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Strengthening Tobacco Control in Pacific: Challenges and Strategies

Addressing limitations in tobacco control in the Pacific, SPC aims to enhance policies and funding, workforce capacity, and data collection. Collaboration with regional stakeholders is key to implementing evidence-based strategies.

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Strengthening Tobacco Control in Pacific: Challenges and Strategies

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  1. Tobacco Control@ SPCPresentation to Pacific Tobacco ControlSmokefree Oceania Conference5th September 2007

  2. Challenges and Limitations • Variable levels of political will and commitment to long term planning and funding • Tobacco Control often funded at a low level, without specified in country budget • Limited workforce capacity in PICTs - few people, ‘multi-tasking’ • Many countries, distributed across a large geographical region • Some countries population (especially young) numbers falling through migration, out of country education • Transport/ travel/ communications, can be prohibitive and creating barriers to networking

  3. Further Challenges and Limitations • Concerns over inadequacy of evidence base for effective interventions in the Pacific • Data for measuring standard tobacco control indicators e.g. smoking prevalence, other performance indicators for monitoring and evaluation - variable. • Role clarification of different regional/ bilateral and other agencies required – need for alignment and harmonization

  4. % of people who smoke daily (Selected - 7 Pacific countries) Source (Available WHO STEPS Surveys as at 2007)

  5. SPC’s Response

  6. SPC has developed a Integrated and comprehensive (NCD) Plan for the Pacific

  7. SPC’s Strategy • Has been developed with country consultation • Is focused on, and supported by, our member countries in the Pacific • Is to be undertaken in collaboration with regional stakeholders (WHO), PICTS, key donor agencies and other regional partners • Adopts a multi-sectoral approach, based on internationally agreed frameworks and strategies • Is evidence based and cost effective

  8. Key objectives for SPC strategy • Strengthen the development, implementation and evaluation of national tobacco action/ public health /NCD plans • Assist PICTs with the adoption and implementation of international and regional agreements and x country issues • Develop capacity and skills in tobacco control through targeted workforce training • Expand the use of fiscal measures and develop sustainable funding mechanisms • Strengthen tobacco control surveillance systems, research and application of data in conjunction with PICTs and regional partners • Strengthen tobacco control networks in the Pacific Region

  9. Objective 1: Strengthen the development, implementation and evaluation of national tobacco action/ public health /NCD plans Examples • Work with PICTs to develop and implement long term, comprehensive, evidence based, tobacco control strategies (usually as part of a comprehensive NCD Plan) • Assist PICTs to develop shorter term action plans, where required • Assist with implementation of specific key tobacco control initiatives/projects

  10. Objective 2: Assist PICTs with the adoption and implementation of international and regional agreements and x country issues Examples • Work with PICTs to assist them meet FCTC obligations • Develop policy/ position papers on issues affecting the region – tax, trade • Identify technical assistance requirements e.g. planning, program implementation, resource development, external technical expertise – legislation, health economics • SPC has worked extensively for continued exclusion of tobacco (and alcohol) from PICTA. Further 2 years exclusion of tobacco until 2009 recently announced

  11. Objective 3: Develop capacity and skills in tobacco control through targeted workforce training Examples • Planned ‘in country’ provision of NCD coordinator position (role would include tobacco control) • Skill based training – Social Marketing/ Behavioural change training, workshops • Short term placements/attachments assistance to provide external expertise e.g. cessation • Regional and sub regional to regional centres, academic institutions or to SPC • Assistance with regional media advocacy

  12. Objective 4: Expand the use of fiscal measures and develop sustainable funding mechanisms Examples • Develop comprehensive position paper on sustainable funding mechanisms for NCD prevention and tobacco control • Promote the development of fiscal policies/legislation to fund tobacco control and NCD prevention to ensure sustainable funding mechanisms and Health Promotion Foundations • Provide a means through which Pacific countries can obtain funding from International, Regional & Bi-lateral agencies and global donor initiatives

  13. Objective 5: Strengthen tobacco control surveillance systems, research and application of data in conjunction with PICTs and regional partners Examples • Encourage the uptake of regular surveillance through STEPS, GYTS, Adult Smoking Survey (WHO) • Encourage collection of other data providing key indicators for tobacco control e.g. compliance with FCTC provisions; enforcement of, smokefree legislation, advertising, sales to minors • Undertake specific research projects – economic burden of tobacco related disease, specific project evaluations • Encourage utilisation of survey and research findings for media advocacy tool, to raise public and key stakeholder awareness

  14. Objective 6: Strengthen tobacco control networks in the Pacific Region Example • In consultation with PICTS develop a funding proposal for a Pacific Tobacco Control Network, and as part of the Network, auspice an biennial/annual face to face meeting for tobacco control

  15. Summary of the role of SPC At Regional level SPC can strengthen; • Regional cooperation and funding streams e.g. develop partnerships and increase harmonization between technical agencies, donor/development partners & PICTs • Regional approaches, x country issues e.g. cross border issues, smuggling, advertising and promotion, Trade issues – PICTA, • Capacity to meet international/ regional requirements e.g FCTC, Tobacco network (or NCD network and annual Pacific meeting)

  16. Summary of the role of SPC Within countries SPC can strengthen; • Development of comprehensive, relevant, appropriate national tobacco /NCD Strategies and Action Plans – thereby building commitment ‘in country’ for sustainable funding mechanisms • Existing work in the Pacific, through provision of evidence based approaches/ best practice and appropriate policy/ positions for the Pacific • Surveillance, M&E, Research • Workforce capacity and development – provision of capacity within country for NCD prevention – including tobacco control • Provide a coordination role to establish a Pacific regional tobacco control (NCD) network

  17. JeanieM@spc.int Thank you!

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