BMC Public Health | |
Trade and health in Samoa: views from the insiders | |
Teuila Percival2  Judith McCool1  Jacinta Fa’alili-Fidow2  | |
[1] Social and Community Health, School of Population Health, Faculty of Medical and Health Science, University of Auckland, Private Bag, 92019, Auckland 1142, New Zealand;Pacific Health, School of Population Health, Faculty of Medical and Health Science, University of Auckland, Private Bag, 92019, Auckland 1142, New Zealand | |
关键词: Non-communicable disease; Samoa; Pacific; Trade; | |
Others : 1131710 DOI : 10.1186/1471-2458-14-309 |
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received in 2013-07-04, accepted in 2014-03-20, 发布年份 2014 | |
【 摘 要 】
Background
The purpose of this paper is to portray the views of key stakeholders on the potential impacts of Samoa’s free trade negotiations and agreements, on health and wellbeing in Samoa.
Methods
A series of key informant interviews were undertaken with identified stakeholders during June and July, 2011. Interviews were conducted using a semi-structured interview protocol. They were conducted in–person, in New Zealand and in Samoa.
Results
Despite potential health and wellbeing gains arising from trade activities (employment, increase in income, health innovations and empowerment of women), key stakeholders expressed a growing concern about the effect of trade on the population’s health, nutrition and the rates of non-communicable diseases. Unease about compromising the national policies due to international regulations was also conveyed. Business and trade representatives however, believed that trade benefits outweighed any health and wellbeing risks to the population of Samoa.
Conclusion
Further investigation, using new methodologies are required to determine both the opportunities and threats for trade as a mechanism to improve the health of Samoa’s population.
【 授权许可】
2014 Fa’alili-Fidow et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150303040553892.pdf | 183KB | download |
【 参考文献 】
- [1]Samoan Government Ministry of Finance: Strategy for the development of Samoa 2012-2016: boosting productivity for sustainable development. http://www.mcit.gov.ws/Portals/0/Publications/Policy/SDS%202012%20-%202016_English%20version.pdf webcite, accessed 2 April 2014
- [2]Stiglitz JE: Trade agreements and health in developing countries. Lancet 2009, 373(9661):363-365.
- [3]Friel S, Labonte R, Sanders D: Measuring progress on diet-related NCDs: the need to address the causes of the causes. Lancet 2013, 381(9870):903-904.
- [4]NZ Ministry of Foreign Affairs and Trade: PACER Plus. [http://mfat.govt.nz/Foreign-Relations/Pacific/Trade/index.php webcite] Accessed 16 April 2014.
- [5]Polu L: Samoa concludes WTO bilateral agreements. Savali. 2011. http://www.savalinews.com/2011/05/10/samoa-concludes-wto-bilateral-negotiations/ webcite. Accessed 2 April 2014
- [6]Wallis J: Friendly islands’ in an unfriendly system: examining the process of Tonga’s WTO accession. Asia Pac Viewpoint 2010, 51(3):262-277.
- [7]Thow AM: Trade and food policy: case studies from three Pacific Island countries. J Food Pol 2010, 35:556-564.
- [8]Gleeson D, Legge D: Strengthening public health engagement in trade policy: PHAA's policy on Trade Agreements and Health. Aust New Zeal J Publ Health 2012, 36(1):7-11.
- [9]Gleeson D, Friel S: Emerging threats to public health from regional trade agreements. Lancet 2013, 381(9876):1507-1509.
- [10]Jayadev A, Stiglitz J: Two ideas to increase innovation and reduce pharmaceutical costs and prices. Health Aff 2009, 28(1):w165-w168.
- [11]Jarman H, Schmidt J, Rubin DB: When trade law meets public health evidence: the World Trade Organization and clove cigarettes. Tobac Contr 2012, 21(6):596-598.
- [12]Thow AM, et al.: Trade and the nutrition transition: strengthening policy for health in the Pacific. Ecol Food Nutr 2011, 50(1):18-42.
- [13]Government of Samoa: Diagnostic trade integration study, volume I and II. 2010. http://www.enhancedif.org/en/system/files/uploads/dtis.pdf webcite. Accessed 2 April 2014.
- [14]Soni N, Harries B, Zinner-Toa B: Responding to the Revenue Consequences of Trade Reforms in the Forum Island Countries. Final report. Port Vila: Watergall Consulting LImited; 2007. http://www.forumsec.org/resources/uploads/attachments/documents/Revenue%20consequences%20of%20Trade%20Liberalisation1.pdf webcite. Accessed 2 April 2014