Abstract
This study aimed to define the scope and to develop a conceptual framework for monitoring commercial determinant of non-communicable diseases (CDoNCDs). A qualitative study was performed by applying a scoping review, interviews, and focus group discussions among Thai experts and relevant stakeholders on NCDs prevention policy. From the literature review, the definition of CDoNCDs referred to “strategies and practices used by corporations or industries related to NCDs to promote their products and choices, increase sales and profits, and generate business stability which had both direct and indirect effects on population’s health.” This CDoNCDs framework involved three components. (1) the production involving raw materials or ingredients and production process that might have effects on health (comprised 2 strategies and 6 practices). (2) the marketing and distribution including market expansion and marketing practices that aimed to promote sales and consumption among consumers (4 strategies and 10 practices). And (3) the policy interference both directly and indirectly intercepting government policy interventions (5 strategies and 16 practices). This study provided policy recommendations that relevant government agencies, civil society, and academic should consider establishing system and network to monitor the CDoNCDs, and regularly communicating to raise awareness on CDoNCDs in the society and among policy makers at all levels, especially the policy interference by industry.
