBACCO CONTROL. 30, 548-552 (2021).
Ahmad, Fayaz, Böckmann, Melanie, Khan, Zohaib, Zeeb, Hajo, Khan, Muhammad Naseem, Ullah, Safat, Dreger, Steffen, Ul Haq, Zia, and Forberger, Sarah. “Implementing smokeless tobacco control policy in Pakistan: a qualitative study among Naswar supply chain actors”. TOBACCO CONTROL 30.5 (2021): 548-552.

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