Development of Alcohol Control Policy in Vietnam: Transnational Corporate Interests at the Policy Table, Global Public Health Largely Absent

Document Type : Original Article

Author

SHORE & Whariki Research Centre, College of Health, Massey University, Auckland, New Zealand

Abstract

Background 
This paper analyses input from global interests in the policy process leading up to the passing of alcohol control legislation in Vietnam in 2019. The global alcohol industry now relies on growth in volume in emerging markets in middle-income countries such as Vietnam, a large, rapidly industrialising country with a youthful population and emerging middle class. The industry’s role in the alcohol policy process is compared with that of global health interests.

Methods 
Document analysis of letters and English language media coverage was supplemented by and triangulated with data from key informants on changes in the content of draft alcohol legislation and participant observation.

Results 
The alcohol legislation was negotiated in the context of active engagement from the global alcohol industry and some input from global public health interests. The global alcohol industry established a partnership relationship with politicians using CSR and funded a local employee in Hanoi over the decade prior to the draft legislation being considered. Direct lobbying took place over the content of the legislation, which went through six published drafts. Trade and investment agreements provided a supportive environment and were referred to by both politicians and industry. In contrast public health resource was limited and lacked the support of a normative global policy to counter the economic imperatives. Vietnamese Ministry of Health proposals for cost effective alcohol policy were not enacted.

Conclusion
Global commercial interests employed their considerable resources to engage in corporate social responsibility (CSR) and build partnerships with policy-makers over a long period, contributing significantly to an environment unsupportive of enacting effective alcohol control policy. The absence of structural support from a global health treaty on alcohol and lack of an equivalent level of long-term sustained input from global health actors contributed to the legislative outcome, which excluded proposed cost-effective policies to reduce alcohol harm.

Keywords


  1. Rossow I, McCambridge J. The handling of evidence in national and local policy making: a case study of alcohol industry actor strategies regarding data on on-premise trading hours and violence in Norway. BMC Public Health. 2019;19(1):44. doi:1186/s12889-018-6348-y
  2. Room R. Disabling the public interest: alcohol strategies and policies for England. Addiction. 2004;99(9):1083-1089. doi:1111/j.1360-0443.2004.00803.x
  3. Christie B. Minimum alcohol pricing goes ahead in Scotland after drinks industry loses legal battle. BMJ. 2017;359:j5302. doi:1136/bmj.j5302
  4. Zatonski M, Hawkins B, McKee M. Framing the policy debate over spirits excise tax in Poland. Health Promot Int. 2018;33(3):515-524. doi:1093/heapro/daw093
  5. Paukštė E, Liutkutė V, Stelemėkas M, Goštautaitė Midttun N, Veryga A. Overturn of the proposed alcohol advertising ban in Lithuania. Addiction. 2014;109(5):711-719. doi:1111/add.12495
  6. Chaiyasong S, Huckle T, Mackintosh AM, et al. Drinking patterns vary by gender, age and country-level income: cross-country analysis of the International Alcohol Control Study. Drug Alcohol Rev. 2018;37(Suppl 2):S53-S62. doi:1111/dar.12820
  7. Vietnam Investment Review. The Vietnamese beer market is becoming a game for great foreigners, with many Vietnamese brands wiped out or struggling to stay afloat. https://www.vir.com.vn/vietnamese-beer-market-foreign-giants-in-control-64269.html. Updated March 12, 2018. Accessed November 20, 2019.
  8. Cuong PV, Duc DH, Kien NT, et al. Alcohol Environmental Protocol Report (International Alcohol Control Study - Draft 1) . Hanoi, Viet Nam: Center for Injury Policy and Prevention Research, Hanoi School of Public Health; 2014.
  9. Manthey J, Shield KD, Rylett M, Hasan OSM, Probst C, Rehm J. Global alcohol exposure between 1990 and 2017 and forecasts until 2030: a modelling study. Lancet. 2019;393(10190):2493-2502. doi:1016/s0140-6736(18)32744-2
  10. World Health Organization Representative Office for Viet Nam. Questions and answers on the prevention and control of alcohol-related harm. WHO Regional Office for the Western Pacific; 2019. https://iris.wpro.who.int/bitstream/handle/10665.1/14360/9789290618836-eng.pdf.
  11. Institute for Strategy and Health Policy. Assessment of Situation of Alcohol and Beer Abuse in some Provinces of Vietnam, 2005. Hanoi, Vietnam: Ministry of Health; 2005.
  12. Movendi International. Open Letter in Support of a Comprehensive Alcohol Law to Promote Health and Development in Vietnam. https://movendi.ngo/open-letters/for-a-comprehensive-alcohol-law-to-promote-health-and-development-in-vietnam/. Updated August 4, 2018. Accessed February 8, 2022.
  13. World Health Organization Regional Office for the Western Pacific. Questions and Answers on the Prevention and Control of Alcohol-Related Harm. Hanoi, Vietnam: WHO Regional Office for the Western Pacific; 2019.
  14. Gross JM. Doxument analysis. In: Frey BB, ed. The SAGE Encyclopedia of Educational Research, Measurement, and Evaluation. Vol 4. Thousand Oaks, CA: SAGE Publications; 2018:545-548.
  15. Madureira Lima J, Galea S. Corporate practices and health: a framework and mechanisms. Global Health. 2018;14(1):21. doi:1186/s12992-018-0336-y
  16. Karppinen K, Moe H. What we talk about when we talk about document analysis. In: Just N, Puppis M, eds. Trends in Communication POLICY Research: New Theories, Methods and Subjects. Bristol, UK: Intellect Books; 2012.
  17. Babor TF, Caetano R, Casswell S, et al. Alcohol: No Ordinary Commodity: Research and Public Policy. 2nd ed. Oxford: Oxford University Press; 2010.
  18. World Health Organization. Tackling NCDs: 'best buys' and other recommended interventions for the prevention and control of noncommunicable diseases. 2017. https://apps.who.int/iris/handle/10665/259232. Accessed July 7, 2021.
  19. Towards Sustainable Data Collection and National Alcohol Policy Development: a cross country collaborative project (Report for the World Health Organization Western Pacific Region Office). Auckland: Social and Health Outcomes Research and Evaluation (SHORE), SHORE and Whariki Research Centre, Massey University; 2010.
  20. International Center for Alcohol Policies (ICAP). Sharing experiences for the development of the national policy on alcohol-related harm prevention and control - a workshop convened by Health Strategy and Policy Institute – Ministry of Health (Vietnam) in cooperation with the International Center for Alcohol Policies. Washington, DC: ICAP; 2009.
  21. Ministry of Health Health Strategy and Policy Institute/ICAP. Workshop Program - Sharing experiences for the development of the national policy on alcohol-related harm prevention and control - a workshop convened by Health Strategy and Policy Institute – Ministry of Health (Vietnam) in cooperation with the International Center for Alcohol Policies [Powerpoint presentations]. Hanoi, Socialist Republic of Vietnam; 18-19 March 2009.
  22. Bakke Ø, Endal D. Vested interests in addiction research and policy alcohol policies out of context: drinks industry supplanting government role in alcohol policies in sub-Saharan Africa. Addiction. 2010;105(1):22-28. doi:1111/j.1360-0443.2009.02695.x
  23. Heineken Vietnam. Recommendations to the draft law on the prevention and control of harmful use of alcohol [Letter translated from Vietnamese]. August 2018.
  24. Regarding: EuroCham Wines & Spirits Sector Committee Comments on the Draft Law on Prevention and Countering Harmful Effects of Beer and Liquors [Letter]. European Chamber of Commerce in Vietnam; January 8, 2019.
  25. Viet Nam News. Heineken launches responsible drinking campaign for 2nd year. https://vietnamnews.vn/economy/464950/heineken-launches-responsible-drinking-campaign-for-2nd-year.html#H7EOyU2PJROFSXCj.97. Updated August 31, 2019. Accessed April 24, 2019.
  26. Hoang Thuy Vietnam legislators: Alcohol bill not influenced by lobbying. VN Express International. https://e.vnexpress.net/news/news/vietnam-legislators-alcohol-bill-not-influenced-by-lobbying-3936642.html. Updated June 11, 2019. Accessed November 2019.
  27. Bich Thuy. Alcohol laws experience overwhelming backlash. Vietnam Investment Review. https://www.vir.com.vn/alcohol-laws-experience-overwhelming-backlash-49296.html. Updated May 18, 2017. Accessed November 19, 2019.
  28. Viet Nam News. PM urges Carlsberg to expand investment in Việt Nam. https://vietnamnews.vn/politics-laws/465700/pm-urges-carlsberg-to-expand-investment-in-viet-nam.html. Updated September 13, 2018. Accessed January 6, 2020.
  29. Trung Hung. Enterprises’ initiatives encouraged to facilitate prevention of alcohol abuse. Nhan Dan. https://en.nhandan.org.vn/society/item/6300602-enterprises%E2%80%99-initiatives-encouraged-to-facilitate-prevention-of-alcohol-abuse.html. Updated June 21, 2018. Accessed November 19, 2019.
  30. Preece R, Oczkowski E, Bandara Y, Nuchaswan K. Development of an econometric model of alcohol taxation in Vietnam. World Cust J. 2018;12(2):133-168.
  31. Nhan Dan. Vietnam completing policies on wine, beer management: NA Vice Chairman. https://en.nhandan.org.vn/politics/item/7257702-vietnam-completing-policies-on-wine-beer-management-na-vice-chairman.htm. Updated March 19, 2019. Accessed January 6, 2020.
  32. Vietnam Investment Review. Heineken's "When you drive, never drink" campaign inspires consumers. https://www.vir.com.vn/heinekens-when-you-drive-never-drink-campaign-inspires-consumers-62163.html. Updated September 4, 2018. Accessed November 21, 2019.
  33. Vietnam completing policies on wine, beer management: NA Vice Chairman. https://en.vietnamplus.vn/vietnam-completing-policies-on-wine-beer-management-na-vice-chairman/148515.vnp. Updated March 19, 2019. Accessed July 21, 2020.
  34. Vietnam Investment Review. Draft law to prevent alcohol firms' social responsibility programmes. https://www.vir.com.vn/draft-law-to-prevent-alcohol-firms-social-responsibility-programmes-60333.html. Updated June 22, 2018. Accessed November 25, 2019.
  35. International Alliance for Responsible Drinking (IARD). Unrecorded Alcohol in Vietnam: Results of a Population Study. IARD; 2018.
  36. Viet Cuong P, Casswell S, Parker K, et al. Cross-country comparison of proportion of alcohol consumed in harmful drinking occasions using the International Alcohol Control Study. Drug Alcohol Rev. 2018;37(Suppl 2):S45-S52. doi:1111/dar.12665
  37. Pantani D, Peltzer R, Cremonte M, Robaina K, Babor T, Pinsky I. The marketing potential of corporate social responsibility activities: the case of the alcohol industry in Latin America and the Caribbean. Addiction. 2017;112 Suppl 1:74-80. doi:1111/add.13616
  38. Yoon S, Lam TH. The illusion of righteousness: corporate social responsibility practices of the alcohol industry. BMC Public Health. 2013; 13:630. doi:1186/1471-2458-13-630
  39. Linh San. AB InBev Vietnam celebrates responsible drinking day. Vietnam Economic Times. http://www.vneconomictimes.com/article/society/ab-inbev-vietnam-celebrates-responsible-drinking-day. Updated September 20, 2017. Accessed November 19, 2019.
  40. Celebrating Another Year of Smart Drinking. 2017. http://www.ims.africa/2017/12/13/celebrating-another-year-of-smart-drinking/. Accessed July 21, 2020.
  41. The shortcomings of the Thai Health Promotion Foundation [Appendix D: EuroCham Wine and Spirits Sector Committee's comments on the Draft Law on Prevention and Fighting Against Harmful Effects of Liquor and Beer]. European Chamber of Commerce in Vietnam; March 31, 2018.
  42. Regarding: EuroCham Wine and Spirits Sector Committee's comments on the Draft Law on Prevention and Fighting Against Harmful Effects of Liquor and Beer [Letter]. European Chamber of Commerce in Vietnam; March 31, 2018.
  43. Nepal S, Kypri K, Tekelab T, et al. Effects of extensions and restrictions in alcohol trading hours on the incidence of assault and unintentional injury: systematic review. J Stud Alcohol Drugs. 2020;81(1):5-23.
  44. Kolosnitsyna M, Sitdikov M, Khorkina N. Availability restrictions and alcohol consumption: a case of restricted hours of alcohol sales in Russian regions. Int J Alcohol Drug Res. 2014;3(3):193-201. doi:7895/ijadr.v3i3.154
  45. Wicki M, Bertholet N, Gmel G. Estimated changes in hospital admissions for alcohol intoxication after partial bans on off-premises sales of alcoholic beverages in the canton of Vaud, Switzerland: an interrupted time-series analysis. Addiction. 2020;115(8):1459-1469. doi:1111/add.14967
  46. Marcus J, Siedler T. Reducing binge drinking? The effect of a ban on late-night off-premise alcohol sales on alcohol-related hospital stays in Germany. J Public Econ. 2015;123:55-77. doi:1016/j.jpubeco.2014.12.010
  47. Ahn Minh. Vietnam's overnight alcohol ban proposal unfeasible: experts. VN Express International. https://e.vnexpress.net/news/business/vietnam-s-overnight-alcohol-ban-proposal-unfeasible-experts-3738814.html. Updated April 19, 2018. Accessed November 19, 2019.
  48. Bagnardi V, Rota M, Botteri E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer. 2015;112(3):580-593. doi:1038/bjc.2014.579
  49. Connor J. Alcohol consumption as a cause of cancer. Addiction. 2017;112(2):222-228. doi:1111/add.13477
  50. Vietnam Beer-Alcohol-Beverage Association. Comments of the Vietnam Beer-Alcohol-Beverage Association (VBA) on the draft law on the prevention and control of harmful use of alcohol. Published August 20, 2018.
  51. Park K. New law on prevention and control of alcohol related harms in Vietnam. J Glob Health Sci. 2019;1(2):e49. doi:35500/jghs.2019.1.e49
  52. Sahut JM, Teulon F. The challenges of the transition to market economies for post-communist East Asian countries. Post-Communist Econ. 2021:1-10. doi:1080/14631377.2021.1886792
  53. Ngan TT, Huyen DTT, Minh HV, Wood L. Establishing a tobacco control fund in Vietnam: some learnings for other countries. Tob Control. 2020;29(6):709-714. doi:1136/tobaccocontrol-2019-055166
  54. Tuoi Tre News. Vietnam's draft law on alcohol harm prevention not strong enough. https://tuoitrenews.vn/news/society/20190507/vietnams-draft-law-on-alcohol-harm-prevention-not-strong-enough-conference/49906.html. Updated May 7, 2019. Accessed November 17, 2020.
  55. Smith J. Towards critical analysis of the political determinants of health comment on "how neoliberalism is shaping the supply of unhealthy commodities and what this means for NCD prevention". Int J Health Policy Manag. 2020;9(3):121-123. doi:15171/ijhpm.2019.102
  56. Linh Pham. Take a look at Vietnam’s new tough drink-driving law. Hanoi Times website. http://hanoitimes.vn/take-a-look-at-vietnams-tough-new-drink-driving-law-300886.html. Updated. Accessed July 14, 2021.
  57. Kelsey J. Regulatory chill: learnings from New Zealand’s plain packaging tobacco law. QUT Law Rev. 2017;17(2):21-45.
  58. O'Brien P. Missing in action: the global strategy to reduce the harmful use of alcohol and the WTO. Eur J Risk Regul. 2021;12(2):477-498. doi:1017/err.2020.1067.
  59. Babor TF. Alcohol research and the alcoholic beverage industry: issues, concerns and conflicts of interest. Addiction. 2009;104 Suppl 1:34-47. doi:1111/j.1360-0443.2008.02433.x
  60. Alliance of leading alcohol producers and distributors sign responsible marketing code in presence of Minister of Information [Press Release]. Asia Pacific International Wine and Spirits Alliance; February 17, 2017.
  61. Eurocham Cambodia. Submission of a written meeting request from the Asia Pacific International Wine and Spirits Alliance (APIWSA) [Letter]. 5 October 2015.
  62. Eurocham Myanmar. The Deputy Minister for Commerce Received the Stakeholders of Wine & Spirits Industry. https://eurocham-myanmar.org/post/383/The-Deputy-Minister-for-Commerce-received-The-Stakeholders-of-Wine-Spirits-Industry. Updated April 1, 2019. Accessed January 6, 2020.
  63. Casswell S, Rehm J. Reduction in global alcohol-attributable harm unlikely after setback at WHO Executive Board. Lancet. 2020;395(10229):1020-1021. doi:1016/s0140-6736(20)30476-1

Articles in Press, Corrected Proof
Available Online from 01 June 2022
  • Receive Date: 16 July 2021
  • Revise Date: 11 May 2022
  • Accept Date: 01 June 2022
  • First Publish Date: 01 June 2022