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S31 1 integrating tobacco control and maternal and child health to achieve the united nations millennium development goals- edouard tursan d'espaignet
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S31 1 integrating tobacco control and maternal and child health to achieve the united nations millennium development goals- edouard tursan d'espaignet

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四川无烟家庭与妇女怀孕

四川无烟家庭与妇女怀孕

Published in: Health & Medicine
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  • 1. Integrating tobacco control and maternal and child health to achieve the UN Millennium Development Goals1| MDGs, Tobacco and MCH | April 26, 2012
  • 2. Presentation Outline Connection of tobacco and MDGs Impact of tobacco use on maternal health – Fecundity and fertility, impact of co-morbidities related to tobacco Impact of tobacco use on child health – Preterm, LBW, IUGR, congenital malformations, SIDS, URI, Asthma Tobacco use among adults and youth (prevalence) – Smoking and smokeless – SHS exposure and gender disparities Interventions based around Life cycle approach WHO guidelines for management of tobacco use and SHS during pregnancy2| MDGs, Tobacco and MCH | April 26, 2012
  • 3. UN Millennium Development Goals Promote Eradicate Combat Ensure Achieve gender extreme Reduce Improve HIV/AIDS, environ- universal equality poverty child maternal malaria mental primary and and mortality health and other sustain- education empower hunger diseases ability women3| MDGs, Tobacco and MCH | April 26, 2012
  • 4. Improve Reduce child maternal mortality health4| MDGs, Tobacco and MCH | April 26, 2012
  • 5. MCH and Tobacco targetsMaternal health: To reduce by three quarters thematernal mortality ratio between 1990 and 2015Child mortality: To reduce by two thirds the infantand under-five mortality between 1990 and 2015NCD HLM proposed global tobacco target: 40%relative reduction in current tobacco smoking by20255| MDGs, Tobacco and MCH | April 26, 2012
  • 6. Impact of Tobacco on Maternal and Child health Maternal Outcomes Neonatal & Infant outcomes Smoking in the  Infertility  Preterm birth preconception period and  Spontaneous abortion  Low birth weight during pregnancy  Ectopic pregnancy  Congenital malformations  Placenta previa  Sudden Infant Death  Placental abruption Syndrome  Premature rupture of membranes Using smokeless tobacco in  Pre-eclampsia  Stillbirth the preconception and  Preterm birth during pregnancy  Low birth weight Exposure to second hand  Respiratory problems  Stillbirth smoke during the  Lower birth weight preconception period and pregnancy6| MDGs, Tobacco and MCH | April 26, 2012
  • 7. Advertising and Promoting targeting women and girls Tobacco industry spends billions of dollars worldwide each year on advertising, promotion and sponsorship. In the last 2 years, the industry has launched its most aggressive marketing campaigns aimed at women and girls in over a decade7| MDGs, Tobacco and MCH | April 26, 2012
  • 8. October 2008: Purse packs -- small, rectangular cigarettepacks that come in mauve or teal and contain superslimcigarettes.
  • 9. Designed to look like popular clutch-style purses with pop-uppurse packs inside and coupons for over $5 off.
  • 10. Targeting women of different cultures
  • 11. Targeting young women
  • 12. Prevalence of current cigarette smoking among 13-15 year olds Source: Global Youth Tobacco Survey, 2000- 200712 | MDGs, Tobacco and MCH | April 26, 2012
  • 13. Prevalence of current use of smokeless andother tobacco products among 13-15 year olds Source: Global Youth Tobacco Survey, 2000- 2007 13 | MDGs, Tobacco and MCH | April 26, 2012
  • 14. Prevalence of adult tobacco smoking Source: Global Adult Tobacco Survey, 2008–201014 | MDGs, Tobacco and MCH | April 26, 2012
  • 15. Proportion of non-smoking adults exposed to secondhand smoke, by WHO region - 201015 | MDGs, Tobacco and MCH | April 26, 2012
  • 16. Prevalence of SHS exposure at home and public places - 13-15 year olds Source: Global Youth Tobacco Survey, 2000- 200716 | MDGs, Tobacco and MCH | April 26, 2012
  • 17. WHO Framework Convention on Tobacco Control
  • 18. Proposed action by WHO:Development of guidelines for management of tobacco use and second hand smoke during pregnancy
  • 19. Effective interventions and their delivery mechanisms Tobacco use Health interventions Existing delivery mechanisms Tobacco use (smoking  Screening of women and girls for tobacco Primary Health Care (PHC) facilities and smokeless) by use (smoking and smokeless tobacco) at all and existing health care systems women clinical visits  Brief tobacco cessation advice  Referral to intensive behavioural counseling services  Pharmacotherapy including Nicotine Replacement Therapy (NRT) if available 19 | MDGs, Tobacco and MCH | April 26, 2012
  • 20. Effective interventions and their delivery mechanisms Exposure to SHS Health interventions Existing delivery mechanisms Exposure to second hand  Screening for tobacco use (smoking tobacco) Primary Health Care (PHC) facilities smoke at all clinical visits, both men and women and existing health care systems  Provide information of dangers of second hand smoking and its harmful effects on the pregnant woman, unborn child and other family members  Brief tobacco cessation advice for the partners/husbands and others who smoke  Referral to intensive behavioral counseling services  Pharmacotherapy including Nicotine Replacement Therapy (NRT) if available for the partners/husbands who smoke 20 | MDGs, Tobacco and MCH | April 26, 2012
  • 21. Antenatal Care Coverage – WHO regions21 | MDGs, Tobacco and MCH | April 26, 2012
  • 22. 100 0 20 40 60 80 Cape Verde22 | Botswana Czech Republic Democratic Peoples Dominican Republic Jordan Maldives Republic of Moldova Jamaica Peru Liberia Colombia Turkmenistan Honduras Kyrgyzstan Indonesia Burundi Paraguay Uzbekistan Brazil Lebanon Romania Congo Georgia Thailand South Africa Zambia Nicaragua ZimbabweMDGs, Tobacco and MCH | April 26, 2012 El Salvador Armenia Lesotho Kazakhstan Philippines Ghana Namibia Sierra Leone Italy Myanmar Gabon Tunisia United Republic of Benin Bahrain Cameroon Egypt United Arab Emirates Bolivia Ecuador Malawi Source: WHOSIS, 29 Sep 2009 Haiti Turkey Mozambique Comoros Kenya India Guinea Nigeria Uganda Antenatal care coverage - at least four visits (%). Togo Antenatal care coverage - at least four visits (%). Data extracted from WHOSIS, 29 Sep 2009 Cote dIvoire Syrian Arab Republic Algeria Eritrea Central African Republic Madagascar Senegal Equatorial Guinea Antenatal Care Coverage Morocco Mali Azerbaijan Timor-Leste Nepal Viet Nam Cambodia Burkina Faso Chad Mauritania Bangladesh Niger Pakistan Yemen Rwanda Ethiopia Djibouti
  • 23. 23 | Do m in ica n 100 0 25 50 75 Re p ub lic G Percent ha na Ni ge r Et ia hi op ia Li be Sw ria az il a nd M al aw Ug iMDGs, Tobacco and MCH | April 26, 2012 an Zi da m ba b Ta we nz M an oz am ia bi qu e Za m bi a Ke ny Na a m ib Le ia so th M o al di ve Country Uk s ra in M e ol do v Al a Si ba er ni ra a Le M on Women whose husband/partner attended at leastCountry ad ag e as Az ca er r ba i ja n Ne Ph pal ili Ba pine ng s la de sh In d Ar ia m Ti en m SHS Exposure among Pregnant Women by one antenatal care visit or ia -L es te
  • 24. WHO GuidelinesTARGET: health care providers and health systemsstakeholdersAIM: Make evidence-based recommendations for: – management of tobacco use during pregnancy – prevention of second hand smoke exposure during pregnancyTIMEFRAME:Planned to be completed by end of 201224 | MDGs, Tobacco and MCH | April 26, 2012
  • 25. WHO GuidelinesInvitation to a side meeting:Date: 24 March 2012Time: 14:00 – 16:00 hours (followed by coffee/tea)Venue: Pan-Pacific Hotel, Singapore 2nd Floor, Meeting room Ocean 6. 7 Raffles Boulevard, Marina Square, Singapore25 | MDGs, Tobacco and MCH | April 26, 2012
  • 26. Thank you26 | MDGs, Tobacco and MCH | April 26, 2012

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