Abstract

GUAJARDO MENDOZA, Miguel Adolfo  and  GIL-GARCIA, José Ramón. Advocacy Coalitions, External Perturbations and Policy Changes: Understanding the Intensity of Tobacco Control Policy in Spain, Mexico and Uruguay. Gest. polít. pública [online]. 2020, vol.29, n.2, pp.477-501.  Epub Apr 30, 2021. ISSN 1405-1079.  https://doi.org/10.29265/gypp.v29i2.781.

This article studies why some countries have more stringent policies for tobacco control than others. Three cases were studied that confirm two hypotheses of the advocacy coalition framework (ACF). First, in all cases the policies intensified, to great extent, due to external perturbations of a normative type (EPN). Second, only in Uruguay did the policies intensify due to external perturbations by changes in government (EPCG). For the EPN we find that the factors that enabled the change in policies were the durability and internal coordination within the minority coalition. And for the EPCG were the position of the new ruling coalition and its ability to change the policy on its own. Also, the EPN were more important for Spain while the EPGC were more relevant for Mexico and Uruguay. This should be further investigated to determine if there is a relation between external perturbations and the context of each country.

Keywords : tobacco; institutional framework; health policy; stakeholders; social change.