Tobacco control in Africa:
Challenges, successes and
perspectives
44th Union World Conference on Lung Health
3 November 20...
Obstacles – Governance Challenges
6 Sub-Saharan African countries are not Parties to the FCTC
Obstacles – Governance Challenges
Nine of the 11 countries to have never submitted an FCTC report are
African. One third o...
Regional Tobacco Control Priorities
• Raising awareness about the WHO FCTC ratification/accession
process and requirements...
Obstacles – Governance Challenges
Countries that report not responding to industry interference in health
policies
Obstacles – Governance Challenges
Why act now in Africa?
• Africa is a major target for tobacco industry sales and marketi...
UN system response; alignment with FCTC
• Context of goal of 30% reduction in prevalence of tobacco use
by 2025
• UN divis...
Drivers for UN go beyond tobacco alone

• UN Political Declaration on NCDs 2011
• WHO Global Action Plan on NCDs 2013-2020...
Overview of UNDP
• The UN’s global development network
• On the ground in 177 countries and territories

• Administrator o...
UNDP and the FCTC – political mandate
• FCTC COP decision FCTC/COP4/17
• Report of the UN Secretary General to ECOSOC – Ju...
UNDP and the FCTC – substantive contributions

Current work

• FCTC Needs Assessments and follow-up
• FCTC regional implem...
Integration framework

United
Nations
Development
Assistance
Framework

National
Development Plan
NCD
Plan

FCTC
Plan

Bil...
Emerging Lessons: FCTC inclusion in
UNDAF
UNDAFs should support
• achieving NDP priorities – so FCTC should be
included in...
Wrap up - key messages

• Article 5 matters and generally needs to be accelerated

• There are ways to do it – framing tob...
Thank you
Douglas Webb
HIV, Health and Development Practice
Bureau for Development Policy
UNDP New York
Email: douglas.web...
Tobacco Control in Africa: Challenges, Successes and Perspectives.
Tobacco Control in Africa: Challenges, Successes and Perspectives.
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Tobacco Control in Africa: Challenges, Successes and Perspectives.

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Presentation by Dr Douglas Webb, UNDP, at the 44th Union World Conference on Lung Health. 3 November 2013, Paris, France.

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  • Although most African states have ratified the FCTC, take up rate is lower in Africa than any other region. Nine of the 11 countries to have never submitted an FCTC report are African. Which is to say that Africa is home to nine of the 16 UN member states not to ratify the Convention.
  • The FCTC Secretariat and UNDP have undertaken nine country needs assessment missions in Africa. These missions – requested by government – identify priority actions for countries to accelerate FCTC implementation.
  • Joint publication with the FCTC Secretariat formed reference document for the COP Working Group on Sustainable Measure to Strengthen the Implementation of the FCTC. To be released November 2013.
  • Tobacco Control in Africa: Challenges, Successes and Perspectives.

    1. 1. Tobacco control in Africa: Challenges, successes and perspectives 44th Union World Conference on Lung Health 3 November 2013 Paris, France Douglas Webb HIV, Health and Development Practice UNDP New York
    2. 2. Obstacles – Governance Challenges 6 Sub-Saharan African countries are not Parties to the FCTC
    3. 3. Obstacles – Governance Challenges Nine of the 11 countries to have never submitted an FCTC report are African. One third of African parties did not submit a report in 2012. No countries in sub-Saharan Africa have identified FCTC implementation as a priority in their UN Development Assistance Frameworks Fewer than a quarter of WHO-Afro States reported undertaking antitobacco mass media campaigns during 2009-2010 – lower than any other region. 45% of parties Africa reported no attempts to counter industry interference (article 5.3) Sources: FCTC 2012 Global Progress Report and 2011 WHO Report on the Global Tobacco Epidemic
    4. 4. Regional Tobacco Control Priorities • Raising awareness about the WHO FCTC ratification/accession process and requirements ; • Building capacity for the development of national action plan and comprehensive tobacco control policy and legislation reflecting the different provisions of the WHO FCTC such as protection from tobacco smoke, support for cessation programmes, warning about the dangers of tobacco, bans on tobacco advertising and promotion and raising taxes on tobacco products; • Establishing a full-time national coordinating mechanism with a designed national focal point and a national multisectoral steering committee; • Establishing a system for surveillance, monitoring and evaluation of tobacco use, tobacco control policies interventions as well as tobacco industry activities; • Mobilizing resources for national tobacco control programmes with the participation of nongovernmental organizations and the private sector.
    5. 5. Obstacles – Governance Challenges Countries that report not responding to industry interference in health policies
    6. 6. Obstacles – Governance Challenges Why act now in Africa? • Africa is a major target for tobacco industry sales and marketing. • African governments are ill-equipped to cope with the added health burden and costs from the wave of chronic diseases that inevitably follows increased tobacco use. • Tobacco-related illness and premature death impose high productivity costs and loss of labor. • Lost economic opportunities resulting from tobacco use can be particularly severe since most tobacco-related deaths occur during the prime productive years. • Tobacco is a big contributor to the factors that continue to derail governments’ efforts to attain the MDGs. • Reducing and preventing tobacco use will improve individual health, increase available household funds for food and education, and better serve economic productivity.
    7. 7. UN system response; alignment with FCTC • Context of goal of 30% reduction in prevalence of tobacco use by 2025 • UN division of labour on FCTC within newly formed UN Inter Agency Task Force on the Prevention and Control of NCDs • ECOSOC resolution July 2012 requesting FCTC support integration into UNDAFs • COP Working Group on Sustainable Measure to Strengthen the Implementation of the FCTC formed in October 2103; principal requests– Better uptake and coordination of country needs assessments – Technical support to generate evidence of micro and macro-economic impacts of tobacco – Support to align tobacco control with development planning instruments – Coordinated support to parties regarding counter-litigation from the industry
    8. 8. Drivers for UN go beyond tobacco alone • UN Political Declaration on NCDs 2011 • WHO Global Action Plan on NCDs 2013-2020 • Post 2015 Development Agenda – imperative to link tobacco control with maternal and child health, NCDs and universal health coverage • Momentum towards integrated health responses and financing – a grand convergence – with investment approaches • Does tobacco control need an investment framework?
    9. 9. Overview of UNDP • The UN’s global development network • On the ground in 177 countries and territories • Administrator of UN Resident Coordinator System • Thematic areas: poverty reduction, governance, environment & energy, capacity development, gender equality and HIV • HIV, Health and Development: – Mainstreaming, social determinants – Governance, human rights and the law – Implementation and capacity development (Global Fund to Fight AIDS, TB and Malaria)
    10. 10. UNDP and the FCTC – political mandate • FCTC COP decision FCTC/COP4/17 • Report of the UN Secretary General to ECOSOC – July 2012 ‘UNDP to take into account Article 5 in its country-level role as convener and coordinator…and under its governance programmes’ • ECOSOC resolution RES/2012/4 – July 2012 ‘… 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’ ‘UN 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 NCDs.’
    11. 11. UNDP and the FCTC – substantive contributions Current work • FCTC Needs Assessments and follow-up • FCTC regional implementation meetings • Trade and NCDs/tobacco in the Pacific • Analysis of FCTC integration in development planning and assistance frameworks • Article 5 analysis Other potential contributions • UN system coordination, UNDAF integration • Post-2015 development agenda • Support to NCD action plan development • Integration into national development planning • Support to national, local governance structures • Anti-corruption and regulatory independence • Strengthening law enforcement, justice • CSO and parliamentarian engagement
    12. 12. Integration framework United Nations Development Assistance Framework National Development Plan NCD Plan FCTC Plan Bilateral Bilateral Bilateral
    13. 13. Emerging Lessons: FCTC 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. Wrap up - key messages • Article 5 matters and generally needs to be accelerated • There are ways to do it – framing tobacco as development issue, mainstreaming, evidence and political positioning • UN has proactive and reactive (demand-driven) ways of providing support • Country needs assessments and coordination of technical support through the COP will accelerate the UN response.
    15. 15. Thank you Douglas Webb HIV, Health and Development Practice Bureau for Development Policy UNDP New York Email: douglas.webb@undp.org Acknowledgements: Brian Lutz, Alison Cox, Dudley Tarlton, Michelle Sahal-Estime, Roy Small

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