A Política de Controle do Tabaco no Brasil: um balanço de 30 anos

Abstract

The article presents a review of Brazilian tobacco control policies from 1986 to 2016, based on contributions from political economics and analyses of public policies. The institutionalization of tobacco control in the country was marked by more general changes in health policies and by specific events related to the theme. Brazil's international leadership role, a robust National Tobacco Control Policy, the role of civil society and the media all contributed to the success of tobacco control in this country. However, challenges remain regarding crop diversification in tobacco farms, illegal trade in cigarettes, pressure from the tobacco industry and the sustainability of the Policy. This study reinforces the importance of bearing in mind the relationship between the domestic and international context, and the articulation between different governmental and non-governmental sectors and players when analyzing complex health policies. Continuity and consolidation of the tobacco control policies depend on the persistence of a broad institutional framework to guide the State's actions in social protection, in accordance with Unified Healthcare System guidelines.

Health Planning Theories and Tobacco Control Programmes: A Review

“…In this article, the application of health planning theories in tobacco control programme across continents will be discussed based on the three dimensions of tobacco control policy adopted by the Brazilian healthcare system, namely power, economic and dimension of social (Portes, 2018). The dimensions of power incorporate the role of players (actors or stakeholders), strategies and institutionalizing policies that was adopted to support the tobacco control policies.…”

“…In Brazil, tobacco control program was initiated much earlier in the 1960s and evolved through the years driven mostly by continuous public policy analyses and involvement of political economics (Portes et al, 2018). The establishment of the national smoking program, national conference to fight tobacco and the advisory group for tobacco control has enabled Brazil to strengthen their tobacco control program since 1986.…”

“…Tobacco control remained a strong point of the national health policy throughout the second half of the 21st century in Brazil. The "Strategic Action Plan to Combat Chronic Non-Communicable Diseases in Brazil, 2011-2022" includes reducing the number of smokers as one of its targets, with measures that include surveillance, research and health promotion related to tobacco use (Portes et al, 2018). Generally, the tobacco control programmes in Brazil were quite comprehensive with involvement of various stakeholders, considering various alternatives with existence of national bodies for surveillance, emphasize on research and also ongoing health education besides improving the existing policies over time.…”

Aspectos gerais do tratamento de cessação do tabagismo: uma revisão da literatura

“…O interesse e a ativa participação popular também se tornam essencial para o desenvolvimento de novas políticas públicas de controle do tabagismo. Alguns trabalhos feitos através de redes sociais contribuíram para o aumento da conscientização sobre os danos associados ao tabagismo e das medidas eficientes para a prevenção do uso do tabaco e para a proteção da saúde dos brasileiros (PORTES et al, 2018).…”

Custos atribuíveis a obesidade, hipertensão e diabetes no Sistema Único de Saúde, Brasil, 2018

“…Por seus efeitos negativos diretos na saúde, somados aos efeitos indiretos resultantes de doenças crônicas associadas, a má nutrição representa uma carga dupla para os sistemas de saúde. O aumento do consumo de alimentos ultraprocessados em diversas regiões, inclusive na América Latina, e o excesso de sódio, gorduras e açúcar nas dietas representam um desafio às políticas de saúde como causas diretas de doenças crônicas (5,6).…”