Health Promotion Foundations Funded Through Tobacco Taxes April 2010, Philippines

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Health Promotion Foundations funded through Tobacco Taxes April 2010, Philippines
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Deaths, by broad cause group and WHO Region, 2000
% 75
Noncommunicable conditions Injuries
50
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies
25
AFR
EMR
SEAR
WPR
AMR
EUR
3|
4|
5|
WESTERN PACIFIC
Deaths in 2000 attributable to selected leading risk factors
Number of deaths (000s)
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Risk factors common to major noncommunicable conditions

Risk factor
Cardiovascular disease*
Condition
Diabetes Cancer Respiratory conditions**
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
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10 Filipinos
die each hour from tobacco-related disease
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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
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Philippines
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My first real lesson in public health

Total population
Healthy but at risk
Sick
Sick and needs hospitalization Sick, needs hospitalization and has access
f expe 90% o
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res nditu
Prevention and health promotion receive insignificant funding in countries of the Western Pacific Region
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What is health promotion?
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 for living and a common good.
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Health Promotion = Health Education

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HEALTH PROMOTION ACTIONS
EDUCATION SOCIAL MOBILIZATION ADVOCACY
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Health Promotion Objectives

To enable individuals to modify behavioural risks to health on a daily basis throughout 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, employment conditions and place of residence; To empower collective action for healthier environments.
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CHARACTERISTICS OF A HPF
Primarily fund health promotion activities
Are established under legislation
Have long term and recurrent funding
Are governed by an independent Board
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HEALTH PROMOTION FOUNDATIONS.
Make decisions autonomously
Allocate funds transparently and equitably
Are politically non aligned
Work with and across all sectors

Ref :International Network of Health Promotion Foundations 2002
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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
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Addressing tobacco primarily, but reduce other unhealthy behaviours that also leads to savings
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10
Work in settings and with 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
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HISTORY OF HEALTH PROMOTION FOUNDATIONS

1983 Western Australia increased tobacco taxes and 10% of the increase was placed in the Tobacco Tax Fund. The Department of Health used this for health promotion programs emphasising tobacco control VicHealth established in 1987 , 24 years old Objectives to fund health promotion and research and to replace tobacco advertising and sponsorship
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11
International Network of Health Promotion Foundations established in 1999 Members

Austrian HPF ThaiHealth VicHealth(Australia) Health Promotion Switzerland Malaysian Health Promotion Board Healthway( Australia)
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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
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12
Newest foundations
Mongolia Malaysia Tonga
*All in the Western Pacific Region of WHO
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13
Replace tobacco sponsorship
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Replace tobacco advertising
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14
Funding for Foundations

Austria
VAT distributed by MOF
Vic Health Healthway Malaysia Mongolia
Direct grant from Treasury (formerly tobacco tax) Triennial allocation from Govt based on application from Board Govt budget plus non refundable aid and contributions from other countries and orgs. 2% tobacco and alcohol tax
Switzerland Thailand
Health insurance levy of around $ 2.25 per insured person annually 2% of alcohol and tobacco excise tax
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4 models
Invisible Embedded Attached Independent
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15
invisible
General taxes
Ministry of Health Health Ministry/ Department
Health Promotion
partners
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embedded
Other sources General taxes
Health Ministry/ Department

partners
Health Promotion
32 |
16
attached
Other sources
General taxes
Health Promotion
partners
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Other sources
independent
partners
Health Promotion autonomous structure
Tobacco taxes
Health Promotion

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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 same level of resources; SOCIAL COHESION: The wellness of all can be a rallying point for political and health sector reforms. COMMUNITIES AND FAMILIES CAN CHANGE THE NORM: Behavior change in the Asian context is a collective endeavor.
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Let us move forward.
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Health Promotion Foundations Funded Through Tobacco Taxes April 2010, Philippines

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1|

Deaths, by broad cause group and WHO Region, 2000

Communicable diseases, maternal and perinatal conditions and nutritional deficiencies

Number of deaths (000s)

Risk factors common to major noncommunicable conditions

Obesity Raised blood pressure Blood glucose Blood lipids

** Including chronic-obstructive pulmonary disease and asthma

Second hand smoke is a carcinogen.

My first real lesson in public health

Healthy but at risk

What is health promotion?

Health Promotion = Health Education

HEALTH PROMOTION ACTIONS

EDUCATION SOCIAL MOBILIZATION ADVOCACY

Health Promotion Objectives

Are established under legislation

Have long term and recurrent funding

Are governed by an independent Board

HEALTH PROMOTION FOUNDATIONS.

Make decisions autonomously

Allocate funds transparently and equitably

Are politically non aligned

Work with and across all sectors

What foundations can do

Work in settings and with partners to promote health

HISTORY OF HEALTH PROMOTION FOUNDATIONS

International Network of Health Promotion Foundations established in 1999 Members

*All in the Western Pacific Region of WHO

Replace tobacco sponsorship

Replace tobacco advertising

Funding for Foundations

Vic Health Healthway Malaysia Mongolia

Ministry of Health Health Ministry/ Department

Other sources General taxes

Health Ministry/ Department

Health Ministry/ Department

Health Promotion autonomous structure

Health Ministry/ Department

Why invest in promoting health and reducing risks to health?

Let us move forward.

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