RT Journal Article SR Electronic T1 Costs, contracts and the narrative of prosperity: an economic analysis of smallholder tobacco farming livelihoods in Kenya JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 268 OP 273 DO 10.1136/tobaccocontrol-2017-054213 VO 28 IS 3 A1 Peter Magati A1 Raphael Lencucha A1 Qing Li A1 Jeffrey Drope A1 Ronald Labonte A1 Adriana Boakyewaa Appau A1 Donald Makoka A1 Fastone Goma A1 Richard Zulu YR 2019 UL http://tobaccocontrol.bmj.com/content/28/3/268.abstract AB Background The tobacco industry has used the alleged negative impacts on economic livelihoods for tobacco farmers as a narrative to oppose tobacco control measures in low/middle-income countries. However, rigorous empirical evidence to support or refute this claim remains scarce. Accordingly, we assess how much money households earn from selling tobacco, and the costs they incur to produce the crop, including labour inputs. We also evaluate farmers’ decision to operate under contract directly with tobacco manufacturers and tobacco leaf-buying companies or to operate as independent farmers.Methods A stratified random sampling method was used to implement a nationally representative household-level economic survey of 585 farmers across the three main tobacco growing regions in Kenya. The survey was augmented with focus group discussions in all three regions to refine and enrich the context of the findings.Results Both contract and independent farmers experience small profit margins per acre, with contract farmers operating at a loss. Even when family labour is excluded from the calculation, income levels remain low, particularly considering the typically large households. Generally, tobacco farmers enter into contracts with tobacco companies because they have a ‘guaranteed’ buyer for their tobacco leaf and receive the necessary agricultural inputs (fertiliser, seeds, herbicides and so on) without paying cash up-front.Conclusions Tobacco farming households enter into contract with tobacco companies to realise perceived economic benefits. The narrative that tobacco farming is a lucrative economic undertaking for smallholder farmers, however, is inaccurate in the context of Kenya.