The document discusses health promotion foundations in the Philippines funded through tobacco taxes, highlighting the significant impact of tobacco-related diseases. It outlines the objectives of health promotion, the characteristics of effective foundations, and the importance of reducing unhealthy behaviors to improve public health. The document emphasizes community involvement and offers insights into the history and funding models of health promotion initiatives.

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. 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. 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. 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. 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. 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
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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
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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
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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
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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
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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
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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
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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
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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
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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. “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. “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
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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
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19. Let us
move
forward.
Health Promotion Foundations funded through Tobacco Taxes
37 | April 2010, Philippines
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