用发展的视角看待控烟

1. Approaching tobacco
control via the development
lens
Margarida Silva - HealthBridge
World Conference Tobacco or Health, Singapore
24th March 2012

2. WE HAVE THE FCTC
However...
 Whole-of-government approach is missing:
taxation, industry interference, smuggling,
agriculture, labour laws, advertising etc
 Lack of treaty awareness outside the health sector
 Implementation: many countries lagging behind
 Resources: tobacco control and health
programmes are generally under-funded but there
are mechanisms that could help

4. TOBACCO CONTROL &
DEVELOPMENT
 The poor have higher smoking rates
 Tobacco use deprives families of basic needs and
furthers illness
 Lower productivity and increased health care costs
impact on households and countries’ economies
 Healthcare systems face new challenges and a
double-burden of disease

5. THE MDGs & TOBACCO
CONTROL
1. Erradicating extreme poverty Money spent on tobacco is money
and huger not spent on food
2. Achieve universal primary Employment of child labour in
education cultivation and production of
tobacco
3. Promote gender equality and Working conditions and
empower women employment
4 & 5. Reduce child mortality and Exposure to chemicals and
improve maternal health pesticides
6. Combat HIV/AIDS, Malaria and Link between smoking and TB and
other diseases other diseases
7. Ensure environmental Chemicals, sustainable livelihoods
sustainability
8. Establish a global partnership TC can contribute to growth and
for development sustainable development

6. TOBACCO & POVERTY
 In Cambodia many poor adults are spending 10% or
more of their income on tobacco (SEATCA, 2011)
 In Vietnam the poorest tobacco-using households
spent 1.6 times more on cigarettes than on
healthcare and 2.2 times more than on education
(HealthBridge, 2010)
 In 2000, three tobacco related illnesses – heart
disease, stroke and cancer – cost the Indian
government $5.8 billion (WHO, 2004)
 In China losses resulting from CVD, diabetes and
stroke are expected to cost USD$ 550 billion
between 2005 and 2015 (World Bank, 2011)

8. IMPLEMENTING THE FCTC
 The FCTC provides the framework for action
against tobacco use
 But it is up to national governments and national
civil society organisations to ensure
implementation and enforcement
 Mobilization of resources at the national level and
from other sources is crucial
 Framing tobacco control as a development issue
is key to secure buy-in and support from other
sectors

9. ACCELERATING FCTC
IMPLEMENTATION: Opportunities
 Key to engage with various government departments
 UN Political Declaration on NCDs (indicators and
targets)
 UN mechanisms
 FCTC Needs Assessments
 Post-MDGs agenda (2015) and sustainable
development

10. ACCELERATING FCTC
IMPLEMENTATION: Take action
 Identify key issues in your country
 Build partnerships with organisations outside the
health sector. They can help you achieve your goal!
 Map relevant stakeholders. Make health and tobacco
control a development priority
 Engage with governments and donors to ensure the
necessary resources to implement the FCTC

11. Thank you!
www.healthbridge.ca
msilva@healthbridge.ca