Abstract

Background: This study reports stakeholders’ ratings, and perceived gaps in World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC) Article 8 implementation in Thailand viewed against WHO’s Guidelines for Article 8 and to inform action in preparing the 2017 Tobacco Product Control Act. Methods: Stakeholder ratings of Guideline provisions of Article 8 on a three-tiered scale of implementation from understanding to effectiveness and efficiency were used to identify gaps in enforcement and compliance important to success in meeting Article 8 goals. This stakeholder assessment occurred through a stakeholder meeting of 55 stakeholders in Bangkok, Thailand in June 2016. Results: The average of all assessment ratings by stakeholders on an ascending 0-3 scale had a mean score of 1.67, which means the level of implementation for Article 8 in Thailand was rated less than effective for enforcement. The assessment shows that the public understanding of smoke-free principles is also poor at a mean of 1.28, that there is incomplete effectiveness of smoke-free measures with a mean of 1.75, and only a general effectiveness that smoke-free protections are adequately covering most places with a mean of 1.98. More needs to be done to make all places compliant through enforcement efforts rated with a mean of only 1, and that more is necessary for protection from tobacco-smoke exposure in other public places and in private vehicles with mean ratings of 1.71 and 1.14. Conclusion: This stakeholder approach using a three-tiered rating scale found that the implementation of Article 8 in Thailand is still lacking. With this approach, stakeholders identified critical issues needing improvement and informed changes in the then-proposed Tobacco Product Control Act which later was adopted in 2017.

Highlights

  • This study reports stakeholders’ ratings, and perceived gaps in World Health Organization’s (WHO) FramewoCrkleCmoentveAnstikohneiomn,TKobraisctcionCHoengtrgoeln(,FECiTvCin) dAErtnicgleeb8reimtspelnem** entation in Thailand viewed against WHO’s Guidelines for Article 8 and to inform action in preparing the 2017 Tobacco Product Control Act

  • This study reports stakeholders’ ratings, and perceived gaps in WHO-FCTC Article 8 implementation in Thailand viewed in relation to Article 8 Guidelines and to inform action in preparing the

  • To provide a framework for rating implementation, a three-tiered scale with scoring between 0 and 3 to establish the level of implementation of provisions of Article 8 was developed by tobacco control experts who had worked with TRC on FCTC research

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Summary

Methods

Stakeholder ratings of Guideline provisions of Article 8 on a three-tiered scale of implementation fromArticle History: Received: 29 October 2017 Accepted: 12 May 2018 ePublished: 3 June 2018understandAibnsgtrtaocteffectiveness and efficiency were used to identify gaps in enforcement and compliance importantAArrttiiccllee HHiissttoorryy:: to successIninamreeceetnintgarAtirctleic, lGe o8rigkoOalosm. Stakeholder ratings of Guideline provisions of Article 8 on a three-tiered scale of implementation from. To provide a framework for rating implementation, a three-tiered scale with scoring between 0 and 3 to establish the level of implementation of provisions of Article 8 was developed by tobacco control experts who had worked with TRC on FCTC research. The stakeholder approach was chosen since it is an accepted method of confirming community concerns needing further investigation through research.[12] A stakeholder meeting was held with representatives from six Ministries, National Police Office, Bangkok Metropolitan Administration and non-government organizations including experts and experienced officials with a familiarity of the implementation of the smoke-free law and its enforcement in Thailand. The 26 rated items for Article 8 of the WHO FCTC for the protection from exposure to tobacco smoke were assessed as to current practice in 2016 in Thailand and were from the Guidelines for implementation of the WHO Framework Convention on Tobacco Control, 2013.3

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