Between 1993 and 2003, smoking prevalence decreased from 34% to 21.4% in South Africa through the implementation of its various anti-tobacco policies and legislation that have resulted in a ban of all tobacco advertisements, the enforcement of health warnings on cigarette packages, and an increase in excise taxes among a plethora of other interventions. A predictable consequence of cigarette price increases is that some people will switch to cheaper substitutes, like roll-your-own (RYO) tobacco. This may negate the effect of taxation and increases the negative consequences for their health.
The Centre for Tobacco Control in Africa (CTCA) was established to build and sustain institutional capacity of African governments in tobacco control. This is done through the provision technical and financial resources to create comprehensive and strong tobacco control bills, policies and regulations. Additionally, the Centre has provided a platform for dialogue among the tobacco control actors including parliamentarians, civil society organizations (CSOs), academia and media fraternity. Furthermore, CTCA has built capacity of African governments and CSOs through training, developing and availing toolkits and orientation of key stakeholders in several countries.
When a smoker with limited funds approached the public health care system for help to quit smoking, Motivational Interviewing (MI) was the only treatment available to them. This despite the fact that there were recommended non-prescription medications on the market (Nicotine Replacement Therapies) as well as prescription medications (Nicotine Receptor Agonists) and antidepressants. Furthermore, costly curative care would be provided in the public health care system when smokers got illnesses and diseases linked to smoking. Megan Harker investigates the intricacies of smoking cessation medication.
This declaration was adopted during the World Conference on Social Determinants of Health on 21 October 2011 and is now available in English.