Document Type : Original Article(s)
Authors
- Nizal Sarrafzadegan 1
- Katayoun Rabiei 2
- Mousa Alavi 3
- Roya Kelishadi 1
- Leila Manzouri 4
- Heidarali Abedi 5
- Khadijeh Fereydoun-Mohaseli 6
- Hasan Azaripour-Masooleh 7
- Hamidreza Roohafza 8
- Gholamreza Heidari 9
1 Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2 PhD Candidate, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
5 Professor, School of Nursing and Midwifery, Islamic Azad University, Khorasgan Branch (Isfahan), Isfahan, Iran
6 National Tobacco Control Secretariat, Ministry of Health, Tehran, Iran
7 General Practitioner, Social Security Organization, Tehran, Iran
8 Assistant Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
9 Tobacco Prevention and Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Background: The epidemic of smoking is a great concern of health systems. Moreover, the number of smokers is increasing worldwide and this has led to an escalating trend of morbidity, mortality, and burden of smoking-related diseases. Therefore, monitoring the implementation of tobacco control laws in different countries is of extreme importance. This study aimed to describe policy makers’ experiences and perceptions of the facilitating factors of the implementation of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) in Iran. Methods: This was a qualitative research in which data were collected through individual interviews. The participants included policy makers who were members of the national assembly for tobacco control. In this study, 13 unstructured interviews of about 45 to 60 minutes duration were conducted in an extrapolative manner. The qualitative content analysis method was applied until extrapolation of basic themes was complete. Results: As a result of the analysis, the themes of performance through training, through research, through intersectoral collaboration, and through setting priorities emerged. The emerged themes connote some critical points that have key roles in promoting the effective implementation of the WHO FCTC. Furthermore, the main role of the health sector becomes predominant. Conclusion: The study findings suggested the managed and coordinated work as one of the main facilitating factors of the implementation of the WHO FCTC at a national level.
Keywords
- (1) Tobacco or health : a global status report. Geneva; World Health Organization; 1997; 1997.
- (2) Edwards R, Thomson G, Wilson N, Waa A, Bullen C, O'Dea D, et al. After the smoke has cleared: evaluation of the impact of a new national smoke-free law in New Zealand. Tob Control 2008 Feb;17(1):e2.
- (3) Farzadfar F, Danaei G, Namdaritabar H, Rajaratnam JK, Marcus JR, Khosravi A, et al. National and subnational mortality effects of metabolic risk factors and smoking in Iran: a comparative risk assessment. Popul Health Metr 2011;9(1):55.
- (4) Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Delavari A, Heshmat R, et al. Smoking behavior and its influencing factors in a national-representative sample of Iranian adolescents: CASPIAN study. Preventive medicine 2006;42(6):423-6.
- (5) What is the cost of Iranian daily smoking? How many percent of girls smoke. Asae' Kabar news. 21 May 2013 [In Persian]. Available on: goo.gl/Y4IIli
- (6) FIFTY-SIXTH WORLD HEALTH ASSEMBLY. WHO Framework Convention on Tobacco Control. Article 11:Packaging and labelling of tobacco products. 5-21-2003.
- (7) World Health Organization. Framework Convention on Tobacco Control.Geneva, WHO, 2003 Available on: http://www.who.int/tobacco/framework/download/en/ (Accessed 17 December 2004).
- (8) The Government of the Islamic Republic's accession to the World Health Organization Framework Convention on Tobacco Control. Available on: http://rc.majlis.ir/fa/law/show/97946
- (9) Interactive Word-based WHO FCTC Reporting Instrument and Cover Note/Instructions. 2011.
- (10) The International Tobacco Control Policy Evaluation Project Official Website. Available on: http://www.itcproject.org/
- (11) Fong GT, Cummings KM, Borland R, Hastings G, Hyland A, Giovino GA, et al. The conceptual framework of the international tobacco control (ITC) policy evaluation project. Tobacco Control 2006;15(suppl 3):iii3-iii11.
- (12) Erguder T, Çak r B, Aslan D, Warren C, Jones N, Asma S. Evaluation of the use of Global Youth Tobacco Survey (GYTS) data for developing evidence-based tobacco control policies in Turkey. BMC Public Health 2008;8(Suppl 1):S4.
- (13) Sarrafzadegan N, Kelishadi R, Rabiei K, Abedi H, Fereydoun Mohaseli K, Azaripour Masooleh H, et al. A comprehensive model to evaluate implementation of the world health organization framework convention of tobacco control. Iranian Journal of Nursing and Midwifery Research 2012;17(3).
- (14) Watson R. Nursing research: designs and methods. Elsevier Health Sciences; 2008.
- (15) Joossens L. From public health to international law: possible protocols for inclusion in the Framework Convention on Tobacco Control. Bulletin of the World Health Organization 2000;78(7).
- (16) Siahpush M, McNeill A, Borland R, Fong G. Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco control 2006;15(suppl 3).
- (17) Hafez N, Ling PM. How Philip Morris built Marlboro into a global brand for young adults: implications for international tobacco control. Tobacco control 2005;14(4).
- (18) Thrasher JF, Chaloupka F, Hammond D, Fong G, Borland R, Hastings G, et al. [Evaluating tobacco control policy in Latin American countries during the era of the Framework Convention on Tobacco Control]. Salud publica de Mexico 2006;48 Suppl 1.
- (19) Heath J, Andrews J. Using evidence-based educational strategies to increase knowledge and skills in tobacco cessation. Nursing research 2006;55(4 Suppl).
- (20) Chaudhry K. Tobacco control in India. Fifty years of cancer control in India Agarwal SP, Rao YN, Gupta S, Editors Directorate General of Health Services, Govt of India, New Delhi, India 2002.
- (21) McMurray A, Clendon J. Community Health & Wellness: Primary Health Care in Practice. Elsevier Australia; 2010.
- (22) Sinha DN, Reddy KS, Rahman K, Warren CW, Jones NR, Asma S. Linking Global Youth Tobacco Survey (GYTS) data to the WHO framework convention on tobacco control: the case for India. Indian journal of public health 2006;50(2).
- (23) Moher M, Hey K, Lancaster T. Workplace interventions for smoking cessation. Cochrane database of systematic reviews 2005;(2).
- (24) Edwards R, Thomson G, Wilson N, Waa A, Bullen C, O'Dea D, et al. After the smoke has cleared: evaluation of the impact of a new national smoke-free law in New Zealand. Tobacco control 2008;17(1).
- (25) Park K, Kim DS, Park DJ, Lee SK. Tobacco control in Korea. Medicine and law 2004;23(4).
)