The Perfect Storm: Applying the Multiple Streams Framework to Understand the Adoption of a WHO Framework Convention on Tobacco Control-Based Policy in Mexico

Eric Crosbie (), Sara Perez, Adriana Rocha Camarena, Valentina Ochoa Vivanco, Gianella Severini, Patricia Gutkowski, Patricia Sosa and Ernesto M. Sebrié
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Eric Crosbie: School of Public Health, University of Nevada Reno, Reno, NV 89557, USA
Sara Perez: School of Public Health, University of Nevada Reno, Reno, NV 89557, USA
Adriana Rocha Camarena: México SaludHable, Mexico City 01000, Mexico
Valentina Ochoa Vivanco: Campaign for Tobacco-Free Kids, Washington, DC 20005, USA
Gianella Severini: Campaign for Tobacco-Free Kids, Washington, DC 20005, USA
Patricia Gutkowski: Campaign for Tobacco-Free Kids, Washington, DC 20005, USA
Patricia Sosa: Campaign for Tobacco-Free Kids, Washington, DC 20005, USA
Ernesto M. Sebrié: Campaign for Tobacco-Free Kids, Washington, DC 20005, USA

IJERPH, 2024, vol. 21, issue 7, 1-21

Abstract: Background: The aim of this study was to document how Mexico adopted a WHO Framework Convention on Tobacco Control (FCTC)-based national tobacco control law. Methods: We analyzed publicly available documents and interviewed 14 key stakeholders. We applied the Multiple Streams Framework (MSF) to analyze these findings. Results: Previous attempts to approve comprehensive FCTC-based initiatives failed due to a lack of political will, the tobacco industry’s close connections to policymakers, and a lack of health advocacy coordination. Applying the MSF reveals increased attention towards collecting and sharing data to frame the severity of the problem (problem stream). The expansion of a coordinated health advocacy coalition and activities led to increased support for desired FCTC policy solutions (policy stream). The election of President López Obrador and legislative changes led to a deep renewed focus on tobacco control (politics stream). These three streams converged to create a policy window to secure a strong FCTC-based initiative on the political agenda that was ultimately passed. Conclusions: The Mexican experience illustrates the importance of continued health advocacy and political will in adopting FCTC-based policies. Other countries should follow Mexico’s lead by collecting and sharing data through coordinating efforts in order to be prepared to seize political opportunity windows when strong political will is present.

Keywords: health advocacy; tobacco control; tobacco industry; health policy; Mexico (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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