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.