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Framing health taxes: Learning from low-and middle-income countries

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dc.contributor.author Lwin, Kaung Suu
dc.contributor.author Koon, Adam D.
dc.contributor.author Rasanathan, Kumanan
dc.contributor.author Ahsan, Abdillah
dc.contributor.author Erku, Daniel
dc.contributor.author Mialon, Melissa
dc.contributor.author Pérez León Quinoso, Silvana Patricia
dc.contributor.author Singh, Arti
dc.contributor.author Mirza, Zafar
dc.contributor.author Zuleta, Mario
dc.contributor.author Adhikari, Shiva Raj
dc.contributor.author Acharya, Yubraj
dc.contributor.author Dao, Son The
dc.contributor.author Rasheed, Sabrina
dc.contributor.author Paul, Jeremias Jr
dc.contributor.author Marten, Robert
dc.date.accessioned 2023-12-05T17:48:00Z
dc.date.available 2023-12-05T17:48:00Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14631
dc.description.abstract Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors' interests. Both pro-Tax health advocates and anti-Tax industry representatives seek to frame health tax policy. Yet, little is known about which frames resonate in which settings and how framing can most effectively advance or limit policies. To fill this gap, we conducted qualitative research in 2022, including focus group discussions, in-depth interviews, document reviews and media analysis on the political economy of health taxes across eight low-income and middle-income countries. Studies captured multiple actors constructing context-specific frames, often tied to broader economic, health and administrative considerations. Findings suggest that no single frame dominates; in fact, a plurality of different frames exist and shape discourse and policymaking. There was no clear trade-off between health and economic framing of health tax policy proposals, nor a straightforward way to handle concerns around earmarking. Understanding how to best position health taxes can empower health policymakers with more persuasive framings for health taxes and can support them to develop broader coalitions to advance health taxes. These insights can improve efforts to advance health taxes by better appreciating political economy factors and constraining corporate power, ultimately leading to improved population-level health. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries BMJ Global Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Framing health taxes en_US
dc.subject low- and middle-income countries en_US
dc.subject.mesh Impuestos
dc.subject.mesh Países en Desarrollo
dc.title Framing health taxes: Learning from low-and middle-income countries en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/bmjgh-2023-012955
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 2059-7908


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