>4 MPOWER policies in place | >4 of 6 WHO ‘MPOWER’ strategies in law/national regulations. | Legal and administrative framework for evidence-based demand-side policy implementation |
National tobacco control (TC) budget (annual) | Threshold level annual tobacco control budget of US$0.11/capita29 | Financial resources reducing reliance on short-term donor funding |
National TC law | National level legislation on tobacco control | Legal and administrative framework of country-specific TC must be tailored to national legal context |
National budget allocation for TC capacity-building | Specific TC budget assigned in government health budget | Provision of required HR and increased awareness of all stakeholders |
Tobacco taxation>75% of retail sales price (RSP) | The WHO report 201330 sets a threshold tax level of >70% RSP—(used in the in-country discussions). The WHO updated the recommendation to >75% in 2015 after the data collection; however, the essential principle of a high rate of tax relative to RSP was unchanged. | Reduce tobacco consumption and uptake |
Tobacco taxation increases faster than ‘inflation plus GDP growth’ | Tobacco taxes need to increase at least as much as consumer prices to prevent cigarettes becoming cheaper relative to other goods. As incomes increase, people can consume more of all goods, including cigarettes, thus taxes should increase faster than income growth (as measured by GDP increase). Increasing tobacco taxes by the sum of the two growth rates, consumer prices and GDP, ensures that the revenue and health gains from a tax increase are not lost to increasing prices and incomes. | Reduce tobacco consumption and uptake |
National TC unit/cell | National cell within government structure, mandated by law/policy to lead tobacco control | A mandated coordination team to lead national TC efforts |
Civil society TC network | Functioning network exists | Ensure law and policies are adopted, enacted and maintained; Protect against TII |
Civil society (CS) representation in national TC advisory committees | CS representative seats designated in national TC advisory committees | Ensure law and policies are adopted, enacted and maintained; Protect against TII |
Health promotion fund for/includes TC | Fund remit/allocation includes tobacco control in law/policy | Financial resources to fund national TC over the long term limiting reliance on short-term donor resources |
National policy against TI CSR | Law/policy exists | Prevent law/policy dilution and TII |
TC-related mortality and morbidity recording system | System in place to monitor and record M and M | Data to guide policy formulation and implementation |
National evaluation framework/plan in place | National framework in place | Data to guide policy formulation and implementation |
Evaluation built into all major policy implementation plans | Evaluation aspect in all TC policies/laws | Data to guide policy formulation and implementation |
National TC strategy | National, government-approved Roadmap encompassing action by various stakeholders | National plan of coordinated activities for all stakeholder groups |
TC and non-communicable diseases (NCDs) form part of the national health policy | TC and NCDs formally included within national health policy with national targets set | TC integrated into government wider health policy commitments with a clear vision for TC within NCDs |
TC forms part of the national development plan | TC included in the national Development Plan | TC integrated into government wider development commitments |
Human resource for implementation (national) | Permanent government employment post/s; and specific budget assigned within the government health budget | Skilled workforce to translate TC law and policies into practice |
GATS/GYTS | >1 Round completed and budget assigned for future repeat | Data to guide policy formulation and implementation |
Intergovernmental coordination mechanism | National-level committee representing relevant Ministries | Remove barriers between government departments and enabling a ‘whole-government’ approach to TC |
Capacity building plan for TC-specific personnel | Specific budget assigned within the government health budget | Dedicated human resource to lead TC implementation |
‘Developmental assistance’ funding includes TC | TC funds included as a component of DA to government | Integrate TC into wider national Development vision; and broaden base of TC funding over the long term |
Code of conduct for government officials/staff | Mandated in government policy | Protect and maintain TC policies against TII |
Ministry of health 5.3 policy | Mandated in MOH policy | Protect and maintain TC policies against TII |
5.3 Policy across all Ministries | Mandated in government policy | Protect and maintain TC policies against TII |
Economic/social TC costs data | Included within key national survey/s | Data to guide policy and implementation |
National ‘focal point’ post | Permanent government post | Dedicated Lead for national policy and implementation |
National advisory committee | National committee notified by government, including government/non-government stakeholders | Structure comprising TC experts to coordinate and guide TC strategy |
Capacity building plans on research and evaluation | Specific budget assigned within the government health budget | Develop and maintain cadre with TC research/evaluation capability |
Mass media campaigns funded | Specific budget assigned within the government health budget | Generate and sustain public and policy support for TC over the long term |
Capacity building plan for non-TC specific personnel | Specific budget assigned within the government health budget | Increase TC outreach (knowledge/support) among wider stakeholders |