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TOBACCO CONTROL IN INDONESIA

TOBACCO CONTROL IN INDONESIA. ISSUES AND FUTURE DIRECTIONS Presented By: Indonesian Public Health Association at Donor Meeting in Mariott Hotel, Oct 17, 2011. INDONESIA RANK 3 rd ►of 1.3Billions smokers. Est 62 millions smokers. (WHO, Report on Global Tobacco Epidemic,2008).

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TOBACCO CONTROL IN INDONESIA

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  1. TOBACCO CONTROL IN INDONESIA ISSUES AND FUTURE DIRECTIONS Presented By: Indonesian Public Health Association at Donor Meeting in Mariott Hotel, Oct 17, 2011

  2. INDONESIA RANK 3rd►of 1.3Billions smokers Est 62 millions smokers (WHO, Report on Global Tobacco Epidemic,2008)

  3. ASEAN: 46% Smokers in INDONESIA • Est No.deaths related to tobacco*): • 427,948/yr • 1,172/day *)Kosen, 2004. An Economic Analysis on Tobacco Use in Indonesia

  4. INCREASING TREND IN INDONESIA Smoker Prevalences among adults Indonesia, 1995, 2001, 2004, dan 2007 Men Women Sourse: Susenas 1995, 2001,2004 dan Riskesdas 2007

  5. SMOKERS ARE GETTING YOUNGER Trend among age group 5-9 yrs old Case from a village: “Aldi (5yrs old) is addicted,” his mother said. “..if he could not get cigarette and smoke, he will cry so hard and bang his head to the wall.. “ Source Dr Widaystuti Soerojo, 26 Juli 2010

  6. SAME PATTERNS AMONG 15-19 YRS OLD Indonesia, 1995, 2001, 2004, 2007 Men Women Source: Susenas tahun (1995, 2001, 2004) dan Riskesdas 2007

  7. ECONOMIC LOSS 2005: • Expenditure for tobacco (2005): 23Mi packs= Rp 103.5T = US$ 11,5Bi • Est Health care costs: 11 diseases (Cancers, CVD, etc)= Rp 1.99T = US$ 221M • Est. economic loss (Macro) Rp 61.6T = US$ 6,8Bi • Est. Death rates: 399,000 • Productivity loss related to deaths: US$ 4.9B • Productivity loss related illness:US$ 1.9B • Total economic lossrelated to tobacco consumption • Rp167.1T = US$ 18,5B • 5.1 times greater than state income from tobacco tax Kosen,2007 unpublished data presented in IPHA National Congress 2007

  8. Conclusion-1: IN INDONESIA: Tobacco is un-controlled and un-regulated consumption good

  9. Current Strategies • Increase Tobacco taxes and price • Graphic Health Warnings • Total ban for promoting smoking • Non-smoking areas

  10. 3 burning issues • NATIONAL REGULATIONS (!) • Approval of the Implementation Regulation draft (PP draft) by the President, with provision of 100% smoke-free indoor environment and at least 50% pictorial health warnings • Absence (up and down process) of a comprehensive Tobacco Control bill • Indonesia has not ratified the Framework Convention on Tobacco Control (FCTC)

  11. Conclusion-2: Strengthening all component including civil society to focus in achieving 3 “burning issues”

  12. ROLES OF IPHA • 4 Strategic roles: • Advocacy and communication • Knowledge holder • Strengthening health system thru its members • Network expansion among health professional organizations and NGOs

  13. ADVOCACY & COMMUNICATION • Future short-term activities • Strengthening awareness among key stakeholders • Social pressures of those 3 “burning issues”

  14. KNOWLEDGE HOLDER • Future short-term activities • Expanding data exchanges and warehouse • Seminars, workshops, roundtables

  15. HEALTH SYSTEM STRENGTHENING • Future short-term activities • Assisting government in programming and health policies

  16. STRENGTHENING NETWORK • Future short-term activities • Reposition IPHA as rainbow coalition for health development • Strengthening TCSC for coalition

  17. Points of future direction and strategies_1 (DISCUSSION RESULTS) • Strengthening the health promotion efforts • Leadership on anti smoking habit • Among bureacrats as a part of fit and proper test for career development • Strengthening advocacy efforts to presidential office and “javanese advocacy” approaches to the closest within president circle • Strengthening advocacy efforts to parliament for Tobacco Control Bill • Strengthening the health professions in politics and health policy of tobacco control

  18. Points of future direction and strategies_2 (DISCUSSION RESULTS) • Aggressive advocacy to parliament and government (i.e., president) to ratify the FCTC • Carefully “touch” tobacco tax, not only as tobacco control instrument but as a part of state revenue (for development) • Strengthening MoH structures and function for TC/NCD

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