“…Although more mixed supports suggested that emphasising the revenue streams for wider purposes, such as education initiatives, appear to be more appealing to voters(55). While recent cross-country work in LMICs has painted a rather mixed view about which arguments resonate in which settings, our findings are consistent with previous studies, suggesting that communicating health taxes as an effective measure to combat NCDs is likely to be publicly acceptable(60–63). However, without providing a convincing moral case for health taxes that resonates with diverse sets of interests, these measures might face challenges in the face of competing arguments from opponents(64, 65).…”
Section: Discussionsupporting
confidence: 89%
“…This can be achieved through extensive efforts to promote a healthy lifestyle through mass campaigns, civil society engagement, and women’s empowerment(60, 61, 82–84). Our findings support the importance of optimizing the engagement of local NGOs and academics, as well as raising awareness among institutions interested in women’s empowerment and children(63), such as Disdik and DP3A.…”
Efforts to implement health tax policies to control the consumption of harmful commodities and enhance public health outcomes have garnered substantial recognition globally. However, their successful adoption remains a complex endeavour. This study takes a problem-driven political economy analysis (PEA) approach to investigate the challenges and opportunities surrounding health tax implementation, with a particular focus on sub-national government in Indonesia, where the decentralization context of health tax remains understudied. Employing a qualitative methodology by collecting data from a total of twelve focus group discussions (FGDs) conducted in three provinces—Lampung, Special Region of/Daerah Istimewa (DI) Yogyakarta, and Bali, each chosen to represent a specific commodity: tobacco, sugar-sweetened beverages (SSBs), and alcoholic beverages—we explore the multifaceted dynamics of health tax policies. These FGDs involved 117 participants, representing governmental institutions, non-governmental organizations (NGOs), and consumers. Our findings reveal that while health tax policies have the potential to contribute significantly to public health, challenges such as a lack of consumer awareness, bureaucratic complexities, and decentralized governance hinder implementation. Furthermore, this study underscores the importance of effective policy communication. It highlights the importance of earmarking health tax revenues for public health initiatives. It also reinforces the need to see health taxes as one intervention as part of a comprehensive public health approach including complementary non-fiscal measures like advertising restrictions and standardized packaging. Addressing these challenges is critical for realizing the full potential of health tax policies.
“…Although more mixed supports suggested that emphasising the revenue streams for wider purposes, such as education initiatives, appear to be more appealing to voters(55). While recent cross-country work in LMICs has painted a rather mixed view about which arguments resonate in which settings, our findings are consistent with previous studies, suggesting that communicating health taxes as an effective measure to combat NCDs is likely to be publicly acceptable(60–63). However, without providing a convincing moral case for health taxes that resonates with diverse sets of interests, these measures might face challenges in the face of competing arguments from opponents(64, 65).…”
Section: Discussionsupporting
confidence: 89%
“…This can be achieved through extensive efforts to promote a healthy lifestyle through mass campaigns, civil society engagement, and women’s empowerment(60, 61, 82–84). Our findings support the importance of optimizing the engagement of local NGOs and academics, as well as raising awareness among institutions interested in women’s empowerment and children(63), such as Disdik and DP3A.…”
Efforts to implement health tax policies to control the consumption of harmful commodities and enhance public health outcomes have garnered substantial recognition globally. However, their successful adoption remains a complex endeavour. This study takes a problem-driven political economy analysis (PEA) approach to investigate the challenges and opportunities surrounding health tax implementation, with a particular focus on sub-national government in Indonesia, where the decentralization context of health tax remains understudied. Employing a qualitative methodology by collecting data from a total of twelve focus group discussions (FGDs) conducted in three provinces—Lampung, Special Region of/Daerah Istimewa (DI) Yogyakarta, and Bali, each chosen to represent a specific commodity: tobacco, sugar-sweetened beverages (SSBs), and alcoholic beverages—we explore the multifaceted dynamics of health tax policies. These FGDs involved 117 participants, representing governmental institutions, non-governmental organizations (NGOs), and consumers. Our findings reveal that while health tax policies have the potential to contribute significantly to public health, challenges such as a lack of consumer awareness, bureaucratic complexities, and decentralized governance hinder implementation. Furthermore, this study underscores the importance of effective policy communication. It highlights the importance of earmarking health tax revenues for public health initiatives. It also reinforces the need to see health taxes as one intervention as part of a comprehensive public health approach including complementary non-fiscal measures like advertising restrictions and standardized packaging. Addressing these challenges is critical for realizing the full potential of health tax policies.
“…Mobilizing appropriate resources for the unmet needs within the healthcare system, particularly in relation to surgery is obvious and mandatory. 3–8 Patients’ needs but also their demands must be listened to, and the media brought on side from being blindly critical. Addressing disparities in access to surgical care is as urgent a need as 25 years ago.…”
“… 6 Therefore, we believe that POCI should be considered an essential package in the context of achieving UHC and PC. 20 Fig. 1 A new imaging environment allowing POCI in LMIC.…”
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