Health Promotion Foundations funded through Tobacco Taxes
1|   April 2010, Philippines




     Health Promotion Foundatio...
Deaths, by broad cause group and WHO Region, 2000


     %
                                                               ...
Health Promotion Foundations funded through Tobacco Taxes
5|   April 2010, Philippines




                               ...
Risk factors common to major
                noncommunicable conditions

                 Risk factor                     ...
Second hand smoke is a carcinogen.


 The following countries have classified SHS as a carcinogen:

   Germany

   Finla...
My first real lesson in public health

              Total population


                                            Health...
What is health promotion?




  “Health promotion is the process of enabling
  people to increase control over, and improv...
HEALTH PROMOTION ACTIONS


                     EDUCATION

                     SOCIAL MOBILIZATION

                     ...
CHARACTERISTICS OF A HPF

  Primarily fund health promotion activities



  Are established under legislation



  Have...
What foundations can do

      Provide grants

      Proactive grants

      Plan and implement health promotion progra...
Work in settings and
                           with partners to promote health
   Schools
                              ...
International Network of Health Promotion
             Foundations established in 1999

                                  ...
Newest foundations

  Mongolia

  Malaysia

  Tonga



 *All in the Western Pacific Region of WHO




       Health Pro...
Replace tobacco sponsorship




       Health Promotion Foundations funded through Tobacco Taxes
27 |   April 2010, Philip...
Funding for Foundations
       Austria                                   VAT distributed by MOF



       Vic Health      ...
“invisible”
                                                                                    General taxes




        ...
“attached”                                                            Other sources



                                   ...
Why invest in promoting health and
                reducing risks to health?
  PUBLIC HEALTH EFFICIENCY: Funds spent on k...
Let us
                                                                   move
                                           ...
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Health promotion

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Presentation by Dr. Susan Mercado, Regional Adviser of the Tobacco Free Initiative, WHO on Health Promotion Foundations funded by Tobacco Taxes

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Health promotion

  1. 1. Health Promotion Foundations funded through Tobacco Taxes 1| April 2010, Philippines Health Promotion Foundations funded through Tobacco Taxes 2| April 2010, Philippines 1
  2. 2. Deaths, by broad cause group and WHO Region, 2000 % Noncommunicable 75 conditions Injuries Communicable diseases, 50 maternal and perinatal conditions and nutritional deficiencies 25 AFR EMR SEAR WPR AMR EUR Health Promotion Foundations funded through Tobacco Taxes 3| April 2010, Philippines Health Promotion Foundations funded through Tobacco Taxes 4| April 2010, Philippines 2
  3. 3. Health Promotion Foundations funded through Tobacco Taxes 5| April 2010, Philippines WESTERN PACIFIC Deaths in 2000 attributable to selected leading risk factors Number of deaths (000s) Health Promotion Foundations funded through Tobacco Taxes 6| April 2010, Philippines 3
  4. 4. Risk factors common to major noncommunicable conditions Risk factor Condition Cardio- Diabetes Cancer Respiratory vascular conditions** disease* Smoking √ √ √ √ Alcohol √ √ Nutrition √ √ √ √ Physical inactivity √ √ √ √ Obesity √ √ √ √ Raised blood pressure √ √ Blood glucose √ √ √ Blood lipids √ √ √ * Including heart disease, stroke, hypertension ** Including chronic-obstructive pulmonary disease and asthma Health Promotion Foundations funded through Tobacco Taxes 7| April 2010, Philippines 10 Filipinos die each hour from tobacco-related disease Health Promotion Foundations funded through Tobacco Taxes 8| April 2010, Philippines 4
  5. 5. Second hand smoke is a carcinogen. The following countries have classified SHS as a carcinogen:   Germany   Finland   USA – SHS is a group A carcinogen with arsenic, asbestos, benzene, radon and vinyl chloride Health Promotion Foundations funded through Tobacco Taxes 9| April 2010, Philippines Philippines Health Promotion Foundations funded through Tobacco Taxes 10 | April 2010, Philippines 5
  6. 6. My first real lesson in public health Total population Healthy but at risk Sick Sick and needs hospitalization Sick, needs hospitalization and has access res nditu f expe 90% o Health Promotion Foundations funded through Tobacco Taxes 11 | April 2010, Philippines Prevention and health promotion receive insignificant funding in countries of the Western Pacific Region Health Promotion Foundations funded through Tobacco Taxes 12 | April 2010, Philippines 6
  7. 7. What is health promotion? “Health promotion is the process of enabling people to increase control over, and improve their health.” The Ottawa Charter, 1986 Based on the principle that health is a resource for living and a common good. Health Promotion Foundations funded through Tobacco Taxes 13 | April 2010, Philippines Health Promotion = Health Education Health Promotion Foundations funded through Tobacco Taxes 14 | April 2010, Philippines 7
  8. 8. HEALTH PROMOTION ACTIONS EDUCATION SOCIAL MOBILIZATION ADVOCACY Health Promotion Foundations funded through Tobacco Taxes 15 | April 2010, Philippines Health Promotion Objectives   To enable individuals to modify behavioural risks to health on a daily basis throughout the life course;   To promote health in the settings where people live, work, learn and play   To reduce vulnerability, risk, exposure and threats that are linked to inequitable development, gender, socio-economic status, employment conditions and place of residence;   To empower collective action for healthier environments. Health Promotion Foundations funded through Tobacco Taxes 16 | April 2010, Philippines 8
  9. 9. CHARACTERISTICS OF A HPF   Primarily fund health promotion activities   Are established under legislation   Have long term and recurrent funding   Are governed by an independent Board Health Promotion Foundations funded through Tobacco Taxes 17 | April 2010, Philippines HEALTH PROMOTION FOUNDATIONS….   Make decisions autonomously   Allocate funds transparently and equitably   Are politically non aligned   Work with and across all sectors Ref :International Network of Health Promotion Foundations 2002 Health Promotion Foundations funded through Tobacco Taxes 18 | April 2010, Philippines 9
  10. 10. What foundations can do   Provide grants   Proactive grants   Plan and implement health promotion programs   Use sport and arts activities to promote health messages   Support health promotion research by offering grants   Carry out health promotion research   Fund community development   Offer an alternative source of funds to prevent sponsorship from “unhealthy products” (tobacco, alcohol, fast-food)   Social marketing   Advocate for policy   Build leadership and capacity in communities Health Promotion Foundations funded through Tobacco Taxes 19 | April 2010, Philippines Addressing tobacco primarily, but reduce other unhealthy behaviours that also leads to savings Health Promotion Foundations funded through Tobacco Taxes 20 | April 2010, Philippines 10
  11. 11. Work in settings and with partners to promote health   Schools   Childcare centres   Hospitals   Local government   Universities   Prisons   Workplaces   Shops   Recreational settings   Arts and cultural settings   Homes   Health services   Pubs/clubs   Catering/food supply outlets   Restaurants   ‘cyberspace’   Markets   Public toilets Health Promotion Foundations funded through Tobacco Taxes 21 | April 2010, Philippines HISTORY OF HEALTH PROMOTION FOUNDATIONS   1983 Western Australia increased tobacco taxes and 10% of the increase was placed in the Tobacco Tax Fund. The Department of Health used this for health promotion programs emphasising tobacco control   VicHealth established in 1987 , 24 years old   Objectives to fund health promotion and research and to replace tobacco advertising and sponsorship Health Promotion Foundations funded through Tobacco Taxes 22 | April 2010, Philippines 11
  12. 12. International Network of Health Promotion Foundations established in 1999 Members   Austrian HPF   ThaiHealth   VicHealth(Australia)   Health Promotion Switzerland   Malaysian Health Promotion Board   Healthway( Australia) Health Promotion Foundations funded through Tobacco Taxes 23 | April 2010, Philippines Associate Members   British Columbian Coalition for HP   TongaHealth *   Mongolian HPF*   Oman Health Promotion Initiative   Health 21 Hungarian Foundation   Polish HPF   Ministry of Health and Family Welfare, India   Management Centre for Health Promotion, Korea Health Promotion Foundations funded through Tobacco Taxes 24 | April 2010, Philippines 12
  13. 13. Newest foundations   Mongolia   Malaysia   Tonga *All in the Western Pacific Region of WHO Health Promotion Foundations funded through Tobacco Taxes 25 | April 2010, Philippines Health Promotion Foundations funded through Tobacco Taxes 26 | April 2010, Philippines 13
  14. 14. Replace tobacco sponsorship Health Promotion Foundations funded through Tobacco Taxes 27 | April 2010, Philippines Replace tobacco advertising Health Promotion Foundations funded through Tobacco Taxes 28 | April 2010, Philippines 14
  15. 15. Funding for Foundations Austria VAT distributed by MOF Vic Health Direct grant from Treasury (formerly tobacco tax) Healthway Malaysia Triennial allocation from Govt based on application from Board Mongolia Govt budget plus non refundable aid and contributions from other countries and orgs. 2% tobacco and alcohol tax Switzerland Health insurance levy of around $ 2.25 per insured person annually Thailand 2% of alcohol and tobacco excise tax Health Promotion Foundations funded through Tobacco Taxes 29 | April 2010, Philippines 4 models   Invisible   Embedded   Attached   Independent Health Promotion Foundations funded through Tobacco Taxes 30 | April 2010, Philippines 15
  16. 16. “invisible” General taxes Ministry of Health Health Ministry/ Department Health Promotion partners Health Promotion Foundations funded through Tobacco Taxes 31 | April 2010, Philippines “embedded” Other sources General taxes Health Ministry/ Department partners Health Promotion Health Promotion Foundations funded through Tobacco Taxes 32 | April 2010, Philippines 16
  17. 17. “attached” Other sources General taxes Health Promotion partners Health Ministry/ Department Health Promotion Foundations funded through Tobacco Taxes 33 | April 2010, Philippines Other sources “independent” Health Promotion partners autonomous structure Tobacco taxes Health Promotion Health Ministry/ Department Health Promotion Foundations funded through Tobacco Taxes 34 | April 2010, Philippines 17
  18. 18. Why invest in promoting health and reducing risks to health?   PUBLIC HEALTH EFFICIENCY: Funds spent on keeping the population healthy versus treating the sick, could improve efficiency within the same level of resources;   SOCIAL COHESION: The “wellness of all” can be a rallying point for political and health sector reforms.   COMMUNITIES AND FAMILIES CAN CHANGE THE NORM: Behavior change in the Asian context is a collective endeavor. Health Promotion Foundations funded through Tobacco Taxes 35 | April 2010, Philippines Health Promotion Foundations funded through Tobacco Taxes 36 | April 2010, Philippines 18
  19. 19. Let us move forward. Health Promotion Foundations funded through Tobacco Taxes 37 | April 2010, Philippines 19

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