Abstract
This research aimed to analyze the National Committee for the Implementation of the Framework Convention on Tobacco Control (CONICQ). The study covered the period from 2003 to 2015 and built on the referential analysis of public policies, considering structure and political process and Committee’s agenda and performing capacity. Methodological strategies were documentary analysis, including Committee’s minutes of meetings, direct observation of events and interviews with key stakeholders. The regular functioning and gradual expansion of the Committee was observed in the period, permeated by technical and political aspects that influence its structuring and the establishment of the agenda. Conflicts have been identified among CONICQ members and between these and external stakeholders, especially from the clashing opinions on economic and health-related viewpoints. Its capacity for action was limited by internal (from some government agencies) and external (from organizations linked to the tobacco industry and tobacco growers) resistance. CONICQ is a strategic instance to the Brazilian tobacco control policy. However, its activity as an intersectoral coordination mechanism is complex, given the different interests, stances and levels of engagement of agencies involved in tobacco control.
Tobacco; Health management; Public health policy
Note: 1 The National Committee to support the negotiations of the FCTC, created by Decree 3136 of August 13, 1999, was mentioned because it was replaced by the CONICQ, keeping its structure and members.2 The Vice-Presidency of CONICQ was officially mentioned by Ordinance Nº 1.083, dated May 12, 2011, without reference to this position in previous publications.Source: Own elaboration, based on normative and legislative documents that indicate the composition and incorporation of committees’ members.
AGU: Attorney-General’s Office; ANVISA: National Health Surveillance Agency; MAPA: Ministry of Agriculture, Livestock and Supply; MCT: Ministry of Science and Technology; MC: Ministry of Communications; MEC: Ministry of Education; MDA: Ministry of Agrarian Development; MDIC: Ministry of Development, Industry and Foreign Trade; MF: Ministry of Finance; MJ: Ministry of Justice (PF: Federal Police); MMA: Ministry of Environment; MPOG: Ministry of Planning, Budget and Management; MRE: Ministry of Foreign Affairs; MS: Ministry of Health (AISA: International Health Affairs Advisory Office; ASCOM: Social Media Advisory Office; CGSAT: General Coordination Office of Worker’s Health; SGEP: Strategic and Participatory Management Secretariat; Coord. Mercosul: National Coordination Office for Health in the MERCOSUR; CONJUR: Legal Advice; INCA: National Cancer Institute; SAS: Healthcare Secretariat; SCTIE: Science, Technology and Strategic Supplies Secretariat; SE: Executive Secretariat; SVS: Health Surveillance Secretariat); MTE: Ministry of Labor and Employment; SEPM: Special Secretariat for Women’s Policies; SENAD: National Drug Policies Secretariat.Note: Several bodies represented the Ministry of Health at the meetings. It was not possible to verify which bodies had a permanent seat in CONICQ or were specifically invited to the meetings.Source: Own elaboration.
Note: + Working Groups (WG) formed by Member States defined at the sessions of the Conferences of the Parties. The themes of the WG are organized according to FCTC’s Articles.* Participation as a member of the WG.** Participation as facilitator of the WG.Source: http://www.who.int/fctc/cop/sessions/en/; Own elaboration.
Note: The percentage in the x-axis refers to the quotation percentage of the topics listed in the y-axis in relation to the 36 CONICQ meetings whose minutes were analyzed. The quotation of the topic was considered only once per meeting.Source: Own elaboration.