Table 5

Policy effects by MPOWER policy, individual and total: Pakistan

Smoking prevalenceNumber of smokers totalSmoking-attributable deaths adjusted*
MaleFemaleTotalTotal
Initial smoking prevalence and deaths32.4%5.5%19 341 2006 285 900
Effect of policies on the status quo
 Original policyShort-term effect size†Long-term effect size†Total reduction in number of smokersReduction in smoking attributable deaths adjusted*
Protect through smoke-free air laws
 High, but low compliance−2.6%−3.2%623 300202 600
Offer cessation treatment
 Low level−1.6%−4.1%785 600255 300
Mass media campaigns
 Low level−5.5%−6.6%1 276 500414 900
Warnings on cigarette packages
 Moderate level−2%−4%773 600251 400
Enforcement of marketing restrictions
 Low level−8.7%−11.3%2 187 500710 900
Raise cigarette taxes
 Excise Tax=46.2%−20.2%−40.3%7 794 7002 533 300
Combined policies
 −35.3%−55.9% (−39.9%, −69.2%)‡10 815 9003 515 200 (2 506 100, 4 346 700)‡
  • *Smoking-attributable deaths based on relative risks from high-income nations8 and are adjusted downward by 35% to reflect low-income or middle-income status.9 ,10

  • †Short-term and long-term effect size are measured in terms of the percentage reduction in smoking prevalence from the initial prepolicy level (ie, (postpolicy smoking prevalence—postpolicy smoking prevalence)/postpolicy smoking prevalence).

  • ‡The lower and upper bounds for the long-term effect size and the reduction in smoking-attributable deaths adjusted for combined policies are based on the lower and upper ranges for sensitivity analysis for each policy from table 1. For individual policies, bounds can be calculated using the ranges for that policy in table 1.