Table 1

Summary of the basis of comparison between policy issues according to nature of the problem and potential policy solutions

  Antimicrobial resistanceClimate change Tobacco control 
Nature of the problem 
Significant public health consequences  +++++++++
Complexity and inter-relatedness of problems ++++++++
Multiple stakeholder involvement++++++++
Divergence among stakeholders++++++++
International nature of challenge that prompts need for global action +++
Transnational
+++
Transnational
++
Multinational
Intertemporal element – time between contributing action and impact +++++++
Common resource problem  ++++++Does not apply
Potential policy solutions 
Cross government response requirement (progress made)+++++++++
Definitive (+++) vs amelioration (+)+
Resistance will always occur
+++
Greenhouse gases cannot be eliminated but carbon-neutral/negative economy possible; required technology exists
+++
Potentially definitive
Nature of global action (achieved or proposed)Achieved: Non-binding WHO Global Action Plan
Proposed: Global governance mechanism
Achieved: Intergovernmental Panel on Climate Change established in 1988
United Nations Framework Convention on Climate Change established in 1992
Governance increasingly voluntary and polycentric over time
Achieved: The Framework Convention on Tobacco Control became the first and only legally binding international health treaty, adopted in 2003
Proposed: Requires governments to develop and enforce their own regulations
Extent to which policy has been able to capitalise on social change++++++
  • +, ++,+++ reflects relevance according to each criteria as decided by the research team and informed by literature.