Comparing selected countries using sin tax policy in sustainable health financing: Implications for developing countries

Javadinasab, Hamideh; Asl, Iravan Masoudi; Vosoogh-Moghaddam, Abbas; Najafi, Behzad

doi:10.1002/hpm.2817

Cited by 9 publications

(7 citation statements)

References 18 publications

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“…We skip the ndings of the comparative study and content analysis of documents because these ndings have been published in previous studies by Javadinasab et al (18,19).…”

Section: Resultsmentioning

confidence: 99%

“…There are different ideas in this regard in Iran and what was called a sustainable nancial resource in the documents and regulations and health general policies is sin tax. Moreover, we can name health donators, VAT, targeted subsidies, religious money, part of a trade, and social responsibility insurances of factories and companies as sustainable nancial resources in case the regulations will be executed well (19). In Iran, a very small part of tobacco tax and sweetened drinks have been allocated to MOHME, and based on the determined task in Article 48 of incorporation law (2), only in 2018 succeeded to provide a list of harmful goods that regarding the economic and political conditions of the country, not even a penny of that was received (18).…”

Section: Discussionmentioning

confidence: 99%

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The Study Designing A Sustainable Financing Model For Health Promotion Services In Iran

Javadinasb¹,

Nazari²,

Pourmohammadi

et al. 2021

Preprint

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Background: Sustainable financing for Health Promotion Services (HPS) has always been challenged and attracted the attention of health domain politicians. This study was conducted to aim at designing a sustainable health financing model for HPS in IranMethods: This combined study was conducted in two phases. First, the published comparative study of sustainable financing for HPS and comprehensive study of the related current documents with this subject from 2005 to 2017 were used. In the second phase, the qualitative interviews for Iran’s current situation and capacities for sustainable health financing of HPS and Focus Group Discussion (FGD) meetings for finalized the aforementioned model were used.Results: The rules and advantages of levying sin tax, the related stakeholders in sustainable health financing, challenges and solutions of gathering, pooling, and purchasing of sustainable financial resources have been extracted.Conclusion: According to the results, there is no political and national commitment to executing sustainable health financing regulations in Iran. Lack of necessary infrastructures for their execution, resistance, and disagreement of harmful good industries are the barriers to executing these regulations. The model was suggested establishing a health promotion foundation and the permanent law for execution necessity and legitimacy of receiving public budget, sin tan, health tax, and duties will be provided.

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“…We skip the ndings of the comparative study and content analysis of documents because these ndings have been published in previous studies by Javadinasab et al (18,19).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Study Designing A Sustainable Financing Model For Health Promotion Services In Iran

Javadinasb¹,

Nazari²,

Pourmohammadi

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…In 1992, the World Bank underscored the creation of the National Health service and went further to propose the establishment of a National Health Development Fund (NHDF) incremental to the MOH budget [ 37 ]. Analogous to what is now termed ‘sin tax’ that is being promoted as one of the diversified means of raising funds for UHC [ 51 , 52 ], a proposal was made to fund the NHDF through taxes on alcohol or tobacco. The NHDF was intended to be earmarked for essential primary care and preventive health services, especially in poor, underserved rural and urban communities.…”

Section: Methodsmentioning

confidence: 99%

The political economy of health financing reforms in Zimbabwe: a scoping review

Mhazo

Maponga

2022

Int J Equity Health

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Background Implementation of health financing reforms for Universal Health Coverage (UHC) is inherently political. Despite the political determinants of UHC, health financing reform in Zimbabwe is often portrayed as a technical exercise with a familiar path of a thorough diagnosis of technical gaps followed by detailed prescriptions of reform priorities. In this study, we sought to understand the interaction between political and economic aspects of health financing reforms since the country got its independence in 1980. Methods We conducted a scoping review of health financing reforms in Zimbabwe and reviewed 84 relevant sources of information. We then conducted a thematic analysis using an adapted Fox and Reich’s framework of ideas and ideologies, interests and institutions. Results We found that ideas, institutions and interests significantly influence health financing reforms in Zimbabwe with implications on health system performance. Reform priorities of the 1980s were influenced by socialist ideologies with an interest to address pervasive health inequities inherited from the colonial racial system. The progress in equity realized in the 1980s was severely disrupted from the 1990s partly due to neo-liberal ideologies which steered interests towards market-oriented reforms. The period from the 2000s is characterized by increasing donor influence on health financing and a cumulative socio-economic collapse that resulted in a sharp and protracted decline in health spending and widening of health inequities. Conclusion Health financing reform process in Zimbabwe is heavily influenced by political economy characteristics which favor certain financing arrangements over others with profound implications on health system performance. We concluded that the political economy factors that slow down UHC reforms are not rooted in the ambiguities of ideas on what needs to be done. Instead, the missing link is how to move from intention to action by aligning espoused ideas with interests and institutions which is an inherently political and redistributive process. International and domestic actors involved in UHC in Zimbabwe need to explicitly consider the politics of health financing reforms to improve the implementation feasibility of desired reforms.

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“…Many counties applied sin taxes on tobacco and alcohol, like Thailand, Philippines, South Africa, England, and Australia, and reported success in reducing smoking prevalence. This encouraged policymakers and public health workers to consider a sin taxes policy to address obesity [4] . Sugar-sweetened beverages (SSB) are beverages with added sugar, and many products carry these criteria, like soda, nectars, sports drinks, and sweetened fruit juice.…”

Section: Impact Of Taxes On Sugar-sweetened Beverages (Ssb) On Obesitymentioning

confidence: 99%

Formulation of Complementary Baby Foods Based on Some Grains and Legumes

2022

JANS

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Obesity increased dramatically over the last 25 years worldwide. Individual, community, and legislative interventions have been tested. This review examines the effectiveness of regulatory interventions. Method: Between 2005 and 2021, Medline, PubMed, and google scholar were searched for obesity, intervention, outcomes, strategies, healthy eating, and regulatory strategies. One hundred thirty-two papers and reports were identified, and 36 were selected for the current review to describe the outcomes of these strategies based on their effectiveness in reducing obesity rates. Results: Increasing taxes, regulating food marketing, and removing unhealthy food from food assistance programs helped reduce unhealthy food exposure, as did food labeling. Regulatory strategies have reduced consumption or purchase, but weight loss may take a long time to reduce weight. 20% volume-based tax of SSB reduced purchase and consumption with reasonable weight loss. Strategies to increase availability and access to healthy food to food program recipients or food producers showed a positive effect on consumption and weight loss. Price reduction of healthy food or its availability through food programs effectively increased consumption and reduced weight. Although not thoroughly tested, unhealthy food advertising is expected to work for children on the long term. Conclusion: Comprehensive strategies focused on reversing the obesogenic environment still require time to show their effect on weight reduction. However, increased availability and access to healthy food reduced exposure to unhealthy food and promoted physical activity has good potential to reduce obesity.

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Comparing selected countries using sin tax policy in sustainable health financing: Implications for developing countries

Cited by 9 publications

References 18 publications

The Study Designing A Sustainable Financing Model For Health Promotion Services In Iran

The Study Designing A Sustainable Financing Model For Health Promotion Services In Iran

The political economy of health financing reforms in Zimbabwe: a scoping review

Formulation of Complementary Baby Foods Based on Some Grains and Legumes

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