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Consumer Protection & the MDGs. Presentation at Provincial Consultation Ayyaz Kiani Advocacy Head. Background. Higher public spending does not necessarily mean better health and development outcomes
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Consumer Protection & the MDGs Presentation at Provincial Consultation Ayyaz Kiani Advocacy Head
Background • Higher public spending does not necessarily mean better health and development outcomes • Interventions must address in-equities in public spending both at structural as well as systems level
Background • Every rupee increment in GDP today accrues 48 paisas to the richest 20% of the population and 7 paisas to the poorest 20% • The disparity has widened over a period of 15 years at the start of which this ratio was 43.5 % and 8.8 % respectively (SPDC 2004)
Background Between 1988 and 2002, in the lowest population quintile: • expenditure on food items increased from 44.6% of family budget to 55.9% • expenditure on health doubled from 2.7% to 5.4%, and • expenditure on education rose from 0.7% to 2.7% (SPDC 2004)
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 1. Eradicate extreme poverty and hunger • Around 50% of men smoke in Pakistan, majority of them are from the lower income quintiles • Smoking is a major cause of poverty for economic and health reasons at household as well as national level • Greater part of h/h disposable income spent on smoking than on health or education
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 2. Achieve universal primary education • Tobacco industry employs children • Money spent on tobacco rather than education • Poverty and child labor are key reasons for out of school children
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 3: Promote gender equality and empower women • More and more women falling to the tobacco advertisement • 218m female smokers in 2000 • 259 expected in 225
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 4 & 5: Reduce child mortality & Improve maternal health • Poor maternal health a major cause of infant mortality • Money spent on tobacco deprives mother and baby of food, medical attention • Passive smoking affects women and children the most
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 6: Combat HIV/AIDS, malaria and other diseases • Smoking causes bacterial pneumonia and AIDs-related dementia • Smoking causes sub-clinical TB to advance to clinical TB and increased risk of death • Up to 1b people are estimated to have sub-clinical TB
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 7: Ensure environmental sustainability • Globally 200,000 hectares of forests are cut each year for tobacco cultivation and wood-fire curing • High pesticide use lead to environmental degradation • 2.5b kg of tobacco waste produced each year
MDGs and Consumer ProtectionThe Case of Tobacco Control Goal 8: Develop a global partnership for development • FCTC a global treaty of nations • Intl agencies UN, WHO, WB, IMF, EC, USAID endorse importance of tobacco control • Need to include tobacco control in MDG review