Vietnam tobacco control sustainable funding
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Vietnam Ministry of Health, Vienam Tobacco Control Fund, Viet Nam
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A105
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KEYWORDS
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ABSTRACT
Background and challenges to implementation:
Vietnam is one of the 15 leading countries with highest smoking
prevalence (45.3% in male and 1.1% female). Thanks to the strong political
commitment, in 2012, Viet Nam passed a comprehensive tobacco control law. In
which, a first ever Tobacco Control Fund using 1.5% of surcharge tax being compulsory
contribution from tobacco industry is established.
Intervention or response:
The Fund is multi-sectoral with engagement across sectors and of government and civil
society in advocating for and supporting the Fund. The sstrategic to have the voice of non-health
players - helps to convey that the importance and relevance of the Fund is
universal and cross-sectoral. A very clearly mechanism for funding, strong vision and objectives
and function defined by Law. Strategic
targeted focus in early days (high priority areas to reflect and address
gaps in tobacco control; tight criteria for grants (proactive and critical also
when move to open grants) and outcomes
based funding from outsets and very detail outputs, indicators for both the Fund
and its grantees. Code of conduct is strictly complied while capacity
building, M&E system developed from outset
Results and lessons learnt:
After 3 years of operations, the unprecedented investment has made,
spreading over 102 grantees from ministerial and mass organizations, local
authority, hospitals. The series of programs are development of smoke free in
different settings, communication, tobacco cessation consultancy service,
capacity building, network expansion, research and evidence -
based program evaluation. Smoking rate among
adult males has reduced marginally from 47.4 among males to 45.3%. Secondhand
tobacco smoke has reduced significantly by 18%, 23% and 43% at home, workplaces
and public transport respectively. Prevalence among youth aged 13-15 decreased from 3.3% to 2.5% between
2007 and 2014 (GATS, GYTS).
Conclusions and key recommendations:
Low tax and price, high rate of tobacco second hand
smoke in hospitality settings, tobacco industry interference.