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STRATEGIC PLANNING FOR
TOBACCO CONTROL
A model for the African Region
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR AFRICA
BRAZZAVILLE ● 2016
www.afro.who.int/en/tobacco
AFRO Library Cataloguing-in-Publication Data
Strategic planning for tobacco control: a model for the African Region
1. Tobacco
2. Smoking- prevention & control
3. Regional Health Planning – methods- organization & administration
4. Africa
I. World Health Organization. Regional Office for Africa II. Title
ISBN… 978-929023347-3…(NLM Classification: WM 290)
© WHO Regional Office for Africa, 2016
Publica�ons of the World Health Organiza�on enjoy copyright protec�on in accordance with the
provisions of Protocol 2 of the Universal Copyright Conven�on. All rights reserved. Copies of this
publica�on may be obtained from the Library, WHO Regional Office for Africa, P.O. Box 6,
Brazzaville, Republic of Congo (Tel: +47 241 39100; Fax: +47 241 39507; E-mail:
[email protected]). Requests for permission to reproduce or translate this publica�on –
whether for sale or for non-commercial distribu�on – should be sent to the same address.
The designa�ons employed and the presenta�on of the material in this publica�on do not imply
the expression of any opinion whatsoever on the part of the World Health Organiza�on
concerning the legal status of any country, territory, city or area or of its authori�es, or
concerning the delimita�on of its fron�ers or boundaries. Do?ed lines on maps represent
approximate border lines for which there may not yet be full agreement.
The men�on of specific companies or of certain manufacturers’ products does not imply that
they are endorsed or recommended by the World Health Organiza�on in preference to others of
a similar nature that are not men�oned. Errors and omissions excepted, the names of
proprietary products are dis�nguished by ini�al capital le?ers.
All reasonable precau�ons have been taken by the World Health Organiza�on to verify the
informa�on contained in this publica�on. However, the published material is being distributed
without warranty of any kind, either express or implied. The responsibility for the interpreta�on
and use of the material lies with the reader. On no account shall the World Health Organiza�on
or its Regional Office for Africa be liable for damages arising from its use.
Layout, design and prin�ng by TIP/AFRO
iii
Acknowledgements ............................................................................................. iv
Foreword ..................................................................................................................... v
Acronyms and abbreviations ....................................................................... vi
Introduction ............................................................................................................ 1
Structure ..................................................................................................................... 1
Chapter 1: Background .................................................................................. 3
Chapter 2: Situation analysis ..................................................................... 3
Chapter 3: Justification ................................................................................ 4
Chapter 4: Vision, mission, core values and objectives ............. 5
Chapter 5: Strategic objectives ................................................................ 7
Chapter 6: Monitoring and evaluation ............................................. 8
Chapter 7: Human resource analysis ..................................................... 9
Chapter 8: Implementation matrix ....................................................... 10
Chapter 9: References .................................................................................... 19
Contents
iv
Strategic Planning for Tobacco Control: a model for the African
Region was prepared by Dr Ahmed E. Ogwell Ouma and Dr
Mohamed Ould Sidi Mohamed of the Tobacco Control Programme
of the WHO Regional Office for Africa.
We thank Ms Lutgard Kagaruki for her contribution and acknowledge
the Tobacco Control Programme team — Dr William Maina, Dr Patrick
Musavuli, Dr William Onzivu, Mr. Noureiny Tcha-Kondor and Dr Nivo
Ramanandraibe — for reviewing the model.
ACKNOWLEDGEMENTS
v
Successful implementation of the WHO Framework Convention on
Tobacco Control (FCTC), its guidelines and protocol requires a
strategic plan and the efforts of all sectors of government. Also
needed is support from civil society, academic institutions and
relevant partners in the private sector who are not affiliated with the
tobacco industry. Implementation itself needs activities, which in turn,
need not only coordination but also indicators that can be tracked
over time so that progress can be documented.
This document provides a model for strategic planning that countries
in the WHO African Region can use to identify both their priority
strategies and action, and the key institutions that must work with
them for successful implementation of the WHO FCTC. The model
provides examples of strategies, actions, indicators, and even targets,
that countries can plan for.
The step-by-step guide is our contribution to efforts to reduce
tobacco use and exposure to tobacco. It is our hope that it will also
help achieve the targets set under Sustainable Development Goals.
We invite countries to use this guide, and to adapt it to their needs in
order to develop a national strategic plan for tobacco control.
Dr Abdikamal Alisalad
Acting Director, Noncommunicable Diseases Cluster
WHO Regional Office for Africa
foreword
vi
CBOs Community based organization
COP Conference of Parties
CSOs Civil society organizations
FCTC Framework Convention on Tobacco Control
GYTS Global Youth Tobacco Survey
NCD Noncommunicable diseases
UNGASS UN General Assembly Special Session
WHO World Health Organization
Acronyms and abbreviations
1
Tobacco kills up to one-half of all its users, and remains one of the
leading preventable causes of death. Each year, nearly 6.3 million
people, including about 600 000 non-smokers, die prematurely from
tobacco-related diseases. If current trends continue, tobacco will
cause 8 million deaths a year by 2030, and 80% of these will be in
developing countries. As incomes rise for a growing population,
tobacco use could double if effective tobacco control measures are
not implemented.
Alarmed by the globalization of the tobacco epidemic, Member
States of the World Health Organization (WHO) negotiated and
adopted the WHO Framework Convention on Tobacco Control (WHO
FCTC) — an evidence-based treaty that reaffirms the right of all
peoples to the highest standard of life. The WHO FCTC has articles
and guidelines that assist countries to achieve the objectives of the
Convention. Article 5.1 of the WHO FCTC requires countries to “…
develop, implement, periodically update and review comprehensive
multisectoral national tobacco control strategies, plans and
programmes in accordance with this Convention and the protocols
…”.
Strategic Planning for Tobacco Control: a model for the African
Region has been prepared by the WHO Regional Office for Africa to
support country-level efforts in implementing the Convention.
Introduction
2
Strategic planning involves setting goals, determining actions to
achieve the goals, and mobilizing resources to execute the actions. A
strategy describes how the ends (goals) will be achieved by the means
(resources). In tobacco control, a strategic plan makes implementation
of the WHO FCTC more systematic, involves all relevant stakeholders,
defines roles and responsibilities, proposes the budget for
implementation, sets the timeline therefor, and projects human and
other resources needed to achieve the goals.
A national tobacco control strategic plan would normally contain the
following sections or chapters:
(a) Acronyms and abbreviations. This page provides a list of short
forms of words or phrases as used in the plan, e.g., FCTC —
Framework Convention on Tobacco Control; GYTS — Global
Youth Tobacco Survey;
(b) Definition of terms. This page provides a list of words, terms, and
their meanings in the strategic plan, e.g., Tobacco control: a
range of supply, demand and harm reduction strategies that aim
to improve the health of a population by eliminating or reducing
the consumption of tobacco products and exposure to tobacco
smoke.
(c) Foreword. A brief statement presented by an authority from the
government, usually someone from the Ministry of Health;
example: the minister, the permanent or principal secretary, the
director general of health or a person ranking as such. It is a brief
exposition of tobacco-related issues within the country, including
the need for a national tobacco control strategic plan. It may
Structure
3
also include any other relevant information on tobacco control.
(d) Acknowledgements. This page expresses appreciation to those
who worked on development of the plan, including any support
from outside the country. It is not a long list of all participants, but
only the names of key players who made substantial contributions
to preparation of the document.
(e) Executive Summary. This is a synopsis of the strategic plan; it
enables decision-makers, for example, who may not have time to
read the whole plan, to get a grasp of what is contained in the
document. A maximum of two pages is allowed; but one page is
recommended.
CHAPTER 1: Background
The background chapter is a brief description of the tobacco
epidemic at global and regional levels, with appropriate references. It
would typically cover:
(a) Global and regional morbidity and mortality figures due to
tobacco use;
(b) Global and regional prevalence of tobacco use;
(c) Diseases caused by tobacco use and exposure to tobacco;
(d) Relevant calls by international bodies for effective tobacco
control, e.g., COP, WHO, UNGASS, sub-regional bodies, etc.;
(e) The need for a defined strategic plan to act as a road map and
framework to guide tobacco control through comprehensive
implementation of the WHO FCTC and its guidelines.
4
CHAPTER 2: Situation analysis
The chapter on situation analysis is itself an in-depth analysis of the
tobacco control situation in the country; it includes:
(a) The economics of tobacco in the country – revenue, health and
environmental effects;
(b) Prevalence of tobacco use among adults and youth;
(c) The burden of tobacco-related diseases and the cost of
treatment;
(d) The tobacco control policy environment – past, present and
immediate future plans;
(e) Mainstreaming of tobacco control into other plans (NCD,
tuberculosis, poverty, etc.);
(f) Challenges and any relevant issues that have a bearing on
tobacco control in the country.
CHAPTER 3: Justification
After chapters 1 and 2 have set the stage by providing the relevant
information at global, regional and national levels, including
highlighting the effects of tobacco on the economy, the environment
and health, chapter 3 then briefly explains the benefits to be gained
from developing and implementing a strategic plan. They include:
(a) Protection of populations from the consequences of tobacco
and tobacco products;
(b) Increased awareness nationally of the tobacco epidemic and its
negative effects on health, the environment and society,
particularly awareness among relevant government agencies
and the public at large;
5
(c) Mobilization of resources, including funds, from the various sectors
that will implement the strategic plan;
(d) The workforce that will be needed to coordinate tobacco control
work in the country;
(e) Institutionalizing the involvement of relevant civil society
organizations in the implementation of the strategic plan, as
envisaged in the WHO FCTC.
CHAPTER 4: Vision, mission, core values, goal and objectives
Vision. The vision is a powerful inspirational declaration of the strategic
plan’s long-term goal – a bold dream of a desired future state. It should
be short (11 words or less) and straightforward; e.g., A tobacco-free
Africa, or A tobacco-free Africa with healthy people, communities and
environment.
Mission statement. This is a statement of the purpose of the plan and
why it is being developed. The purpose should be expressed in a way
that inspires support and on-going commitment so that it can motivate
others. The language used should be proactive, and should describe
what you do. Avoid any jargon. At the very least, the mission statement
should answer three key questions:
(a) What are the opportunities or needs that the plan will address
(purpose);
(b) What is being done to address the needs (business); and
(c) What principles or beliefs guide your work (the values).
6
Example:
To advocate, enable and mobilize multisectoral support for
stronger tobacco control policies and programmes, in line with
the WHO FCTC.
In this example the questions answered are:
The Purpose: to support stronger tobacco control policies and
programmes;
The Business: to advocate, enable and mobilize multi-sectoral
support;
The value: in line with the WHO FCTC
Core values. These are principles or qualities that represent the plan’s
highest priorities and fundamental driving forces. Core values form the
foundation on which you do our work and conduct yourselves. We
recommend that the list of values should be four to six in number.
The strategic plan can be driven by any of the following core values
(the list is not exhaustive):
1. Focus on results
2. Client care
3. Professional excellence
4. Accountability
5. Transparency
6. Integrity
7. Team work
8. Emphasis on participation
9. Justice
10. Gender equity
7
Goal: This is a desired result that the plan commits to achieve. A goal
can be long-term or short-term.
Example: “To reduce the prevalence of tobacco use, its
associated diseases, disability and deaths in Africa” or
“To improve the health and well-being of people in
Africa, by reducing the impact of tobacco use”
CHAPTER 5: Strategic objectives
Strategic objectives: These are long-term organizational targets that
help to convert a mission statement from a broad vision into more
specific plans and tasks. They set the benchmarks for success and are
designed to be specific, measurable, achievable, realistic and time-
bound. They should also be translations of the mission statement that
can be used to guide decision-making. The strategic objectives of a
plan are usually developed for a period of two to five years. They
should be derived from or aligned with the provisions of the WHO FCTC.
Example: Strategic objective X: To reduce the demand for
tobacco products.
Strategy. This is a high-level plan or means to achieve one or more
objectives. A strategy is important because the resources available to
achieve the objectives and the goal are usually limited.
Strategies can be purposefully formulated, or can emerge as
implementation takes place and lessons are learnt. They are derived
from different Articles and specific Parts of the WHO FCTC.
8
Example: Strategy 1: Increase taxes and levies on tobacco products
(WHO FCTC Article 6);
Strategy 2: Protect persons from exposure to tobacco
smoke (Article 8).
Implementation Matrix. This should be presented in tabular format (see
examples attached). The matrix should indicate the responsible
institutions that will execute the proposed activities; the source of
funds; and the specific time-frame within which the activities are
expected to be implemented and completed.
CHAPTER 6: Monitoring and evaluation
Monitoring
Monitoring is a continuing function that uses systematic collection of
data on specific indicators to elicit evidence on the extent of
achievement of objectives, or on the progress being made in the use
of allocated resources, including funds.
Indicators
An indicator is a quantitative or qualitative variable that can be used
to show changes or progress a programme is making toward
achieving a specific outcome.* It provides a reasonably simple and
reliable basis for assessing achievement, change, or performance. An
indicator should be specific, observable and measurable, and should
preferably be numerical or a proportion (e.g., percentage). Indicators
which are determined during the planning phase of a project usually
have the following components:
1. What is to be measured (that which is going to change, e.g.,
participants reporting Shisha smoking among the youth);
2. The unit of measurement to be used (to describe the change,
e.g., percentages);
9
3. The pre-programme status (sometimes called the “baseline”,
e.g., 40% in 2012);
4. The size, magnitude or direction of intended change (e.g., 20% in
2014);
5. The quality or standard of the change to be achieved (e.g.,
decreased Shisha smoking rate among youth);
6. The target population (e.g., youth or women);
7. The time frame (e.g., January 2017 to December 2018).
Evaluation
This is the systematic and objective assessment of ongoing or
completed projects, programmes or policies, in respect of their:
(a) Design
(b) Implementation
(c) Results
The criteria applied in the evaluation are:
(a) Objectives
(b) Efficiency
(c) Effectiveness
(d) Impact
(e) Sustainability.
Evaluation emphasizes the assessment of outcomes and impact,
rather than the delivery of outputs.
10
CHAPTER 7: Human resource analysis
The aim of human resource analysis is to make explicit the human
resource situation for implementation of the WHO FCTC, and to
develop “strategic staffing” projections. It is important that the human
resource requirements are planned for because every strategic plan
and expected output is affected by the human resource situation of
the organization. The strategic plan, therefore, affords an opportunity
to review the staffing situation in the various institutions. Human
resource planning includes reviewing current staffing; identifying new
staffing demand resulting from the strategic plan; doing a gap
analysis and making projections to meet future human resource needs.
This includes forecasting both the number and competencies of staff,
potential sources of the needed skills, market factors, and financial
resources for staffing. Leadership succession must also be factored in.
CHAPTER 8: Implementation matrix
The matrices below are just examples of possible strategies, outputs
and indicators, including proposals for means of verification, budgets
and actors with responsibility for implementation. These will differ from
country to country, and will therefore change appropriately.
11
Strategic objec ve 1: To reduce the demand for tobacco products
O
utp
ut
Ind
icato
r M
ean
s o
f
veri
fica
�o
n
Resp
on
sib
ility
B
ud
get
(USD
)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e in
years
1
2
3
4
5
6
7
Strategy 1:
Incr
ease
taxe
s o
n, an
d
the p
rice
s o
f, t
ob
acc
o
pro
du
cts
(WH
O F
CTC
Art
. 6)
To
bacc
o t
ax
incr
ease
d b
y
10
% a
nn
ually
Reven
ue
fro
m
tob
acc
o
incr
ease
d b
y
7%
an
nu
ally
To
bacc
o
con
sum
p�
on
red
uce
d b
y
8%
an
nu
ally
Bu
dget
allo
ca�
on
to
tob
acc
o
con
tro
l an
d
pre
ve
n�
on
of
NC
Ds
incr
ease
d
Perc
en
tage
incr
ease
in
tob
acc
o
taxe
s
Perc
en
tage
incr
ease
in
reven
ue
fro
m
tob
acc
o
Pro
po
r�o
n
of
tob
acc
o
use
rs
Perc
en
tage
incr
ease
in
bu
dge
t
allo
ca�
on
to t
ob
acc
o
con
tro
l an
d
Na�
on
al
Reven
ue
Au
tho
rity
rep
ort
s
Na�
on
al
sta�
s�cs
data
an
d o
the
r
surv
eys
Mo
H b
ud
get
es�
mate
s
Min
istr
y o
f Fin
an
ce a
nd
th
e
Na�
on
al R
eve
nu
e
Au
tho
rity
, in
co
llab
ora
�o
n
wit
h r
ele
van
t m
inis
trie
s,
agen
cies
an
d C
SO
s
62 5
00
M
inis
try o
f
Fin
an
ce,
Reven
ue
Au
tho
rity
,
rele
van
t
min
istr
ies,
NG
Os,
develo
pm
en
t
part
ners
x
x
x
x
x
Strategy 2:
Est
ab
lish
a N
a�
on
al
To
bacc
o C
on
tro
l
Pro
gra
mm
e a
nd
a
Co
ord
ina�
on
Co
mm
i?e
e (
WH
O
FC
TC
Ar�
cle
5.2
)
Na�
on
al
To
bacc
o
Co
ntr
ol
Pro
gra
mm
e
est
ab
lish
ed
an
d
op
era
�o
nal
by A
ugu
st
20
17
Pro
gra
mm
e
pla
n a
nd
na�
on
al
coo
rdin
a�
o
n
mech
an
ism
est
ab
lish
ed
Na�
on
al
To
bacc
o
con
tro
l
Pro
gra
m a
nd
Co
ord
ina�
on
Co
mm
i?e
e
do
cum
en
ts
Min
istr
y o
f H
ealt
h in
colla
bo
ra�
on
wit
h W
HO
,
an
d r
ele
van
t go
ve
rnm
en
t
agen
cies
25
0 0
00
M
inis
try o
f
Healt
h a
nd
all
rele
van
t
dep
art
men
ts
of
go
vern
me
nt.
×
×
×
Strategy 3:
Pro
tect
in
div
idu
als
fro
m e
xp
osu
re t
o
tob
acc
o s
mo
ke (
Art
8)
All
pu
blic
pla
ces
mad
e
smo
ke f
ree b
y
Jun
e 2
017
Nu
mb
er
of
pu
blic
pla
ces
decl
are
d
smo
ke f
ree
Su
rve
y a
nd
ob
serv
a�
on
al
stu
die
s
Min
istr
y o
f H
ealt
h in
colla
bo
ra�
on
wit
h r
ele
van
t
go
vern
me
nt
age
nci
es,
e.g
.,
En
vir
on
me
nta
l P
rote
c�o
n
agen
cy, Lo
cal go
vern
men
t,
CSO
s, M
ed
ia
50 0
00
M
inis
try o
f
Healt
h, C
SO
s,
develo
pm
en
t
part
ners
×
×
×
×
×
×
12
Strategic objec ve 1:
To
re
du
ce t
he
de
ma
nd
fo
r to
ba
cco
pro
du
cts
Str
ate
gy
O
utp
ut
Ind
ica
tor
Me
an
s o
f
ve
rifi
ca
on
R
esp
on
sib
ilit
y
Bu
dg
et
(US
D)
So
urc
e o
f fu
nd
s T
ime
-fra
me
in
ye
ars
1
2
3
4
5
6
7
Str
ate
gy
4:
Dis
clo
se
ing
red
ien
ts i
n
tob
acc
o
pro
du
cts
(Art
.
9-1
0)
Ch
em
ica
l
ing
red
ien
ts i
n
tob
acc
o p
rod
uct
s
dis
clo
sed
by
Ju
ne
20
18
Nu
mb
er
of
rep
ort
s
fro
m t
he
to
ba
cco
ind
ust
ry p
rovid
ing
che
mic
al
ing
red
ien
ts
of
tob
acc
o p
rod
uct
s
Nu
mb
er
of
ind
ep
en
de
nt
an
aly
�ca
l re
po
rts
pro
vid
ing
ch
em
ica
l
ing
red
ien
ts o
f
tob
acc
o p
rod
uct
s.
TI
rep
ort
s
an
d
go
ve
rnm
en
t
con
firm
ato
r
y r
ep
ort
s
Min
istr
y o
f H
ea
lth
in c
olla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
&
go
ve
rnm
en
tal
ag
en
cie
s, e
.g.,
foo
d a
nd
dru
gs
au
tho
rity
,
reve
nu
e o
ffice
etc
.
50
00
0
Min
istr
y o
f
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
×
Re
gu
late
com
po
ne
nts
an
d
ad
di�
ve
s a
s p
er
the
gu
ide
lin
es
for
imp
lem
en
�n
g
Ar�
cle
s 9
&1
0 a
nd
WH
O
reco
mm
en
da
�o
ns
Nu
mb
er
of
tob
acc
o
pro
du
cts
an
aly
sed
acc
ord
ing
to
WH
O
sta
nd
ard
s m
eth
od
s
of
an
aly
sis
Na
�o
na
l
To
ba
cco
Lab
ora
tory
rep
ort
s
Mo
H a
nd
rele
va
nt
go
ve
rnm
en
t
ag
en
cie
s e
.g.,
Bu
rea
u o
f
Sta
nd
ard
s o
r
Fo
od
an
d D
rug
s
Au
tho
rity
, e
tc.
T
ob
acc
o in
du
stry
wil
l m
ee
t co
st o
f
an
aly
sis
×
×
×
×
×
×
Str
ate
gy
5:
Re
qu
ire
he
alt
h
wa
rnin
gs,
pa
r�cu
larl
y
gra
ph
ic h
ea
lth
wa
rnin
gs,
on
all p
ack
ag
ing
of
tob
acc
o
pro
du
cts
(Art
.
11
)
All t
ob
acc
o p
rod
uct
pa
cka
gin
g c
ove
red
by r
ota
�n
g g
rap
hic
he
alt
h w
arn
ing
s o
n
the
pri
nci
pa
l d
isp
lay
are
as
(Fro
nt
an
d
Ba
ck)
by J
un
e 2
01
8
De
cep
�ve
me
ssa
ge
s
an
d o
r p
ictu
res
on
tob
acc
o p
rod
uct
s
rem
ove
d b
y J
un
e
20
18
All t
ob
acc
o p
rod
uct
s
pa
cka
gin
g w
ith
at
lea
st 5
0%
of
the
pri
nci
pa
l d
isp
lay
(Fro
nt
an
d B
ack
)
are
a c
ove
red
by
rota
�n
g h
ea
lth
wa
rnin
gs
No
bra
nd
s o
f
tob
acc
o p
rod
uct
s
ha
ve
de
cep
�ve
ma
ssa
ge
s a
nd
or
pic
ture
s o
n t
he
pa
cka
ge
s.
Su
rve
y a
nd
ob
serv
a�
on
al re
po
rts
Su
rve
y
rep
ort
s
Min
istr
y o
f H
ea
lth
in c
olla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d
go
ve
rnm
en
t
ag
en
cie
s e
.g.,
Bu
rea
u o
f
Sta
nd
ard
s
50
00
0
Min
istr
y o
f
He
alt
h,
CS
Os,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
×
×
×
×
×
x
x
x
x
13
Str
ate
gic
ob
jec
ve
1:
To
re
du
ce t
he
de
ma
nd
fo
r to
ba
cco
pro
du
cts
Str
ate
gy
Ou
tpu
t In
dic
ato
r M
ea
ns
of
ve
rifi
ca
on
Re
spo
nsi
bil
ity
Bu
dg
et
(US
D)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e i
n y
ea
rs
1
2
3
4
5
6
7
Str
ate
gy
6:
Ra
ise
aw
are
ne
ss
on
th
e h
aza
rds
of
tob
acc
o a
nd
tob
acc
o u
se;
an
d
the
be
ne
fits
of
no
t u
sin
g
tob
acc
o (
Art
. 1
2)
Co
mm
un
ity
ma
de
aw
are
by
Jun
e 2
01
8 o
f th
e
ha
zard
s o
f
tob
acc
o u
se a
nd
be
ne
fits
of
no
t
usi
ng
to
ba
cco
Pro
po
r�o
n o
f p
ers
on
s
aw
are
of
ha
zard
s o
f
tob
acc
o u
se a
nd
be
ne
fits
of
no
t u
sin
g i
t N
um
be
r o
f m
ass
an
d
folk
me
dia
ed
uca
�o
n
pro
gra
mm
es
on
tob
acc
o h
aza
rds
an
d
be
ne
fits
of
no
n-u
se.
Nu
mb
er
of
tra
inin
g
wo
rksh
op
s o
r se
min
ars
con
du
cte
d
Su
rve
y a
nd
ob
serv
a�
on
rep
ort
s
Tra
inin
g r
ep
ort
s
Su
rve
y r
ep
ort
s
Min
istr
y o
f
He
alt
h i
n
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d
go
ve
rnm
en
t
ag
en
cie
s, C
SO
s,
etc
.
1
00
00
0
Min
istr
y o
f
He
alt
h,
CS
Os,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
x x
Str
ate
gy
7:
Ba
n a
ll f
orm
s o
f
ad
ve
r�se
me
nt,
pro
mo
�o
n a
nd
spo
nso
rsh
ip (
Art
.
13
)
All f
orm
s o
f
ad
ve
r�se
me
nt,
pro
mo
�o
n a
nd
spo
nso
rsh
ip o
f
tob
acc
o p
rod
uct
s
ba
nn
ed
by J
un
e
20
17
Ab
sen
ce o
f
ad
ve
r�se
me
nt,
pro
mo
�o
n a
nd
spo
nso
rsh
ip o
f to
ba
cco
pro
du
cts
an
d
com
pa
nie
s
Su
rve
y a
nd
ob
serv
a�
on
rep
ort
s
Min
istr
y o
f
He
alt
h i
n
colla
bo
ra�
on
wit
h r
ele
va
nt
go
ve
rnm
en
t
ag
en
cie
s, C
SO
s,
the
me
dia
,
na
�o
na
l a
nd
inte
rna
�o
na
l
ins�
tu�
on
s
12
0 0
00
Min
istr
y o
f
He
alt
h,
CS
Os,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
x
x
Str
ate
gy
8:
Est
ab
lish
tob
acc
o
cess
a�
on
pro
gra
mm
es
(Art
.14
)
To
ba
cco
cess
a�
on
pro
gra
mm
es
est
ab
lish
ed
by
Jun
e 2
01
7
Nu
mb
er
of
cen
tre
s
pro
vid
ing
to
ba
cco
cess
a�
on
se
rvic
es;
pre
sen
ce o
f n
a�
on
al
gu
ide
lin
es
on
to
ba
cco
cess
a�
on
TC
Pro
gra
mm
e
rep
ort
Mo
H in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d
go
ve
rnm
en
t
ag
en
cie
s, e
.g.,
Dru
g C
on
tro
l
Co
mm
issi
on
,
CS
Os,
etc
.
30
0 0
00
Min
istr
y o
f
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
×
x
×
×
14
Str
ate
gic
ob
jec
ve
1:
To
re
du
ce t
he
de
ma
nd
fo
r to
ba
cco
pro
du
cts
Str
ate
gy
Ou
tpu
t In
dic
ato
r M
ea
ns
of
ve
rifi
ca
on
Re
spo
nsi
bil
ity
Bu
dg
et
(US
D)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e i
n y
ea
rs
1
2
3
4
5
6
7
Str
ate
gy 9
:
Est
ab
lish
tob
acc
o
pre
ve
n�
on
pro
gra
mm
es
for
chil
dre
n a
nd
yo
uth
Sch
oo
l-
ba
sed
tob
acc
o
con
tro
l
pro
gra
mm
es
est
ab
lish
ed
by J
un
e 2
01
8
Ou
t-o
f-
sch
oo
l
inte
rve
n�
on
s e
sta
bli
she
d
by J
un
e 2
01
9
Nu
mb
er
of
sch
oo
ls
wit
h
ac�
ve
to
ba
cco
con
tro
l
pro
gra
mm
es
Nu
mb
er
of
ou
t-o
f
-sch
oo
l
inte
rve
n�
on
s fo
r
tob
acc
o c
on
tro
l
Su
rve
y o
r
pro
gra
mm
e
rep
ort
s
Su
rve
y o
r
pro
gra
mm
e
rep
ort
s
Mo
H a
nd
Min
istr
y o
f
Ed
uca
�o
n,
in
co
lla
bo
ra�
on
wit
h r
ele
va
nt
go
ve
rnm
en
t
ag
en
cie
s, C
SO
s
an
d p
art
ne
rs
30
0 0
00
Min
istr
y o
f
He
alt
h,
Min
istr
y o
f
Ed
uca
�o
n,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
x
x
15
Str
ate
gic
ob
jec
ve
2:
To
re
du
ce t
he
su
pp
ly o
f to
ba
cco
pro
du
cts
Str
ate
gy
Ou
tpu
t In
dic
ato
r M
ea
ns
of
ve
rifi
ca
on
Re
spo
nsi
bil
ity
Bu
dg
et
(US
D)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e i
n y
ea
rs
1
2
3
4
5
6
7
Str
ate
gy 1
:
Cu
rb i
llic
it
tra
de
in
tob
acc
o
pro
du
cts
(Art
. 1
5 a
nd
the
Pro
toco
l
to E
lim
ina
te
Illici
t T
rad
e
in T
ob
acc
o
Pro
du
cts)
Re
du
ce b
y a
t le
ast
30
% b
y J
un
e 2
01
8
the
le
ve
ls o
f il
lici
t
tob
acc
o t
rad
e
Am
ou
nts
of
smu
gg
led
an
d
cou
nte
rfe
it
tob
acc
o p
rod
uct
s
imp
ou
nd
ed
Nu
mb
er
of
illici
t
tra
de
rs i
n t
ob
acc
o
pro
du
cts
ap
pre
he
nd
ed
an
d
pro
secu
ted
Cu
sto
ms
an
d
po
lice
re
po
rts
Cu
sto
ms
Ag
en
cy,
in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d
go
ve
rnm
en
t
ag
en
cie
s;
reg
ula
tory
bo
die
s
22
5 0
00
Na
�o
na
l
Re
ve
nu
e
Au
tho
rity
,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
Sta
nd
ard
la
be
llin
g,
ma
rkin
g a
nd
ta
x
sta
mp
ing
of
un
it
pa
cke
ts a
nd
pa
cka
ge
s o
f to
ba
cco
pro
du
cts
en
forc
ed
by D
ece
mb
er
20
17
Pro
po
r�o
n o
f u
nit
pa
cke
ts a
nd
pa
cka
ge
s o
f
tob
acc
o p
rod
uct
s
lab
ell
ed
as
pe
r th
e
req
uir
em
en
ts
Insp
ec�
on
re
po
rts
fro
m r
eg
ula
tory
au
tho
ri�
es.
Re
ve
nu
e
Au
tho
rity
, in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d
go
ve
rnm
en
t
ag
en
cie
s
M
inis
try
of
Fin
an
ce,
Re
ve
nu
e
Au
tho
rity
,
Min
istr
y o
f
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
x
x
x
x
x
Str
ate
gy 2
:
Ba
n t
he
sa
le
of
du
ty-f
ree
tob
acc
o
pro
du
cts
Du
ty-f
ree
to
ba
cco
pro
du
ct b
an
ne
d
in
sho
ps
by J
un
e 2
01
8
Nu
mb
er
of
de
ale
rs
tra
nsf
orm
ed
fro
m
du
ty-
fre
e t
o n
on
-
du
ty-f
ree
to
ba
cco
pro
du
cts
Re
po
rts
fro
m
reg
ula
tory
bo
die
s
an
d s
urv
eys
Min
istr
y o
f
He
alt
h,
in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
11
2 5
00
Min
istr
y o
f
Fin
an
ce,
Min
istr
y o
f
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
X
x x
x x
Str
ate
gy 3
:
Ba
n t
he
sa
le
of
tob
acc
o
pro
du
cts
by
or
to m
ino
rs
(Art
. 1
6)
Sa
le o
f to
ba
cco
pro
du
cts
to a
nd
by
un
de
r-a
ge
pe
rso
ns
ba
nn
ed
by J
un
e
20
18
Leg
isla
�o
n o
r
reg
ula
�o
ns
in
pla
ce t
o e
ffe
ct
the
ba
n
Law
in
pla
ce
Min
istr
y o
f
He
alt
h,
in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies,
CS
Os,
etc
.
62
50
0
Min
istr
y o
f
tra
de
, M
inis
try
of
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
x x
x x
x
16
Str
ate
gic
ob
jec
ve
1:
To
re
du
ce t
he
de
ma
nd
fo
r to
ba
cco
pro
du
cts
Str
ate
gy
Ou
tpu
t In
dic
ato
r M
ea
ns
of
ve
rifi
ca
on
Re
spo
nsi
bil
ity
Bu
dg
et
(US
D)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e i
n y
ea
rs
1
2
3
4
5
6
7
Sig
na
ge
wit
h “
No
sale
to
min
ors
”
dis
pla
ye
d
pro
min
en
tly
at
po
ints
of
sale
by
Jun
e 2
01
8
Pe
rce
nta
ge
of
po
ints
of
sale
dis
pla
yin
g s
ign
s
rest
ric�
ng
sa
les
to u
nd
er-
ag
e
pe
rso
ns
Su
rve
y r
ep
ort
s M
inis
try
of
He
alt
h,
in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d
go
ve
rnm
en
t
ag
en
cie
s
18
7 5
00
Min
istr
y o
f
tra
de
, M
inis
try
of
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
Sa
le o
f ci
ga
re?
es
in s
ing
le s
�cks
ba
nn
ed
by J
un
e
20
18
Pe
rce
nta
ge
of
sho
ps
sell
ing
cig
are
?e
s o
nly
in
pa
cks
of
20
s�
cks
Su
rve
y r
ep
ort
s M
inis
try
of
He
alt
h,
in
colla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
15
6 2
50
M
inis
try
of
tra
de
, M
inis
try
of
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
x x
x x
x
Str
ate
gy
4:
Su
pp
ort
alt
ern
a�
ve
live
lih
oo
ds
to
tob
acc
o
pro
du
c�o
n (
Art
.
17
)
Aw
are
ne
ss o
f
alt
ern
a�
ve
live
lih
oo
d a
c�v
i�e
s
to t
ob
acc
o
pro
du
c�o
n a
nd
tra
de
ra
ise
d b
y
Jun
e 2
01
8.
Tra
inin
g o
f fa
rme
rs
on
alt
ern
a�
ve
live
lih
oo
ds
pro
vid
ed
by J
un
e
20
18
Nu
mb
er
an
d
typ
es
of
alt
ern
a�
ve
live
lih
oo
ds
ide
n�
fie
d
Pro
po
r�o
n o
f
tob
acc
o f
arm
ers
en
ga
ge
d i
n
alt
ern
a�
ve
live
lih
oo
ds
Su
rve
y a
nd
stu
dy
rep
ort
s
Su
rve
y r
ep
ort
s
Min
istr
ies
in
cha
rge
of
ag
ricu
ltu
re,
he
alt
h a
nd
pla
nn
ing
, in
colla
bo
ra�
on
wit
h o
the
r
rele
va
nt
min
istr
ies
&
go
ve
rnm
en
t
ag
en
cie
s, C
SO
s,
etc
.
40
0 0
00
M
inis
try
of
Ag
ricu
ltu
re,
Min
istr
y o
f
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
x x
x x
x
17
Str
ate
gic
ob
jec
ve
3:
To
pro
tect
th
e e
nv
iro
nm
en
t a
ga
inst
to
ba
cco
-re
late
d h
aza
rds
Str
ate
gy
Ou
tpu
t In
dic
ato
r M
ea
ns
of
ve
rifi
ca
on
Re
spo
nsi
bil
ity
Bu
dg
et
(US
D)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e i
n y
ea
rs
1
2
3
4
5
6
7
Str
ate
gy 1
:
Pro
tect
th
e
en
vir
on
me
nt
fro
m h
aza
rds
of
tob
acc
o
cul�
va
�o
n,
ma
nu
fact
uri
ng
an
d u
se (
Art
.18
)
Acr
ea
ge
un
de
r
tob
acc
o
cul�
va
�o
n
de
cre
ase
d b
y
10
% f
rom
ba
seli
ne
by
Jun
e 2
02
0
Pe
rce
nta
ge
red
uc�
on
of
lan
d
un
de
r to
ba
cco
cul�
va
�o
n
Pe
rce
nta
ge
red
uc�
on
of
the
vo
lum
e o
f fu
el
wo
od
use
d f
or
tob
acc
o c
uri
ng
Su
rve
y r
ep
ort
s
Min
istr
ies
in c
ha
rge
of
ag
ricu
ltu
re,
en
vir
on
me
nt
an
d
he
alt
h,
in
colla
bo
ra�
on
wit
h
rele
va
nt
go
ve
rnm
en
t
ag
en
cie
s, C
SO
s, e
tc
28
7 5
00
Min
istr
ies
in
cha
rge
o
f
ag
ricu
ltu
re,
en
vir
on
me
nt
an
d h
ea
lth
;
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
Str
ate
gy
2:
Pro
tect
th
e
he
alt
h o
f
pe
rso
ns
invo
lve
d i
n
tob
acc
o
cul�
va
�o
n,
pro
cess
ing
an
d
ma
nu
fact
uri
ng
(FC
TC
Art
.18
)
He
alt
h o
f
pe
rso
ns
in
tob
acc
o
cul�
va
�o
n,
pro
cess
ing
an
d
ma
nu
fact
uri
ng
en
vir
on
me
nts
pro
tecte
d b
y
Jun
e 2
02
0.
Pe
rce
nta
ge
red
uc�
on
of
rep
ort
ed
ailm
en
ts r
ela
ted
to t
ob
acc
o
pro
du
c�o
n a
nd
ma
nu
fact
uri
ng
Su
rve
y a
nd
he
alt
h r
ep
ort
s
Min
istr
y o
f H
ea
lth
,
in c
olla
bo
ra�
on
wit
h r
ele
va
nt
min
istr
ies
an
d g
ov.
ag
en
cie
s N
GO
s,
CB
Os,
62
50
0
Min
istr
ies
in
cha
rge
o
f
ag
ricu
ltu
re,
en
vir
on
me
nt
an
d h
ea
lth
;
de
ve
lop
me
nt
pa
rtn
ers
x
x x
x
18
Str
ate
gic
ob
jec
ve
4:
To
pu
t in
pla
ce
a m
ech
an
ism
fo
r te
chn
ica
l co
op
era
�o
n,
rese
arc
h a
nd
in
form
a�
on
-sh
ari
ng
on
to
ba
cco
co
ntr
ol
Str
ate
gy
Ou
tpu
t In
dic
ato
r M
ea
ns
of
ve
rifi
ca
on
Re
spo
nsi
bil
ity
Bu
dg
et
(US
D)
So
urc
e o
f
fun
ds
Tim
e-f
ram
e i
n y
ea
rs
1
2
3
4
5
6
7
Str
ate
gy 1
:
Pro
mo
te
na
�o
na
l
rese
arc
h
pro
gra
mm
es
an
d
colla
bo
ra�
on
wit
h
sta
ke
ho
lde
rs i
n
tob
acc
o c
on
tro
l
(Art
. 2
0)
Co
lla
bo
ra�
v
e r
ese
arc
h
ini�
ate
d
wit
h
na
�o
na
l,
reg
ion
al a
nd
inte
rna
�o
na
l
pa
rtn
ers
by
Jun
e 2
01
6
Nu
mb
er
an
d
typ
es
of
rese
arc
h
con
du
cte
d
Nu
mb
er
of
rese
arc
h fi
nd
ing
s
pu
bli
she
d a
nd
dis
sem
ina
ted
Re
sea
rch
re
po
rts
Pu
blica
�o
ns
Ne
wsl
e?
ers
Ne
wsp
ap
er
fea
ture
s
Co
nfe
ren
ce
pro
cee
din
gs
Min
istr
y o
f
He
alt
h,
in
colla
bo
ra�
on
wit
h n
a�
on
al
an
d
inte
rna
�o
na
l
aca
de
mic
an
d
rese
arc
h
ins�
tu�
on
s;
CS
Os,
etc
.
60
0 0
00
Min
istr
y i
n
cha
rge
of
rese
arc
h;
Min
istr
y o
f
He
alt
h;
de
ve
lop
me
nt
pa
rtn
ers
×
×
×
×
×
N
a�
on
al
ep
ide
mio
log
i
cal
surv
eilla
nce
syst
em
fo
r
tob
acc
o
de
ve
lop
ed
by J
un
e 2
01
6
Nu
mb
er
of
ins�
tu�
on
s
invo
lve
d i
n t
he
tob
acc
o
surv
eilla
nce
syst
em
Da
tab
ase
s
Re
po
rts
Pu
blica
�o
ns
Min
istr
y o
f
He
alt
h i
n
colla
bo
ra�
on
wit
h W
HO
,
Aca
de
mic
an
d
rese
arc
h
ins�
tu�
on
s.
62
5 0
00
M
inis
try
of
He
alt
h,
de
ve
lop
me
nt
pa
rtn
ers
x
x x
x
Str
ate
gy 2
:
De
ve
lop
an
d
ma
inta
in a
na
�o
na
l
tob
acc
o c
on
tro
l
we
bsi
te
We
b p
ag
e
(kn
ow
led
ge
hu
b)
on
tob
acc
o
con
tro
l
est
ab
lish
ed
an
d
ma
inta
ine
d
by J
un
e 2
01
6
Fu
nc�
on
al
na
�o
na
l to
ba
cco
con
tro
l w
eb
pa
ge
We
b p
ag
e
ad
dre
ss
Nu
mb
er
of
vis
its
to t
he
we
b p
ag
e
Min
istr
y o
f
He
alt
h,
in
colla
bo
ra�
on
wit
h W
HO
an
d
CS
Os,
etc
.
15
6 2
50
M
inis
try
of
He
alt
h;
de
ve
lop
me
nt
pa
rtn
ers
x
X
x
19
CHAPTER 9: REFERENCES
Indicates references used in the preparation of the Strategic Plan
document.
