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. 2024 Feb 4;13:7989. doi: 10.34172/ijhpm.2023.7989

Table 2. Main Barriers and Facilitators Across Policies .

Diet Alcohol Tobacco Physical Activity Health System
Main Barriers
Trade regulations prohibit protective action of policies x x x
Self-regulatory measures lack transparency and accountability mechanisms x x x x
Lobbying/influence of industry interfere with policy process x x x x
NCDs are framed as individual responsibility and government intervention as patronising (ie, “nanny state”) x x x x
Cultural norms impact political decisions x x x x x
NCDs lack political and economic support x x x x x
Policy making lack of transparency in multisectoral collaboration x x x x
Infrastructure is inappropriate (build environment, conflict, and safety) x x
Human resources have limited capacity and skills x
Risk factors are poorly documented and lack data to inform policy x x x x x
Main Facilitators
Strong governance and leadership enact legislations and engage in multisectoral action x x x x x
Governments manage conflict of interests while engaging with industry x x x x
Public awareness, agency, and general health literacy improve the policy process x x x x x
Whole-of-society approach support comprehensive action x x x
Political accountability via social participation and community engagement can improve policy outcomes x x x x x
Policy evaluation and monitoring x x x x x
International framework with binding powers, such as FCTC, are powerful tools to help governments x
Technical support (also via regional coordination) help staff to adopt and implement policies x x x x x
Surveillance system and disease specific registries are needed to inform policy makers x
Local evidence and locally driven policies are better suited for policy development x

Abbreviations: FCTC, Framework Convention on Tobacco Control; NCD, non-communicable disease.