Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study

Abstract Background In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps...

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Autores principales:	Colin Bell, Catherine Latu, Elisiva Na’ati, Wendy Snowdon, Marj Moodie, Gade Waqa
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Food policy Nutrition Tonga Policy development Import duty, non-communicable disease Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/8547aaa751b24ab1b753a2f9eaa5921f
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spelling	oai:doaj.org-article:8547aaa751b24ab1b753a2f9eaa5921f2021-11-28T12:27:59ZBarriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study10.1186/s12992-021-00788-z1744-8603https://doaj.org/article/8547aaa751b24ab1b753a2f9eaa5921f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12992-021-00788-zhttps://doaj.org/toc/1744-8603Abstract Background In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps and turkey tails. The objective of this study was to describe barriers to and facilitators of these import duties from a policy-maker perspective. Methods A case study was conducted to analyse implementation of policies originally modelled by the Pacific Obesity Prevention in Communities project to reduce mortality in the Kingdom of Tonga. Policymakers (n = 15) from the Ministries of Revenue, Health, Finance and Labour and Commerce involved in the development and implementation of Tonga’s food-related policies participated in key-informant interviews. Results The main facilitator of import duties were strong leadership and management, cross-sector collaboration, awareness raising and advocacy, nature of the policy, and the effective use of data to model policy impacts and inform the general public. The absence of clear lines of responsibility and a decline in collaboration over time were identified as barriers to implementation of the import duties. Conclusion In a small Island state implementing import duties to prevent non-communicable disease can be straight forward providing policymakers and the community have a shared understanding of the health and economic costs of NCDs.Colin BellCatherine LatuElisiva Na’atiWendy SnowdonMarj MoodieGade WaqaBMCarticleFood policyNutritionTongaPolicy developmentImport duty, non-communicable diseasePublic aspects of medicineRA1-1270ENGlobalization and Health, Vol 17, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Food policy Nutrition Tonga Policy development Import duty, non-communicable disease Public aspects of medicine RA1-1270
spellingShingle	Food policy Nutrition Tonga Policy development Import duty, non-communicable disease Public aspects of medicine RA1-1270 Colin Bell Catherine Latu Elisiva Na’ati Wendy Snowdon Marj Moodie Gade Waqa Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
description	Abstract Background In Tonga, import duties were lowered on tinned fish and seafood in 2013 and raised on soft drinks, dripping and other animal fats. Additional import duties were applied to soft drinks and dripping and other fats in 2016 and duties were also applied to high fat meats, mutton flaps and turkey tails. The objective of this study was to describe barriers to and facilitators of these import duties from a policy-maker perspective. Methods A case study was conducted to analyse implementation of policies originally modelled by the Pacific Obesity Prevention in Communities project to reduce mortality in the Kingdom of Tonga. Policymakers (n = 15) from the Ministries of Revenue, Health, Finance and Labour and Commerce involved in the development and implementation of Tonga’s food-related policies participated in key-informant interviews. Results The main facilitator of import duties were strong leadership and management, cross-sector collaboration, awareness raising and advocacy, nature of the policy, and the effective use of data to model policy impacts and inform the general public. The absence of clear lines of responsibility and a decline in collaboration over time were identified as barriers to implementation of the import duties. Conclusion In a small Island state implementing import duties to prevent non-communicable disease can be straight forward providing policymakers and the community have a shared understanding of the health and economic costs of NCDs.
format	article
author	Colin Bell Catherine Latu Elisiva Na’ati Wendy Snowdon Marj Moodie Gade Waqa
author_facet	Colin Bell Catherine Latu Elisiva Na’ati Wendy Snowdon Marj Moodie Gade Waqa
author_sort	Colin Bell
title	Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_short	Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_full	Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_fullStr	Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_full_unstemmed	Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study
title_sort	barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in tonga: a case study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/8547aaa751b24ab1b753a2f9eaa5921f
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Barriers and facilitators to the introduction of import duties designed to prevent noncommunicable disease in Tonga: a case study

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