Tobacco Control for Development
Integrating the WHO Framework
Convention on Tobacco Control into
national development plan...
Mandate for UN system support
• FCTC COP decision FCTC/COP4/17
• ECOSOC resolution RES/2012/4
1. Encourages the Ad Hoc Int...
Discussion paper; aims
• Articulate the case for the integration of tobacco
control plans into national development plans
...
Sample countries
• 120 reported on 2012 reporting cycle
• Of these, 48 sample countries:
• 15 completed needs assessment
•...
Article 5.1 Globally
Of the 120 of the 174 FCTC parties for whom data
is available from the 2012 reporting cycle:
• 74/120...
NCDs mentioned in National Development
Plans n=28
NCDs
mentioned
(22)
NCDs not
mentioned (6)
Tobacco in National Development Plans n=28
no mention
tobacco
mentioned
(9)
NB – not one of the
sample countries
mentioned...
Tobacco in UNDAFs n=46
F
FCTC
Specified (3)
Tobacco
Specified
(12)
Tobacco
not
mentioned
(29)
Desk Research Sample of 48 countries
• 28 NDPs reviewed
– 0 mentions of “FCTC”
– 8 include tobacco control measures
– 22 i...
Desk Research Sample of 48 countries
• 28 NDPs reviewed
– 0 mentions of “FCTC”
– 8 include tobacco control measures
– 22 i...
Case Studies
• 8 case study countries
• Interviews with
– Ministry of Health Tobacco Control Focal Points
– WHO Tobacco Co...
Emerging Lessons: Inclusion in NDPs
• FCTC should be a health priority championed
by Ministry of Health
• Policy advocacy ...
Emerging Lessons: Inclusion in UNDAF
UNDAFs should support
• achieving NDP priorities – so FCTC should be
included in NDP
...
Emerging Lessons:
Multisectoral Approach
• Multisectoral tobacco control coordinating
committees facilitate integration in...
Enabling Factors
• High level government leadership
• FCTC needs assessments and Secretariat support
• WHO technical suppo...
Challenges
• Lack of resources in Ministry of Health
• Lack of awareness of tobacco use as a health and
development issue
...
Recommendations
1. Support continued advocacy efforts at
national and international level
2. Provide capacity building to ...
Recommendations
5. Invest in data and analysis (especially the political
economy) of the epidemic and its impacts on other...
National Development
Plan
Integration framework
FCTC
Plan
NCD
Plan
United Nations
Development
Assistance
Framework
Bilater...
Potential UNDP roles
Some specific opportunities for UNDP in tobacco are
emerging
o UN system coordination (RC) and UNDAF ...
Thank you
Douglas Webb, Ph.D.
HIV, Health and Development Practice
Bureau for Development Policy
UNDP New York
Email: doug...
Tobacco Control for Development (2013)
Tobacco Control for Development (2013)
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Tobacco Control for Development (2013)

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  • FACT:Expected to cause 6.4million deaths by 2015 – i.e. 10% of all deathsBy 2030 the number of smoking related deaths in LMICs alone is expected to rise to 6.8 million
  • In 2011 55% of the world’s population was covered by just one of the FCTC key interventions, and less than 17% by more than two. (NB figures from MPOWER report not FCTC implementation reports)
  • FACTL Just 4 countries were found to include tobacco control in their NDP and support for FCTC implementation or tobacco control measures in their UNDAF (including the one that just lists FCTC amongst its treaty obligations)
  • FACTL Just 4 countries were found to include tobacco control in their NDP and support for FCTC implementation or tobacco control measures in their UNDAF (including the one that just lists FCTC amongst its treaty obligations)
  • Bolivia, The Gambia, Ghana, Jordan, Mauritania, Moldova, Niger, Palau, The Solomon Islands
  • Tobacco Control for Development (2013)

    1. 1. Tobacco Control for Development Integrating the WHO Framework Convention on Tobacco Control into national development plans and United Nations Development Assistance Frameworks (UNDAFs) Douglas Webb, PhD, HIV, Health and Development Group UN Development Programme, New York Presented to the Governance of Tobacco in the 21st Century Conference, University of Harvard/WHO February 2013
    2. 2. Mandate for UN system support • FCTC COP decision FCTC/COP4/17 • ECOSOC resolution RES/2012/4 1. Encourages the Ad Hoc Inter-Agency Task Force to promote effective tobacco control policies and assistance mechanisms at the national level, including through the integration of the WHO FCTC implementation efforts within the United Nations Development Assistance Frameworks, where appropriate, in order to promote coordinated and complementary work among funds, programmes and specialized agencies; 2. Invites all members of the Task Force and other United Nations funds, programmes and specialized agencies to contribute, as appropriate, to the goals of the Framework Convention, including through multisectoral assistance, public outreach and communication, in particular in the context of the prevention and control of non-communicable diseases;
    3. 3. Discussion paper; aims • Articulate the case for the integration of tobacco control plans into national development plans and UN Development Assistance Frameworks (UNDAFs) • Assess current extent of integration of tobacco control plans into national development plans and UNDAFs • Provide collated information about good practice and recommendations for global and national action from current experience
    4. 4. Sample countries • 120 reported on 2012 reporting cycle • Of these, 48 sample countries: • 15 completed needs assessment • CSO funding to integrate FCTC into instruments (10) • High tobacco use and burden (15) • Countries that had made deliberate integration efforts (8)
    5. 5. Article 5.1 Globally Of the 120 of the 174 FCTC parties for whom data is available from the 2012 reporting cycle: • 74/120 (62%) indicated a comprehensive multisectoral national tobacco control strategy. • 43 (36%) of parties reported tobacco control being incorporated in national health plans and • 21 (18%) parties reported including tobacco control in other national plans.
    6. 6. NCDs mentioned in National Development Plans n=28 NCDs mentioned (22) NCDs not mentioned (6)
    7. 7. Tobacco in National Development Plans n=28 no mention tobacco mentioned (9) NB – not one of the sample countries mentioned FCTC in NDP
    8. 8. Tobacco in UNDAFs n=46 F FCTC Specified (3) Tobacco Specified (12) Tobacco not mentioned (29)
    9. 9. Desk Research Sample of 48 countries • 28 NDPs reviewed – 0 mentions of “FCTC” – 8 include tobacco control measures – 22 include NCDs • 46 UNDAFs reviewed – 3 include FCTC implementation – + 1 inclusion of FCTC in list of treaty obligations – 5 include tobacco control measures
    10. 10. Desk Research Sample of 48 countries • 28 NDPs reviewed – 0 mentions of “FCTC” – 8 include tobacco control measures – 22 include NCDs • 46 UNDAFs reviewed – 3 include FCTC implementation – + 1 inclusion of FCTC in list of treaty obligations – 5 include tobacco control measures
    11. 11. Case Studies • 8 case study countries • Interviews with – Ministry of Health Tobacco Control Focal Points – WHO Tobacco Control Focal Points – UNDP relevant contacts
    12. 12. Emerging Lessons: Inclusion in NDPs • FCTC should be a health priority championed by Ministry of Health • Policy advocacy should present: – Evidence for relationship to poverty reduction – Impact on other development priorities e.g. reducing inequalities, improving access to education – Inter-relationships with existing health MDGs (and emerging post 2015 development agenda)
    13. 13. Emerging Lessons: Inclusion in UNDAF UNDAFs should support • achieving NDP priorities – so FCTC should be included in NDP • delivery of international treaty obligations – so FCTC should be listed • coordination of UN agencies actions – so UNCTs must be sensitised to relevance and responsibilities
    14. 14. Emerging Lessons: Multisectoral Approach • Multisectoral tobacco control coordinating committees facilitate integration into planning processes • Should include representation of other ministries (finance, justice, trade, agriculture, tourism etc.) • High level government leadership desirable • Civil society representation desirable
    15. 15. Enabling Factors • High level government leadership • FCTC needs assessments and Secretariat support • WHO technical support • Civil society advocacy • Accountability to the international treaty, including reporting • Top level UN recognition of need for support of FCTC implementation
    16. 16. Challenges • Lack of resources in Ministry of Health • Lack of awareness of tobacco use as a health and development issue • Absence of tobacco control from development partners’ priorities • Lack of data on prevalence, morbidity, mortality and costs • Fears of economic impacts of tobacco control • Tobacco industry influence
    17. 17. Recommendations 1. Support continued advocacy efforts at national and international level 2. Provide capacity building to governments to support the integration of FCTC into NDPs and UNDAFs 3. Learn from experience of mainstreaming HIV/AIDS 4. Focus on tobacco taxation as key entry point
    18. 18. Recommendations 5. Invest in data and analysis (especially the political economy) of the epidemic and its impacts on other development priorities 6. Support countries to develop cost estimates for FCTC implementation 7. Protect multisectoral discussions of FCTC implementation from tobacco control interference (article 5.3). 8. Monitor situation as function of the Mechanisms of Assistance WG of the COP
    19. 19. National Development Plan Integration framework FCTC Plan NCD Plan United Nations Development Assistance Framework Bilateral BilateralBilateral
    20. 20. Potential UNDP roles Some specific opportunities for UNDP in tobacco are emerging o UN system coordination (RC) and UNDAF integration o Post-2015 development agenda o Support to national NCD action plan development o Integration of tobacco/FCTC/NCDs into national development planning o Support to national governance structures on tobacco/NCDs o Anti-corruption and regulatory independence o Intellectual property/TRIPS, trade o Strengthening law enforcement, justice o Strengthening local government-municipal programming o CSO engagement o Gender and tobacco, human rights
    21. 21. Thank you Douglas Webb, Ph.D. HIV, Health and Development Practice Bureau for Development Policy UNDP New York Email: douglas.webb@undp.org Acknowledgements to Alison Cox, Brian Lutz and Michelle Sahal-Estime

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