Tobacco industry interference activities: a comparative case study across six countries in Sub-Saharan Africa.

BACKGROUND

The tobacco industry (TI) is a globalised enterprise whose interference activities transcend national borders, undermining tobacco control policies and implementation of the WHO Framework Convention on Tobacco Control (WHO FCTC). Sub-Saharan Africa (SSA) has been a particular target for market expansion by the TI. While individual-country studies have documented policy interference activities in SSA, no comparative studies about the depth or scale exist. This study provides the first cross-country comparative analysis quantifying the frequency and distribution of TI interference activities in six SSA countries: Ethiopia, Kenya, Nigeria, Senegal, South Africa and Uganda.

METHODS

Qualitative content analysis was conducted to compare and analyse information from reports of TI interference activities in the six countries. The frequency of TI interference activities in the reports was coded and mapped to six categories defined in the 2012 WHO document 'Tobacco Industry Interference: A Global Brief.'

RESULTS

A total of 234 distinct TI interference events were identified. The most common tactics involved manipulating public opinion (40%) and hijacking political and legislative processes (28%), followed by use of front groups (14%) and litigation threats (9%). Although the frequency and distribution of these activities differed across the six countries, manipulating public opinion was the most common activity and discrediting proven science was the least common activity.

CONCLUSION

Findings indicate the pervasive and evolving nature of TI interference in SSA and highlight the need for sustained regional collaboration to monitor activities, share data and strengthen enforcement of WHO FCTC Article 5.3. Further research is needed to understand different contexts.