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Tobacco Control (pictorial warnings on tobacco products). An activism case study for South Asia Course on “Equity and Health Rights” Upendra Bhojani Institute of Public Health. Outline. What's the problem? Strategies used National State (Karnataka) Lessons learnt Strengths

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Tobacco control pictorial warnings on tobacco products

Tobacco Control(pictorial warnings on tobacco products)

An activism case study

for

South Asia Course on “Equity and Health Rights”

Upendra Bhojani

Institute of Public Health


Outline
Outline

  • What's the problem?

  • Strategies used

    • National

    • State (Karnataka)

  • Lessons learnt

    • Strengths

    • Weaknesses


Do we need to control tobacco use
Do we need to control tobacco use?

  • 2nd largest consumer of tobacco

  • Tobacco attributable deaths 8,00,000 to 9,00,000 a year

  • Economic burden of Rs. 308.33 Billion (2002-2003)

  • 46.5% males and 13.8% females (1998 –1999)

  • Inequities in all the aspects


Policy aspects
Policy aspects

  • Framework Convention on Tobacco Control (FCA)

  • Cigarettes and other tobacco products Act 2003

  • July 2005 : Display of pictorial warnings on all the tobacco products

    • Size 50% surface area

    • Real life effective images

    • Strong message in a regional language



Whatever happened to pictorial warnings
Whatever happened to Pictorial warnings…

  • Notification by GOI on July 5, 2006 to be implemented by February 1, 2007

  • Postponement to March 1, 2007

  • Postponement to Jun 1, 2007

  • Formation of GoM

  • Removal of ‘skull and bone signs’

  • Postponement to December 1, 2007

  • Petition by MoHFW and rethinking by GoM

  • GoM decision February 26, 2007

    • Change in images Scorpion/Lung

    • Implementation postponed indefinitely


Stakeholders
Stakeholders

  • Strong commitment shown by the Federal Health Minister Vs Negative attitudes from other federal ministers of the ruling government as well from the state level politicians (unemployment, effectiveness, feasibility, acceptability, need)

  • Sustained advocacy by civil society organizations

  • Stark resistance by tobacco industry and tobacco growers, bidi workers

  • Dubious role of Media

  • No voice from community???


Activism at national level
Activism at National level

  • AFTC (Advocacy Forum for Tobacco Control)

    • Coordination across the member organizations

    • Platform for knowledge transfer

    • Support to member organizations (technical/financial/moral)

  • Advocacy by member organizations

    • Information cards/letters/meetings for/with MPs

    • Television Interview

    • Press notes/posters

    • Website www.picsdontlie.org/

  • Other organizations (NOTE, Faith Foundation etc)


In karnataka

Youth campaign (July 2007)

Signature campaign (January 2008)

In Karnataka…..


In karnataka1
In Karnataka…..

  • CFTFK (Consortium for Tobacco Free Karnataka)

    • www.cftfk.blogspot.com

    • Series of activities planned to commemorate ‘World No Tobacco Day 2008’

    • Strengthening and expanding the network

  • Use of Media

    • Regional news papers

    • Press conferences (CFTFK – VHAK)

    • Television interview


Lessons learnt
Lessons learnt…..

  • Strengths

    • Networking of civil society organizations

    • Resource sharing

    • Use of Media

    • Some help from Judiciary

    • Strong will from Federal Health Minister


Lessons learnt1
Lessons learnt…..

  • Weaknesses

    • Lack of broad engagement of community

    • Difficulties in raising financial and human resources

    • Smaller network with more of an issue based approach

    • Not so much focus on larger determinants