Publication details

• Tuesday | 11 Jan, 2022
• Syed Ali Wasif Naqvi, Waseem Iftikhar Janjua
• Policy Briefs/Papers
• 29

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Introduction

Health systems around the globe are traditionally structured at national level and the policies disseminated to the lower tiers. After the institution of the 18th Constitutional Amendment, multiple governance sectors, including health, were devolved to the provinces. However, many structural impediments continued to hinder the uninterrupted functioning at provincial level, not to mention issues causing inevitable temporary reversal to federal level (Khan et al., 2014). Nishtar (2011) has argued in favour of retaining health-related policy and governance issues at the national level. Tobacco control is a vital issue, notwithstanding the politics of tobacco, the policy needs to accrue from the MoNHSR&C for further dissemination and implementation. Due to structural inadequacies, devolution of power, political reluctance, and many other inhibitions, the tobacco control policies get delayed, and in most cases are absent, becoming a major driver of health inequalities. Tobacco Industry (TI) finds the appropriacy in policy vacuum and exploits these gaps very conveniently (Janjua and Naqvi, 2020)........