Upstream policymaking in Africa: a case study analysis of the district to national alcohol sachet bans policy transfer in Uganda
Rattachement africain : Ouganda, ca, gb, Malawi, Afrique du Sud. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background High rates of heavy episodic drinking in Uganda have been linked to alcohol sachets due to their affordability and widespread availability. The Gulu district enacted a local sachet ban in 2016 which transferred to a national ban in 2019 to protect population health. This paper examines this transfer.Methods Seventeen semi-structured interviews were conducted with government representatives, NGOs, and civil society members at district and national levels, alongside a review of eleven key policy documents. Data were thematically analyzed. We applied Jensen et al’s framework.Results For both bans, the rationale was to reduce alcohol availability and harms. The local ban inspired the national ban which was enacted following further parliamentary discussions, and the resolution of ministerial disagreements. Implementation involved a multi-sectoral taskforce, and goods seizures in both cases. Those bans successfully withdrew sachets from the market but have not been evaluated.Conclusion In a context of limited progress on national alcohol policy implementation across the continent, this study of a local to national alcohol policy transfer in Africa offers valuable learning. It shows how local governments in decentralized systems can advocate for strong alcohol regulation and should be recognized as partners in upstream policymaking. Future evaluation is needed to assess the long-term effectiveness and public health impact of the policy.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Upstream policymaking in Africa: a case study analysis of the district to national alcohol sachet bans policy transfer in Uganda
- Date Crossref
- 23/08/2026
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Makerere University Department of Sociology and Anthropology Makerere University, Ouganda (code pays fourni par la source)Université ou école supérieure
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Children’s Health Research Institute pays non établi dans la noticeÉtablissement de santé
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University of Stirling pays non établi dans la noticeUniversité ou école supérieure
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University of Malawi Department of Sociology and Population Studies Malawi (code pays fourni par la source)Université ou école supérieure
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University of Edinburgh Bruce and John Usher Professor of Public Health pays non établi dans la noticeUniversité ou école supérieure
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South African Medical Research Council Afrique du Sud (code pays fourni par la source)Institution
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Stellenbosch University Department of Psychiatry Stellenbosch University, Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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University of Cape Town Children’s Institute University of Cape Town, Afrique du Sud (ville ou établissement reconnu, pays non nommé)Université ou école supérieure
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Faculty of Health Sciences and Sport Institute for Social Marketing and Health pays non établi dans la noticeUniversité ou école supérieure
Department of Sociology and Anthropology — Makerere University (Makerere University, Ouganda), Children’s Health Research Institute et University of Stirling, avec 6 autres affiliations. Pays d’affiliation : Ouganda, Malawi, Afrique du Sud.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.