Subsidising tobacco growing in North Macedonia: policy at a crossroads

Background North Macedonia consistently provides substantial direct subsidies for tobacco cultivation despite its commitments under the WHO Framework Convention on Tobacco Control and aspirations to align with the European Union’s Common Agricultural Policy. This study examines tobacco subsidies and their implications on production trends, farmer behaviour and policy alignment. Methods This study applies descriptive analysis to assess the economic significance of tobacco farming and subsidies and correlation analysis and Interrupted Time Series Analysis to estimate the relationship between production and financial incentives (price and subsidies). The study also draws on survey results to understand farmer attitudes towards tobacco growing and subsidies. Results Tobacco remains North Macedonia’s most subsidised crop, receiving around 40% of crop-related support. While subsidies appear to sustain production and significantly supplement farmer income, cultivated area and farmer participation are declining. Survey results provide further support that subsidies influence farmer behaviour and that without them most farmers would quit tobacco farming. Conclusion North Macedonia allocates substantial public funds to tobacco subsidies aimed to support rural households and promote its valuable agricultural export, but this may not be the most economically prudent use of national resources. A strategic transition plan is essential to align agricultural policy with international commitments and health and sustainability goals. This includes measures for diversification and transition towards viable alternatives along with phased decoupling of subsidies. Successful implementation of reforms would be facilitated with farmer support for alternative livelihoods, a clear timeline of measures, stronger institutional capacity and investment in sustainable rural development.

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Publication Details

Journal
Tobacco Control
Published
2026-09-30
DOI
https://doi.org/10.1136/tc-2025-059680
Primary Topic
Smoking Behavior and Cessation
Type
article
Field-Weighted Citation Impact
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article

Subsidising tobacco growing in North Macedonia: policy at a crossroads

Marija Trpkova-Nestorovska, Tamara Mijovic Spasova, Biljana Tashevska, Borče Trenovski et al.
Tobacco Control
Smoking Behavior and Cessation
article

Subsidising tobacco growing in North Macedonia: policy at a crossroads

Marija Trpkova-Nestorovska, Tamara Mijovic Spasova, Biljana Tashevska, Borče Trenovski, Bojana Mijovic Hristovska, Kristijan Kozheski
article en

Abstract

Background North Macedonia consistently provides substantial direct subsidies for tobacco cultivation despite its commitments under the WHO Framework Convention on Tobacco Control and aspirations to align with the European Union’s Common Agricultural Policy. This study examines tobacco subsidies and their implications on production trends, farmer behaviour and policy alignment. Methods This study applies descriptive analysis to assess the economic significance of tobacco farming and subsidies and correlation analysis and Interrupted Time Series Analysis to estimate the relationship between production and financial incentives (price and subsidies). The study also draws on survey results to understand farmer attitudes towards tobacco growing and subsidies. Results Tobacco remains North Macedonia’s most subsidised crop, receiving around 40% of crop-related support. While subsidies appear to sustain production and significantly supplement farmer income, cultivated area and farmer participation are declining. Survey results provide further support that subsidies influence farmer behaviour and that without them most farmers would quit tobacco farming. Conclusion North Macedonia allocates substantial public funds to tobacco subsidies aimed to support rural households and promote its valuable agricultural export, but this may not be the most economically prudent use of national resources. A strategic transition plan is essential to align agricultural policy with international commitments and health and sustainability goals. This includes measures for diversification and transition towards viable alternatives along with phased decoupling of subsidies. Successful implementation of reforms would be facilitated with farmer support for alternative livelihoods, a clear timeline of measures, stronger institutional capacity and investment in sustainable rural development.

Tobacco Control
PHI University Psychiatric Clinic - Skopje (MK), Ss. Cyril and Methodius University in Skopje (MK), University American College Skopje (MK)
Zero hunger
Openalex Percentile: Top 12%
Smoking Behavior and Cessation
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