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Comparing selected countries using sin tax policy in sustainable health financing: Implications for developing
Hamideh Javadinasab1, Iravan Masoudi Asl2, Abbas Vosoogh-Moghaddam3
1Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Summary
Sin taxes on tobacco and alcohol are key for sustainable health financing. However, effective implementation and monitoring are crucial for success, as seen in international comparisons and Iran.
Area of Science:
- Public Health
- Health Policy
- Health Economics
Background:
- Sustainable health financing presents a significant challenge for policymakers and planners globally.
- Sin tax policies offer a potential avenue for generating resources for health financing.
Purpose of the Study:
- To compare international experiences with sin tax policies for sustainable health financing.
- To analyze the application and effectiveness of sin taxes in selected countries and Iran.
Main Methods:
- A qualitative, comparative study involving a literature review of six countries (Thailand, England, Australia, Philippines, South Africa, Vietnam) from 1990-2017.
- Content analysis of Iranian policy documents from 2005-2017 to assess domestic implementation.
Main Results:
- Sin taxes on tobacco and alcohol are widely used for health financing in selected countries.
- Iran possesses relevant legal and political frameworks but faces challenges in sin tax enforcement and implementation.
- Effective policy evaluation and follow-up are essential for maximizing the impact of sin taxes.
Conclusions:
- Health promotion funds, often funded by taxes on harmful goods like tobacco and alcohol, are primary financial resources in many countries.
- Weaknesses in law implementation and monitoring hinder sustainable health financing.
- Addressing these implementation gaps is critical for achieving sustainable health financing goals.
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