1. Victoria Health
Foundation
Satish Kumar Thakur (MPH-470)
Surakshya Khanal (MPH-472)
Total Slides: 28 Estimated Time:25
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2. • World first Health promotion organization
• VicHealth was established in 1987 by the State of Victoria
• Formed under the jurisdiction of Tobacco Act of 1987 of
Victoria Government.
• Was Established to promote good health and prevent
disease in Victoria and was funded through Tobacco
taxation.
• Governance Structure: Autonomous agency
• Governed and chaired by: Director General
• Reports to : Minister of Health and Welfare, Victorian State
Government
• Works in partnership with communities, organizations and
individuals to make health central part of daily lives.
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3. Objectives
•To fund activities related to the promotion of good health,
safety or the prevention and early detection of disease.
•To increase awareness of programs for promoting good
health in the community through the sponsorship of sports,
the arts and popular culture.
•To encourage healthy lifestyle in the community and
support activities involving participation in healthy pursuits.
•To fund research and development activities in support of
these activities.
The Strategic principles of VicHealth is guided by
Ottawa Charter and Social Model of Health.
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4. Background-Early
work
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5. 1987
• The tobacco Act 1987 passed by State parliament of Victoria under which Victoria
health foundation was born
• Became the first health promotion body in the world to be funded by a tax on tobacco.
1988
• VicHealth moves to buy out tobacco company sponsorship of sport and the arts; Quit,
Heart Health and other health promotion programs replace the tobacco sponsorships.
• Provides funding to Anti –Cancer Council for breast cancer screening programs
• Financial Support to QUIT and SUNSMART programs
1990
• A ban is placed on all tobacco advertising in Victorian print media
• Federal Government bans tobacco sponsorships and most remaining forms of advertising
from 1995.
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6. 1991
• Prevalence of smoking in Victoria from 1986 to 1991 declines at the rate of 1% per year, from 31.5% to 25.6%.
• Of Australia’s top private companies based in Victoria, 75% now totally smoke-free (an increase of 25% in one
year) by the year 1993
1994
• World Health Organisation calls for other countries to adopt the VicHealth model.
• Work scope expands – Youth suicide prevention, healthy workspace
1995
• Completion of tobacco sponsorship replacement program.
• Federal Government bans tobacco sponsorships and most remaining forms of advertising from 1995.
1996
• The work of VicHealth recognized by WHO Medal for Excellence.
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7. Blitz on Cigarette Smoking – Sports Sponshorship
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8. Tobacco Consumption and taxation
Why Taxation ?
•Higher the price, lower will be demand
•In addition to price, a variety of other factors can affect the demands for cigarettes
and other tobacco products, including income, advertising and other promotional
activities, and tastes.
WHO estimates that if all countries increased the amount of excise charged on
cigarette packs by 50%, there would be 49 million fewer smokers and at least 11
million tobacco-related deaths averted. Price increases through taxation usually
bring the biggest health benefit to people with the least money to spend, including
young people. The effects of price increases on young people are significant,
reducing tobacco consumption at a rate 2-3 times higher than among adults.
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9. Impact of
Excise tax
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10. Campaigns
1. Sun smart (Cancer, UV Protection, Sun block Advocacy)
2. Active for Life ( Physical Fitness, Games and Sports,
heart health)
3. Quit (Anti-smoking campaign)
4. Healthy Family of the future (Mental health Programs )
5. Together We do better ( Suicide prevention )
6. Walking School Bus Programs ( Promote walking by
foot to school among Primary School Students)
7. Booze Less, Be Your Best (Alcohol Misuse)
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11. Funding
Source
1987-1997
• •Dedicated (hypothecated) tax
• •5% levy on top of existing state tobacco fees
1997 onwards-
• In 1997, high court of Australia ruled tobacco
hypothecation unconstitutional at the sate level.
• •Victorian State Government’s annual budget
• •Special funding from various Government agencies to
deliver specific programmes and campaigns.(E.g.: Quit,
Sunsmart programs of Anti-cancer Council of Victoria)
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12. Beyond 1997 :
Adopting a
changing
environment
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13. VicHealth's Action
Agenda for Health
Promotion 2013–
2023
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14. Vision: Victoria where everyone can experience better health.
Goal: One million more Victorians with better health and wellbeing by 2023.
Strategies:
• encourage regular physical activity
• prevent tobacco use
• improve mental wellbeing
• promote healthy eating
• prevent harm from alcohol.
• In 2016, Vic Health updated its Action Agenda by integrating the three themes
– gender, youth and community- in their works.
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16. The VicHealth Action Agenda Scorecard.
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17. Legacy
Source: Health Promotion Fund Research Hub
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18. WHO-FCTC
The core demand reduction provisions in the WHO FCTC are :
Price and tax measures to reduce the demand for tobacco
(The World Health Organization recommends a minimum 75%
tax share of the retail price of tobacco)
Non-price measures to reduce the demand for tobacco, namely:
• Protection from exposure to tobacco smoke;
• Regulation of the contents of tobacco products;
• Regulation of tobacco product disclosures;
• Packaging and labelling of tobacco products;
• Education, communication, training and public awareness;
• Tobacco advertising, promotion and sponsorship; and,
• Demand reduction measures concerning tobacco dependence and
cessation.
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19. Roadmap to Tobacco Control Legislation
WHO-FCTC treaty adopted
by 56th World Health
Assembly
21 May 2003
Nepal Signed WHO-FCTC
3 Dec. 2003
Nepal Ratified WHO-FCTC
7 Nov 2006
Nepal Formulated Tobacco
Product(Control and
Regulation) Act
2010
Nepal Formulated
Tobacco Product(Control
and Regulation)
Regulation
2011
Directive on Printing
Warning Messages and
pictures on Tobacco
Products
2014
Tobacco Product Control
and Regulatory Directive
2014
Tobacco Product Act
Amendment Act, 2072
2016
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20. The following places shall be deemed as public places:
(A)The bodies, institutions or offices of the State and of the Government,
(B) Educational institutions, libraries, training and health related institutions,
(C) Airport, airlines service and vehicles of public transportation,
(D) Child Welfare Homes, Child Care Centers, Hermitage for senior citizens (Bridhashram), Orphanage, Children Park and
Club,
(E) Public latrines,
F) Workplace of industries and factories, Clarification: For the purpose of this Part, workplace means an office or space
allocated by the industry and factory to perform the function. (G) Cinema hall, cultural centers and theatres,
(H) Hotel, motel, resort, restaurant, bar, dining hall, canteen, lodge, hostel and guest houses,
(I) Stadium, covered halls, gymnasium, swimming pool and pool houses,
(J) Departmental store and mini market,
K) Pilgrimage and religious places,
(L) Waiting-space for public vehicle and ticket counter.
Road is not mentioned
SECTION 3: To be deemed Public Places:
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21. Section 4: Prohibition to smoke or consume tobacco in public places:
1. No person shall be allowed to smoke or consume tobacco in public places.
2. Necessary arrangement in any particular place in prison, airport or tourist level hotels for smoking or
consumption of tobacco subject not to make any adverse effect to other people. For eg: Allocating separate
spaces, Smoking Zones, Refreshment areas
3. The basic requirements to be maintained in the places as specified for smoking and consumption of tobacco in
accordance with Sub-Section (2) shall be as prescribed.
Section 5: Public Notice to be displayed:
The manager shall affix a visible or readable notice in different places, as required of their own public place,
indicating that smoking and tobacco consumption is prohibited.
Section 6: Prohibition of smoking in home or private vehicle:
No person shall be allowed to smoke in house or on private vehicle in a way to make affect to other person.
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22. 1. The manufacturers shall print and indicate clear and
visible warning messages and hazards, colorful
picture of harmful effect due to consumption of
tobacco products covering at least seventy-five
percent of packet, wrappers, packaging of parcel,
label total outer side in Nepali language with details
like tobacco products are injurious to health as
prescribed by the Ministry.
2. The Ministry may add the warning messages, signs
and marks from time to time.
3. No importer shall be allowed to import the tobacco
products which do not meet the above standards.
Section 9. Warning messages and pictures to be
mentioned
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23. 1. Advertisement and promotion or release or sponsorship, or dissemination any
program, news or information about tobacco products through newspaper and
electronic media like radio, television, FM, internet, email, interaction program,
hoarding board, wall painting, logo, signage, writing, visual, audio, mark as well
as through person or any other means.
1998, the supreme court passed an order to ban tobacco advertisements in
electronic media
Section 10. Prohibition on Advertisement and Sponsorship
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24. Chapter 3: Production, sales and distribution of tobacco
products
Section 7: Label, trademark, wrappers and packaging
1. Provision of mentioning the following details on the packets and wrappers of the tobacco products:
A. Label and trademark registered as per the prevailing law
B. Name and address of the tobacco company
C. Quantity of nicotine in the tobacco
D. Other hazardous components and its necessary information (quantity)
2. The manufacturer shall not be allowed to mention any types of logo, mark, picture or word of attraction for minors
on the packet or wrappers of the tobacco product
Section 8: Statement to be submitted
1. Should submit the statement of the quantity of nicotine, hazardous elements and other compositions in the
tobacco product to Ministry before sales and distribution
2. Annual report with details of production and export-import
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25. 1. Government of Nepal shall establish a Health Tax Fund for controlling smoking and tobacco products consumption and
to the prevention and control of diseases caused by consumption of such products.
2. In the fund established under sub Section (1), the fund as prescribed shall be deposited in addition to the annual fund
allocated by Government of Nepal.
Health tax fund since 1992
Recent trend: 25% of tobacco excise revenues are directed to a Health Tax Fund. Additionally, a Health Hazard Tax of 0.25
NPR per piece of bidi, 0.50 NPR per piece of cigarette and cigar and 40 NPR per kg of smokeless tobacco (khaini, surti, gutka,
pan masala) is levied.
Section 22.Health Tax Fund:
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26. Source: https://english.onlinekhabar.com/tax-on-cigarettes-in-nepal.html
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27. Source: https://farsightnepal.com/news/180
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28. Thank You !
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