TABLE 1.
Scoring framework for the tobacco control scorecard based on the World Health Organization Framework Convention on Tobacco Control according to the health system building blocks (Singapore and the Philippines, 2022) a .
| Health system building block | Framework convention on tobacco control article | Indicator | Score |
|---|---|---|---|
| Leadership and governance (65) | Article 5.1. Development, implementation, updating and review of multisectoral national tobacco control strategies | Multisectoral national tobacco control strategy | 2.5 |
| Article 5.2. Establishing, reinforcing, financing a national coordinating mechanism or focal points for tobacco control | National coordinating mechanism or focal point for tobacco control | 2.5 | |
| Article 5.3. Protecting public health policies from the commercial and vested interests of the tobacco industry | Whole-of-government code of conduct/non-interference policy | 5 | |
| Article 6. Price and tax measures to reduce demand for tobacco | At least 75% excise tax share on final price | 10 | |
| Article 8. Protection from tobacco smoke | Compliance with regulations on smoke-free environments | 10 | |
| Article 11. Packaging and labelling of tobacco products | At least 50% of package consists of large graphic health warnings | 10 | |
| Article 12. Education, communication, training and public awareness | Anti-tobacco mass media campaigns | 5 | |
| Article 13. Tobacco advertising, promotion and sponsorship | Complete ban on direct tobacco advertising | 5 | |
| Complete ban on tobacco promotion and sponsorship | 5 | ||
| Article 15. Illicit trade in tobacco products | Tracking regime to further secure the distribution system | 5 | |
| Article 16. Sales to and by minors | Sales to minors prohibited | 2.5 | |
| Article 17. Tobacco growing and support for economically viable alternatives | Viable alternatives provided to tobacco growers | 2.5 | |
| Financing (10) | Article 26. Financial resources | At least USD 0.11 government expenditure on tobacco control per capita | 5 |
| National health insurance covers cost of smoking cessation support | 2.5 | ||
| National health insurance covers cost of NRT | 2.5 | ||
| Service delivery (10) | Article 14. Demand-reduction measures concerning tobacco dependence and cessation | Toll-free quitline/helpline | 5 |
| Availability of smoking cessation support in any facility (primary care, hospitals, health clinics, community) | 5 | ||
| Information (5) | Article 20. Research, surveillance and exchange of information | Recent, representative and periodic (at intervals of five years or less) data for both adults and youth | 3 |
| Article 21. Reporting and exchange of information | Periodic reports to the FCTC Secretariat (every two years) | 2 | |
| Human resources (5) | Article 12d. Training or sensitization and awareness programmes on tobacco control for health workers, community workers, social workers, media professionals, educators, decision makers, administrators and other concerned persons | Full-time staff for tobacco control | 2 |
| Training on tobacco control for health workers, community workers, social workers, media professionals, educators, decision makers, administrators and others | 3 | ||
| Medical products, vaccines and technologies (5) | Article 14.2d. Facilitating accessibility and affordability of pharmaceutical products for the treatment of tobacco dependence | Nicotine replacement therapy is in the country’s essential drug list or publicly available | 2 |
| Nicotine replacement therapy free or reimbursable | 3 | ||
| Maximum score | 100 |
a
This scoring framework is adapted from Amul and Pang [8] which is a modified version of the European Tobacco Control Scale and the Southeast Asia Tobacco Control Alliance Framework Convention Tobacco Control Scorecard and included indicators from the World Health Organization Report on the Global Tobacco Epidemic, the World Health Organization Global Health Observatory [8].