National Program for Tobacco National Program for Tobacco Control in the Control in the

Republic of Uzbekistan Republic of Uzbekistan for 2008-2012for 2008-2012

Mr.Mamutov R.Sh.Mr.Mamutov R.Sh. Director, National Centre for Tobacco ControlDirector, National Centre for Tobacco Control

Objectives:Objectives: Tactical:Tactical:Reduce tobacco consumption Reduce tobacco consumption among male smokers aged 15+ by among male smokers aged 15+ by 0.5% per year0.5% per yearStrategic:Strategic:Reduce morbidity and mortality rates Reduce morbidity and mortality rates related to tobacco consumptionrelated to tobacco consumption

IndicatorsIndicators Addiction to tobacco consumption Addiction to tobacco consumption

among teenagers and adults. among teenagers and adults. Base level is 21% of adult male Base level is 21% of adult male smokers in 2005smokers in 2005

National statistic data of tobacco National statistic data of tobacco products sales.products sales.

SourceSource: : Consequences of tobacco consumption to population Consequences of tobacco consumption to population health and economy in Uzbekistan. Report by the MoH (Republic health and economy in Uzbekistan. Report by the MoH (Republic of Uzbekistan) and World Bank, 2007, Tashkentof Uzbekistan) and World Bank, 2007, Tashkent

Tasks of the ProgramTasks of the Program 1.1. Regulating domestic market of finished Regulating domestic market of finished

tobacco products;tobacco products;2.2. Regulating export operations for Regulating export operations for

manufactured cigarettes;manufactured cigarettes;3.3. Changing behavior of target groups;Changing behavior of target groups; 4.4. Organizing medical and psychological Organizing medical and psychological

care provision to people aiming to care provision to people aiming to overcome tobacco addiction;overcome tobacco addiction;

5.5. Establish international cooperation under Establish international cooperation under the National Program for Tobacco Control;the National Program for Tobacco Control;

6.6. Managing and financing the National Managing and financing the National Program for Tobacco ControlProgram for Tobacco Control..

Concept of the ProgramConcept of the Program 1.1. Limiting access of tobacco products, especially Limiting access of tobacco products, especially

among children and youth.among children and youth.2.2. Overall prohibition on tobacco advertising and Overall prohibition on tobacco advertising and

promotion in all mass media.promotion in all mass media. 3.3. Providing access to information concerning the Providing access to information concerning the

hazards of tobacco consumption and indicating the hazards of tobacco consumption and indicating the benefits of quitting it via mass media, including anti-benefits of quitting it via mass media, including anti-advertising.advertising.

4.4. Increasing number of non-smoking areas, smoke-Increasing number of non-smoking areas, smoke-free public and work places to reduce the risk of free public and work places to reduce the risk of smoke exposure.smoke exposure.

5.5. Facilitating smokers who wish to quit in order to Facilitating smokers who wish to quit in order to reduce cigarette consumption.reduce cigarette consumption.

6.6. Publishing and disseminating scientifically justified Publishing and disseminating scientifically justified evidences of risks caused by active smoking and evidences of risks caused by active smoking and exposure to passive smoking.exposure to passive smoking.

Strategy of the National Program for Tobacco Control in the Republic of Uzbekistan for 2008-2012.

Establishment of Interdepartmental

Committee under the Cabinet of Ministers (excluding tobacco

business representatives)

Strengthening capacity of Tobacco

Control Centre.

Managing and financing the

National Program for Tobacco

Control

Regulating imports and

domestic market of

tobacco raw material

Behavioral change of target groups

Regulating export activities

of manufactured

tobacco products

Stimulating reorientation of

domestic tobacco raw producers to cultivation of

alternative crops

Providing access to target groups and ensuring direct information influence via training the trained trainers who have an immediate pedagogic influence on the target audience due to their role in the

family or professional occupation

Providing access to target groups and ensuring indirect information influence via mass media messages, cinematography and literature to

develop a positive public opinion about abstinence from smoking and disapproving

tobacco addiction as a form of behavior

Reducing illegal imports of tobacco products and counterfeit production

Regulating unorganized sales of tobacco

products

Providing access to smoking

cessation to smokers who wish to quit

smoking at the public health care facilities

Regulating domestic market of tobacco

products

Medical and psychological

care for tobacco addicts

Establishing international cooperation

under the Program

Reduce demand for tobacco products via

indirect taxation of legal sales

Bring effective legal-organizing solutions for the

nasvai production and sales

Restricting communication activity of legal tobacco producers

Participating in coordinated

efforts of international

community for tobacco control

and strengthening

cooperation with international organizations

and neighboring countries

Annual development of state budget with the inclusion of the Program costs and allocations for the

involved state organizations

Increasing smoke-free public and work places to reduce passive smoking

exposure

Expected outputsExpected outputs In the short- to midtermIn the short- to midterm:: The WHO Framework Convention on Tobacco Control ratifiedThe WHO Framework Convention on Tobacco Control ratified;; Activity of the Government of the Republic of Uzbekistan coordinated with activities Activity of the Government of the Republic of Uzbekistan coordinated with activities

of the world community in tobacco control in the framework of the Warsaw of the world community in tobacco control in the framework of the Warsaw Declaration “Tobacco Free Europe” and WHO Framework Convention on Tobacco Declaration “Tobacco Free Europe” and WHO Framework Convention on Tobacco Control;Control;

Illegal import and export of tobacco products reduced as a result of cooperation Illegal import and export of tobacco products reduced as a result of cooperation with the world community under the Warsaw Declaration “Tobacco Free Europe”;with the world community under the Warsaw Declaration “Tobacco Free Europe”;

Control of production and sale of nasvai establishedControl of production and sale of nasvai established;; Tax proceeds in the state budget (from direct and indirect taxation) increasedTax proceeds in the state budget (from direct and indirect taxation) increased;; Medical and psychological care organized for all people willing to overcome tobacco Medical and psychological care organized for all people willing to overcome tobacco

addiction via a guaranteed package of services provided at primary health care addiction via a guaranteed package of services provided at primary health care level;level;

Active consumption of tobacco products reduced and passive smoking, especially Active consumption of tobacco products reduced and passive smoking, especially among young women and children, preventedamong young women and children, prevented..

In the long-termIn the long-term ( (inin 10 –15 10 –15 yearsyears):): Behavior stereotype changed in young people for the sake of healthy life-style Behavior stereotype changed in young people for the sake of healthy life-style

developmentdevelopment;; Tobacco related morbidity and mortality rates reduced;Tobacco related morbidity and mortality rates reduced; Socio-economical status of the Republic improvedSocio-economical status of the Republic improved..