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8/6/2019 WHO Susie Mercado

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Health Promotion Foundations funded through Tobacco Taxes April 2010, Philippines1 |



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Deaths, by broad cause group and WHO Region, 2000

AFR EMR EURSEAR WPR AMR

25

50

75%

Communicable diseases,

maternal and perinatal

conditions and nutritional

deficiencies

Noncommunicable

conditions

Injuries



3/193



WESTERN PACIFICDeaths in 2000 attributable to selected leading risk factors

Number of deaths (000s)


4/194


Risk factors common to major

noncommunicable conditions

ConditionRisk factorCardio-vasculardisease* Diabetes Cancer Respiratoryconditions**

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


10Filipinosdie each hour fromtobacco-related disease


5/195


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


Philippines


6/196


My first real lesson in public health

Total population

Healthy but at risk

Sick

Sick and needs

hospitalization

Sick, needs

hospitalization and

has access

90%ofexpe

nditures


Prevention and health promotion receive insignificantfunding in countries of the Western Pacific Region


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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 forliving and a common good.

What is health promotion?


Health

Promotion

=

Health

Education


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HEALTH PROMOTION ACTIONS

EDUCATION

SOCIAL MOBILIZATION

ADVOCACY


Health Promotion Objectives

To enable individuals to modify behavioural risks to health on a daily basisthroughout 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, employmentconditions and place of residence;

To empower collective action for healthier environments.


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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


Addressing tobacco primarily, but

reduce other unhealthy behaviours thatalso leads to savings


11/1911


Work in settings andwith partners to promote health

Schools Hospitals Universities Workplaces Recreational settings Homes Pubs/clubs Restaurants Markets

Childcare centres Local government Prisons Shops Arts and cultural settings Health services Catering/food supply outlets cyberspace Public toilets


HISTORY OFHEALTH PROMOTION FOUNDATIONS

1983 Western Australia increased tobacco taxes and 10% of theincrease was placed in the Tobacco Tax Fund. The Department ofHealth used this for health promotion programs emphasisingtobacco control

VicHealth established in 1987 , 24 years old Objectives to fund health promotion and research and to replace

tobacco advertising and sponsorship


12/1912


International Network of Health Promotion

Foundations established in 1999

Members Austrian HPF ThaiHealth VicHealth(Australia) Health Promotion Switzerland Malaysian Health Promotion Board Healthway( Australia)


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


13/1913


Newest foundations

Mongolia Malaysia Tonga

*All in the Western Pacific Region of WHO



14/1914


Replace tobacco sponsorship


Replace tobacco advertising


15/1915


Funding for FoundationsAustria VAT distributed by MOF

Vic Health

Healthway

Direct grant from Treasury

(formerly tobacco tax)

Malaysia Triennial allocation from Govt based on application fromBoard

Mongolia Govt budget plus non refundable aid and contributions fromother countries and orgs.

2% tobacco and alcohol tax

Switzerland Health insurance levy of around $ 2.25 per insured personannually

Thailand 2% of alcohol and tobacco excise tax


4 models

Invisible Embedded Attached Independent


16/1916


invisible

Health Ministry/Department

Health Promotion partners

Ministry of Health

General taxes


embedded


Health Promotionpartners

General taxes

Other sources


17/1917


attached


Health Promotionpartners

General taxes

Other sources


independent


Health Promotionautonomousstructure

partners

Health Promotion

Other sources

Tobacco taxes


18/1918


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 samelevel of resources;

SOCIAL COHESION: The wellness of all can be a rallying point forpolitical and health sector reforms.

COMMUNITIES AND FAMILIES CAN CHANGE THE NORM:Behavior change in the Asian context is a collective endeavor.



19/19


Let us

move

forward.

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