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Country Fact Sheet

Madagascar

Harm

Tobacco harms the health, the treasury, and the spirit of Madagascar. Every year more than 7600 of it's people are killed by tobacco-caused disease, while more than 297000 children and more than 1844000 adults continue to use tobacco each day. Complacency in the face of the tobacco epidemic will ensure the tobacco industry continues to run roughshod over the lives of Madagascar's citizens and ensure that tobacco's death toll will grow with each passing year. Tobacco control advocates must reach out to other communities to strengthen their efforts in this mortal fight.

Deaths

% caused by tobacco: 2010

6.8% of Men

More men die in Madagascar than on average in low-income countries.

2.9% of Women

Even though fewer women die on average in Madagascar than other low-income countries, still 41 women are being killed by tobacco every week, necessitating action from policymakers.

Tobacco use also...

Harms Development

Buying tobacco robs families of the resources they need to rise out of poverty. A smoker in Madagascar would have to spend 16.8% the of national median income to purchase 10 of the cheapest cigarettes to smoke each day!

Harms Environment

Cigarette butts are the most commonly discarded piece of waste worldwide. It is estimated that 1.69 billion pounds of butts wind up as toxic trash, which is roughly equivalent to the weight of 177,895 endangered African elephants.

Harms Equality

To find more customers, the tobacco industry markets its products aggressively to women and children.

Harms NCDs

People living with mental illness are nearly twice as likely to smoke as other persons.

Industry

The combined revenues of the world's 6 largest tobacco companies in 2013 was USD342 Billion, 97% larger than the Gross National Income of Madagascar. The industry is a powerful force that does not fear the actions of nation-states because their resources are often much larger.

Market

Adult Smoking % using tobacco daily, 2013

26.6%of Men

More men smoke in Madagascar than on average in low-income countries.

1.6%of Female

Even though fewer women smoke on average in Madagascar than on average in low-income countries, still 105600 women still smoke cigarettes each day, the sign of an ongoing and dire public health threat.

Children Smoking % using tobacco daily, 2013

30.7%of Boys

More boys smoke in Madagascar than on average in low-income countries.

10.2%of Girls

More girls smoke in Madagascar than on average in low-income countries.

Smokeless% currently using tobacco, 2013 or most recent

22.1%of Adults

More people use smokeless tobacco in Madagascar than on average in low-income countries.

Solutions

Tobacco control policy is an excellent investment in the health of a country's population. According to the WHO, for less than Ar150 per person per year Madagascar will be able to pay for the four 'best buys' in tobacco control policy, raising tobacco excise taxes, enforcing a comprehensive national smoke-free law and a ban on tobacco advertising and promotion, and mandating large graphic warning labels appear on tobacco product packaging. This small investment will reap enormous dividends in health and prosperity.

Current Policy in Madagascar

Protect From Smoke

Smokefree HealthCare FacilitiesYes
Smokefree UniversitiesYes
Smokefree Government FacilitiesYes
Smokefree Indoor OfficesYes
Smokefree RestaurantsYes
Smokefree Pubs and BarsYes
Smokefree Public TransportYes
All Other Indoor Public Places SmokefreeYes
Funds for Smokefree EnforcementNo

Offer Help

Quitting SolutionsNRT and/or some cessation services (neither cost-covered)
National QuitlineNo

Warn about the dangers to tobacco users on product packaging

Type of Warning Labels

Australia(best practice)

Graphic

Madagascar

Graphic

Percent of Pack Covered

Australia(best practice)

82.5%

Madagascar

50%

Graphic Warning Rounds

Australia(best practice)

2

Madagascar

2

Has Plain/Standardized Packaging

Australia(best practice)

Yes

Madagascar

No

Warn about the dangers to whole population in a media campaign

Ran a national anti-tobacco campaign during 2011 and 2012

WHO Best Practice

Yes

Madagascar

No Data

Part Of A Comprehensive Tobacco Control Program

WHO Best Practice

Yes

Madagascar

N/A

Pre-Tested With The Target Audience

WHO Best Practice

Yes

Madagascar

N/A

Target Audience Research Was Conducted

WHO Best Practice

Yes

Madagascar

N/A

Aired On Television And/Or Radio

WHO Best Practice

Yes

Madagascar

N/A

Utilized Media Planning

WHO Best Practice

Yes

Madagascar

N/A

Earned Media/Public Relations Were Used To Promote The Campaign

WHO Best Practice

Yes

Madagascar

N/A

Process Evaluation Was Used To Assess Implementation

WHO Best Practice

Yes

Madagascar

N/A

Outcome Evaluation Was Used To Assess Effectiveness

WHO Best Practice

Yes

Madagascar

N/A

Enforce bans on advertising

Number of Bans on Forms of Direct Advertising7 of a possible 7 bans
Number of Bans on Forms of Indirect Advertising5 of a possible 7 bans
Ad Ban Compliance PercentHigh% self-rated compliance

Raise Taxes

Excise Tax as a % of Cigarette Price

WHO Benchmark

75% of Retail Price is Excise Tax

Madagascar

63.76% of Retail Price is Excise Tax

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