Plan Stratégique National de Lutte Antitabac du Sénégal 2019-2023

Objectives

Senegal’s National Strategic Plan for Tobacco Control provides a coordinated, multisectoral framework to reduce tobacco use and its associated morbidity and mortality, supporting implementation of the World Health Organization Framework Convention on Tobacco Control and national tobacco-control legislation.[1][2][3]Its long-term vision is an emerging Senegal without tobacco by 2035, while its overarching health aim is to protect present and future generations from the health, social, environmental and economic harms of tobacco use and exposure to tobacco smoke.[4][3]The plan seeks to reduce smoking prevalence from 6% to 3% over its implementation period, with a related target of 3% by 2022 in earlier policy frameworks.[5][6]

• Strengthen the legal and institutional framework for tobacco control, including enforcement of measures on tobacco manufacture, packaging, labelling, sale, marketing, smoke-free places and illicit trade.[5][7]
• Prevent tobacco initiation among young people, reduce demand through taxation and financial measures, and protect the population from second-hand smoke.[1][8]
• Develop tobacco-dependence prevention, counselling and treatment services, including functional cessation centres, trained health professionals and a telephone cessation service.[9][10]
• Improve communication, social mobilisation and public awareness through education, media, community engagement and advocacy.[5][11]
• Build the capacity of government, health-sector, education, media, civil-society and community actors to deliver tobacco-control interventions.[5][12]
• Advance research on tobacco-attributable health expenditure, the health costs of tobacco use, taxation, illicit trade and the impact of tobacco-control legislation.[13]
• Establish sustainable financing, strengthen partnerships, monitor tobacco-industry interference, and create systems for surveillance, evaluation and follow-up.[5]

Implementation

Implementation is designed as a whole-of-government and whole-of-society effort led by the Ministry of Health and Social Action through the National Tobacco Control Programme and the National Tobacco Control Committee.[5][14]The National Tobacco Control Programme prepares and implements the strategic plan, supports enforcement of legislation, leads information and communication activities, serves as permanent secretariat to the National Tobacco Control Committee, and follows up its recommendations.[4]Delivery is embedded in Senegal’s three-tier health system, in which the central level sets policy direction, regional medical teams supervise implementation, and health districts execute programmes.[15]

• Coordinate national action through the National Tobacco Control Committee, chaired by the Minister responsible for health and comprising government institutions, the National Assembly, local authorities, civil society and other relevant sectors.[14][16]
• Deploy regional committees chaired by Governors and departmental committees chaired by Prefects to mobilise stakeholders, harmonise local action, undertake advocacy, conduct monitoring and alert functions, and support implementation.[17][18]
• Integrate tobacco-control activities into regional operational plans, annual district action plans, schools, workplaces, communities and local-authority settings.[19]
• Engage civil-society organisations, journalists, researchers, universities, professional bodies, community networks and international technical and financial partners in awareness, advocacy, monitoring and service development.[20][11]
• Implement regulatory and administrative measures on tobacco marketing, smoke-free public places, product marking, outlet signage and seller awareness, supported by training for inspectors, teachers and peer educators.[11]
• Deliver behaviour-change communication through educational sessions, mass-media campaigns, printed materials, social-media promotion, public no-smoking notices, cultural events and community outreach.[11][12]
• Address illicit trade through cooperation linked to the Protocol to Eliminate Illicit Trade in Tobacco Products, including engagement with finance, customs, trade and cross-border partners.[8][21]

Monitoring arrangements include a surveillance, evaluation and monitoring system with activity indicators, data-collection tools, a data-watch and reporting system, ministry focal points, routine monitoring of tobacco-industry activities, and monthly reporting coordinated by the National Tobacco Control Programme monitoring and evaluation unit.[22][13][23]Regional and departmental committees contribute annual activity reports through the governance structure, while annual reviews, a mid-term evaluation and a final evaluation are intended to assess implementation, results and impact.[18][23]

The plan identifies financial sustainability as a core implementation requirement. Proposed mechanisms include progressively increasing the domestic tobacco-control budget line, advocating higher tobacco taxation and revision of West African Economic and Monetary Union excise duties, seeking local-authority budget lines, fundraising, external financing and diversified partnerships.[9][23]The estimated five-year implementation budget for the 2018–2022 strategic plan is 4,661,562,960 CFA francs; the available material does not provide a corresponding detailed budget for the 2019–2023 plan.[24]

Monitoring & Evaluation

The plan provides a monitoring, evaluation and accountability architecture centred on reducing smoking prevalence from 6% to 3% by 2022 or 2023, supported by surveillance of tobacco use, enforcement of tobacco-control legislation and monitoring of tobacco-industry interference.[6][5]It draws on the Global Youth Tobacco Survey and Global Adult Tobacco Survey as core evidence sources, while recognising results-based management, transparency and accountability as guiding principles.[25][26][20][4]

• Establish a surveillance, evaluation, monitoring and follow-up system for the strategic plan, including data-collection tools, a data-watch and reporting system, ministry focal points, and routine monitoring of implementation.[5][22][13][24]
• Track indicators covering tobacco use and smoking prevalence, daily and occasional smoking, consumption, cessation attempts and advice, and exposure to second-hand smoke in homes, workplaces and public places.[26][27]
• Monitor tobacco-industry activities and interference through coordination and surveillance mechanisms, supported by civil-society surveillance in collaboration with government.[20][5][24]
• Compile monthly reports on planned and completed activities, supervise enforcement of the tobacco-control law, and use regional and departmental committees to support reporting and implementation.[23]
• Conduct annual reviews of annual work plans, with national and regional assessments, alongside a mid-term evaluation and final evaluation.[19][23]
• Transmit annual departmental reports to regional committees and annual regional reports to the National Committee for Tobacco Control; the National Committee meets every six months and may convene extraordinary sessions.[18]

Although the framework specifies review processes and institutional roles, the supplied extracts do not provide a complete quantified indicator framework, reporting templates, detailed surveillance outputs or explicit accountability sanctions.[22][19][28]

Costing & Financing

The plan identifies sustainable domestic, innovative and external financing as necessary for tobacco control, but also describes financing as fragile, insufficiently diversified and dependent on external resources.[29][30]Financial sustainability is to be pursued through a progressively increased domestic tobacco-control budget line, fundraising, local-authority budget advocacy, partnerships, possible taxation of tobacco, alcohol and drugs, sponsorship, digital platforms and external financing.[23]

• Advocate more effective tobacco taxation, including revision of West African Economic and Monetary Union tobacco excise duties, and update the case for higher tobacco taxes.[5][9][10]
• Organise a sustainable-financing forum with technical and financial partners and pursue public-private partnerships, while recognising that tobacco-industry interference is a documented risk.[4][9][28]
• Use the estimated five-year implementation budget of 4,661,562,960 CFA francs for the 2018-2022 strategic plan as the principal costed plan total in the extracts.[24]
• Allocate costed resources to tobacco-dependence care, partnerships, tobacco-industry-interference surveillance, research, data systems and evaluations.[10][21][28][13][24]

The extracts do not identify confirmed funding commitments, a quantified funding gap, expenditure out-turns or a detailed financing schedule.[11][9][19]Tobacco-related economic context includes an estimated annual Senegalese cigarette-market value of 60 billion West African CFA francs and an estimated global annual revenue gain of 30 billion US dollars from eliminating illicit tobacco trade.[25][26]