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Role of Ministry of Education in Tobacco Control,
Proposed Activities
Dr Mya Lay Nwe
Deputy Director (NCD)
Department of Public Health
FCTC 2030 strategy launch & Stakeholder meeting (7-8 May 2018)
6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 2
• Non-health sector engagement is not
strong in Myanmar and necessary to
strengthen non-health sector
engagement and ownership in
tobacco control
• Aimed implementation of WHO FCTC
would be accelerated and reflected
in sector-specific strategies
Bilateral meeting with MOI (9 May 2018)
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 3
Recommendations– Article 8: Protection from
exposure to tobacco smoke
• Amend the Control of Smoking and
Consumption of Tobacco Product Law 2006
• Implement 100% smoke-free policies in all
indoor workplaces, indoor public places and, as
appropriate, other public places.
• Implement and strengthen monitoring and
enforcement measures related to smoke-free
policies.
Workshop for Development of Tobacco Control Policy, Strategy and Legislation (19-22) Nov 2019
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 4
Policy Priorities and Key Recommendations
• Raising awareness about provisions under tobacco control law
among relevant stakeholders such as parliamentarians,
Ministries, civil society and relevant sectors outside health for
enforcement of provisions under existing tobacco control law – a
series of advocacy and training workshops for law enforcers can
be planned and organized
• Endorse comprehensive Ban on tobacco advertising, promotion
and sponsorship, including at local festivals and events
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 5
Policy Priorities and Key Recommendations
• Promote tobacco free workplaces, hospitals and educational
institutes – issue administrative orders to this effect and
highlight the same through various media including social media.
This will cover smoke free environments as per the law
• Implement school-based awareness generation campaigns
regarding harmful effects of tobacco use, second hand smoke
and new products in collaboration with Ministry of Education.
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 6
Evidences
In Bangladesh, an estimated 10.5 million malnourished persons could
have an adequate diet if money currently spent on tobacco instead went
toward food, with the lives of 350 children saved each day.
According to a 2011 analysis, approximately 1.3 million children (14 and
under) are engaged in tobacco farming worldwide, with 500,000 in India
alone. Some 10-14 percent of children from tobacco growing families are
out of school because of working in tobacco fields.
Globally 570,000 children under five die each year from respiratory
infections, such as pneumonia, that are attributable to indoor and
outdoor air pollution and second-hand smoke. CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 7
Evidences
In Timor-Leste, 66 percent of youth (age 13-15) are exposed to tobacco
smoke at home, while 70 percent are exposed in enclosed public places.
Adolescent smoking is associated with attention deficits and increased
risk of cognitive impairment later in life.
In Bulgaria, Egypt, Indonesia, Myanmar and Nepal, low-income
households often spend more of their disposable income on tobacco
than on education.
In Viet Nam, smokers spent 3.6 times more on tobacco than on
education in 2003.
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 8
Source : 2nd Data from NSO which are reanalyzed by Sarunya Benjakul
53 per cent of smokers started smoking before 18 years old 36 per cent started between 18 and 24 years old
73 percent of smokers cannot quit smoking
10/9/2019 [email protected];SFYadanarbonUni 9
• “…Today’s teenager is tomorrow’s potential regular
customer”
Myron E Johnston, Philip Morris, researcher 1981
10/9/2019 [email protected];SFYadanarbonUni 10
Key Message
Tobacco interferes with education as nicotine addiction impairs learning,
and tobacco use (as well as exposure to second-hand smoke) leads to
early death for users later in life.
Families often spend income on tobacco rather than on schooling (and
nutrition).
Children often drop out of school to care for a sick relative or to make up
for lost wages.
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 11
Key Message
Education is the top priority in protecting children from the predatory
marketing strategies of the tobacco industry, which for example include
sponsorship of youth events to hook a new generation of vulnerable
users.
Educating children and families, and protecting them from exposure to
tobacco smoke, leads to better learning and health outcomes
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 12
Key Roles of Ministry of Education (Tobacco Control Planning Toolkit)
Concerned Area
• Article 8: Protection from exposure to tobacco smoke
• သတစပါ၏ ေေလပေ းက ရရကရခြ မ ကာကးယခြ
• Article 12: Education, communication, training, and public awareness
• ကန မာေရပညာေပခြ ၊ သတ အြကအလကခဖနခဖခြ ၊ သ တနေပခြ န ခပညသလထအတး အသပညာတပးာေစရန ေော ရးကခြ
• Article 13: Tobacco advertising, promotion, and sponsorship
• ေေလပေ ကာခ ာခြ ၊ ေရာ အာခမ တ ခြ န စပးနောခပလပခြ
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 13
Key Roles of Ministry of Education
Potential Roles
Ban tobacco sales, use and sponsorship/advertising in and around schools (at all levels of education) as well as in other places where children and youth gather (e.g. sporting events, concert venues)
Educate students, out-of-school youth and parents on the harms of tobacco products and second-hand smoke, including by integrating lessons into school curricula
Ensure effective implementation and monitoring of legislation and other measures to protect youth from tobacco, working with other sectors as appropriate
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 14
15 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
Article 13: Tobacco Advertising, Promotion and Sponsorship
ေေလပ၊ေေရးကကကထးကပစစည ေ ကာခ ာခြ ၊ အေရာ ခမ တ ခြ န
စပးနောေပခြ
Sale girls promotion Merchandising
Promotion
17 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
The problem is not only limited to advertising and promotion but also includes sale to minor, tax evasion and illicit trade
Internet sale
18 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
• Tobacco pack or product features are used in various way to attract customers, to promote products and to cultivate brand identity.
19
Packaging and product features
6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
Brand Stretching
• Occurs when a tobacco brand name,
emblem, trademark, logo or trade insignia
or any other distinctive feature (including
distinctive color combination) is connected
with a non-tobacco product or service are
likely to be associated
20 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
• Some tobacco companies make financial or in-kind contributions to organizations, such as community, health, welfare or environmental organizations, either directly or through other entities.
• Publicity given to “socially responsible” business practices of the tobacco industry constitutes advertising and promotion
BAT = British American Tobacco
Corporate Social Responsibility (CSR)
21 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
Tobacco Sponsorship
22 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri
ေဆလပနငေဆရကကကထကပစစည ေသာကသမထနချပေရ ဥပေဒပါ အေကကာငအရာမျာ
ေဆလပေသာကခငမရေသာေနရာမျာ
တာဝနခပဂဂလ၏ လပငနတာဝနမျာနင ြပစမြပစဒဏမျာ
ေဆလပ၊ ေဆရကကကထကပစစည က တငကျယစာ ြဖနြဖေရာငချနငေရ အတက
ြပလပမနင ြပစမြပစဒဏမျာ
ဥပေဒအရ ေဆာငရကြခငက ေနာငယကြခငမျာနင ြပစမြပစဒဏမျာ
ေဆလပ၊ ေဆရကကကထကပစစည ထတလပ၊ ြဖနြဖ ေရာငချသမျာအတက
ြပစဒဏထကေသာ ြပလပမနင ြပစမြပစဒဏမျာ
ေကျာငမျာနင အသက ၁၈နစေအာကကေလမျာအတက အကာအကယေပထာ
သညအချကမျာနင ကျလနသအတက ြပစမြပစဒဏမျာ
CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 23
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara
24
ေေလပန ေေရးကကကထနြပေရဥပေဒန ခပဌာနြကမာ
ေေလပန ေေရးကကကထနြပေရဥပေဒန ခပဌာနြကမာ
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 25
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 26
MOH Directives on Smoke-free
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 27
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 28
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 29
MOH Directives on Smoke-free
“SMOKING AREA ”
“ NO SMOKING BEYOND THIS POINT ”
Penalties Apply
Smoking is Dangerous for Health
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 30
MOH Directives on Smoke-free
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 31
ေမျောမနချက
12-06-2019 [email protected]_SHSeminar_MICC2 32
ရညရယချကမျာ
• ေဆလပနင ေဆရကကက သစမေကကာင ကျနမာေရက ထခကေစနငေကကာင
နာလညသေဘာေပါကပပ ေဆလပနငေဆရကကကသစြခငမ ေရာငကကဉေစရန
• ေဆလပေငကငစငသညပတဝနကျငက ဖနတြခငြဖင ေကျာငသာ လငယတ၏
ကျနမာေရက ထခကေစသည အနတရာယမ ကာကယရန
• ကေလသငယနင လငယတက ေဆလပနင ေဆရကကက သစြခင အေလအထမ
တာဆကာကယြခငြဖင ကျနမာေသာ ေနထငမဘဝရရေစရန
• ေဆလပနင ေဆရကကကထကပစစည ေသာကသ မထနချပြခငြဖင လငယမျာ၏
ကျနမာေရ အဆငအတနြမငမာလာေစရန
12-06-2019 [email protected]_SHSeminar_MICC2 33
၁။ ပညာေရဝနကကဌာနရ ဦစဌာနမျာနင တငေဒသကက/ြပညနယ ြပညသ
ကျနမာေရဦစဌာနမျာမ တာဝနရသမျာမ ေဆလပ၊ ေဆရကကကသ စမ
အနတရာယနင ဥပေဒနင အမန ေကကာြငာစာပါ အချကမျာနင ပတသက၍
ပမနာလညသရေစရန အသပညာြမငတငြခင အလပရေဆေနပက
ေနြပညေတာတင ကျငပြခင
၂။ ပညာေရဝနကကဌာန၊ ကျနမာေရနင အာကစာဝနကကဌာနတ ပေပါင၍
တငေဒသကက /ြပညနယအဆင၌ ဆငပာအသပညာြမငတငြခင အလပရ
ေဆေန ပမျာကျငပြခင
ေဆာငရကရမည လပငနမျာ
12-06-2019 [email protected]_SHSeminar_MICC2 34
၃။ ဥပေဒပါြပဌာနချကမျာအရ -
ေကျာငပရဝဏအတငရ ဝနထမအမရာနင အမခနမျာမအပ သငကကာေရ အေဆာကအအ၊ စာသငခန၊ ရ ခနပရဝဏနင ပရဝဏအတငရ အြခာ အေဆာကအအမျာ၊ တကကသလ၊ ဒဂရေကာလပ၊ ေကာလပနင သပပတ၏ သငကကာေရအေဆာကအအ၊ စာသငခနနင ရခနမျာသည
ေဆလပလဝေသာကခငမရေသာေနရာမျာ ြဖစသြဖငဥပေဒပါြပဌာနချက မျာ က လကနာေဆာငရကရန ေဖာြပပါေနရာမျာက တာဝနယစမခန ခသည တာဝနခပဂဂလတငတင တာဝနရသညနငအည ေဆလပ၊ ေဆရကကက ကငစင ေကျာငမျာ၊ တကကသလမျာထေထာငြခင
12-06-2019 [email protected]_SHSeminar_MICC2 35
ေဆာငရကရမည လပငနမျာ
၄။ လငယမျာအတင ေဆလပ၊ ေဆရကကကအနတရာယက ေသချာစာသရေစရနနင
စတငစမသပသစြခငမြပမေစရန အသပညာေပ ေဟာေြပာပမျာ၊ ပပငပမျာ
ကျငပရန အစအစဉေရဆ၍ ေကျာငတင၊ တကကသလတငတငကျငပြခင
၅။ လငယမျာအတင ေဆလပ၊ ေဆရကကကကငစငေသာ လငယမျာ (Tobacco
Free Generation) ထေထာင၍ လငယအချငချင စညရ ေဆာငရကနငရန
ပတဝနကျငဖနတေပြခင
12-06-2019 [email protected]_SHSeminar_MICC2 36
ေဆာငရကရမည လပငနမျာ
၆။ အာဏာပငအဖ အစညမျာ၊ နနယဝနကကဌာနမျာ၊ သကဆငရာစညပငသာယာေရ
ေကာမတ၊ လမေရအဖအစည မျာ၊ ြပညသလထတနင ပေပါင၍ ဥပေဒပါ
ြပဌာနချက၊ တာြမစချကမျာအတက ပေပါငေဆာငရကြခင
– ေကျာငပရဝဏအတင နင ေကျာငပရဝဏမ ေပ ၁၀၀ အတင ေဆလပေရာငချ
ြခငကတာြမစြခင
– ေဆလပနင ေဆရကကကထကပစစညြဖနြဖြခင သမဟတ ေရာငချြခင
ြပရာတင အြခာကနပစစညတစမျ မျ ကလညေကာင တကရကြဖစေစ၊
သယဝက၍ြဖစေစ ထပေဆာငေပြခင၊ လကေဆာငေပြခငသမဟတ တဖက
ေပြခငက တာြမစြခင
12-06-2019 [email protected]_SHSeminar_MICC2 37
ေဆာငရကရမည လပငနမျာ
– တကရကေသာလညေကာင၊ သယဝက၍ေသာလညေကာငေကကာြငာြခင ကတာြမစြခင
– အသက (၁၈)နစ မြပညေသေသာသအာ ေဆလပက ေရာငချြခင (သမဟတ) ေပကမြခငက တာြမစြခင
– အသက(၁၈)နစ မြပညေသေသာသက ေဆလပြဖနြဖြခင (သမဟတ) ေရာငချြခင ြပရာတင ခငေစြခငကတာြမစြခင
– ေဆလပက လယကစာ ဝယယေသာကသနငေစရန တစလပချငြဖစေစ၊ အလပ ၂၀ ထကနည ေသာ အထပြဖငြဖစေစ ေရာငချြခငကတာြမစြခင
12-06-2019 [email protected]_SHSeminar_MICC2 38
ေဆာငရကရမည လပငနမျာ
၇။ အာဏာပငအဖ အစညမျာ၊ နနယဝနကကဌာနမျာ၊ သကဆငရာစညပငသာယာ
ေရ ေကာမတ၊ လမေရအဖအစညမျာ၊ ြပညသလထတနင ပေပါင၍
ေအာကပါ ေဖာကဖျကကျလနြခငမျာမရေစရန ပေပါငေဆာငရကြခင
–ေဆလပေသာကြခငေကကာင ကျနမာေရကဆ ရာစာ ထခကေစနငေကကာင
ြမနမာ ဘာသာြဖင သတေပစာတနက ေဆလပေရာင ချသညေနရာတင
ထငရာြမငသာစာ ေဖာြပထာရရန ပျကကကြခင
–အသက ၁၈နစ မြပညေသေသာသက ေဆလပေရာင ချြခငမြပေကကာင
ြမနမာဘာသာြဖင အသေပစာတနက ေဆလပေရာငချသညေနရာတင
ထငရာြမငသာစာ ေဖာြပထာရရန ပျကကကြခင
12-06-2019 [email protected]_SHSeminar_MICC2 39
ေဆာငရကရမည လပငနမျာ
– ေဆလပနင ေဆရကကကထကပစစညက တငကျယစာ ြဖနြဖေရာငချ
နငေရအတက လအမျာသရေစရန တစနညနည ြဖငေကကာြငာြခင၊
အခမြဖနြဖေဝငြခင၊ လကေဆာင ေပြခင၊ ေပျာပရငပ၊ အကျ ြပလပငန
တစခခြပလပရန အေထာကအပေပြခင၊ ဝနေဆာငမေပြခင
– လအသအေဆာငမျာတင အမတတဆပကေဖာြပြခင၊ ေဆလပပသဏဌာန
ြပလပ ထာေသာ ကစာစရာပစစည၊ စာေသာကဖယရာ သမဟတ
အသအေဆာငက ထတလပြခင၊ ြဖနြဖြခင သမဟတ ေရာငချြခင
12-06-2019 [email protected]_SHSeminar_MICC2 40
ေဆာငရကရမည လပငနမျာ
• ေကျာငမျာ၊ တကကသလမျာတင ကကကကပေရ ေကာမတမျာဖစည
ေဆာငရကြခင
• ဥပေဒစမမရေစရန ဗဟမစ၍ တငေဒသကက/ြပညနယ၊ ခရငနငပမနယ
အဆငအထ နနယဝနကကဌာန၊ ဦစဌာန၊ အဖ အစညမျာ ပေပါင
ေဆာငရကြခင
ေစာငကကပကကညရြခင နင ဆနစစြခင
12-06-2019 [email protected]_SHSeminar_MICC2 41
10 Steps towards a Smoke-Free Place
1. Work with a Potential Champion 2. Launch the Smoke-Free Campaign and Intensify Public Awareness on the
Hazards of Smoking and Exposure to Secondhand Smoke 3. Prepare the Smoke-Free Policy 4. Organize a Task Force 5. Gather Stakeholder’s Support 6. Post Adequate and Visible ‘No Smoking’ Signs 7. Pre-Enforcement: Intensify Public Awareness on the Provisions of the Smoke-
free Law 8. Launch the Smoke-Free Law 9. Enforcement of the Smoke-Free Law: Intensified and Sustained 10. Monitoring and Evaluation
10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 42
• Foundation for smoke free world – Tobacco Industry supported
foundation
• Researches, studies, sponsorship by tobacco industry
သတြပရနအချကမျာ
12-06-2019 [email protected]_SHSeminar_MICC2 43
လကနာရန
• ေေလပ၊ ေေရးကကကက အစခပလျ စးတတပပ ခဖတရန
အလးနြကြေသာေ ကာ လဝ အစမခပပါန ။
• မဘခပညသမာက သာသမမာန ကေလသ ယမာက
ေေလပေသာကခြ ၊ ကးမစာခြ အစမခပမ ကေစရန
ဝ ဝနေစာ ေရာက ကပါ။ သတေပ ကပါ။
12-06-2019 [email protected]_SHSeminar_MICC2 44
• ကေလ ယမာေရ တး ေေလပေသာကခြ ၊ ကေလ ယမာအာ ေေလပမညြ ခြ ၊ ေေလပဝယြ ခြ တက ေရာ ကဉပါ။
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• ေေလပေ းက စ သည ေလေကာ ေလသန က ရရကန ရန လတ တး ေမးရာပါအြး အေရ ရသခဖ သ မသာစ၊ မတေေး မာေရ န လအမာန ေ ေသာ ေနရာမာ တး ေေလပလဝမေသာကပါန ။
12-06-2019 [email protected]_SHSeminar_MICC2 46
• မမအမက ေေလပေ းက စ သညအမ ခဖစရန စတ လပေော ပါ။
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• မမကယတ လည ေေလပေသာကခြ ၊ ကးမစာခြ က ခဖတန ရန ကကစာပါ။
• မသာစဝ မာန မတေေးမာ ေေလပေသာကခြ ၊ ကးမစာခြ က ခဖတန ရနလည တကတးန အာေပကညပါ။
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ေေလပ/ေေရးကကက က စ ၍ ကနမာေသာ
လမပတဝနက က ဖနတ ကပါစ
ေကဇတ ပါတယ။