ANNEX: Recommendations of the 1998 Working Group on Tobacco or
Health
WORKING GROUP REPORT "2000-2004
: ACTION PLAN DETAILS"
Targets for Member States
and National Focal Persons
|
to
CONTENTS |
| 1.0 |
NATIONAL/REGIONAL PLANS OF ACTION ON TOBACCO
OR HEALTH |
| GUIDANCE FOR DEVELOPMENT OF NATIONAL ACTION PLANS |
| YEAR |
NEW |
ON-GOING |
| 2000 |
Government to draw up action plan completed & launched by World
No-Tobacco Day 2001 (WNTD)
|
Define and identify partnerships (internal and external, e.g.
other progmmmes, Pacific Community, UNICEF, and ADB)
|
Annual reporting by TOH focal person on Action Plan to WPRO
Use of best-practice health education/promotion approaches (including
WNTD initiatives)
Active support for FCTC
Focal points in each country to inform and coordinate with NGOs
Where possible, countries should have at least one full time
TOH staff
|
| 2001 |
 |
| 2002 |
|
| 2003 |
Legislation and regulations all in place
|
| 2004 |
|
| 2.0 |
POLICIES, LEGISLATION AND REGULATIONS THAT
DETER TOBACCO USE |
| GUIDANCE FOR DEVELOPMENT OF NATIONAL
ACTION PLANS |
|
Build on existing legislation/regulation or develop specific
legislation |
|
Broad consultation with NGOs and community groups |
|
Freedom for different components to be addressed according
to countries' situations |
|
Where funds are an issue, address taxation and smuggling
issues first to raise funds for the other strategies |
|
| YEAR |
NEW |
ON-GOING |
| 2000 |
NOTE: Time frame according to country's Action Plan
Policy adopted
Early actions
|
a. All countries to have comprehensive policies and are
committed to regulations in core areas Core areas
Core areas
Restrictions (ideally total bans) on all forms of advertising
and promotion, including sponsorships and indirect promotion
(e.g., use of tobacco brand names or logos other items)
Strong and prominent health warnings on all tobacco products
Legislation/regulations restricting smoking in public places,
educational institutions and workplaces
Taxation increases with some of the money raised dedicated
to tobacco control (e.g. cessation, mass media, and prevention)
Taxation greater than the rises in the cost of living
Controls over smuggling
Legislation to make provisions for funding & enforcement
where required
Additional Desirable Areas
Restrictions on youth access
Regulations and limitations on points of sale and elimination
of duty-free sales
Realistic measurement, controls and reporting on toxic constituents
and additives
Systematic pricing policy linked to health needs
Support for generic packaging
Regulation of nicotine as a drug
Elimination of all subsidies for production, sales and marketing
of tobacco
|
b. Countries to provide copies of policy documents to
WPRO
c. Strengthen policies for occupational safety and health
of workers in relation to TOH
d. Public awareness campaign(s) on the need for controls
|
| 2001 |
Smoke-free medical and allied health training institutions
Smoke-free schools
Consultation and drafting of legislation (e.g. seek endorsement
from medical organizations and health-related NGOs)
Endorse legislation
|
| 2002 |
Adoption of regulations
|
| 2003 |
Infrastructure for implementation completed
Progressive phase-out/phase-in of legislation and regulations
Work on controls for brand stretching (i.e. indirect advertising)
|
| 2004 |
Implementation of all legislation except for specific exemptions
in areas where it is not possible, with all exemptions being phased
out by 2006 (e.g. certain international sporting exemptions)
|
| 3.0 |
ADVOCACY, EDUCATIONAL AND PROMOTIONAL CAMPAIGNS
AND MATERIALS |
| GUIDANCE FOR DEVELOPMENT OF NATIONAL ACTION PLANS |
| YEAR |
NEW |
ON-GOING |
| 2000 |
Medical Associations and allied health professionals to endorse
WPRO statement on health implications of tobacco smoke
Appointment and/or identification of dedicated people with roles
in TOH/tobacco control, with adequate resources
Advocacy to support the development and dissemination of the
policy component of the National and Regional Action Plans
Review lessons learned during 1995-1999 Plan and build on successes
Develop a mass media strategy/plan and identify potential funding
|
Better researched countries to share resources with countries
with fewer resources
Public relations and advocacy strategies to support legislation
and major advances in tobacco control, including evaluation mechanisms
Review and build on networks within and outside the health sector
Training in the development and use of advocacy skills
|
| 2001 |
All schools smoke-free and TOH reflected in the curriculum (e.g.
in the context of health-promoting schools)
Tobacco control reflected in curricula of medical schools and
schools of allied health professions
Adapt and develop necessary resources in the context of existing
projects and strategies, ensuring linkages and complementarity
(e.g. with Healthy Islands, NCD strategies, etc)
|
| 2002 |
Implement mass media campaign
Implement cessation support initiatives (e.g."Quitlines", "Cessation
clinics", etc)
|
| 2003 |
Develop and implement complementary strategies for hard-to-reach
and priority groups
|
| 2004 |
|
| 4.0 |
RESEARCH, MONITORING AND EVALUATION |
| GUIDANCE FOR DEVELOPMENT
OF NATIONAL ACTION PLANS |
| NOTE: Research must be a part of action or integral to the
evaluation of action |
|
| YEAR |
NEW |
ON-GOING |
| 2000 |
Develop a plan to collect all the data required for economic
evaluation of the impact of the National Action Plan
Development of a research and evaluation strategy for monitoring
the impact of all tobacco control activities (e.g. through target
population monitoring)
Build capacity to use existing health data to assess impacts
of tobacco on health (e.g. mortality and morbidity data)
|
Monitor TOH activities and report on a regular basis (NGOs and
government)
Provide copies of routine reporting on progress and evaluation
of projects to WPRO
Develop and implement a mechanism(s) for supporting the dissemination
of pertinent information to policy-makers and stakeholders
Monitor adult and adolescent smoking prevalence and tobacco
consumption
Monitor implementation of smoking restrictions in workplaces
and (voluntary restrictions) in homes
Collect data on environmental impacts (e.g. fires and deforestation)
and other tobacco-related adverse economic impacts
|
| 2001 |
Collect basic data for economic evaluation
|
| 2002 |
Complete economic evaluation and disseminate data
|
| 2003 |
|
| 2004 |
Collect data to assess impact of tobacco control over Plan period
|
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