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Hp6 4 approaching tobacco control via the 'development' lens- margarida silva


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Hp6 4 approaching tobacco control via the 'development' lens- margarida silva

  1. 1. Approaching tobaccocontrol via the development lens Margarida Silva - HealthBridge World Conference Tobacco or Health, Singapore 24th March 2012
  2. 2. WE HAVE THE FCTCHowever... 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
  3. 3. 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
  4. 4. THE MDGs & TOBACCO CONTROL1. Erradicating extreme poverty Money spent on tobacco is moneyand huger not spent on food2. Achieve universal primary Employment of child labour ineducation cultivation and production of tobacco3. Promote gender equality and Working conditions andempower women employment4 & 5. Reduce child mortality and Exposure to chemicals andimprove maternal health pesticides6. Combat HIV/AIDS, Malaria and Link between smoking and TB andother diseases other diseases7. Ensure environmental Chemicals, sustainable livelihoodssustainability8. Establish a global partnership TC can contribute to growth andfor development sustainable development
  5. 5. 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)
  6. 6. 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
  7. 7. ACCELERATING FCTCIMPLEMENTATION: 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
  8. 8. 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
  9. 9. Thank you!