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To incorporate policies that go beyond the health system for implementation and enforcement including taxation, illicit trade, marketing restrictions, community action, smoke-free environments, and drunk-driving countermeasures, we adapted the concept of health system governance as a process that involves ensuring strategic policy frameworks exist and are combined with effective oversight, coalition-building, regulation, attention to system design and accountability and is determined by the interaction of the State, health service providers, and citizens [ GGA devised the scoring system based on an existing tobacco control scorecard which used the WHO health system building blocks as a framework [ Tables 1, 2 show the breakdown of the indicators and the scoring system used in this study

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